Thursday, November 30, 2023
4:51 PM

On this episode of meeting midway we take listen in on a panel discussion recently held at the Missouri Department of Mental Health 2023 Tiered Support Summit. The speakers for this summit included Sarah Ekart from Guardhouse, Kathleen Deppeler from DMH, Dr. Lucas Evan's from DMH and Nicole Jones from DMH. The panel discussion focuses in on the Missouri's Tiered Support progress by taking a historical approach by moving from individual consultation to agency wide consultation, the infusion of value based payments (present), and future goals currently being worked on by Tier 2, and Tier 3. Listener's will gain  a great deal of knowledge from this discussion that we hope will be used and fruitful for others. 

Please not that there will be no podcast released in Dec 2023 but we will be back in January 2024 with more episodes. 

Show Resources… 
• 2023 Tier Supports Summit - https://dmh.mo.gov/dev-disabilities/tiered-support-summit/2023

Additional Resources…
• Missouri Department of Mental Health - https://dmh.mo.gov/
• Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
• Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
• Twitter - https://twitter.com/MentalHealthMO
• Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
• Missouri Division of Developmental Disabilities Youtube -https://www.youtube.com/channel/UCH_Q__AwF6WRtLjYpkNrZNQ
Missouri DMH Tier 2 Webpage - https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2

Ep. 13 - Missouri 2023 Tiered Support Summit

With over $2.2 billion in recoveries for the DOJ in settlements and judgments from civil cases involving fraud and the FCA in 2020, statistics confirm that the FCA remains an effective and important enforcement tool for the DOJ.  Government contractors and companies that do business with government contractors should be wary of being the target of potential enforcement action in 2021 and beyond.  In this webinar, PilieroMazza’s Matt Feinberg and Camilla Hundley, attorneys in the Firm’s False Claims Act Group, discuss essential protocols companies should follow to avoid or mitigate FCA risk.

The presentation will focus on, among other things:

-latest trends in FCA enforcement for government contractors;
-the importance of an FCA compliance plan for government contractors, including small businesses and participants in the U.S. Small Business Administration’s (SBA) set-aside programs; and
-how to handle whistleblower complaints before they become FCA cases.

Ex Rel. Radio

Risk Prevention Strategies: FCA Risk Prevention for Government Contractors

On this episode we talk about Risk Screening. Out discussion centers on defining risk screening, defining a system, the importance of having a risk screening system for your agency and how to implement a risk screening within your organization and the several steps required. 

We note that in order to successful with Tier 2 Risk Screening that an agency needs to have Tier 1, universal strategies  implemented to fidelity. Key elements for successful implementation of Tie 2 include 1) Data Collection, 2) Coaching, & 3) Positive Consequences. 

After having a foundation with Tier 1, universal strategies, and have elements needed for Tier 2, the implementation of risk screen can following this basic model… 
	1) Agency ids data points that would show risk for a person, create criteria of what constitutes risk. 
	2) Has written procedures that outlines how that data is collected. 
	3) Staff is trained on how to collect the data the agency will use to identify risk. 
	4) Develop procedures on how that data is aggregated together and reviewed in order to identify the red flags (risk criteria being met). 
	5) Develop a procedure on what to do once risk is identified and the process to address it. 
	6) Identify and outline a procedure on how to implement approprate intervention to address risk. 
	7) Monitor those intervention to identify when to fade out or if there is a need for more support. 

Please see additional show notes below. 

DMH Tier 2 Webpage: https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2
Chapter 3 - Student Identification Process. PBIS Missouri. https://pbismissouri.org/wp-content/uploads/2018/08/Tier-2-2018_Ch.-3.pdf
Data Based Decision Making: https://mnpsp.org/wp-content/uploads/2022/08/3.23.22IDD-Brief-Using-Data-for-Decision-MakingFINAL-FINAL.pdf

Additional Resources…
Missouri Department of Mental Health - https://dmh.mo.gov/
Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
X - https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632

Ep 14 Tier 2 Risk Screening

Happy New Year from Meeting Midway! 🎉

In this special year-in-review episode, we reflect on the journey so far, recap the exciting episodes we’ve released in 2024, and shine a spotlight on the incredible guests who joined us. We also share a sneak peek of what’s coming in 2025!

Since launching Meeting Midway in 2022, we’ve created 25 episodes (including this one) and delivered over 13 hours of content. Our mission has been to empower listeners with practical knowledge and tools to enhance Tier 2 systems and gain a deeper understanding of the Multi-Tiered System of Support (MTSS).

Join us as we revisit highlights, celebrate milestones, and look forward to an exciting year ahead. Don’t forget to let us know what topics or guests you’d like to hear about in future episodes—your feedback shapes our show!

Show Notes
Association for Positive Behavior Support Conference 2025 - https://apbs.org/conference/ 
Missouri Department of Mental Health - Multi Tiered System of Supports - https://dmh.mo.gov/dev-disabilities/tiered-supports/mtss
Missouri Department of Mental Health - Tiered Supports - https://dmh.mo.gov/dev-disabilities/tiered-supports
Ep 14 – Tier 2 Risk Screening (https://open.spotify.com/episode/3apFVeOsaOsuPNSMMXrINE?si=o3Yr9DrfSSu86Q0EzU5ZJA 
Ep 15 – Enriched Environments (https://open.spotify.com/episode/71URtfIAVJuiGnIZjA0XxJ?si=I8RHpeUnTEeQggMHevN80g) 
Ep 16 – Remote Supports (https://open.spotify.com/episode/12VUOJNyYMfDzzKqUiQuoP?si=ZQ-Q0OGYRS6RE5nH_XiFPA) 
Ep 17 – APBS 2024 Conference (https://open.spotify.com/episode/12VUOJNyYMfDzzKqUiQuoP?si=ZQ-Q0OGYRS6RE5nH_XiFPA) 
Ep 18 – TSSET (https://open.spotify.com/episode/09mgPULF0JSJW5WIqHxIta?si=yqmNTHe5QzuVFE54J5tqMQ) 
Ep 19 – Communication and Health Advocacy Training (CHAT) (https://open.spotify.com/episode/6fPAQzGDOo9cm0wW1REfwx?si=QpZml7QsS3KiBofyAvM4Lw) 
Ep 20 – From Forensic Settings to Thriving in the Community: Australian Tiered Supports (https://open.spotify.com/episode/5e3EuOQajy9AmWGfjowiKg?si=77t3Mq8jQsWWYybrTLvKqg) 
Ep 21 – Tiered Fidelity Tools (https://open.spotify.com/episode/2nkj9ULg7Wy5fv4R3JKQDy?si=1xsoX8sPRDOVI2IuxBEHuw) 
Ep 22 - Do you have data? (https://open.spotify.com/episode/275ixwjZ8sucmVy7A6r1uE?si=gudsXbI_SRWHPSk3pl-lsQ) 
Ep 23 – Do you know about fading? (https://open.spotify.com/episode/3ZnPxgUwSWVe4Hwh6Jo1dq?si=oFMRmPDISWagZielvcSbBQ) 
Ep 24 – Are you ready for Tier 2? (https://open.spotify.com/episode/5dvRTBxdbwW4R0bxpxeHGw?si=4LCX6pesTNKrkljTbz2XjA) 

Additional Resources 
Missouri Department of Mental Health - https://dmh.mo.gov/
Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
X - https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632



Ep 25. A year in in review 🎉

PilieroMazza – a business law firm – serves as a strategic partner to government contractors and commercial businesses from across the United States.

We deliver results for our clients by implementing legal and business solutions that take the client’s best interests into consideration. Moreover, PilieroMazza’s efficient operational structure and lean approach to staffing matters translates into competitive pricing for our clients, while providing the highest standard of client service and legal acumen.

New tracks tagged #risk prevention