HIV HEALTH SERVICES PLANNING COUNCIL Meeting March 22, 2017 10:00 a.m. to 12:00 p.m. Meeting Location: Primary Care Center 4600 Broadway, Sacramento, CA 95817 Conference Room 2020 Facilitator: Susan Farrington, Chair Scribe: Paula Gammell, Council Staff Council Member Attendees: Adrienne Rogers, Brad Satterwhite, Erika Navarro, Gail Brosnan, Judy Vang, Kane Ortega, Kevin Johnson, Kristina Kendricks-Clark, Mahara Leong, Mark Underwood, Dr. Melody Law, Michael Ungeheuer, Richard Benavidez, Rick Myers, Ronnie Miranda, Susan Farrington, Tracy Jenkins Members Excused: Chelle Gossett, Chioko Grevious, Ernesto Sanchez, Norman Hamilton, Rachel Alvarez Members Absent: None Guests: Jacqueline Martinez-Juarez with SHRA, Becky Gonzales with ViiV Healthcare, Liz Hall with the State Office of AIDS-HIV Care Branch, Guadalupe Morimune, Care Operations Advisor at the State Office of AIDS, Sharisse Kemp with the State Office of AIDS-ADAP via teleconference, Rashia Green-Daniel with RX Staffing, and Melinda Ruger with Harm Reduction Services 1 of 5
Welcome, Introductions and Announcements Agenda and Review* Richard Benavidez stated that the NorCal AIDS Cycle is having a BBQ Fundraiser on Saturday, April 8 th at the West Sacramento Civic Center Galleria, 1110 West Capital Avenue, West Sacramento, 95691. The event is a major fundraiser to help support the NorCal AIDS Cycle event in May 2017. There will be raffle items and auctions during the event as well. Motion to adopt the Agenda was made by Ronnie Miranda with a second by Richard Benavidez. The agenda was unanimously approved. of February 22, 2017: Motion to approve the of February 2017 was made by Kane Ortega with a second by Rick Myers. Discussion noted two corrections. Kane Ortega amended his motion to approve the with the corrections noted. Amended motion was seconded by Mark Underwood and approved with one abstention. Presentation: Mechanics of the Planning Council Office of AIDS (OA) Update March 2017 Update Staff presented a training of the Mechanics of the Planning Council which highlighted the duties and responsibilities of the Planning Council and Fiscal Agent. Staff obtained Council Members signed Code of Conduct, Conflict of Interest and Policy Acknowledgement forms. Liz Hall addressed the HIV Care Program updates in the Office of AIDS March 2017 Monthly Report. The Medi-Cal Waiver Program and Department of Health Care Services have responded to Centers for Medicare and Medicaid Services (CMS) questions regarding the 2017 2021 AIDS Waiver Renewal Application and submitted them for review and approval. CMS has placed the Application in Request for Additional Information (RAI) status pending review of the submitted questions. To accommodate the RAI process, an extension of the 2012 2016 Waiver has been approved by CMS through April 1, 2017. Until the new Application is approved, the policies and procedures of the 2012 2016 Waiver will remain in effect. The California Department of Public Health, Office of AIDS is pleased to announce that the Kings County Needle Exchange (KCNE) application to provide syringe exchange services has been approved. Final decisions on the new CPG membership were made on March 3, 2017, after which all applicants 2 of 5
were notified. Questions about CPG can be sent to cpg@cdph.ca.gov. An in-person CPG meeting is scheduled for April 4-6, 2017, in Sacramento. This will be the first meeting of the new CPG membership. Susan Farrington, our Council Chair, was reappointed to the CPG. The meeting is open to the public and there will be an opportunity for public comment. Sharisse Kemp addressed the AIDS Drug Assistance Program Updates in the Office of AIDS March 2017 Monthly Report. The California Department of Public Health (CDPH) decided to terminate its contract with A.J. Boggs & Company. This decision was made in order to best serve the state s 29,000 ADAP clients. Effective March 6, 2017, eligibility and enrollment services will be handled by CDPH. A.J. Boggs has mailed March and April Self Verification Forms (SVFs) and postcards. A.J. Boggs will re-route completed and returned SVFs to CDPH. Effective March 6, 2017, Medical Out-of-Pocket Claim forms and supporting documentation from OA- HIPP clients must be submitted directly to Pool Administrators, Inc. via fax, secure email or mail: E-Fax Number: (860) 560-8225; Email: CDPH_MBM_Fax@pooladmin.com Mail: PAI-CDPH 628 Hebron Ave., Suite 100, Glastonbury, CT 06033. Fiscal Agent Reports FY16 January 2017 Monthly Report* At this time, ADAP is covering Medi-Cal Out-of-Pocket expenses for outpatient ambulatory services only, including services at Emergency Rooms if patient is discharged the same day. Unfortunately this does not cover Dental or in-patient Hospitalization out of pocket expenses or co-pays. Sharisse Kemp will follow-up with an inquiry as to whether or not coverage is provided for ambulances and durable medical equipment as well. The FY16 December Monthly Fiscal Report was presented to the Council. The Fiscal Agent advised that expenditures should be at 91.6%. Due to Part B and Part B Supplemental Funding which have different fiscal years than the Part A Funding, the overall expenditure rate of 82.43% makes it appear as if the TGA is under-spending however we are within the actual targeted spending rate. The Fiscal Agent anticipates a carryover of less than 5%. Motion to approve the FY16 January 2017 Monthly Report was made by Mark Underwood with a second by Kevin Johnson and approved. 3 of 5
FY16 3 rd Quarter Fiscal Agent Report The FY16 3 rd Quarter Fiscal Agent Report was distributed at the meeting. The Sacramento Transitional Grant Area (TGA) served 2,476 unduplicated clients during the first three quarters of Fiscal Year 2016, or a 1.2% decrease in total unduplicated clients over the same reporting period in FY15 (2,506 clients). The greatest numbers of Ryan White clients in the Sacramento TGA are over the age of 45 (63.53%) with 86.35% of the Ryan White clients served residing in Sacramento County as well. The Ryan White Care Program saw an increase of 39.8% in new (never been served by the Ryan White Care Program) clients (239). These are new clients in the TGA, which includes the counties of Placer, El Dorado and Sacramento as well as additional clients served in Yolo and Alpine counties through the Part B and Part B Supplemental grants. During the same period last year, the program served 171 new clients. Committee Updates In Sacramento, the two main service needs included Benefits Counseling and Outpatient Ambulatory Care. In the rural counties, the two main services needed by new clients included Medical Case Management and Outpatient Ambulatory Care services. 1) Administrative Assessment Committee (AdAC): Kane Ortega reported that the Committee will meet on May 19, 2017 to conduct the FY16 year-end Administrative Assessment. To participate in the AdAC Committee, you must be a seated Council Member due to the confidential nature of the work reviewed. 2) Affected Communities Committee (ACC): Mark Underwood, Chair: The Committee met in March and discussed the Training and Outreach Calendars. Committee members also participated in outreach activities on Native American HIV Awareness Day, and distributed information at the Native American Health Center s health fair. The Committee has been working on the next issue of the Positive Advocate. The committee tabled the FY17 Work Plan so Committee members have time to review the suggested updates using the Comprehensive Plan s various Strategies. 3) Governance: Michael Ungeheuer reported that Governance is reviewing two Council Committees Policies and Procedures and will bring them forward with updates at next month s meeting. 4) Priorities and Allocations Committee (PAC): Mark Underwood, Chair, informed that PAC will meet in April to discuss potential changes to adopted FY17 funding scenarios which will take into 4 of 5
Committee Updates Continued: consideration the uncertain provision of continued Supplemental Part B funding from the State Office of AIDS. 5) Needs Assessment Committee (NAC): The Committee did not meet but the Needs Assessment has begun and there are approximately 80 Needs Assessment Surveys completed out of a goal of 220. 6) Prevention Committee (PC): Gail Brosnan reported that the Committee will be meeting in April to review its Work Plan and Policies and will be updating the outreach documents (OPTIONS and palm card) to ensure correct agency information. Technical Assistance Needs Public Comments 7) Quality Advisory Committee (QAC): The Committee will be meeting in April and will begin reviewing its Policies and Procedures as well as continue reviewing service standards. Susan Farrington requested that anyone in need of technical assistance contact her, the Fiscal Agent or Council Staff directly. Staff distributed an e-mail with login information regarding the Planning Council/Planning Body Assessment: Key Findings and Implications Webinar that will be conducted on March 28, 2017. All council members are encouraged to participate in this webinar as this is an opportunity for HRSA to hear from them directly. Adjournment Next meeting April 26, 2017. Erika Navarro distributed a flyer inviting people to Sunburst Projects Open House on March 27, 2017. 5 of 5