Amanda Absher
@amandaabsher.bsky.social
disability advocate, Michigander, policy enthusiast, cat parent 🏳️🌈
Screen says that meeting is delayed due to a technical issue.
November 13, 2025 at 11:34 PM
Screen says that meeting is delayed due to a technical issue.
Three policy updates brought by Angela Smith.
Debt collection policy update in line with policy update from the state.
Accounts payable policy - added a section that any check issued with Detroit funds requires two signatures. They previously received a waiver for this but no longer
Debt collection policy update in line with policy update from the state.
Accounts payable policy - added a section that any check issued with Detroit funds requires two signatures. They previously received a waiver for this but no longer
October 27, 2025 at 6:57 PM
Three policy updates brought by Angela Smith.
Debt collection policy update in line with policy update from the state.
Accounts payable policy - added a section that any check issued with Detroit funds requires two signatures. They previously received a waiver for this but no longer
Debt collection policy update in line with policy update from the state.
Accounts payable policy - added a section that any check issued with Detroit funds requires two signatures. They previously received a waiver for this but no longer
"These numbers are going to get tighter. Cash analysis is going to be critical. Monthly reporting is going to be critical."
October 27, 2025 at 6:38 PM
"These numbers are going to get tighter. Cash analysis is going to be critical. Monthly reporting is going to be critical."
"Is it supposed to add up to 100%?"
"Where is the other 10%?" "It's probably in the other category" based on how they went grant-by-grant.
"Where is the other 10%?" "It's probably in the other category" based on how they went grant-by-grant.
October 27, 2025 at 6:38 PM
"Is it supposed to add up to 100%?"
"Where is the other 10%?" "It's probably in the other category" based on how they went grant-by-grant.
"Where is the other 10%?" "It's probably in the other category" based on how they went grant-by-grant.
They are hoping to increase more regular reports to the board and reports monthly.
Skills for Life has an unspent balance. This was expected.
Learn 2 Earn expected some higher spend. Some unspent balance.
All Jumpstart dollars were spent down and transferred to other programs.
Skills for Life has an unspent balance. This was expected.
Learn 2 Earn expected some higher spend. Some unspent balance.
All Jumpstart dollars were spent down and transferred to other programs.
October 27, 2025 at 6:31 PM
They are hoping to increase more regular reports to the board and reports monthly.
Skills for Life has an unspent balance. This was expected.
Learn 2 Earn expected some higher spend. Some unspent balance.
All Jumpstart dollars were spent down and transferred to other programs.
Skills for Life has an unspent balance. This was expected.
Learn 2 Earn expected some higher spend. Some unspent balance.
All Jumpstart dollars were spent down and transferred to other programs.
It's a little difficult to hear, but they are continuing to talk about the change in cash flow. Some committee members are also asking for help understanding the charts.
Most of the training was delayed and not forecasted in that years budget, there was a gap. It's a timing issue.
Most of the training was delayed and not forecasted in that years budget, there was a gap. It's a timing issue.
October 27, 2025 at 6:15 PM
It's a little difficult to hear, but they are continuing to talk about the change in cash flow. Some committee members are also asking for help understanding the charts.
Most of the training was delayed and not forecasted in that years budget, there was a gap. It's a timing issue.
Most of the training was delayed and not forecasted in that years budget, there was a gap. It's a timing issue.
Finance Update, Karen Legendre PSS Senior Manager Rehmann and Dana Williams.
Have not heard from auditors on known investments. In addition to preparing compared to last year, they compared to 2019, pre-ARPA.
Have not heard from auditors on known investments. In addition to preparing compared to last year, they compared to 2019, pre-ARPA.
October 27, 2025 at 6:08 PM
Finance Update, Karen Legendre PSS Senior Manager Rehmann and Dana Williams.
Have not heard from auditors on known investments. In addition to preparing compared to last year, they compared to 2019, pre-ARPA.
Have not heard from auditors on known investments. In addition to preparing compared to last year, they compared to 2019, pre-ARPA.
Juvenile Restorative Program action item. Contracts for Team Wellness to deliver the daytime youth program.
Provide online school, transportations, had to switch buildings for more space.
Provide online school, transportations, had to switch buildings for more space.
October 8, 2025 at 6:25 PM
Juvenile Restorative Program action item. Contracts for Team Wellness to deliver the daytime youth program.
Provide online school, transportations, had to switch buildings for more space.
Provide online school, transportations, had to switch buildings for more space.
Donated funds agreement. 453k for Medicaid Eligibility Specialists. 6 MDHHS workers will be placed through Wayne County. Approved w one abstention.
October 8, 2025 at 6:25 PM
Donated funds agreement. 453k for Medicaid Eligibility Specialists. 6 MDHHS workers will be placed through Wayne County. Approved w one abstention.
Jail diversion action item to continue jail diversion services. 1.305 mil. Approved.
October 8, 2025 at 6:25 PM
Jail diversion action item to continue jail diversion services. 1.305 mil. Approved.
Unfinished business: SUD treatment provider network.
Reallocation of 29.9k to offer certification prep courses for SUD providers.
Reallocation of 19.1 for new provider.
Glen abstains. (Mariners-not a direct recipient)
Passes
Reallocation of 29.9k to offer certification prep courses for SUD providers.
Reallocation of 19.1 for new provider.
Glen abstains. (Mariners-not a direct recipient)
Passes
October 8, 2025 at 6:25 PM
Unfinished business: SUD treatment provider network.
Reallocation of 29.9k to offer certification prep courses for SUD providers.
Reallocation of 19.1 for new provider.
Glen abstains. (Mariners-not a direct recipient)
Passes
Reallocation of 29.9k to offer certification prep courses for SUD providers.
Reallocation of 19.1 for new provider.
Glen abstains. (Mariners-not a direct recipient)
Passes
Associate VP of Clinical Operations report:
Discusses higher CRSP engagement and higher connections to PCPs. 7 discharges from state hospitals into the community in September.
Discusses higher CRSP engagement and higher connections to PCPs. 7 discharges from state hospitals into the community in September.
October 8, 2025 at 6:25 PM
Associate VP of Clinical Operations report:
Discusses higher CRSP engagement and higher connections to PCPs. 7 discharges from state hospitals into the community in September.
Discusses higher CRSP engagement and higher connections to PCPs. 7 discharges from state hospitals into the community in September.
Pleased to have no corrective action plans, although some recommendations were made.
October 8, 2025 at 6:25 PM
Pleased to have no corrective action plans, although some recommendations were made.
Talks about strong numbers for HSAQ and improvement over cycle.
October 8, 2025 at 6:25 PM
Talks about strong numbers for HSAQ and improvement over cycle.
No strategic plan report.
Quality Improvement report. MMBPI - all performance measures met except for 2a IDD child and adult recidivism. 2a measure IDD children was 36.57% (standard is 57%), studying how to improve.
Quality Improvement report. MMBPI - all performance measures met except for 2a IDD child and adult recidivism. 2a measure IDD children was 36.57% (standard is 57%), studying how to improve.
October 8, 2025 at 6:25 PM
No strategic plan report.
Quality Improvement report. MMBPI - all performance measures met except for 2a IDD child and adult recidivism. 2a measure IDD children was 36.57% (standard is 57%), studying how to improve.
Quality Improvement report. MMBPI - all performance measures met except for 2a IDD child and adult recidivism. 2a measure IDD children was 36.57% (standard is 57%), studying how to improve.
Utilization Management report. Working to move from 14 to 7 days for prior auth requests in compliance, with Jan 2026 Final Rule. Working on increasing efficiency in department.
October 8, 2025 at 6:25 PM
Utilization Management report. Working to move from 14 to 7 days for prior auth requests in compliance, with Jan 2026 Final Rule. Working on increasing efficiency in department.
PAR dispatches are setting goals and meeting them.
October 8, 2025 at 6:25 PM
PAR dispatches are setting goals and meeting them.
Now discussing recidivism. Looking to increase diversions. Want to get Crisis Stabilization Unit diversions. These diversions are less likely to be hospitalized, more appropriate services. After targeting this population, diversions have increased and admissions have decreased.
October 8, 2025 at 6:00 PM
Now discussing recidivism. Looking to increase diversions. Want to get Crisis Stabilization Unit diversions. These diversions are less likely to be hospitalized, more appropriate services. After targeting this population, diversions have increased and admissions have decreased.
Working on increasing CRSP notifications, and tracking whether CRSP notifications occurred and what claims occurred after. CRSP notifications lead to more outpatient claims.
October 8, 2025 at 6:00 PM
Working on increasing CRSP notifications, and tracking whether CRSP notifications occurred and what claims occurred after. CRSP notifications lead to more outpatient claims.
PIHIP Crisis Services report: 2 managers, 4 clinical specialists, 15 dispatchers. Oversee different crisis services. Work in emergency departments, discharge planning, psych units, PAR preadmission dispatchers.
October 8, 2025 at 6:00 PM
PIHIP Crisis Services report: 2 managers, 4 clinical specialists, 15 dispatchers. Oversee different crisis services. Work in emergency departments, discharge planning, psych units, PAR preadmission dispatchers.
June was 1 year anniversary of 707 Crisis Care Center. MDHHS still not established youth crisis rules.
October 8, 2025 at 6:00 PM
June was 1 year anniversary of 707 Crisis Care Center. MDHHS still not established youth crisis rules.
Crisis services.
October 8, 2025 at 6:00 PM
Crisis services.
They are working more on completing crisis plans for ACT members. There are 385 current plans, with 177 out of date. Phillips asks about total encounters to reconcile with the "after 5" encounters.
After a little back and forth, the answer is no.
After a little back and forth, the answer is no.
October 8, 2025 at 5:47 PM
They are working more on completing crisis plans for ACT members. There are 385 current plans, with 177 out of date. Phillips asks about total encounters to reconcile with the "after 5" encounters.
After a little back and forth, the answer is no.
After a little back and forth, the answer is no.
Performed ACT fidelity review, "very good" numbers. Pre-admission reviews are now provided by ACT providers at a much higher rate. ACT members who are facing crises after 5 pm are facing waits, but she says the numbers are improving.
October 8, 2025 at 5:47 PM
Performed ACT fidelity review, "very good" numbers. Pre-admission reviews are now provided by ACT providers at a much higher rate. ACT members who are facing crises after 5 pm are facing waits, but she says the numbers are improving.