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SANDHILLS CENTER <br /> Managing Mental Health, Intellectual/Developmental Disabilities and Substance Abuse Services <br /> 910-673-9111 (FAX) 910-673-6202 www.sandhillscenter.org Victoria Whitt, CEO <br /> Tailored Plan Regions Position Statement <br /> April 9, 2019 <br /> Thank you for allowing us to provide input to help craft the North Carolina Association of County <br /> Commissioners' (NCACC) recommendation to the Secretary of Health and Human Services' <br /> Tailored Plan region design. NCACC's involvement in this design is critical to the long-term <br /> success of the Plan given the strong connection between North Carolina's individual counties <br /> and their local behavioral health services. NCACC feedback is even more critical when <br /> considering the population to be served by the Tailored Plan and the expected involvement <br /> between county departments and the Tailored Plans in meeting the needs of this population. <br /> Sandhills Center Local Management Entity— Managed Care Organization (LME-MCO) is the <br /> product of three successful mergers. We currently serve a nine-county region in central North <br /> Carolina. Those mergers have included single-county additions as well as multi-county <br /> operations, including rural and urban areas. The challenges to addressing behavioral health and <br /> intellectual/developmental disability needs in each community may be somewhat different, but <br /> some themes remain consistent. Top among those is maintaining the greatest level of local <br /> involvement and local control allowed by the behavioral health delivery system in place. <br /> Throughout the changes to the behavioral health system, Sandhills Center has maintained a <br /> focus on a strong connection to County Commissioners in our respective counties, and <br /> preserving County Commissioner representation from each county on our governing Board of <br /> Directors. <br /> Additionally, we have worked closely with each county to identify their individual behavioral <br /> health funding priorities, and we have used those priorities while shaping our investment in local <br /> services. This approach has strengthened our continuum of crisis services throughout our area, <br /> including offering a crisis facility in each county, plans for multiple Facility Based Crisis services, <br /> expansion of Hospital Transition Teams and Mobile Crisis Teams, as well as expansion of <br /> services to incarcerated individuals and those transitioning back to the community. <br /> Sandhills Center's commitment is to continue this connection in each local county as we move <br /> forward with Medicaid Transformation and the introduction of Tailored Plans. We value our <br /> partnership with each county represented in our area and would very much like to continue <br /> serving each county as a Tailored Plan. Our addition of counties over time has been the result <br /> of being open to discussing possibilities with counties who share our vision for local presence <br /> and local control. We remain open to discussing possibilities with additional counties that wish <br /> to examine opportunities for a collaborative partnership. <br /> Lee, County is a constituent county of the Sandhills Center catchment area. We have enjoyed <br /> our close working relationship with Sandhills Center throughout the years. We share their <br /> interest in significant County participation in the behavioral health system that serves our <br /> communities. We share their position on Tailored Plan region design and would like to continue <br /> our participation with Sandhills Center as they transition into a Tailored Plan for North Carolina. <br /> P.O. Box 9, West End, NC 27376 <br /> 24-Hour Access to Care Line: 1-800-256-2452 <br /> urac, ;urac) urac <br /> TTY: 1-866-518-6778 or 711 <br /> Serving Anson, Guilford, Harnett, Hoke, Lee, Montgomery, +m <br /> Moore, Randolph & Richmond counties <br /> 9 <br />