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May 7, 2012 (Work Session)
<br />Page 1039
<br />of local priorities as determined by the Community Oversight
<br />Boards; budgets; hiring and evaluations of the Chief Executive
<br />Officer; monitoring of deliverables, including overall
<br />performance and financial management; government affairs and
<br />advocacy; reporting to constituent counties; responding to
<br />concerns and feedback from the Community Oversight Boards; and
<br />ensuring the overall health of Cardinal Innovations.
<br />(3) The bylaws of the Governing Board shall establish Community
<br />Oversight Boards, one for each Community Operations Center, which
<br />shall ensure involvement of local stakeholders, promote
<br />understanding and collaboration at the local level, and monitor
<br />the performance of each Community Operations Center. Membership
<br />of the Community Oversight Boards will be as follows:
<br />(a) Three (3) members from each County, appointed by each
<br />County's Board of Commissioners, and will include a County
<br />Commissioner or designee, a consumer or family member, and
<br />another citizen or stakeholder; and
<br />(b) One (1) member from the Local Consumer and Family Advisory
<br />Committee, either the Chair or other elected member.
<br />(4) Each Community Oversight Board's primary responsibilities
<br />will include advising the CEO on the evaluation and hiring of the
<br />Community Operations Center Executive Director; recommending
<br />priorities for expenditure of state and county funds for
<br />development of the annual budget; determining local priorities
<br />for inclusion in the overall strategic plan; identifying
<br />community needs and concerns; monitoring resolution of issues;
<br />and monitoring performance at the local level, including access
<br />to care, expenditure of service funds, number of consumers
<br />served, services delivered, provider network size and
<br />composition, outcomes, and consumer satisfaction.
<br />(5) Each Community Oversight Board will establish its own
<br />bylaws based on local needs, but in compliance with standardized
<br />requirements established by the Governing Board for quorums,
<br />frequency of meetings, elections of officers, duties of members,
<br />committees and committee appointments, and attendance standards.
<br />Such bylaws are subject to the approval of the Governing Board.
<br />Section 4. Functions
<br />Cardinal Innovations shall perform all the functions necessary to
<br />carry out the purposes of this Joint Resolution, including, but
<br />not limited to, the following:
<br />(1) To establish accountability for the planning, development,
<br />and management of local systems that ensure access to care,
<br />quality of services, and the availability and delivery of
<br />necessary services, for individuals in need of mental health,
<br />intellectual and developmental disabilities, substance abuse, and
<br />related services;
<br />(2) To operate the 1915(b) /(c) Medicaid Waiver, a proven system
<br />for the management of mental health, intellectual and
<br />developmental disabilities, and substance abuse services;
<br />(3) To manage state funded services for mental health,
<br />intellectual and developmental disabilities, and substance abuse
<br />services, including federal block grant funds;
<br />(4) To manage all other resources that are or become available
<br />for mental health, intellectual and developmental disabilities,
<br />and substance abuse services;
<br />(5) To use managed care strategies, including care coordination
<br />and utilization management, to reduce the trend of escalating
<br />costs in the State Medicaid program while ensuring medically
<br />necessary care, and to deploy a system for the allocation of
<br />resources based on the reliable assessment of medical necessity,
<br />functional status and intensity of need. These strategies shall
<br />efficiently direct individuals to appropriate services and shall
<br />ensure they receive no more and no less than the amount of
<br />services determined to be medically necessary at the appropriate
<br />funding level;
<br />(6) To maintain a local presence in order to respond to the
<br />unique needs and priorities of localities;
<br />(7) To ensure communication with consumers, families,
<br />providers, and stakeholders regarding disability- specific and
<br />general 1915(b) /(c) Medicaid Waiver operations by implementing a
<br />process for feedback and exchange of information and ideas;
<br />(8) To establish and maintain systems for ongoing communication
<br />and coordination regarding the care of individuals with mental
<br />illness, intellectual and developmental disabilities, and
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