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Well call the meeting to order role commissioner pating ill note to here commissioner singer commissioner chung commissioner sanchez and sxhashgs the second item on the agenda is the approval of the minutes for august 418, 2015. There a motion. Missouri any comments no nope ill call for a vote. All in favor, say i. Thank you. Ill note no Public Comment for the item. The audience this is the first time ive chaired ill not get it right so. You have a skilled secretary here to help you laughter so we move on to item 3 the directors report. Good afternoon wanted to lead the issue on the waiver bec...

There a motion. Missouri any comments no nope ill call for a vote. All in favor, say i. Thank you. Ill note no Public Comment for the item. The audience this is the first time ive chaired ill not get it right so. You have a skilled secretary here to help you laughter so we move on to item 3 the directors report. Good afternoon wanted to lead the issue on the waiver because we do have a couple of is to have staff people to address this so ill leave that alone and move on to the next item and right after my report well have a couple of Staff Members to report on that the San Francisco Health Com...

Like the Substance Abuse medical is the bridge to reform waiver as of 13 it is a demonstration waiver 1115 waiver called the organized Delivery System of medical waiver so the state amended the state plan and made a parole to cms approved this august to show it if they increased the Services Covered by drug medical that they could by organizing the system and having smooth trisz from levels of care and using evidence based practices they could improve the care and overall costs of medicaid would not go up you can opt in or not opt the community likes a demonstration waiver they should we we al...

To the new communications and transportation capabilities that weve developed. Given the shifting culture and those expectations for speed and ontime delivery, im reluctant. You have to look at the economics of all of this and the trade offs and costs, but i hate to see the Postal Service give up one, two, three. Thank you. Mr. Miller. Mr. Chairman two things. One, as i recollect, the rational for this change in Service Standards was developed after i left. I dont know the details of it. I hesitate to answer because without having time to analyze the data. Second, there is a trade off obviousl...

The centers changed the standard of delivery and gone from one, two, three, days to modified one so au so if youre in the same met oe metropolitan area. Thats modified one. If were outside the area, you might get it. You may not. Modified one, two, three. I think the Postal Service would like to go to two, three. Two day even in the same metropolitan area. It would be one but two would be the expectation and three. In terms of whats appropriate for us, im not comfortable with the Postal Service saying this is how many Mail Processing centers we should have. Some people say the more appropriate...