Behavior Treatment Committee

1. Behavior Treatment Committee February 5, 2019

2. Behavior Treatment Committee • Oversight Committee for Customers that have Restrictive or Intrusive Components in their Behavior Support Plans • Specialized Residential Placement • Restricted Access to Personal Items • Intrusive Levels of Supervision • Restricted Communication with Others • Reviews Each Customer Quarterly What is the BTC?

3. Behavior Treatment Committee • Dr. Sean Field, BCBA-D • Dr. Brent Smith, Psychologist • Dr. Sajid Hussain (DD) & Dr. James Gandy (MI), Psychiatrist • Kent Rehmann, Recipient Rights Officer Who is on the BTC?

4. Behavior Treatment Committee • Assess Customer Behavior • Develop Behavior Support Plan • Train Staff and Implement Behavior Support Plan • Monitor Customer Performance • Monitor Staff Implementation • Work with Treatment Team to Plan for Removal of Restrictive or Intrusive Plan Components Role of BCBA or Plan Developer

5. Behavior Treatment Committee • Staff Adhere to Behavior Support Plan • Schedule Trainings and Assure Staff are Trained on Behavior Support Plans • BTC Data Collection Forms are Completed and Submitted for Each of the Targeted Behaviors Outlined in the Support Plan • BTC Tracking Forms are Submitted to Summit Pointe Each Month with Attention made to Bridget Avery • Incident Reports are NOT Used for Behaviors Defined in the Plan Unless Interventions Required Restraint, Police Involvement, or Care Greater than First Aid Expectations for Providers

6. Contact People • Bridget Avery • Phone: 269-441-6056 • Email: bma@summitpointe.org • Sean Field • Phone: 269-986-7000 • Email: spf@summitpointe.org • Elizabeth Wygant • Email: eaw@summitpointe.org

7. Questions/Concerns? Please contact Sean Field Email: spf@summitpointe.org Phone: 269-986-7000

8. HCBS Update February 2019 Provider Meeting Summit Pointe

9. What’s new with HCBS???? • Updated FAQ (January 2019) • B3 Remediation ramping up • Webinars • Heightened Scrutiny Update

10. Updated FAQ (January 2019) • Laundry Access (pg 14) • Access to funds (pg 14) • Michigan’s compliance date, March 17, 2019 (pg 16) • Links embedded in FAQ https://www.michigan.gov/documents/mdhhs/MDHHS_HCBS_FAQ_627632_7.pdf

11. B3 Remediation • Remediation letters will be going out soon by the SWMBH HCBS lead • Same process as the HSW remediation that occurred last year • CAP Guidance Table Resource https://www.michigan.gov/documents/mdhhs/CAP_guidance_table_Final_1.2018_614816_7.pdf

12. Webinars • Michigan HCBS Transition Project: B Waiver Survey Results • January 23rd and 30th • Due to weather last week, DDI may host another webinar • Recorded webinar should be posted soon on the MI DDI website • https://ddi.wayne.edu/hcbsinfo

13. Heightened Scrutiny Update • CMH HCBS leads working on updating data for the State Transition Team. Deadline is February 15, 2019 • What does this mean? Getting closer to identifying providers who will start working with the MSU and the HS process

14. Heightened Scrutiny • Isolation https://www.michigan.gov/documents/mdhhs/HS_isolation_flowchart_2_002_576916_7.pdf • Institutional https://www.michigan.gov/documents/mdhhs/HS_institutional__flowchart_576918_7.pdf • Heightened Scrutiny Process https://www.michigan.gov/documents/mdhhs/HS_process_steps_flowchart__2_576915_7.pdf

15. How are you doing with HCBS???? • How are you educating your staff on HCBS rules? • What things are you doing to encourage choice? • Any new, or outside of the box, business practices?

16. Incident Reporting

18. What’s wrong? • Used full name of other resident • No date of incident • No employee assigned to resident • Scratch out • Not enough detail in explanation of what happened • i.e., why was Jane told to wait? • No supervisor Signature

19. DO NOT DO Submit IR to Performance Improvement within 24 hours or next business day Fax 269-966-1777 Use another sheet of paper if you run out of room Fill out everything that you can! Be specific If handwriting, print legibly Provide customer number Do not put multiple occurrences on one IR (i.e., med refusal morning and evening), separate them out Do not put more than one customer full name on IR, use initials of other customers Do not completely scratch out a word. Cross it off with one or two lines through the word and initial If customer has a behavior plan, do not document a behavior in an IR, just on the behavior tracking sheet

20. Performance Improvement Bridget Avery 269-441-6056 bma@summitpointe.org Katie Larder 269-441-6025 kll2@summitpointe.org

21. Trends in Compliance Provider Meeting February 5, 2019

22. Annual Claims Review • Claims audit is conducted the same quarter as your site review. • Compliance will request documentation to be submitted at the beginning of the quarter (via letter) • Documentation will be scanned into the computer in order for PI to use for their audit, as they look at the quality of the documentation. • Correct code, rate, place of service and documentation of units, Face to Face time.

23. Recoupment and Corrective Action Plan • When would you receive a recoupment? Some examples: • Lack of supporting documentation for services provided • Documentation does not match the claims submitted • When would you receive a request for Corrective action plan? Some examples: • Place of Service is not correct • Documentation lacks elements mandated by Medicaid Manual and SWMBH/Summit Pointe documentation policy (on website)

24. Results of Audit • You will receive a letter with your results. • Will include recoupment and corrective action plan is needed • Preliminary results versus Final Results • When are Corrective Action Plans due? • 30 days after notified of deficiency (via letter) • Follow up: • Both recoupment and corrective action plans will have a follow up plan to ensure continued compliance

25. Quarter 1 Claims Audit • 162 claims reviewed • 98% compliance rate • Trends for quarter: Place of Service Incorrect No supporting documentation submitted

26. Audits, Audits, Audits • Summit Pointe and their providers are subjected to many audits over the course of the year: • MDHHS • SWMBH • Summit Pointe Auditing and monitoring plan • Annual Claims Audit • Targeted Audits

27. MDHHS Behavioral Health Consent/Release of Information (Version 5515) • Part II(A) Section 7.9.3 of SWMBH’s PIHP Contract with MDHHS mandates that we “use, accept and honor” the MDHHS standard release form. • Public Act 129 of 2014, which directs MDHHS to: • …[D]evelop a standard release form for exchanging confidential mental health and substance use disorder information for use by all public and private agencies, departments, corporations or individuals that are involved with treatment of an individual experiencing serious mental illness, serious emotional disturbance, developmental disability or substance use disorder.

28. MDHHS Behavioral Health Consent/Release of Information (Version 5515) • It is a way for several entities to share behavioral health and substance use information for the purpose of treatment, payment and coordination of care • This is specifically for sharing behavioral health and substance use information. It is not used for other types of information. • For a list of more FAQ’s and Helpful information please visit www.michigan.gov/bhconsent

29. MDHHS Behavioral Health Consent/Release of Information (Version 5515) • Several versions have come out over the last year. Use version 5.0 (Revision date 12/18). Previous versions of this form will no longer be accepted effective March 1, 2019.

30. Contacts For any questions: Compliance@summitpointe.org