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Minutes Jun 23, 2009 HS

 

Wabasha County Human Services Board
Meeting of June 23, 2009

The Human Services Board of Wabasha County, Minnesota, convened in Regular Session at the County Services Building, in the City of Wabasha, Minnesota at 9:00 a.m., June 23, 2009 in accordance with MS 402.01 to 402.10. The previous meeting was recessed to this time and place.

The following members were present: Commissioners Hall, Norman, Riester, and Windhorst. Absent: Dwelle

NORMAN – HALL

BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda, with one addition: Action Item G. Accept Resignations of B. Haessig & J. Dick, Home Health Aides

Adopted Unanimously.

RIESTER – HALL

WHEREAS, the Minutes of the May 26, 2009 meeting have been presented for review and that no changes have been made to the Minutes;

BE IT RESOLVED, the Human Services Board accepts the Minutes as an accurate reflection of the content and actions taken at its previous meetings.

Adopted Unanimously

RIESTER – HALL

WHEREAS, the Director of Social Services has advised that all Income Maintenance case actions are in conformance with State, Federal, and County laws, rule, regulations and policies;

BE IT RESOLVED, that all Income Maintenance case openings, closings, suspensions, grant changes and any other action affecting client eligibility and payments documented in the Department on listing of proposed case actions, (through MAXIS computerized client files and reports, and MMIS II), Director's Actions, abstracts of payment, and reports of refunds and cancellations for the period 05/26/09 through 06/22/09 are hereby approved.

WHEREAS, the Directors of Public Health and Social Services have advised that all Public Health and Social Services case actions are in conformance with State, Federal and County laws rules, regulations and policies;

BE IT RESOLVED, that all Public Health and Social Services case openings, closings, payments, placements and licensing actions as documented in the Department on Agency listing for Licensing actions, case records, record of Social Service plan, purchase of service abstracts, reports of refunds and cancellations, payment authorizations and computer printouts for 05/26/09 through 06/22/09 are hereby approved.

WHEREAS, the Directors of Public Health and Social Services have advised that all personnel actions are in conformance with State and Federal law, Merit System rules, existing labor agreements and personnel policies;

BE IT RESOLVED, that all personnel actions for 05/26/09 through 06/22/09 for employees of the Departments of Public Health and Social Services as documented in the Department on proposed personnel actions listing, personnel abstracts, payroll reports and personnel actions forms are hereby approved.

WHEREAS, the Directors of Public Health and Social Services have advised that all Public Health claims and, Social Services and Welfare claims against the County submitted for payment for 05/26/09 through 06/22/09 have been reviewed and are eligible for payment pursuant to all applicable rules, regulations, laws and policies;

BE IT RESOLVED, that all bills as listed on listing of warrants and claims against the Public Health, Social Services and Welfare funds and warrant registers shall be approved as valid claims against the County and are hereby approved for payment.

WHEREAS, the Directors of Public Health and Social Services have advised that employee requests to attend conferences and/or training have met approval of Administration, and are within the budgetary guidelines of the Agency;

BE IT RESOLVED, that all requests presented by the Directors of Public Health and Social Services are hereby approved.

Adopted Unanimously.

RIESTER – HALL

Whereas, the Wabasha County Human Services Board is the host for group residential housing (GRH) agreements to providers with facilities within Wabasha County; and

Whereas, the State of Minnesota has approved a rate of $846.00 for GRH facilities and host counties therefore need to establish agreements with the providers to meet the needs of our residents; and

Whereas, the Director of Social Services recommends approval of these contracts;

Now, therefore be it resolved the Wabasha County Human Services Board approves a new group residential housing agreement, effective July 1, 2009 through June 30, 2010. The monthly rate is $846.00. Providers include:
Cheri & Kenneth Chaney, Lake City
Nurturing Hands Elder Care, Plainview
Anna & Norman Hager, Wabasha
Great River Homes, Wabasha (corporate office)
Monica Burrows, Lake City
Mary Fellows, Plainview
Jacquelyn Hartzell, Wabasha
Janet Stock, Lake City
St. Elizabeth’s Assisted Living, Wabasha
Prestige Care LLC, Lake City
Green Prairie Place, Plainview
Parkside Elder Care, Plainview
River Oakes Health Care Center, Lake City
Lutheran Social Services, Lake City
Fifth Street Elder Care, Plainview

Adopted Unanimously.

RIESTER – NORMAN

Whereas, the Department of Social Services has received a participation agreement from South Country Health Alliance (SCHA) for Rule 79 mental health case management services; and

Whereas, Wabasha County is a member of South Country Health Alliance and wishes to participate in mental health case management services to meet the needs of our residents; and

Whereas, the State of Minnesota has shifted mental health resources to managed care organizations, and South Country Health Alliance wishes to partner in the delivery of optimal mental health service to Wabasha County residents;

Now therefore be it resolved, the Wabasha County Human Services Board authorizes the Director of Social Services to enter into a participation agreement with South County Health Alliance for the provision of Rule 79 mental health case management services, as outlined in Minnesota Rules, parts 9520.0900 to 9520.0926.

Adopted Unanimously.

RIESTER – HALL

Whereas, the Department of Social Services has received a provider service agreement from Blue Cross Blue Shield for Rule 79 mental health case management services; and

Whereas, the State of Minnesota has shifted mental health resources to managed care organizations, and Blue Cross Blue Shield wishes to partner in the delivery of optimal mental health service to Wabasha County residents;

Now therefore be it resolved, the Wabasha County Human Services Board authorizes the Director of Social Services to enter into a provider service agreement with Blue Cross Blue Shield for the provision of Rule 79 mental health case management services, as outlined in Minnesota Rules, parts 9520.0900 to 9520.0926.

Adopted Unanimously.

HALL – NORMAN

Whereas, the provision of home health aide services have continued to Wabasha County residents at a rate of rate less than the cost to provide client services; and
Whereas, the current rate for home health aide visits is $60/visit and the actual cost is $69.75/visit; and

Whereas, the Director of Public Health Services recommends a rate increase to $70 per visit & $70 per hour;

Now, therefore be it resolved, the Wabasha County Human Services Board approves to increase the rate for home health aide visits to $70 per visit and $70 per hour, effective July 1, 2009.

Adopted Unanimously.

RIESTER - HALL

Whereas, the administrative staff of the Public Health Services and Social Services request consideration to develop a health care savings plan; and

Whereas, the group of Public Health and Social Services is defined as the Directors of each Department and the Supervisory staff; and

Whereas, the Minnesota State Retirement System is able to offer a health care savings plan to County employees and the designated employees are the Director of Public Health, Director of Social Services, and the Supervisory staff in each Department (including any new, similar positions that may be created in the future); and

Whereas, said employees have requested Wabasha County to formally participate with the Minnesota State Retirement System in the health care saving plan;

Now, therefore be it resolved, the Wabasha County Human Services Board approves participation in the health care savings plan as offered through the Minnesota State Retirement System. Contributions to the health care savings plan will be 100% of an employee’s severance pay (as defined in County Policy #213). The eligible Wabasha County employees are the Director of Public Health, Director of Social Services, and the Supervisors within each Department.

Adopted Unanimously.

HALL - RIESTER

Whereas, the Human Services Board and staff have continued discussion on the feasibility to provide mental health case management services to Wabasha County residents through staff hired in the Department of Social Services; and Whereas, the fiscal note on provision of mental health services shows an overall savings of county property tax funds, while maintaining the level of case management service to our residents, if the staff were employed by the County; and

Whereas, the County would continue to purchase community-based and traditional assessment and therapeutic services from area providers; and

Whereas, necessary office space, accounting support, and required equipment will be determined and brought back to the Board as informational item with the goal to have staff hired and the transition occur during October 2009;

Now, therefore be it resolved, the Wabasha County Human Services Board authorizes the Director of Social Services to move forward with the provision of mental health case management services in house, by hiring Department employees. The Social Services Department will hire 3 case managers and one .50 FTE accounting staff with responsibilities for billing and collections activities.

Adopted Unanimously.

HALL - RIESTER

Whereas, the Director of Public Health Services has received a letter of resignation from Bernadette Haessig and Jeanne Dick; and

Whereas, the employees are resigning in good standing with the County after many years of dedicated service to Wabasha County residents;

Now, therefore be it resolved, the Wabasha County Human Services Board reluctantly, and with gratitude, accepts the resignation of Bernadette Haessig and Jeanne Dick.

Adopted Unanimously.

DISCUSSION and INFORMATIONAL ITEMS

Introduction
Ms. Tiffany Tracy, Financial Worker, was introduced to the Human Services Board members.

Environmental Health Services Report
Susie West reminded the Board members of an upcoming program review. This review will require un update of policies and procedures prior to the State staff arrival to conduct the review. Ms. West indicated a report was received concerning a property owner allowing camping on their property and charging a fee. Board members were able to provide additional background information on this situation, which will still have further follow-up. Darrin Thompson was unable to be present. Ms. Barton shared information on his attempts to locate an undisclosed well at a site in Reads Landing. The well was not found during a search of the property. The owner must now apply for a variance (and receive approval) from the State of Minnesota before construction can begin on the property.

Social Services Unit Update
Mr. Steve Johnson from the Minnesota Department of Human Services presented information to the Board on our recent Child and Family Services Review (CFSR), completed in March 2009. Wabasha County has made significant improvements since the first review in 2003.

2010 Budget and Unallotment Update
Barton & Smith highlighted a few of the Legislative changes to funding, and commented on the unallotment process/effects. PHS has not seen any reduction in funds as a result of Governor Pawlenty’s unallotment plans. The home care services will receive a 2.58% reduction in payments. Social Services staff continues to await fiscal numbers on how proposed unallotments will affect various programs. Preliminary fiscal data will be released to counties in the next 10 days.

In general, the 2009 budgets of Social Services and Public Health are within reasonable expectations. The exception, noted by Smith is the expenditure for placements by Court Services. With 42% of the year completed, the Court Services expenditures are running about 62% of the budget year. This rate of expenditure will result in a $75,000 over budget cost.

PHS & SS Miscellaneous
Barton reported the State Health Improvement Project (SHIP) grant has been approved for the multi-county application. 7 counties in SE Minnesota made this application. No dollars have been allocated by the State as yet, waiting for the unallotment process to be completed. Public Health Services will return to the County Board with a request to advertise and replace the 2 Home Health Aides positions, due to retirement. Also, a determination has been made to prioritize adolescents and adults for flu vaccination this Fall.

RIESTER – NORMAN

Being no further business to come before the Board, motion was made and duly carried at 10:48 a.m. to recess this meeting until 9:00 a.m. on July 28, 2009.


Adopted Unanimously.

 

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