January 7, 2019
6:30 p.m. 

Committee Members Present:  Jason Bersani, Chair; Edward Hastings, Kati McCormick 

Board Members Present: Christopher Clarke, Jennifer Dumond, Pia Holmes, Kevin Lamoreau, Michael Michaud 

Administrators Present:  James Anastasio, Donna Madore, Kathy Casparius, Troy Alexander, Sarah Landry, Kim Silsby, Shelby Thibodeau, Susan Walters 

1. Update on MaineCare Billing

          Accessing MaineCare Funding in the ASD

               Attachment 1

          Response from MaineGeneral Regarding School Health Clinic

               Attachment 2

          MaineCare Funding School Base Program constituent

               Attachment 3  

Donna Madore, Assistant Superintendent, gave an overview of the yearlong efforts the ASD took to implement a school health clinic system in the Augusta School Department in order to access MaineCare dollars per request of the Board.  (See attachments). Our regular education LCPCs can only bill for their services under ambulatory care clinic services which fall under a school health clinic model.  Communication with Dr. Diaz, Chief Medical Officer at MaineGeneral, explained that a physician must oversee all services of a school health clinic.  He wrote the school department would need to set up a doctor’s office with medical records, orders, billing system, secretarial support, etc. and meet all compliance requirements.  Mr. Anastasio said if the board wants to pursue this option considerations would also have to include facilities and cost of a contract with a medical provider. 

Another option to access MaineCare funding is a school based program.  Susan Walters, Special Education Director, explained the School Base Program (see attachment 3).  With this option the ASD is already billing MaineCare for speech and language and occupational therapy services.  She explained the billing requirements and costs for services under Section 28 which would include students that access the school department’s functional life skills and autism programs. She also explained the billing and costs under Section 65 for students who have significant mental health issues.  Mr. Anastasio said Section 65 is out of reach because we don’t have the facility or expertise to do a day treatment program. 

Mr. Anastasio said he would need a directive from committee members if they would like to pursue the option of the School Health Clinic or the option of Section 28.  He could then come back with actual costs and things needed to implement it.  

The committee asked for data on how LCPCs are being used in schools and the benefits. 

2.  Administration Update on the Budget (2019-2020) Process 

Kathy Casparius has been inputting numbers in the budget based on the three year plan and budgets submitted from administrators. The Superintendent’s proposed budget should be completed in the next few weeks. 

3.  Allied Engineering Proposal 

Mr. Anastasio reported the City considers Cony High School an emergency shelter facility but is not set up to be used as such.  He asked for approval to put out an RFP to hire an engineering firm to develop a proposal of what needs to be done to make Cony an emergency shelter facility.  The cost would range between $13,000-$15,000 and there is money in the budget to cover the cost.  Allied Engineering was the firm involved when the building was built.  If they get the contract, they would have all of the data needed to complete the proposal.  The committee gave approval to go out for an RFP. 

Meeting adjourned at 7:38 p.m.