A coordinated care organization must have a community advisory council to ensure that the health care needs of the consumers and the community are being addressed. The council must:
Include representatives of the community and of each county government served by the coordinated care organization, but consumer representatives must constitute a majority of the membership; and
Have its membership selected by a committee composed of equal numbers of county representatives from each county served by the coordinated care organization and members of the governing body of the coordinated care organization.
The duties of the council include, but are not limited to:
Identifying and advocating for preventive care practices to be utilized by the coordinated care organization;
Annually publishing a report on the progress of the community health improvement plan.
The community health improvement plan adopted by the council should describe the scope of the activities, services and responsibilities that the coordinated care organization will consider upon implementation of the plan. The activities, services and responsibilities defined in the plan shall include a plan and a strategy for integrating physical, behavioral and oral health care services and may include, but are not limited to:
Analysis and development of public and private resources, capacities and metrics based on ongoing community health assessment activities and population health priorities;
Outcome and quality improvement;
Integration of service delivery; and
The council shall meet at least once every three months. The council shall post a report of its meetings and discussions to the website of the coordinated care organization and other websites appropriate to keeping the community informed of the council’s activities. The council, the governing body of the coordinated care organization or a designee of the council or governing body has discretion as to whether public comments received at meetings that are open to the public will be included in the reports posted to the website and, if so, which comments are appropriate for posting.
If the regular council meetings are not open to the public and do not provide an opportunity for members of the public to provide written and oral comments, the council shall hold quarterly meetings:
That are open to the public and attended by the members of the council;
At which the council shall report on the activities of the coordinated care organization and the council;
At which the council shall provide written reports on the activities of the coordinated care organization; and
At which the council shall provide the opportunity for the public to provide written or oral comments.
The coordinated care organization shall post to the organization’s website contact information for, at a minimum, the chairperson, a member of the community advisory council or a designated staff member of the organization.