BC 2012 05 21 Regular Meeting - Laserfiche WebLink

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May 21, 2012 (Regular Meeting) Page 1082 (2) To operate the 1915(b) /(c) Medicaid Waiver, a proven system for the management of mental health, intellectual and developmental disabilities, and substance abuse services; (3) To manage state funded services for mental health, intellectual and developmental disabilities, and substance abuse services, including federal block grant funds; (4) To manage all other resources that are or become available for mental health, intellectual and developmental disabilities, and substance abuse services; (5) To use managed care strategies, including care coordination and utilization management, to reduce the trend of escalating costs in the State Medicaid program while ensuring medically necessary care, and to deploy a system for the allocation of resources based on the reliable assessment of medical necessity, functional status and intensity of need. These strategies shall efficiently direct individuals to appropriate services and shall ensure they receive no more and no less than the amount of services determined to be medically necessary at the appropriate funding level; (6) To maintain a local presence in order to respond to the unique needs and priorities of localities; (7) To ensure communication with consumers, families, providers, and stakeholders regarding disability- specific and general 1915(b) /(c) Medicaid Waiver operations by implementing a process for feedback and exchange of information and ideas; (8) To establish and maintain systems for ongoing communication and coordination regarding the care of individuals with mental illness, intellectual and developmental disabilities, and substance abuse disorders with other organized systems such as local Departments of Social Services, Community Care of North Carolina, hospitals, school systems, the Department of Juvenile Justice and Delinquency Prevention, and other community agencies; (9) To maintain disability specific infrastructure and competency to address the clinical, treatment, rehabilitative, habilitative, and support needs of all disabilities served by Cardinal Innovations; (10) To conduct administrative and clinical functions, including requirements for customer service, quality management, due process, provider network development, information technology systems, financial reporting, and staffing; (11) To maintain full accountability for all aspects of 1915(b) /(c) Medicaid Waiver operations and for meeting all contract requirements specified by the Department of Health and Human Services; and (12) To authorize the utilization of State psychiatric hospitals and other State facilities. Section 5 . Powers, Duties and Responsibilities Cardinal Innovations shall have the powers, duties, and responsibilities necessary or convenient to carry out the purposes of this Joint Resolution, including but not limited to, the following: (1) To engage in comprehensive planning, development, and management of local systems for the delivery of mental health, intellectual and developmental disabilities, and substance abuse and related services; (2) To comply with federal requirements for Medicaid, Medicare, block grants, and other federally funded healthcare programs; (3) To perform public relations and community advocacy functions; (4) To maintain a 24 -hour a day, seven day a week crisis response service. Crisis response shall include telephone and face -to -face capabilities. Crisis phone response shall include triage and referral to appropriate face -to -face crisis providers. Crisis services do not require prior authorization, but shall be delivered in compliance with appropriate policies and procedures. Crisis services shall be designed for prevention, intervention, and resolution, not merely triage and transfer, and shall be provided in the least restrictive setting possible, consistent with individual and family need, and community safety; (5) To accept donations or money, personal property, or real estate for the benefit of Cardinal Innovations and to take title to the same from any person, firm, corporation, or society; (6) To purchase, lease, obtain options upon, or otherwise acquire any real or personal property or any interest therein from any person, firm, corporation, city, county, government, or society; (7) To sell, exchange, transfer, assign, or pledge any real or personal property or any interest therein to any person, firm, corporation, city, county, government, or society; (8) To own, hold, clear, and improve property; (9) To appoint a Chief Executive Officer and to fix his /her compensation; (10) To delegate to its agents or employees any powers or duties as it may deem appropriate;