From:
French, Rick
Sent: 1/19/2021 2:54:54 PM
To:
Clements, Linda <lclements@alexandercountync.gov>
Subject:

FW: unencrypt: Vaya Case Staffing slated for 1.20.21

Attachments:\image001.jpg\image002.png

FYI-Rick I have had some other problems today so have not had a chance to call Brian. Is there another problem? Thanks, Rick

 

From: Brian Ingraham <brian@vayahealth.com>
Sent: Tuesday, January 19, 2021 1:16 PM
To: French, Rick <rfrench@alexandercountync.gov>
Cc: Rhonda Cox <Rhonda.Cox@vayahealth.com>
Subject: FW: unencrypt: Vaya Case Staffing slated for 1.20.21

 

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FYI Rick – please see below & let me know if we can do anything more to help.  Rhonda may know more after the call tomorrow.  Also not sure what DSS thinks about the process – of course we need to stay close but respect their ability to ask for more help if needed.

 

Happy to check in with you or your DSS Dir – just let me know

 

From: Brian Ingraham
Sent: Tuesday, January 19, 2021 1:12 PM
To: Armstrong, Victor <victor.armstrong@dhhs.nc.gov>
Subject: FW: unencrypt: Vaya Case Staffing slated for 1.20.21

 

Loop – related to today’s agenda item on CEO call.  Wondering if  DSS understands the process requirements in the same way we do based on communication with them?  We have a really tight system locally (Fast Track) & I hope this doesn’t somehow create a hole in what we have all been using.

 

Hard to keep everything-everyone corralled – let me know how I can help or if you have questions.

 

From: Rhonda Cox <Rhonda.Cox@vayahealth.com>
Sent: Tuesday, January 19, 2021 1:01 PM
To: Heather.McAllister@dhhs.nc.gov; Harbour, Eric <Eric.Harbour@dhhs.nc.gov>
Cc: Sara Wilson <Sara.Wilson@vayahealth.com>; Judith Kirkman <Judith.Kirkman@vayahealth.com>; McLain, Myles <mmclain@alexandercountync.gov>; Jessica Norman <Jessica.Norman@vayahealth.com>; Jerrell, Keri <kjerrell@alexandercountync.gov>; lclements <lclements@alexandercountync.gov>; Martin, <Vic.Martin@dhhs.nc.gov>; Brian Ingraham <brian@vayahealth.com>; Craig Martin <Craig.Martin@vayahealth.com>; Waiver Contract <DHHS@vayahealth.com>
Subject: unencrypt: Vaya Case Staffing slated for 1.20.21

 

Good afternoon,

Thank you for reaching out to us and appreciate the ongoing efforts to meet the needs of children across systems. However, I am a little confused with the process relative to Director Armstrong’s communication to LMEMCOs dated 12.22.2020. Specifically, with regards to this section:

 

“Local Departments of Social Services should ensure that prior to referring a case to the cross divisional response team that they have exhausted all attempts to escalate the case within the LME/MCO management and a resolution has not been identified resulting in the child/youth remaining in a placement that does not meet their treatment needs. Where escalation has been ineffective, this will need to be documented for DHHS follow-up.

 

Whenever possible, DSS and LME/MCO staff will jointly complete the referral and will participate in the initial response team meeting when the case requested for escalation is reviewed. The purpose of this participation is to allow the response team to ask questions that will facilitate a resolution.”

 

I am not aware that all attempts have been exhausted within Vaya to address the needs in this case or a lack of responsiveness from our organization. We also have not seen the referral regarding the staffing occurring tomorrow morning. We have great regard for our partners at Alexander DSS and, to my knowledge, an effective working relationship even when cases are challenging to resolve.  We did staff another case through this process that was identified in a similar way, and, knowing the Division was launching a new process, were on board. We are not opposed to external input but it would be helpful to know if additional guidance has been provided to DSS’ that perhaps have not been communicated to the LMEMCOs re when and how these cases will be reviewed at this level, or, if clarification needs to be provided to our sister Division. I trust the intent, we just need to be on the same page.

 

We will be prepared for tomorrow’s meeting. Please send us the referral form so we can ensure we have information prepared and can address any additional items. Also, please note this message is unencrypted if attaching referral to this email.
R

Rhonda L. Cox, HSP-PA

Executive Vice President & Chief Population Health Officer

Vaya Health  |  200 Ridgefield Court

Asheville, NC 28806  |  O 828-225-2785 x 1141

C 828-777-0962  |  E Rhonda.cox@vayahealth.com

 

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