 Welcome everyone to the three month care board meeting. First item on the agenda is the Executive Director's report, Susan Barrett. Great, thank you Mr. Chair. I have a few announcements. First, I wanted to announce that our annual report was submitted last week. I forgot to mention that last week, so it was submitted January 16th to the legislature. It is available on our website and I wanted to make everyone aware of that in the public. Also, just to remind folks about our last meeting of the month next week where we're going to hear a presentation of the qualified health plans for the 2020 standard plan design. Then we're also going to have a discussion on health care workforce. Kevin and I were up at the legislature this morning and the Senate helped them welfare and they had a lot of questions and are very interested in health care workforce. So I'm looking forward to that discussion. And that is all I have to announce. Thank you, Susan. Next item on the agenda are the minutes of Wednesday, January 16th. Is there a motion? Second. It's been moved and seconded to approve the minutes of Wednesday, January 16th without any additions, deletions, or corrections, or any discussion. Seeing none, all those in favor signify by saying aye. Aye. Any opposed? Thank you. The next item on the agenda is the ACO certification. Welcome, team, to come forward. And whenever you are ready, just take it away. Great, thank you. I'm Marissa Melamed with the Policy and ACO Oversight team. And today we're going to walk through the staff recommendations that we presented on January 9th and address any discussion points or questions and vote if the board is ready to do that. So as a reminder, there are two components for recommendations, the new Accountable Care Organization certification requirements and the annual certification eligibility verification. After our presentation on January 9th, there was a public comment period through January 17th. We received no written public comments on the certification review during that time. So I'm going to walk through those recommendations again. So these are unchanged since the 9th. Our conclusion on the new certification requirements is that they are being met. And we recommend that the board vote to approve One Care's continued eligibility for certification subject to reporting and monitoring requirements that we outlined for the three new certification areas. So the first one was mental health access. And we recommend the board continue to monitor One Care's performance on mental health related quality measures and review its 2019 Quality Improvement Plan and clinical priorities to ensure it is including and prioritizing mental health. We recommend the board work with One Care on a report regarding its work with designated agencies to create a common consent and redisclosure process. And we are interested in understanding whether One Care is seeing an increase in the volume of protected substance use data as a result of these efforts. And if so, how is using that data to better provide better care for patients? On the payment parity area, we do observe that One Care is currently working within its role to establish appropriate mechanisms to receive and distribute payments to participating health care providers in a fair and equitable manner and to minimize differentials in payment methodology and amounts among comparable participating providers across all practice settings within their role and in a manner that's not inconsistent with health care reform efforts. And as part of the 2019 One Care budget approval, the board already voted on reporting requirements on the ACO's 2018 comprehensive payment reform pilot. So we're looking for final reporting on that program and then interim reporting on the 2019 comprehensive payment reform program. And we believe that these reporting will allow us to monitor the work that One Care is doing to address this issue. So we recommend that these budget conditions that are already in place satisfy monitoring for this certification requirement. And on the third new area, childhood adversity and resilience. Again, the staff observed that One Care is currently working within its roles in ACO to provide these connections and incentives to existing community services for preventing and addressing the impact of childhood adversity to collaborate on the development of quality outcome measurements for use by primary care providers and foster collaboration among care coordinators, community service providers, and families. And our recommendation is that One Care provide a timeline for its 2019 plan to address childhood adversity. And this will include reporting on the projects that are highlighted in this section, including creation of new social determinants of health risk scores, how the ACIS screening tools are being incorporated into electronic health records, reporting on the dual-save program expansion, and how One Care will use its analytic capacities to identify cost and utilization drivers to help justify additional resources for childhood trauma and any additional initiatives One Care will be starting. So we have outlined all these reporting in our reporting and monitoring plan. And if you agree, we will address these reporting requirements with One Care. As for the annual certification eligibility verification, as we went over last meeting, the antitrust guidance was released and One Care attested that they were in compliance with that guidance and no board action is required. We also reviewed the material, any material changes submitted through the certification form. And found that there were no changes that would affect One Care's continued eligibility for certification, so no board action is required to continue certification on this item. Though we did identify within the form these areas, or sorry, these documents that we will add to the reporting and monitoring plan for things that we will collect from One Care to continue monitoring of these areas. And again, no board action is required on these just to make you aware of these reporting and monitoring requirements. And that concludes our recommendations. So we would welcome it to any discussion or questions. Before we go to the public, would any member of the public like to offer a public comment? Well, this might be the quietest I've ever seen the board and the public. Is there a board member who would like to make a motion? I will in one minute. Thank you. Sorry about that. That proves One Care's continued eligibility for certification subject to the reporting and monitoring requirements as outlined in the staff presentation today. That was that call. Trying to check to make sure that covers everything. Does it cover everything, team? Yeah, essentially, our recommendations that One Care is continuing to meet all the requirements in the statute and the rule regarding certification and will do the things we've discussed in terms of getting these reports from them, working it into our reporting and monitoring plan. And until we meet again next year to look at their certification, they will be certified. Okay, is there a second to the motion? Sorry. It's been moved and seconded. Any further discussion? If not, all those in favor, signify by saying aye. Aye. Any opposed? The record noted was unanimous vote. Thank you, team. Thank you. Okay, the next item on the agenda is old business. Is there any old business to come before the board? Seeing none, is there any new business to come before the board? The first item on the new business that I wanted to bring up is a bill has been introduced, S14, dealing with a moratorium on CONs for home health services. And I just wanted to bring it up because we will probably be asked to weigh in. And I thought that I'd bring it up today so that we could put it on the agenda for a discussion of its merits and whether or not we wish to take any position at the next meeting. Any discussion on that? Is there any other new business to come before the board? Is there a motion to adjourn? It's been moved and seconded to adjourn. All those in favor, signify by saying aye. Aye. Any opposed? Thank you, everyone. Very short meeting.