Comprehensive Community Services

NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE December 16, 2025 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3:0 2 p.m. on December 16, 2025, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell From Taylor County: Catherine Taber, Adam Schnabel, Scott Mildbrand, Cody Miller From Sawyer County: Alicia Carlson, Hailey Sands From Price County: None Voting Members Absent: None Others Present: Taylor Reinhardt, NCR - CCS Administrator; Katie Voss, CCS Clinical Services Manager, Taylor County; Jenn Arndt, Administrative Assistant, Taylor County; Sarah Reese-Socha, Director, Price County; Karlie Pierson, DHS; and True Lor, DHS. Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Scott Mildbrand motioned to approve the agenda of 13 items. Catherine Taber seconded the motion. Motion carried. Approve Minutes of the October 21, 2025, Meeting: Scott Mildbrand motioned to approve the minutes from the October 21 , 2025, meeting. Adam Schnabel seconded the motion. Motion carried. Public Comments: None. 2025 Quality Improvement Plan: Mr. Reinhardt highlighted the progress of the 2025 Quality Improvement Plan, noting that all goals were completed, except for Program Goal #3 : Increase accessibility to services for clients with limited-English proficiency. Program documentation was not submitted to a certified translation service. DCTS Response-Provider Conflict of Interest: Mr. Reinhardt updated that he contacted Division of Quality Assurance (DQA) to seek guidance regarding a potential conflict of interest with a Service Director referring client’s directly to their private practice. DQA did not find this to be a conflict of interest and suggested following statutory guidance found in DHS Chapter 9 4. Questions were asked and discussion was had. Mr. Reinhardt will create a Conflict -of-Interest Policy for the NCR and present it to this committee in the first quarter of 2026. Mental Health Statistical Improvement Plan (MHSIP) Satisfaction Survey Results : Mr. Reinhardt presented the results of the 2025 Mental Health Statistical Improvement Plan (MHSIP) Satisfaction Survey. Counties and tribes across the state use these surveys to gauge and improve satisfaction among participants who receive mental health and/or substance use services through Comprehensive Community Services (CCS) programs, Coordinated Services Teams (CST) Initiatives, Community Support Programs (CSP) , and Coordinated Specialty Care (CSC) programs. Taylor County had 11 surveys returned: 9 adult surveys and 2 youth surveys, which is a 31% response rate. Regional statistics were not available due to no response across the other three participating counties. A focus for 2026 will be to increase the feeling of social connectiveness for enrolled adults. Develop 2026 Quality Improvement Plan : Mr. Reinhardt s uggested to the committee that program goals pertaining to satisfaction surveys be eliminated or revised. In 2026, he would like to continue the work of increasing accessibility to services for clients with limited -English proficiency, recruitment of at least one contracted vendor that fully or part ially implements evidence-based practices and establishing a centralized repository for the North Central Region. Mr. Schnabel suggested that the 2026 Quality Improvement Plan also have a goal of increasing community knowledge of the Comprehensive Community Services (CCS) Program. Questions were asked and discussion was had. Mr. Reinhardt will present the 2026 Quali ty Improvement Plan at the next meeting. 2026 CCS Contract Exhibit : Mr. Reinhardt presented a revision to Exhibit #4, 2026 Comprehensive Community Services (CCS) Exhibit, Safety of CCS Consumers. The following language was added: If a prospective provider is deemed ineligible for employment as a caregiver due to a barring offense, they may seek authorization to work only after obtaining verification of rehabilitation from the DHS Rehabilitation Review Panel. In the event that a ros tered employee within the NCR -CCS region is convicted of a barring offense, the Provider must immediately suspend all service delivery and notify Taylor County Human Services Department (TCHSD) within three business days of receiving notice. A motion was made by Cody Miller to approve the 2026 CCS Contract Exhibit. Adam Schnabel seconded the motion. Motion carried. New Business: Mr. Reinhardt updated that Taylor County had two service facilitators resign recently, so the waitlist is growing. A new service facilitator has been hired and starts on Monday, December 22, 2025. 2026 Meeting Dates: • Tuesday, February 17, 2026 • Tuesday, April 21, 2026 • Tuesday, June 16, 2026 • Tuesday, August 18, 2026 • Tuesday, October 20, 2026 • Tuesday, December 15, 2026 Adjourn: A motion was made by Adam Schnabel to adjourn. Scott Mildbrand seconded the motion. The motion carried. The meeting was adjourned at 3: 37 p.m. The next meeting is scheduled for Tuesday, February 17, 2026, at 3:00 pm. Respectfully Submitted, Jenn Arndt, Secretary NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE October 21, 2025 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3:01 p.m. on October 21, 2025, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell From Taylor County: Catherine Taber, Adam Schnabel, Scott Mildbrand, Cody Miller From Sawyer County: Alicia Carlson From Price County: None Voting Members Absent: Hailey Sands Others Present: Taylor Reinhardt, NCR - CCS Administrator; Katie Voss, CCS Clinical Services Manager, Taylor County; Chana Rymarkiewicz, Behavioral Health Supervisor, Price County; Karlie Pierson, DHS; and Suzanne Stanfley, Director, Taylor County. Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Adam Schnabel motioned to approve the agenda of 11 items. Alicia Carlson seconded the motion. Motion carried. Approve Minutes of the August 19, 2025, Meeting: Scott Mildbrand motioned to approve the minutes from the August 19, 2025, meeting. Adam Schnabel seconded the motion. Motion carried. Public Comments: None. 2025 Quality Improvement Plan: Mr. Reinhardt highlighted progress with the 2025 Quality Improvement Plan: • Program Goal #4: Reduce the financial burden of out -of-home placement costs and maximize rehabilitation to support community reintegration. • Action Step #1: Identify Community-Based Residential Facilities (CBRF) frequently utilized by counties in the NCR-CCS Program. • COMPLETE: Finalizing a contract with Productive Living Services (PLS) to provide psychosocial rehabilitation services. PLS Supportive Apartment -Tiger House has credentialed two of its staff members. Staff members will be providing medication management (no n-prescriber), individual skill development, and employment - related services. In addition, the daily rate calculation has been completed to differentiate between services and room and board rate when applicable. PLS is open to credentialing more staff members at their CBRF and SAP locations. • Program Goal #6: By 12/2025, NCR -CCS will increase the number of contracted mental health professionals available to deliver in-person psychotherapy services across the NCR- CCS Region. o Action Step #3: Credential providers qualified to deliver psychotherapy services, through review of documents as required by DHS Chapter 36. o COMPLETE/CONTINUING: Anchor Bay Counseling, Gateways Counseling, Authentic Mental Health, Rising Phoenix Recovery and Transformation, and SOAR Services, Inc. have been identified as providers of psychotherapy services. These organizations are either undergoing the credentialing process with the NCR -CCS Region or have been identified as not pursuing credentialing at this time. o Subsequent Action: Karlee from DHS is requested to determine whether additional oversight is required in situations where a service provider has a dual role — rendering services while also being employed by the county that is utilizing those services. Results of the DHS 36 Onsite Renewal Survey: Mr. Reinhardt shared that the DHS 36 Onsite Renewal Survey was completed with no deficiencies identified. During that survey, a random sample of 10 consumer records and 12 staff records were reviewed. Mr. Reinhardt indicated that the surveyor was highly co mplementary in terms of the program’s application and attention to detail. Mr. Reinhardt also reminded the other county administration to be on the lookout for the 2026 - 2027 Certification Fee Invoice, which should be coming out soon. Review and Approve Part 3 CCS Training Log-Addendum for Rehab Workers: Mr. Reinhardt shared the CCS Orientating Training Log -Addendum for Rehab Workers, Part 3, who indicated that it would be the responsibility of the contracted vendors to find appropriate training to satisfy the requirements. Alicia Carlson motioned to approve the Part 3 CCS Training Log-Addendum for Rehab Workers. Cody Miller seconded the motion. Motion carried. Committee Recruitment: Mr. Reinhardt shared that we are not in compliance with our CCS Plan and DHS 36.07, which dictates voting members. Mr. Reinhardt noted that two vacant positions remain on the CCS committee, which must be filled by either CCS consumers , family members, or interested community members. To support recruitment efforts, the following strategies were discussed and recommended: Direct outreach: Encourage staff to engage in conversations with consumers and their families about the value of committee participation and its role in advocacy. Social media promotion: Develop and publish a new Facebook post highlighting the opportunity, its impact, and how interested individuals can get involved. New Business: Mr. Reinhardt expressed his intention to establish a centralized repository for the North Central Region Comprehensive Community Services (CCS) program utilizing Microsoft SharePoint. He noted that, as the lead county, Taylor County is well -positioned to serve as the SharePoint host. In this role, Taylor County would be able to extend access to partnering counties and vendors through permission-based folders, thereby enhancing workflows related to invoicing, provider credentialing, and service documentation. Mr. Reinhardt also mentioned recent discussions with representatives from Waukesha and Brown Counties, both of whom currently leverage SharePoint for collaborative information sharing. He emphasized that this initiative is in its early stages, beginning with coordination alongside IT, and that more details on the rollout will be forthcoming. Mr. Reinhardt thanked everyone for making a conservative effort in building CCS enrollment across the region. The NCR-CCS program reported 58 consumers enrolled at the end of Quarter 2, June 30th, 2025, which is the highest cumulative enrollment across the region since its inception. Mr. Reinhardt encouraged all team members to begin considering program goals for inclusion in the 2026 Annual Quality Improvement Plan. Adjourn: A motion was made by Adam Schnabel to adjourn. Scott seconded the motion. The motion carried. The meeting was adjourned at 3:31 p.m. The next meeting is scheduled for Tuesday, December 16, 2025, at 3:00 pm. Respectfully Submitted, Suzanne Stanfley, TCHSD Director NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE August 19, 2025 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3:01 p.m. on August 19, 2025, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell From Taylor County: Catherine Taber, Adam Schnabel, Scott Mildbrand, Cody Miller From Sawyer County: Alicia Carlson, Hailey Sands From Price County: None Voting Members Absent: None Others Present: Taylor Reinhardt, NCR - CCS Administrator; Katie Voss, CCS Clinical Services Manager, Taylor County; Jenn Arndt, Administrative Assistant, Taylor County; Chana Rymarkiewicz, Behavioral Health Supervisor, Price County; Karlie Pierson, DHS; True Lor, DHS. Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Adam Schnabel motioned to approve the agenda of 12 items. Scott Mildbrand seconded the motion. Motion carried. Approve Minutes of the June 17, 2025 Meeting : Catherine Taber motioned to approve the minutes from the June 17, 2025 meeting. Adam Schnabel seconded the motion. Motion carried. Public Comments: None. 2025 Quality Improvement Plan: Mr. Reinhardt highlighted progress with the 2025 Quality Improvement Plan: • Program Goal #1: Service Facilitator Satisfaction Surveys distributed to consumers enrolled in NCRCCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. o Action Step #2: Surveys to be distributed by 07/01/2025 with return by 07/31/2025. COMPLETE: Surveys have been distributed. o Action Step #3: NCR-CCS Committee to review and suggest next steps. COMPLETE: Surveys will be reviewed and next steps will be discussed at this meeting. • Program Goal #4: Reduce the financial burden of out -of-home placement costs and maximize rehabilitation to support community reintegration. o Action Step #1: Identify Community-Based Residential Facilities (CBRF) frequently utilized by counties in the NCR-CCS Program. COMPLETE: A conversation has taken place with Productive Living Services – Opal House regarding establishing a contract with the NCR -CCS Program to provide psychosocial rehabilitation services. NCR-CCS Program will await their decision. • Program Goal #6: By 12/2025, NCR -CCS will increase the number of contracted mental health professionals available to deliver in-person psychotherapy services across the NCR- CCS Region. o Action Step #3: 3. Credential providers qualified to deliver psychotherapy services, through review of documents as required by DHS Chapter 36. CONTINUING: Todd Caillier, Ph. D, has recently been credentialed with the NCR - CCS Region. Results of the Service Provider / Service Facilitator Satisfaction Surveys: Mr. Reinhardt presented the results of the Service Provider Satisfaction Surveys and Service Facilitator Satisfaction Surveys. A total of 102 surveys were distributed, 27 surveys were returned, for a 26% response rate. Overall, the survey responses were positive. CCS is a consumer driven program, and most responses indicated that participants feel in control of their recovery plans. An electronic method may be pursued next year to help eliminate mailing costs and perhaps collect a different sample set of responses. 2024 CCS Regional Survey Results: Mr. Reinhardt presented the 2024 CCS Regional Survey Results. He went over demographic information within the NCR-CCS Region and compared 2024 services to 2023 services. In 2024, there was an increase in methamphetamine use in the region. The top service array categories in 2024 were Individual Skill Development an d Enhancement, Psychotherapy, and Medication Management – Prescriber services. 25 participants discharged from services in 2024, with the number one reason being “the participant decided to withdraw because the participant did not want to receive further services”. Review and Approve NCR-CCS Policy on Electronic Signatures: Mr. Reinhardt presented the North Central Region CCS Program Policy and Procedure, Appendix XXXI, Electronic Signature. The purpose of this policy and procedure is to define the allowable uses of electronic signature technology and transactions to ensure validity, enforceability, and legal recognition. Adam Schnabel made a motion to approve the North Central Region CCS Program Policy and Procedure, Appendix XXXI, Electronic Signature. Cody Miller seconded the motion. Motion carried. Onsite Renewal Survey, September 11, 2025: Mr. Reinhardt informed the committee that the North Central Region CCS Program has a scheduled onsite review of requirements for DHS Chapter 36 scheduled for Thursday, September 11, 2025. This will take place at Taylor County Human Services Department. He asked that staff be available on this date, should questions or needs arise. He also asked that each county provide a list of current clients, with date of admission, and a list of discharged clients for the last one year, with date of admission. Ms. Carlson requested a more specific definition of “one year” pertaining to the discharged client list. Mr. Reinhardt will seek clarification and follow-up with the Service Directors for each county. Questions were asked and discussion was had. New Business: Mr. Reinhardt updated that NCR -CCS Region staff attended the CCS Quality Assurance/Improvement Summit, which was hosted by UW-Stevens Point, on Wednesday, August 6th, 2025. His biggest takeaway was that Client Rights require adequate and timely access to services. Because of this, he has updated the adult waitlist process at Taylor County. Adjourn: A motion was made by Adam Schnabel to adjourn. Cody Miller seconded the motion. The motion carried. The meeting was adjourned at 3:27 p.m. The next meeting is scheduled for Tuesday, October 21, 2025 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE June 17, 2025 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Vice Chair Scott Mildbrand at 3:02 p.m. on June 17, 2025, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: None From Taylor County: Catherine Taber, Adam Schnabel, Scott Mildbrand, Cody Miller From Sawyer County: Hailey Sands From Price County: None Voting Members Absent: Cally Bucknell, Alicia Carlson Others Present: Taylor Reinhardt, NCR - CCS Administrator; Katie Voss, CCS Clinical Services Manager, Taylor County; Jenn Arndt, Administrative Assistant, Taylor County; Sarah Reese-Socha, Director, Price County; Chana Rymarkiewicz, Behavioral Health Supervisor, Price County; Suzanne Stanfley, Director, Taylor County. Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Adam Schnabel motioned to approve the agenda of 12 items. Catherine Taber seconded the motion. Motion carried. Approve Minutes of the April 15, 2025, Meeting : Catherine Taber motioned to approve the minutes from the April 15, 2025, meeting. Adam Schnabel seconded the motion. Motion carried. Public Comments: None. 2025 Quality Improvement Plan: Mr. Reinhardt highlighted progress with the 2025 Quality Improvement Plan: • Program Goal #1: Service Facilitator Satisfaction Surveys distributed to consumers enrolled in NCRCCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. o Action Step #1: Each partnering county will submit a list of consumers eligible to participate in the survey. COMPLETE: Lists have been submitted. • Program Goal #2: Provider Satisfaction Surveys distributed to consumers enrolled in NCR- CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. o Action Step #1: Each partnering county will submit a list of consumers eligible to participate in the survey. COMPLETE: Lists have been submitted. • Program Goal #5: Recruit at least one contracted vendor that fully or partially implements evidence-based practices, not currently available in the NCR-CCS region. o Action Step #3: Work with EBP providers interested in joining the NCR -CCS network, to develop rates amenable to partnering counties. COMPLETE: Pauquette Center: Chose to forgo contracting until expressed consumer need. Review and Approve New Orientation Checklist: Mr. Reinhardt explained that he has been working alongside Lincoln County, Langlade County, Marathon County, Ashland County, Bayfield County, Portage County, and Wood County to streamline provider credentialing. Mr. Reinhardt presented the Comprehensive Community Service Program (CCS) Orientation Training Log – Part 1 and the Comprehensive Community Service Program (CCS) Orientation Training Log – Addendum, Part 2. These forms will ease the burden for provid ers when credentialing with multiple counties. Mr. Reinhardt also explained that a joint memo will be sent next week to providers explaining the purpose of these forms and instructions for completion. A copy of the memo will be shared with the NCR CCS Coordinating Committee. Adam Schnabel made a motion to approve the new orientation checklist. Catherine Taber seconded the motion. Motion carried. Service Provider/Service Facilitator Satisfaction Surveys: Mr. Reinhardt updated that there have been no changes to the surveys from previous years. The surveys will be sent to consumers in the near future and results will be shared with the committee at the next meeting. Mr. Reinhardt presented the committee an opportunity to suggest revisions/additions, although none were recommended. Review and Approve Process/Template for Initial Service Plans: Mr. Reinhardt presented the North Central Region Comprehensive Community Services Program Initial Service Plan. This form will be utilized after functional eligibility has been determined, a physician prescription has been obtained, and the Application for Services and Admission Agreement have been signed by the consumer. The form will aid in maintaining compliance with DHS Chapter 36, lessening financial risk for the county, and increasing a ccountability with the consumer to participate in the assessment and planning process. Adam Schnabel made a motion to approve the process/template for initial service plans as previewed today, pending approval of the NCR Executive Committee. Cody Miller seconded the motion. Motion carried. Mr. Reinhardt will notify the NCR CCS Coordinating Committee of the decision made by the NCR Executive Committee. CCS QI/QA Summit: Mr. Reinhardt informed the committee that the North Central Region has staff attending the CCS Quality Assurance/Improvement Summit, which will be hosted at UW - Stevens Point, Wednesday, August 6th, 2025. The learning objectives for this summit are Inform, Inspire, and Implement. New Business: Mr. Reinhardt updated that following the last NCR Coordinating Committee meeting, a policy has been drafted regarding electronic signatures. This policy has been approved by Taylor County Corporation Counsel and will be presented to the NCR Coordinating Committee at the next meeting. Adjourn: A motion was made by Adam Schnabel to adjourn. Catherine Taber seconded the motion. The motion carried. The meeting was adjourned at 3:33 p.m. The next meeting is scheduled for Tuesday, August 19, 2025 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE April 15, 2025 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3:02 p.m. on April 15, 2025, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell From Taylor County: Catherine Taber, Adam Schnabel, Scott Mildbrand, Cody Miller From Sawyer County: None From Price County: None Voting Members Absent: Heather Spinler, Alicia Carlson, Hailey Sands Others Present: Taylor Reinhardt, NCR - CCS Administrator; Katie Voss, CCS Clinical Services Manager, Taylor County; Jenn Arndt, Administrative Assistant, Taylor County; Chana Rymarkiewicz, Behavioral Health Supervisor, Price County; Karlie Pierson, DHS; True Lor, DHS; Rac hael Loucks, Provider, Up There, LLC. Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Scott Mildbrand motioned to approve the agenda of 9 items. Adam Schnabel seconded the motion. Motion carried. Approve Minutes of the February 18, 2025, Meeting : Scott Mildbrand motioned to approve the minutes from the February 18, 2025, meeting . Cody Miller seconded the motion. Motion carried. Public Comments: None. 2025 Quality Improvement Plan: Mr. Reinhardt highlighted progress with the 2025 Quality Improvement Plan: • Program Goal #3: Increase accessibility to services for clients with limited -English proficiency. o Action Step #1: Determine preferred target group based on regional demographics. COMPLETE: The Spanish speaking target group has been identified. The next step is to submit NCR forms to a certified translation service. • Program Goal #4: Reduce the financial burden of out -of-home placement costs and maximize rehabilitation to support community reintegration. o Action Step #1: Identify Community-Based Residential Facilities (CBRF) frequently utilized by counties in the NCR-CCS Program. COMPLETE: Productive Living Services – Opal House in Whitewater, WI and Brotoloc North in Hortonville, WI have been identified. The next step is to contact the two CBRF’s. • Program Goal #5: Recruit at least one contracted vendor that fully or partially implements evidence-based practices, not currently available in the NCR-CCS region. o Action Step #1: Identify 2-3 preferred treatment modalities. COMPLETE: The NCR Executive Committee recommends Eye Movement Desensitization and Reprocessing (EMDR). The next step is to identify providers and begin outreach. • Program Goal #6: By 12/2025, NCR -CCS will increase the number of contracted mental health professionals available to deliver in-person psychotherapy services across the NCR- CCS Region. o Action Step #2: Work with providers interested in joining the NCR -CCS network, to develop rates amenable to partnering counties. COMPLETE: Elevens Wellness, LLC has contracted with the NCR-CCS Region. o Action Step #3: Credential providers qualified to deliver psychotherapy services, through review of documents as required by DHS Chapter 36. COMPLETE: Brita Spencer, LCSW, Meghan Callan, LMFT-IT, Josh Schoessow, APSW, and Chad Collins, LCSW have all been credentialed with the NCR-CCS Region. Approve Revisions to CCS Plan: Mr. Reinhardt explained that due to the anonymous complaint submitted to Division of Quality Assurance (DQA) in 2024 regarding a former contracted provider of the NCR-CCS Region, changes to the North Central Region CCS Program Policy and Procedures have been made. Additional information pertaining to the complaint was submitted to DQA, and the Statement of Deficiency has been rescinded. • Appendix VII: Orientation and Ongoing Training o The following information has been added under Orientation: c. In addition to the 20 or 40 hours of documented orientation training referenced above, peer specialists and rehabilitation workers must receive an additional 30 hours of training during the past two years (prior to beginning employment with the CCS) on the following topics: recovery concepts, consumer rights, consumer centered individual treatment planning, mental illness, co-occurring mental illness and substance abuse, psychotropic medications and side effects, functional assessment, local community resources, adult vulnerability, and consumer confidentiality. e. CCS Providers outside of the NCR-CCS network, who have completed initial CCS orientation training requirements, as referenced above, may be considered for immediate employment within the NCR-CCS program if the following applies: ▪ All applicable trainings have been transposed or are comparable to the NCR-CCS Orientation Checklist, to ensure initial training requirements have been covered per DHS 36. ▪ As a new provider of the NCR-CCS program, some CCS trainings are specific to our region and must be completed prior to hire, which will be documented on the Orientation Checklist. Completion of those trainings may contribute to the 8-hour annual training requirements, if applicable. ▪ Of those providers that completed CCS orientation training in the years prior to their hire date with the NCR-CCS program, verification of 8-hours of annual in-service training must be provided for each calendar year of employment, subsequent to orientation. o The following information has been added under Training Records: The format for documentation of orientation and annual in -service trainings can be submitted via a training log. Training logs shall be accompanied by certificates of completion, training agendas, PowerPoints, or any other combination of material certifying the type of training received and its completion. Only trainings completed within the calendar year will be accepted. At minimum, training logs shall include: ▪ The first/last name of the CCS provider who completed the training along with a signature of attestation verifying the accuracy of the log. ▪ Name/Topic/Description of Training Completed ▪ Method of Completion ▪ Date(s) of completion (month/day/year) ▪ Duration of training in hours or minutes o The following information has been added: 5. Failure to Meet Compliance Requirements Failure to submit required documentation inhibits the CCS from complying with orientation and ongoing training requirements. Therefore, putting the program at risk of incurring noncompliance citations during the State’s certification review, or in the event of an unannounced audit or investigation. If non-compliance issues are identified, depending on the frequency and severity, ongoing services or bill payments may be suspended until compliance is met, or a plan for correction has been identified by the contracted agency. Furthermore, non-compliance may result in contract termination. Cody Miller made a motion to accept the Revisions to Appendix VII: Orientation and Ongoing Training. Adam Schnabel seconded the motion. Motion carried. • Appendix XVI: Criminal Background Checks ▪ The following has been added: 3. A completed Background Information Disclosure (BID) form which indicates that the person who is eligible for employment may be employed by the NCR -CCS program for up to 60 days pending the receipt of a criminal and caregiver background check. BID forms and background checks completed up to 4 years prior to employment will be accepted provided they are postmarked within 60 days of each other. If the dates exceed 60 days in proximity, the forms will not be accepted by the NCR-CCS program. Adam Schnabel made a motion to accept the Revisions to Appendix XVI: Criminal Background Checks. Cody Miller seconded the motion. Motion carried. New Business: Mr. Reinhardt informed us that the committee is in need of further consumer representation. Mr. Reinhardt updated that Karlie Pierson, DHS, has been facilitating a provider orientation workgroup with the NCR-CCS Region and neighboring counties. The work group has met twice and plans to meet again on Friday, April 18, 2025. Mr. Reinhardt questioned whether anyone present has knowledge regarding the legality of electronic signatures and what is considered acceptable. Karlie Pierson, DHS and True Lor, DHS, will research this question. Mr. Schnabel indicated that this information can be found in BadgerCare Plus and Medicaid, Topic #16157. Questions were asked and discussion was had. This question will continue to be investigated. Adjourn: A motion was made by Adam Schnabel to adjourn. Catherine Taber seconded the motion. The motion carried. The meeting was adjourned at 3:24 p.m. The next meeting is scheduled for Tuesday, June 17, 2025 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE February 18, 2025 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3:02 p.m. on February 18, 2025, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell From Taylor County: Catherine Taber, Adam Schnabel, Scott Mildbrand, Cody Miller From Sawyer County: Hailey Sands, Alicia Carlson From Price County: None Voting Members Absent: Heather Spinler Others Present: Taylor Reinhardt NCR - CCS Administrator; Suzanne Stanfley, Director, Taylor County; Jenn Arndt, Administrative Assistant, Taylor County; Chana Rymarkiewicz, Behavioral Health Supervisor, Price County; Sarah Reese -Socha, Director, Price County; Karlie Piers on, DHS; True Lor, DHS. Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Scott Mildbrand motioned to approve the agenda of 11 items. Cody Miller seconded the motion. Motion carried. Approve Minutes of the December 17, 2024 Meeting: Scott Mildbrand motioned to approve the minutes from the December 17, 2024 meeting. Catherine Taber seconded the motion. Motion carried. Public Comments: None. Approve 2025 Quality Improvement Plan: Mr. Reinhardt presented the 2025 Quality Improvement Plan. Program Goals from 2024 that will continue in 2025: • Program Goal #1: By 9/2025, Service Facilitator Satisfaction Surveys distributed to consumers enrolled in NCR-CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. • Program Goal #2: By 9/2025, Provider Satisfaction Surveys distributed to consumers enrolled in NCR -CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. • Program Goal #6: By 12/2025, NCR -CCS will increase the number of contracted mental health professionals available to deliver in-person psychotherapy services across the NCR- CCS Region. providers credentialed with Caillier Clinic, and one provider credentialed with The Centre for Well Being, Inc. New Program Goals for 2025: • Program Goal #3: Increase accessibility to services for clients with limited -English proficiency. • Program Goal #4: Reduce the financial burden of out -of-home placement costs and maximize rehabilitation to support community reintegration. • Program Goal #5: Recruit at least one contracted vendor that fully or partially implements evidence-based practices, not currently available in the NCR-CCS region. Questions were asked and discussion was had regarding the 2025 Quality Improvement Plan. Catherine Taber motioned to approve the 2025 Quality Improvement Plan. Cody Miller seconded the motion. Motion carried. Desk Review: Mr. Reinhardt explained the Division of Quality Assurance (DQA) received an anonymous complaint regarding a 2024 contracted provider of the NCR-CCS Region. Due to the complaint, a desk review was completed for a random sample of providers employed with th is contracted provider. On February 6, 2025, DQA met with Mr. Reinhardt to go over their summary of findings. The NCR -CCS Region will receive a Statement of Deficiency. Questions were asked and discussion was had. Approve Revisions to the Service Provider/Service Facilitator Orientation Checklist: Mr. Reinhardt presented revisions to the NCR-CCS Region Service Provider Orientation Checklist and the NCR-CCS Region Service Facilitator Orientation Checklist. These revisions are a result of the recent DQA desk review. Also presented was a supplemental training for all new providers in the NCR-CCS Region which will be asked to complete. NCR-CCS Region Service Provider Orientation Checklist Revisions: • Techniques and procedures for providing non -violent crisis management and de - escalation completed via webcast and reading in 1 hour 15 minutes. • Suicide Risk Identification and Triage Using the Columbia Suicide Severity Rating Scale completed via webcast in 30 minutes. NCR-CCS Region Service Facilitator Orientation Checklist Revisions: • Techniques and procedures for providing non -violent crisis management and de - escalation completed via webcast and reading in 1 hour 15 minutes. • Suicide Risk Identification and Triage Using the Columbia Suicide Severity Rating Scale completed via webcast in 30 minutes. Alicia Carlson made a motion to accept the Revisions to the Service Provider/Service Facilitator Orientation Checklist. Adam Schnabel seconded the motion. Motion carried. Approve Revision to CCS Plan: Psychotherapy Settings: Mr. Reinhardt presented a revision to the CCS Plan, under Psychotherapy to include this additional verbiage: Clinicians rendering in -person psychotherapy services outside of an office setting must document the therapeutic reasons for using an alternative location in support of the member’s recovery. Adam Schnabel made a motion to accept the Revision to CCS Plan: Psychotherapy Settings. Alicia Carlson seconded the motion. Motion carried. New Business: Mr. Reinhardt presented an updated Informed Consent to Participate in Telehealth Services form. This form has been reviewed by Taylor County Corporation Counsel. Alicia Carlson made a motion to approve the updated Informed Consent to Participate in Telehealth Services form. Adam Schnabel seconded the motion. Motion carried. Mr. Reinhardt also updated that he has decided to forgo contracting with two new peer support providers in the Eau Claire area and asked that counties utilize providers that already have contract with the NCR-CCS Region. Adjourn: A motion was made by Adam Schnabel to adjourn. Alicia Carlson seconded the motion. The motion carried. The meeting was adjourned at 3:41 p.m. The next meeting is scheduled for Tuesday, April 15, 2025 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant