HEALTHWEST. FULL BOARD MINUTES February 22, :00 a.m. Mental Health Center 376 E. Apple Ave. Muskegon, MI 49442

HEALTHWEST FULL BOARD MINUTES February 22, 2019 8:00 a.m. Mental Health Center 376 E. Apple Ave. Muskegon, MI 49442 CALL TO ORDER The regular meeting of the Full Board was called to order by Chair Thomas at 8:00 a.m. ROLL CALL Members Present: Members Excused: Others Present: Guests: Jason Coleman, Jeff Fortenbacher, Stephanie Umlor, Charles Nash, Dr. Remington Sprague, Janet Thomas, Cheryl Natte, Thomas Hardy, Marcia Hovey-Wright John Snider, Janine Norwood, John Schrier Amber Berndt, Margaret Tietze, Marcia VandenBerg, Dave McElfish, Adam Burger, Susan Plotts, Brandy Carlson, Cyndi Blair, Julia Rupp Beth Dick MINUTES HWB-073 - It was moved by Mr. Fortenbacher, seconded by Commissioner Nash, to approve the minutes of the January 25, 2019, meeting as written. COMMITTEE REPORTS Full Board Operating as a Committee of the Whole via Janet Thomas HWB-056 - It was moved by Chair Thomas, seconded by Mr. Coleman, to approve the minutes of the December 21, 2018, meeting as written. HWB-042 It was moved by Chair Thomas, seconded by Mr. Coleman, to confirm the appointment of Stephanie Umlor as Vice-Chair of the HealthWest Recipient Rights Advisory Committee effective February 1, 2019. HWB-045 It was moved by Chair Thomas, seconded by Mr. Coleman, to approve consideration to uphold the investigative findings of the office and the taken action or plan of action proposed of the respondent. HWB-048 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize the lease of three (3) Ford Escape SE 4WD vehicles from the Ford Motor Corporation as part of the state vehicle procurement list process for a four (4) year lease. HWB-050 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize the

February 22, 2019 Page 2 of 5 HealthWest Executive Director to sign a purchase of service agreement with the Frauenthal Center in the amount of $3,450.00 for the use of a conference setting for the 2019 ReCon: Resilience Conference and paid for with the Connecting Veterans Services Grant. HWB-051 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize two new Master s Level Clinicians for the Youth Mobile Response & Stabilization Team (Cost Center 7334, Wage Grade HX-00250), effective January 25, 2019. HWB-052 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize the addition of two (2) Master s Level Clinicians for Youth Family Based Services (Cost Center 7318/Wage Grade HX-00250), effective January 25, 2019. HWB-053 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize the reclassification of the Behavior Technician Mentor (N11801/7319, Wage Grade HO-00170) to an Autism Program Office Assistant (Wage Grade HO-00070), effective January 25, 2019. HWB-054 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize the addition of one (1) Master s Level Clinician (Cost Center 7330, Wage Grade HX-00250) and two (2) Stabilization Specialists (Cost Center 7330, Wage Grade HX-00160) to the Adult Assessment and Stabilization Team, effective January 25, 2019. HWB-055 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize the changing of the hourly Peer Support Specialist (N54016) to a full-time Peer Support Specialist and changing the Cost Center from 7147 to 7330, and to also change the cost center of the Recovery Coach (N61602) from 7701 to 7147, effective January 25, 2019. HWB-057 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with the Zebu Compliance Solutions to provide EP Staff Check February 1, 2019 through September 30, 2019 at a cost of $1,469.42 per year for up to 578 staff verifications per month. HWB-058 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with the Sentinel Technologies, Inc., to provide SOC services at a rate of $412.50 per hour blended rate that includes off hours per individual, per hour for all incident services performed. HWB-059 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize HealthWest the ability to formally support the Lakeshore Regional Entity (LRE) in pursuing litigation against MDHHS due to rates that have not and do not adequately fund the service provision of the public mental health system.

February 22, 2019 Page 3 of 5 HWB-060 - It was moved by Chair Thomas, seconded by Mr. Coleman, to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with the Cylance (Antivirus) for $2213.70 per month for 36 months plus a one-time $2500 for a total of $82,193.20. HWB-061 - It was moved by Chair Thomas, seconded by Mr. Coleman, to purchase 20 additional docking stations and laptops to replace those affected by the recent network breach in the amount of $28,460. HWB-062 - It was moved by Chair Thomas, seconded by Mr. Coleman, to approve the above motions discussed as a Committee of the Whole and recommend approval at the next Full Board meeting. Program/Personnel Committee via Cheryl Natte HWB-063 - It was moved by Ms. Natte, seconded by Mr. Coleman, to approve the minutes of the December 14, 2018 meeting as written. HWB-064 - It was moved by Ms. Natte, seconded by Mr. Coleman, to authorize the addition of a Full-Time Network Security and Systems Manager position (Wage Grade HX 00330, Funding Org 7703), effective February 22, 2019. MOTION CARRIED W/COMMISSIONER NASH VOTING NAY Recipient Rights Advisory Committee via Janet Thomas HWB-065 - It was moved by Chair Thomas, seconded by Dr. Sprague, to approve the minutes of the December 14, 2018 Recipient Rights Advisory Committee meeting as written. HWB-066 - It was moved by Chair Thomas, seconded by Mr. Fortenbacher, to approve the minutes of the January 11, 2019 Recipient Rights Appeals Committee meeting as written. HWB-068 - It was moved by Chair Thomas, seconded by Mr. Coleman, to approve the Recipient Rights Report for December/January 2019. Finance Committee via Janet Thomas HWB-069 - It was moved by Chair Thomas, seconded by Dr. Sprague, to approve the minutes of the December 19, 2018, meeting as written. HWB-070 - It was moved by Chair Thomas, seconded by Mr. Coleman, to approve expenditures for the months ending December 31, 2018 and January 31, 2019, in the total amounts of 6,269,431.98 and $5,014,044.48 respectively. HWB-071 - It was moved by Chair Thomas, seconded by Ms. Natte, to authorize the HealthWest Executive Director to sign a First Amendment to revise the contract language to

February 22, 2019 Page 4 of 5 extend the contract with TBD Solutions LLC for professional services to provide Project Leadership for the HealthWest Electronic Healthcare Record Implementation, effective October 29, 2018 through April 30, 2019, with the consultant hours for this project capped at $81,040.00. MOTION CARRIED W/COMMISSIONER NASH VOTING NAY HWB-072 - It was moved by Ms. Thomas, seconded by Dr. Sprague, to authorize the HealthWest Executive Director (or designee) to sign a Letter of Agreement with Lakeland Hospital in the amount of $30,558.00 which includes 33 days at a daily rate of $926.00 effective December 5, 2018 through January 7, 2019. ITEMS FOR CONSIDERATION Authorization to Sign Resolution to Support the Creation of a PIHP with 298 CMH Participants HWB-074 - It was moved by Ms. Natte, seconded by Mr. Coleman, to authorize the Executive Director to explore options related to the development of a prepaid inpatient health plan (PIHP) to provide Managed Specialty Behavior Health Services and the Supports Waiver Program to the Medicaid Unenrolled Population for the purposes of the 298 Pilot. Authorization to Sign Contract with Hinman Lake LLC for Rental of Office Space at Terrace Plaza HWB-075 - It was moved by Ms. Natte, seconded by Commissioner Hovey-Wright, to authorize the HealthWest Executive Director to contract with Hinman Lake, LLC at 750 Trade Centre Way, Suite 100, Portage, MI 49002 for rental of Suite 170 consisting of approximately 4,915 rentable square feet (RSF) in the office building known as Terrace Plaza ("Building") located at 316 Morris Avenue, Muskegon, MI 49440. The period of this lease is for five (5) years from March 1, 2019 through February 29, 2024 with an initial annual cost of $58,980 plus utilities and will increase annually as denoted above. Authorization to Sign Contract with Cobblestone Software for a Contracts Management Program HWB-076 - It was moved by Ms. Natte, seconded by Mr. Coleman, to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with Cobblestone Software and the County of Muskegon to assist in the contracts management process. The contract will run from April 1, 2019 through March 31, 2024 with the initial annual amount being $21,838.09 and increasing annually as denoted above. OLD BUSINESS There was no old business. NEW BUSINESS There was no new business.

February 22, 2019 Page 5 of 5 COMMUNICATION CMH-PAC Campaign Fund Flyers were distributed to Board members should they be interested in contributing financially. The Annual Nominating Committee meeting is scheduled for April 26 th immediately following Full Board. Director s Report The report was distributed to Board members for their review. Ms. Rupp briefly discussed the status of the ehr implementation as well as the recent developments with the 298 Pilot initiative and PIHP process. She also gave updates regarding her meetings this week with the representatives in Lansing and the success of them. Julia expressed the need for something to happen at the LRE level regarding our cash flow. Although we are owed money from them and the State, it can take up to two years for that cash to come in so we need to find alternative funding for the time being. We will be submitting a formal request to the LRE to help us resolve the issue by following the guidelines set forth in the operating agreement. Beth Dick introduced herself to the Board for those who were not present at the Finance Committee meeting last week. She expressed her concerns on behalf of the County regarding our cash flow and the fact that property taxes will not be levied in time to make up any of our deficit. She is keeping a close eye on our accounts and working very closely with Brandy Carlson to monitor the situation. AUDIENCE PARTICIPATION There was no audience participation. ADJOURNMENT There being no further business to come before the board, the meeting adjourned at 9:08 a.m. Respectfully, Jeff Fortenbacher Board Secretary /ab PRELIMINARY MINUTES To be adopted and approved at the Full Board Meeting of March 22, 2019

Agenda TO: FROM: SUBJECT: HealthWest Board Members Janet Thomas, HealthWest Board Chair, via Julia Rupp, Executive Director Full Board Meeting February 22, 2019 8:00 AM Mental Health Center, Board Room B 1) Call to Order 2) 3) 4) 5) Welcome and Introductions for Marcia Hovey-Wright Approval of Minutes of January 25, 2019 (Previously Forwarded) Committee Reports A) Full Board Operating as a Committee of the Whole (Attachment #1) B) Program/Personnel Committee (Attachment #2) C) Recipient Rights Advisory Committee (Attachment #3) D) Finance Committee (Attachment #4) Items for Consideration A) Authorization to Sign Resolution to Support the Creation of a PIHP with 298 CMH Participants (Attachment #5) B) Authorization to Sign Contract with Hinman Lake LLC for Rental of Office Space at Terrace Plaza (Attachment #6) C) Authorization to Sign Contract with Cobblestone Software for a Contracts Management Program (Attachment #7) Information Action Action Action Action Action Action Action Action 6) Old Business Main Office 376 E. Apple Ave. Muskegon, MI 49442 P (231) 724-1111 F (231) 724-3659 HealthWest.net

February 22, 2019 Page 2 of 2 7) New Business 8) Communication A) B) C) 2019 CMHAM PAC Campaign (Attachment #8) 2019 Annual Meeting/Nominating Committee April 26, 2019 Immediately Following Full Board Director s Report (To be distributed) Information Information Information 9) Audience Participation 10) Adjournment Action /ab c: County Administration The County of Muskegon will provide necessary reasonable auxiliary aides and services, such as signers for the hearing impaired and audio tapes of printed materials being considered at the meeting, to individuals with disabilities who want to attend the meeting upon 24-hours notice to the County of Muskegon. Individuals with disabilities requiring auxiliary aids or services should contact the County of Muskegon by writing or calling Administration, Hall of Justice, Fourth Floor, 990 Terrace Street, Muskegon, MI 49442 (231/724-6505 TDD-231/722-4103).

HEALTHWEST FULL BOARD OPERATING AS A COMMITTEE OF THE WHOLE REPORT TO THE BOARD via John Snider, Finance Committee Chair 1. The Full Board of Director s met on January 25, 2019. A quorum was not present. The members present acted as a Committee of the Whole and voted to approve the following motions for consideration. * 2. It was recommended, and I move, to approve the minutes of the December 21, 2018, meeting as written. * 3. It was recommended, and I move, to confirm the appointment of Stephanie Umlor as Vice-Chair of the HealthWest Recipient Rights Advisory Committee effective February 1, 2019. * 4. It was recommended, and I move, to approve consideration to uphold the investigative findings of the office and the taken action or plan of action proposed of the respondent. * 5. It was recommended, and I move, to authorize the lease of three (3) Ford Escape SE 4WD vehicles from the Ford Motor Corporation as part of the state vehicle procurement list process for a four (4) year lease. * 6. It was recommended, and I move, authorize the HealthWest Executive Director to sign a purchase of service agreement with the Frauenthal Center in the amount of $3,450.00 for the use of a conference setting for the 2019 ReCon: Resilience Conference and paid for with the Connecting Veterans Services Grant. * 7. It was recommended, and I move, to authorize two (2) new Master s Level Clinicians for the Youth Mobile Response & Stabilization Team (Cost Center 7334, Wage Grade HX- 00250), effective January 25, 2019. * 8. It was recommended, and I move, to authorize the addition of two Master s Level Clinicians for Youth Family Based Services (Cost Center 7318/Wage Grade HX-00250), effective January 25, 2019. *9. It was recommended, and I move, to authorize the reclassification of the Behavior Technician Mentor (N11801/7319, Wage Grade HO-00170) to an Autism Program Office Assistant (Wage Grade HO-00070), effective January 25, 2019. *10. It was recommended, and I move, to authorize the addition of one (1) Master s Level Clinician (Cost Center 7330, Wage Grade HX-00250) and two (2) Stabilization Specialists (Cost Center 7330, Wage Grade HX-00160) to the Adult Assessment and Stabilization Team, effective January 25, 2019. *11. It was recommended, and I move, to authorize the changing of the hourly Peer Support Specialist (N54016) to a full-time Peer Support Specialist and changing the Cost Center from 7147 to 7330, and to also change the cost center of the Recovery Coach (N61602) from 7701 to 7147, effective January 25, 2019.

*12. It was recommended, and I move, to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with the Zebu Compliance Solutions to provide EP Staff Check February 1, 2019 through September 30, 2019 at a cost of $1,469.42 per year for up to 578 staff verifications per month. *13. It was recommended, and I move, to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with the Sentinel Technologies, Inc., to provide SOC services at a rate of $412.50 per hour blended rate that includes off hours per individual, per hour for all incident services performed. *14. It was recommended, and I move, to authorize HealthWest the ability to formally support the Lakeshore Regional Entity (LRE) in pursuing litigation against MDHHS due to rates that have not and do not adequately fund the service provision of the public mental health system. *15. It was recommended, and I move, to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with the Cylance (Antivirus) for $2213.70 per month for 36 months plus a one-time $2500 for a total of $82,193.20. *16. It was recommended, and I move, to purchase 20 additional docking stations and laptops to replace those affected by the recent network breach in the amount of $28,460. *17. It was recommended, and I move, to refer the enclosed report of the Committee of the Whole to the Full Board for adoption. /ab

HEALTHWEST FULL BOARD (OPERATING AS A COMMITTEE OF THE WHOLE) MINUTES CALL TO ORDER January 25, 2019 8 a.m. Mental Health Center 376 E. Apple Ave. Muskegon, MI 49442 The regular meeting of the Full Board was called to order by Commissioner Snider at 8:03 a.m. and operated as a Committee of the Whole due to a lack of quorum. ROLL CALL Members Present: Members Excused: Others Present: Guests: Jason Coleman, Jeff Fortenbacher, John Snider, II, Stephanie Umlor, Charles Nash, Dr. Remington Sprague John Schrier, Janet Thomas, Cheryl Natte, Janine Norwood, Thomas Hardy, Marcia Hovey-Wright Brandy Carlson, Cyndi Blair, Amber Berndt, Julia Rupp, Margaret Tietze, Marcia VandenBerg, Dave McElfish, Adam Burger, Susan Plotts None MINUTES HWB-056 - It was moved by Dr. Sprague, seconded by Mr. Fortenbacher, to approve the minutes of the December 21, 2018, meeting as written. COMMITTEE REPORTS Recipient Rights Appeals Committee via Commissioner Snider MOTION APPROVED FOR CONSIDERATION. HWB-042 It was moved by Mr. Coleman, seconded by Dr. Sprague, to confirm the appointment of Stephanie Umlor as Vice-Chair of the HealthWest Recipient Rights Advisory Committee effective February 1, 2019. MOTION APPROVED FOR CONSIDERATION. HWB-043 It was moved by Mr. Coleman, seconded by Dr. Sprague, to approve consideration to uphold the investigative findings of the office and the taken action or plan of action proposed of the respondent. MOTION APPROVED FOR CONSIDERATION. Finance Update A brief update was given to the Board on the current financial status of the agency by Ms. Carlson. As questions arose Ms. Blair also gave some additional updates with regards to the Clinical processes and what we re doing to combat the revenue shortfalls.

January 25, 2019 Page 2 of 5 ITEMS FOR CONSIDERATION Authorization to Lease Three (3) Ford Escape SE 4WD Vehicles for a Four (4) Year Period HWB 048 - It was moved by Commissioner Nash, seconded by Mr. Coleman, to authorize the lease of three (3) Ford Escape SE 4WD vehicles from the Ford Motor Corporation as part of the state vehicle procurement list process for a four (4) year lease. MOTION APPROVED FOR CONSIDERATION. Authorization to Sign a Purchase of Service Agreement with the Frauenthal Center for the 2019 ReCon Conference HWB 050 - It was moved by Dr. Sprague, seconded by Mr. Fortenbacher, to authorize the HealthWest Executive Director to sign a purchase of service agreement with the Frauenthal Center in the amount of $3,450.00 for the use of a conference setting for the 2019 ReCon: Resilience Conference and paid for with the Connecting Veterans Services Grant. MOTION APPROVED FOR CONSIDERATION. Authorization to Add Two (2) Master s Level Clinicians to Youth Mobile Response and Stabilization Team HWB 051 - It was moved by Mr. Coleman, seconded by Dr. Sprague, to authorize two new Master s Level Clinicians for the Youth Mobile Response & Stabilization Team (Cost Center 7334, Wage Grade HX-00250), effective January 25, 2019. MOTION APPROVED FOR CONSIDERATION. Authorization to Add Two (2) Master s Level Clinicians to Youth Family Based Services HWB 052 - It was moved by Dr. Sprague, seconded by Mr. Coleman, to authorize the addition of two (2) Master s Level Clinicians for Youth Family Based Services (Cost Center 7318/Wage Grade HX-00250), effective January 25, 2019. MOTION APPROVED FOR CONSIDERATION. Authorization to Reclass the Behavior Technician Mentor to an Autism Program Office Assistant HWB 053 - It was moved by Mr. Coleman, seconded by Ms. Umlor, to authorize the reclassification of the Behavior Technician Mentor (N11801/7319, Wage Grade HO-00170) to an Autism Program Office Assistant (Wage Grade HO-00070), effective January 25, 2019. MOTION APPROVED FOR CONSIDERATION. Authorization to Add One (1) Master s Level Clinician and Two (2) Stabilization Specialists to the Adult Assessment and Stabilization Team HWB 054 - It was moved by Mr. Coleman, seconded by Mr. Fortenbacher, to authorize the addition of one (1) Master s Level Clinician (Cost Center 7330, Wage Grade HX-00250) and two (2) Stabilization Specialists (Cost Center 7330, Wage Grade HX-00160) to the Adult Assessment and Stabilization Team, effective January 25, 2019. MOTION APPROVED FOR CONSIDERATION.

January 25, 2019 Page 3 of 5 Authorization to Change an Hourly Peer Support Specialist (Cost center 7147) to a Full-Time Peer Support Specialist (Cost Center 7330) and Change the Cost Center of the Recovery Coach (N61602) from 7701 to 7147 HWB 055 - It was moved by Dr. Sprague, seconded by Mr. Coleman, to authorize the changing of the hourly Peer Support Specialist (N54016) to a full-time Peer Support Specialist and changing the Cost Center from 7147 to 7330, and to also change the cost center of the Recovery Coach (N61602) from 7701 to 7147, effective January 25, 2019. MOTION APPROVED FOR CONSIDERATION. Authorization to Sign a Purchase of Service Agreement with Zebu Compliance Solutions HWB 057 - It was moved by Mr. Coleman, seconded by Commissioner Nash, to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with the Zebu Compliance Solutions to provide EP Staff Check February 1, 2019 through September 30, 2019 at a cost of $1,469.42 per year for up to 578 staff verifications per month. MOTION APPROVED FOR CONSIDERATION. Authorization to Sign an Incident Response Services Agreement with Sentinel HWB 058 - It was moved by Dr. Sprague, seconded by Mr. Coleman, to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with the Sentinel Technologies, Inc., to provide SOC services at a rate of $412.50 per hour blended rate that includes off hours per individual, per hour for all incident services performed. MOTION APPROVED FOR CONSIDERATION. Authorization for HealthWest to Formally Support the LRE Pursuing Litigation Against the Michigan Department of Health and Human Services HWB 059 - It was moved by Mr. Coleman, seconded by Dr. Sprague, to authorize HealthWest the ability to formally support the Lakeshore Regional Entity (LRE) in pursuing litigation against MDHHS due to rates that have not and do not adequately fund the service provision of the public mental health system. MOTION APPROVED FOR CONSIDERATION. Authorization to Sign Contract with Cylance for Cyber Protection and Security HWB 060 - It was moved by Mr. Nash, seconded by Mr. Fortenbacher, to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with the Cylance (Antivirus) for $2213.70 per month for 36 months plus a one-time $2500 for a total of $82,193.20. MOTION APPROVED FOR CONSIDERATION. OLD BUSINESS There was no old business.

January 25, 2019 Page 4 of 5 NEW BUSINESS Dr. Sprague asked about HealthWest s budgeted positions if we should come short on revenue and what happens to those positions. Ms. Carlson gave a brief description on how our funding allows us to be compensated by the State for the services we provide since they are a Medicaid entitlement so long as they are medically necessary services. MOTIONS FROM THE FLOOR Authorization to Purchase 20 Laptops and 20 Docking Stations from Sehi Computer Products, Inc. HWB 061-B It was moved by Mr. Coleman, seconded by Commissioner Nash, to purchase 20 additional docking stations and laptops to replace those affected by the recent network breach in the amount of $28,460. MOTION APPROVED FOR CONSIDERATION. Authorization to Refer the Enclosed Report of the Committee of the Whole to the Full Board for Adoption at the Next Scheduled Meeting HWB 062-B It was moved by Mr. Coleman, seconded by Dr. Sprague to approve the above motions discussed as a Committee of the Whole and recommend approval at the next Full Board meeting. MOTION APPROVED FOR CONSIDERATION. COMMUNICATION Julia updated the board on the efforts of the four current 298 CMHs and their desire to form their own PIHP. This would help solve the issue of who manages the unenrolled population. The state s plan is/was to bid it out to an existing PIHP. Having it managed by another PIHP would allow them to manage roughly 40% of the funding. The state is requiring us to meet the following three requirements. 1. A Resolution must be passed by the Board of Directors (for all CMHs) 2. A Resolution must be passed by the County Commission 3. We must have an Operating Agreement and Bylaws Bob Sheehan, the CEO at the Community Mental Health Association of Michigan, has submitted a memo in support of the above process. We will try to meet as a Full Board at the next scheduled Finance Committee meeting on February 15 th. If we need to meet sooner, we will schedule for the 8 th. Please hold both dates in your calendars. A memorandum with the exact date will be sent to the Board in the coming days. AUDIENCE PARTICIPATION There was no audience participation.

January 25, 2019 Page 5 of 5 ADJOURNMENT There being no further business to come before the board, the meeting adjourned at 9:09 a.m. Respectfully, Jeff Fortenbacher Board Secretary /ab PRELIMINARY MINUTES To be adopted and approved at the Full Board Meeting of February 22, 2019

HEALTHWEST PROGRAM/PERSONNEL COMMITTEE REPORT TO THE BOARD Via Cheryl Natte, Committee Chair 1. The Program/Personnel Committee met on Friday, February 8, 2019. * 2. It was recommended, and I move to approve the minutes of the December 14, 2018 meeting as written. * 3. It was recommended, and I move, to authorize the addition of a Full-Time Network Security and Systems Manager position (Wage Grade HX 00330, Funding Org 7703), effective February 22, 2019. /ab

HEALTHWEST PROGRAM/PERSONNEL MEETING MINUTES February 8, 2019 8:00 a.m. Mental Health Center CALL TO ORDER The regular meeting of the Program/Personnel Committee was called to order by Chair Natte at 8:03 a.m. ROLL CALL Members Present: Members Excused: Others Present: Guests: John Schrier, Jason Coleman, Janet Thomas, Cheryl Natte, Stephanie Umlor None Margaret Tietze, Larry Spataro, Susan Plotts, Dave McElfish, Marcia Vandenberg, Adam Burger, Cyndi Blair, Amber Berndt None MINUTES It was moved by Ms. Thomas, seconded by Mr. Coleman, to approve the minutes of the December 14, 2018 meeting as written. ITEMS FOR CONSIDERATION Authorization to Add a Full-Time Network Security and Systems Manager Position It was moved by Ms. Thomas, seconded by Mr. Schrier, to authorize the addition of a Full-Time Network Security and Systems Manager position (Wage Grade HX 00330, Funding Org 7703), effective February 22, 2019. OLD BUSINESS There was no old business. NEW BUSINESS There was no new business. COMMUNICATION There was no communication.

Program/Personnel minutes, February 8, 2019 Page 2 of 2 DIRECTOR S COMMENTS There was no Director s participation. AUDIENCE PARTICIPATION There was no audience participation. ADJOURNMENT There being no further business to come before the board, the meeting adjourned at 8:06 a.m. CN/ab PRELIMINARY MINUTES To be approved at the Program Meeting of April 12, 2019

HEALTHWEST RECIPIENT RIGHTS ADVISORY COMMITTEE REPORT TO THE BOARD via John Schrier, Committee Chairperson 1. The Recipient Rights Advisory Committee met on February 8, 2019. * 2. It was recommended, and I move, to approve the minutes of the December 14, 2018 meeting as written. * 3. It was recommended, and I move, to approve the minutes of the January 11, 2019 Recipient Rights Appeals Committee meeting as written. * 4. It was recommended, and I move, to accept the Recipient Rights report for the months of December/January 2019. /ab

CALL TO ORDER HEALTHWEST RECIPIENT RIGHTS ADVISORY COMMITTEE MEETING MINUTES Friday, February 8, 2019 8 a.m. Mental Health Center Board Room B The regular meeting of the Recipient Rights Advisory Committee was called to order by Mr. Schrier, Committee Chair, at 8:06 a.m. ROLL CALL Members Present: Members Excused: John Schrier, Jason Coleman, Janet Thomas, Cheryl Natte, Stephanie Umlor None Others Present: Amber Berndt, Margaret Tietze, Larry Spataro, Dave McElfish, Marcia Vandenberg, Susan Plotts, Adam Burger, Cyndi Blair Guests: None APPROVAL OF MINUTES It was moved by Mr. Coleman, seconded by Ms. Thomas, to approve the minutes of the December 14, 2018 meeting as written. It was moved by Ms. Natte, seconded by Mr. Coleman, to approve the minutes of the January 11, 2019 Recipient Rights Appeals Committee meeting as written. ITEMS FOR CONSIDERATION Motion to Accept Recipient Rights Report for December/January 2019 It was moved by Mr. Coleman, seconded by Ms. Thomas, to approve the Recipient Rights Report for December/January 2019. For the months of December/January 2019 there were 59 HealthWest and 48 provider employees trained: Rights Updates HealthWest 49 Rights Updates Provider 19 New Employee Training HealthWest/Contracted 10 New Employee Training Provider 29 SUD Recipient Rights Orientation HealthWest SUD Recipient Rights Orientation Provider For the months of October/November 2018 there were 516 incident reports and 43 rights allegations.

Recipient Rights Advisory Committee Meeting Minutes February 8, 2019 Page 2 of 2 Statistical data showing type and code was not yet provided for review. Therefore no discussion was held regarding this month s incident reports. There were a total of three deaths reported in December/January 2019. OLD BUSINESS There was no old business. NEW BUSINESS A) Refusing FOIA Request document was handed out for review. B) Current Legislation Mr. Spataro briefly discussed some of the items that did and did not pass the legislature. C) Rights Audit Mr. Spataro updated the Committee on the upcoming audit May 21-23. COMMUNICATIONS There was no communications. DIRECTOR S COMMENTS There were no Director s comments. AUDIENCE PARTICIPATION There was no audience participation. ADJOURNMENT There being no further business to come before the committee, the meeting adjourned at 8:21 a.m. Respectfully, Mr. John Schrier HealthWest Rights Advisory Committee Chair /ab PRELIMINARY MINUTES To be approved at the Program Meeting of April 12, 2019

HEALTHWEST FINANCE COMMITTEE REPORT TO THE BOARD via John Snider, Committee Chair 1. The Finance Committee met on February 15, 2019. * 2. It was recommended, and I move, to approve the minutes of the December 19, 2018, meeting as written. * 3. It was recommended, and I move, to approve the expenditures for the months ending December 31, 2018 and January 31, 2019, in the total amounts of $6,269,431.98 and $5,014,044.48 respectively. * 4. It was recommended, and I move, to authorize the HealthWest Executive Director to sign a First Amendment to revise the contract language to extend the contract with TBD Solutions LLC for professional services to provide Project Leadership for the HealthWest Electronic Healthcare Record Implementation, effective October 29, 2018 through April 30, 2019, with the consultant hours for this project capped at $81,040.00.. * 5. It was recommended, and I move, to authorize the HealthWest Executive Director (or designee) to sign a Letter of Agreement with Lakeland Hospital in the amount of $30,558.00 which includes 33 days at a daily rate of $926.00 effective December 5, 2018 through January 7, 2019.. /ab

HEALTHWEST FINANCE COMMITTEE MEETING MINUTES Friday, February 15, 2019 8:00 a.m. Mental Health Center Board Room CALL TO ORDER The regular meeting of the Finance Committee was called to order by Chair Snider at 8:01 a.m. ROLL CALL Committee Members Present: Committee Members Excused: Add l Board Members Present: Also Present: Guests: Charles Nash, John Snider, Janet Thomas Dr. Remington Sprague, Jeff Fortenbacher Marcia Hovey-Wright Brandy Carlson, Amber Berndt, Sam Wolff, Marcia Vandenberg, Adam Burger, Susan Plotts, Cyndi Blair Beth Dick MINUTES It was moved by Commissioner Nash, seconded by Ms. Thomas, to approve the minutes of the December 19, 2018, meeting as written. ITEMS FOR CONSIDERATION A. Final Reports for FY2018 1. Ms. Carlson presented the following County of Muskegon Accounting Department Final Reports for FY2018. Final Analysis of Expenditures: HealthWest is 3.3% over budget. Final Analysis of Revenues: September 30, 2018. Ms. Carlson presented the Final Analysis of Revenues through Fund Balance Sheets: Fund 2220 shows a negative cash balance of ($3,752,114.83). Fund 7930 shows a positive cash balance of 380,969.33. 2. Ms. Carlson presented the following HealthWest reports for FY2018. CMH Expenditures Financial Statement: For the period ending September 30, 2018, this report shows the estimated true variance to date of ($2,176,695) which is over budget to date. Finance Update: Fees and Inpatient: The Substance Abuse Fee report has a total variance of ($94,319). It should be noted that this variance report is based on the budget approved by the HealthWest Board during the month of May 2018.

February 15, 2019 Page 2 of 5 The Fee Report for Revenues Received through September 2018 has a total variance of ($2,635,459). It should be noted that this variance is based on the budget approved by the HealthWest Board during the month of May 2018. The Inpatient Summary report indicates a Net Utilization Variance of ($904,116) for Community Inpatient, which is based on the budget approved by the HealthWest Board during the month of May 2018. Budget Variance Analysis Report: Our budget variance, based on the budget approved by the HealthWest Board during the month of May 2018 is ($3,821,640) for traditional services and ($2,111,119) for SUD services. However, this figure does not really give us a true picture of where we stand as we are not able to use the different funding sources (i.e., State GF and Medicaid, etc.) to offset each other s shortfalls. Therefore, a truer picture would be as follows: Medicaid (Traditional and SUD) ($2,039,104) Healthy Michigan (Traditional and SUD) ($2,989,152) SUD (Non-Medicaid Sources) PA2 ($85,045) 66,522 Subtotal -($5,046,779)- State GF (Transfer from Fund Balance) ($812,355) Local Match (Transfer from Fund Balance) ($20,512) Systems of Care Grant (Transfer from Fund Balance) ($94,041) Pre-Lapse and Dream Grant (Transfer to Fund Balance) 40,928 Total ($5,932,759) Year End Projection Trends: Ms. Carlson presented the final FY2018 year-end projection trends for board member review. Group Contractual/Internal and SUD Report: Ms. Carlson presented the both the Contractual and Internal Group Reports and the SUD report for board member review. B. Approval of Expenditures for December 2018 and January 2019 It was moved by Ms. Thomas, seconded by Commissioner Nash, to approve the expenditures for the months ending December 31, 2018 and January 31, 2019 in the total amounts of $6,269,431.98 and $5,014,044.48 respectively. C. Interim Analysis of Expenditures Ms. Carlson presented the draft expenditures for the month of January 2019 noting that HealthWest is 5% under budget. D. Interim Analysis of Revenues Ms. Carlson presented the draft revenues through January 31, 2019. Revenues were lower than anticipated. Ms. Dick offered input on the cash coming in as she s been monitoring for the last few months. She also wanted to express her concerns as to how low the cash balance is getting especially for this time of year. Mr. Snider questioned whether the LRE has made any attempts to force the state to come up with the additional funding. Ms. Carlson attended finance ROAT this week and there was no mention of it.

February 15, 2019 Page 3 of 5 E. Interim Balance Sheets of January 2019 Ms. Carlson presented the Interim Balance Sheets of January 2019, noting that there was a negative cash balance of ($6,322,957.24) for Fund 2220. Fund 7930 has a positive cash balance of $396,238.42. F. HealthWest Expenditures Financial Statement Ms. Carlson presented the HealthWest Expenditure report for January 2019 which shows the estimated true variance to date of $568,120. Expenditures are under budget to date. G. Finance Update Fees and Inpatient Summary The Substance Abuse Fee Report has negative variance of ($186,252) through the month of January 2019. It should be noted that this variance report is based on the budget approved by the HealthWest Board during the month of May 2018. The Other Fees Report has a negative total variance of ($1,450,582) through the month of January 2019. The variance report is based on the budget approved by the HealthWest Board during the month of May 2018. The Inpatient Summary Report indicates a negative variance to date of ($226,323) for Community Inpatient, which is based on the budget approved by the HealthWest Board during the month of May 2018. H. Budget Variance Analysis Report Our projected budget variance, based on the budget approved by the HealthWest Board during the month of May 2018 is ($977,627). There are no contingencies at this time. That would leave HealthWest with a net variance of approximately ($977,627) after the first four months of the fiscal year. Due to the different periods of the budget year that these variances are calculated, this would prorate out to a variance of approximately ($2,213,612) for the whole fiscal year. However, this figure does not really give us a true picture of where we stand as we are not able to use the different funding sources (i.e., State GF and Medicaid, etc.) to offset each other s shortfalls. Therefore, a truer picture would be as follows: Medicaid (Traditional) $1,766,389 Medicaid (Healthy Michigan) ($2,694,123) Medicaid (Autism) ($570,380) State General Fund ($715,498) I. Month End Projection Trends Ms. Carlson presented the month-end projection trends for board member review. J. Medicaid Eligibles by Program Ms. Carlson presented the Medicaid Eligibles trends for HM, DAB, and TANF for board member review.

February 15, 2019 Page 4 of 5 K. Authorization to Sign a First Amendment with TBD Solutions to Revise Contract Language It was moved by Commissioner Nash, seconded by Ms. Thomas, to sign a First Amendment to revise the contract language to extend the contract with TBD Solutions LLC for professional services to provide Project Leadership for the HealthWest Electronic Healthcare Record Implementation, effective October 29, 2018 through April 30, 2019, with the consultant hours for this project capped at $81,040.00. L. Authorization to Sign a Single Case Agreement with Lakeland Hospital It was moved by Ms. Thomas, seconded by Commissioner Nash, to authorize the HealthWest Executive Director (or designee) to sign a Letter of Agreement with Lakeland Hospital in the amount of $30,558.00 which includes 33 days at a daily rate of $926.00 effective December 5, 2018 through January 7, 2019. OLD BUSINESS There was no old business. NEW BUSINESS There was no new business. COMMUNICATIONS There was no communication. DIRECTOR S COMMENTS There was no Director participation. AUDIENCE PARTICIPATION Commissioner Snider emphasized the County s concerns over our financial situation. He believes we need to get the attention of the State as we are providing services that are State mandated yet are not being appropriately funded. ADJOURNMENT There being no further business to come before the committee, the meeting adjourned at 8:39 a.m. Respectfully, John Snider Committee Vice-Chair JS/ab PRELIMINARY MINUTES To be approved at the Finance Meeting of March 15, 2019

A RESOLUTION TO SUPPORT THE DEVELOPMENT OF A PREPAID INPATIENT HEALTH PLAN IN PARTNERSHIP WITH GENESSEE HEALTH SYSTEM, SAGINAW CMH AND WEST MICHIGAN CMH February 22, 2019 The Board of Directors for HealthWest supports and authorizes its Executive Director to explore options related to the development of a prepaid inpatient health plan (PIHP) to provide Managed Specialty Behavior Health Services and the Supports Waiver Program to the Medicaid Unenrolled Population for the purposes of the 298 Pilot. This PIHP would be a partnership between Genesee Health System, HealthWest, Saginaw County Community Mental Health Authority and West Michigan Community Mental Health for the management of the Medicaid Unenrolled in Genesee, Lake, Muskegon, Mason, Oceana, and Saginaw Counties. It is understood that development of the PIHP would require completion of all necessary Application for Participation (AFP) requirements associated with formation of a PIHP and authorization from the State of Michigan for the formation of this entity. This in no way binds HealthWest or the State of Michigan to the formation of said PIHP. Resolution Declared Adopted Janet Thomas, Chair HealthWest Board I hereby certify that the Resolution was duly adopted by the HealthWest Board of Directors at their regular monthly meeting held on Friday, February 22, 2019, at which a quorum was present, and that said meeting was conducted and public notice of said meeting was given pursuant to and in full compliance with the Open Meetings Act, 1976 P.A. 267, and that the minutes of said meeting were kept and will be or have been made available as required by said Act.

REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION COMMITTEE Full Board REQUESTING DIVISION Administration BUDGETED NON BUDGETED PARTIALLY BUDGETED X REQUEST DATE February 22, 2019 REQUESTOR SIGNATURE Dave McElfish, Chief Administrative Officer SUMMARY OF REQUEST (GENERAL DESCRIPTION, FINANCING, OTHER OPERATIONAL IMPACT, POSSIBLE ALTERNATIVES) HealthWest Board authorization is requested for HealthWest to contract with Hinman Lake, LLC located at 750 Trade Centre Way, Suite 100, Portage, MI 49002 for rental of Suite 170 consisting of approximately 4,915 rentable square feet 1 (RSF) in the office building known as Terrace Plaza ("Building") located at 316 Morris Avenue, Muskegon, MI 49440. Rates below are for the time period effective March 1, 2019 through February 29, 2024. YEAR PSF MONTHLY ANNUAL 1 2019/2020 $ 12.00 $ 4,915.00 $ 58,980.00 2 2020/2021 $ 12.36 $ 5,062.45 $ 60,749.40 3 2021/2022 $ 12.73 $ 5,214.00 $ 62,568.00 4 2022/2023 $ 13.11 $ 5,369.64 $ 64,435.68 5 2023/2024 $ 13.50 $ 5,529.38 $ 66,352.56 HealthWest would also be responsible for the payment of that portion equivalent to the cost sharing ratio (5.13%) of all utility services for the building, including but not limited to water, sewer, gas, electricity and other utility services delivered to the building. SUGGESTED MOTION (STATE EXACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to authorize the HealthWest Executive Director to contract with Hinman Lake, LLC at 750 Trade Centre Way, Suite 100, Portage, MI 49002 for rental of Suite 170 consisting of approximately 4,915 rentable square feet (RSF) in the office building known as Terrace Plaza ("Building") located at 316 Morris Avenue, Muskegon, MI 49440. The period of this lease is for five (5) years from March 1, 2019 through February 29, 2024 with an initial annual cost of $58,980 plus utilities and will increase annually as denoted above. COMMITTEE DATE BOARD DATE COMMITTEE APPROVAL Yes No Other BOARD APPROVAL Yes No Other HWB 075-B 1 Measured per BOMA (Building Owners and Managers Association) International standard (ANSI/BOMA Z65.1-1996)

REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION COMMITTEE Finance Committee REQUESTING DIVISION Network Management BUDGETED NON BUDGETED PARTIALLY BUDGETED X REQUEST DATE February 19, 2019 REQUESTOR SIGNATURE Adam N. Burger, Grants & Contracts Manager SUMMARY OF REQUEST (GENERAL DESCRIPTION, FINANCING, OTHER OPERATIONAL IMPACT, POSSIBLE ALTERNATIVES) HealthWest Board authorization is requested to enter into a purchase of service agreement with Cobblestone Software, 100 Overlook Center Floor 2, Princeton, NJ 08540, for HealthWest to incorporate their Enterprise Contract Management software to 10 end users ($21,838.09 year one) for both HealthWest and the County of Muskegon. This software automates and centralizes contract, agreements, committals, risk documents, and obligation records. Further it leverages organizational processes and integrates seamlessly with mission-critical applications. It will allow for authorizing, managing and tracking enterprise-wide contract documents from anywhere, anytime, from any device. This vendor did go through a thorough procurement process and was chosen out of three other vendors that were demoed and researched. This vendor met the needs of both HealthWest and the County at the best quoted pricing model. Contract quote from Cobblestone Software (5 year overview) from April 1, 2019 through March 31, 2024, which will be split 60% to HealthWest and 40% to County of Muskegon based on the number of users. The values below represent the total cost of the software billed to both the County and HealthWest. Year 1: $21,838.09 (Deployment, training, work sessions) Year 2: $14, 641.94 Year 3: $15,813.29 Year 4: $17,079.36 Year 5: $18,444.63 SUGGESTED MOTION (STATE EXACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with Cobblestone Software and the County of Muskegon to assist in the contracts management process. The contract will run from April 1, 2019 through March 31, 2024 with the initial annual amount being $21,838.09 and increasing annually as denoted above. COMMITTEE DATE BOARD DATE COMMITTEE APPROVAL Yes No Other BOARD APPROVAL Yes No Other HWB 076-B

MONTHLY DIRECTOR S REPORT FEBRUARY 2019 Mission Statement: To be a leader in integrated behavioral health care, inspiring hope and wellness in partnership with individuals, families, and the community. ~Julia Rupp Events MSU Extension office has offered to facilitate an event in Muskegon County to address the opiate epidemic. They will cover costs for a venue, food, and airing of the movie Chasing the Dragon. We will be targeting youth and there will also be a panel to facilitate discussion. Date and venue is to be determined. HealthWest is working with Mercy Health to plan the West Michigan Osteopathic Association Spring Conference agenda for medical providers. Sessions will include Human Trafficking, Adverse Childhood Experience Universal Screening, and Opioids. Foundation to continue bi-monthly community gatherings about race and racism and to train additional facilitators to build capacity Presentations HealthWest presented along with MSU Extension, CHIR, Recovery Court and Mediation and Restorative Services at the Cooperating Churches Annual Meeting about opportunities for partnerships with the faith based community. HealthWest presented options such as Risking Connections trauma informed congregations training, creation of a faith/ mental health workgroup, and partnership for the annual Health, Wellness & Recovery event. The MYalliance System of Care Report to the Community will be held Thursday, March 21 from 5:00-7:00 p.m. where outcomes and stories will be shared. Please save the date! HealthWest presented at the Michigan Press Association Annual Conference to reporters about ethical and evidence based approaches to reporting deaths by suicide. Grants The State Opioid Response Grant has allocated money for HealthWest for specific areas this year. We have received $100,000 to provide Substance Abuse assessments and treatment in the jail; $75,000 is allocated to have a full-time recovery coach in the jail to provide engagement, groups, and connection to services post release; $51,000 for transportation to MAT; $61,275 for a recovery coach for individuals receiving Medication Assisted Treatment; $68,000 to pay for Vivitrol in the jail. The State did not allow us to use the money to supplement the Medicaid benefit, which is why the focus is on the jail population. We are working with the Community Gathering Initiative to submit a grant to the Community HealthWest will be presenting at the Children s Research Conference in Florida March 4 th on Recovery. Program Redesign Planning efforts have been under way for several months to accommodate the increased numbers of individuals requesting services, while assuring they are consistent with best practices and the CCBHC continuum and are efficient. As a result, we are increasing our office-based services for both children and adults. In both adult and youth services we are adding brief interventions (time limited targeted outpatient services). In adult services we are enhancing group services. We have seen an increase in participation and interest in HealthWest Progress Report February 2019

Page 2 of 2 group modalities. Even during our extremely cold and snowy weather we continued to have regular attendance in our groups. In youth services, we have redeployed the staff that were in what we formerly called intensive family-based to office-based groups and individual services. Day Treatment for youth is a required service element in the system of care array and very effective for youth. These redesigns require additional space. The plan is to move administrative functions out of the main building in order to take advantage of reception and other resources needed for direct services. Next month we will do a presentation on the new program design for the board. Finance Audit field work is underway. We continue to struggle with cash flow. We have reached out to the LRE for assistance with cash flow, asking them for help much in the same way they did for Network 180 last year. This is a result of the delay in cost settlement payments which historically can take up to 2 years. In addition, we will be requesting the LRE provide explanation as to the allocation distribution of current funds. HealthWest appears to be substantially below the PMPM compared to the other members, in addition to the fact they told us they had made and error and withdrew over $2 million from our account without explanation. While so far this has been a request, we will use the formal process outlined in the operations agreement to escalate these issues. Technology We have started beta testing (testing of individual forms within the system) in the new electronic health record and are nearly finished with design efforts. Planning for training is also underway. Last month we were hit with a virus that effected almost all of our files. Thanks to the County, we do have insurance which will help with some of the costs. We will be sending notices to all consumers and staff, as well as other stakeholders about the possible breach, although we have no evidence of a data breach at this time. Our consultants told me that they have never seen an organization recover so quickly. We were completely back up and running in 4 days. This meant that we had to recover all files (they had been encrypted), collect over 350 pieces of equipment and reformat, update software and policies to increase security, meet individually with all staff to review policy and issue computer. Our impact was minimized as most of this work occurred over a 3 day weekend and the fact that numerous staff came in and worked over the long weekend including the Executive and T/Quality Improvement Teams. A huge thank you goes out to those individuals. In addition, all staff were extremely helpful from bringing in donuts and coffee over the weekend, to having to recreate work they had already done. The can do attitude of the entire staff is what made this as painless as possible. Cold Weather While extremely rare we made the decision to close the building when the county also closed (though we normally do not). While we closed the building do to safety of all concerned we do continue to provide services. So many staff representing almost all teams continued to work. Medication deliveries and other urgent needs were attended to. On call services were available and those teams helped with the urgent needs. Brinks Crisis program continued to operate, and many staff worked from home. The goal was to eliminate as much travel as possible and to keep clients form coming out in the cold. We were concerned about safety, and while we were opened handed out many hats and gloves helping individuals stay warm on the way home. It was another example of watching our staff work very well together to take care of our consumers and each other. HealthWest Progress Report February 2019