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Minutes June 22, 2010 HS
Wabasha County Human Services Board
Meeting of June 22, 2010
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 22, 2010 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 Dwelle, Hall, Norman, Riester, and Windhorst. Absent: None
RIESTER – WINDHORST
BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda, with no changes.
Adopted Unanimously.
RIESTER – WINDHORST
WHEREAS, the Minutes of the May 25, 2010 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 – WINDHORST
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 5/25/10 through 6/21/10 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 5/25/10 through 6/21/10 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 5/25/10 through 6/21/10 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 5/25/10 through 6/21/10 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.
DWELLE – WINDHORST
Whereas, Wabasha County and UCare have a County Participation Agreement currently in place for the provision of mental health targeted case management services; and
Whereas, the Social Services and UCare mutually desire to extend the Agreement; and
Whereas, Wabasha County is able to receive reimbursement for mental health targeted case management services at a rate determined by the Minnesota Department of Human Services; and
Whereas, the Director of Social Services recommends approval of the addendum to the existing contract;
Now therefore be it resolved by the Wabasha County Human Services Board to approve the addendum to the County Participation Agreement between UCare and Wabasha county Social Services. The addendum extends county participation through June 30, 2011.
Approved Unanimously
WINDHORST – HALL
Whereas, Wabasha County has actively participated in the development, implementation and on-going delivery of health services through South Country Health Alliance (SCHA); and
Whereas, the role of a Community Care Connector has been defined through a Delegation Agreement between SCHA and the participating counties; and
Whereas, the Community Care Connector provides a valuable service to county residents who are enrollees of SCHA; and
Whereas, the Delegation Agreement with SCHA provides for reimbursement to offset the expenses incurred to Public Health Services for the expense of hiring a Community Care Connector; and
Whereas, the Directors of Public Health Services and Social Services have reviewed the Delegation Agreement and support the approval of the updated Delegation Agreement;
Now therefore be it resolved, the Wabasha County Board of Human Services hereby approves the 2010 Delegation Agreement between Wabasha County and South Country Health Alliance. This agreement will expire, unless extended, on December 31, 2012.
Approved Unanimously
DWELLE – HALL
Whereas, the Wabasha County and Blue Cross Blue Shield (BCBS) entered into a Provider Service Agreement in 2009 for the provision of mental health targeted case management services; and
Whereas, the Social Services and BCBS mutually desire to extend the Agreement; and
Whereas, Wabasha County is able to receive reimbursement for mental health targeted case management services at a rate determined by the Minnesota Department of Human Services and also able to recover a portion of eligibility determination expenses; and
Whereas, the Director of Social Services recommends approval of the addendum to the existing contract;
Now therefore be it resolved by the Wabasha County Human Services Board to approve the addendum to the County Participation Agreement between Blue Cross Blue Shield and Wabasha county Social Services. The addendum extends county participation through June 30, 2011.
Approved Unanimously
RIESTER – WINDHORST
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, 2010 through June 30, 2011. The monthly rate is $846.00, representing no increase in expense as required by the Minnesota Department of Human Services. Providers include: Great River Homes, Wabasha (corporate office) Mary Fellows, Plainview Jacquelyn Hartzell, Wabasha 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 Lois Lane-Michaelson, Lake City
Approved Unanimously.
DWELLE – RIESTER
Whereas, Wabasha County is required to put forward a swimming pool ordinance and youth camp ordinance as part of the delegation of authority to the County, and
Whereas, the Public Health Services has developed proposed ordinances for discussion and review by the Human Services Board, and
Whereas, the next step is to set a public hearing on these ordinances for the purpose of gathering additional public input;
Now, therefore be it resolved by the Wabasha County Human Services Board to set July 27, 2010 as the public hearing date for the swimming pool ordinance and the youth camp ordinance. This public hearing will take place at the last meeting in July of the County Board of Commissioners.
Approved Unanimously
HALL – DWELLE
Whereas, Wabasha County and Workforce Development, Inc. (WDI) have a contract in place for the provision of MFIP & diversionary Work Program; and
Whereas, additional Federal funding has been allocated to Wabasha County to support addition supported work services being provided through the contract; and
Whereas, the Director of Social Services is satisfied with the quality services provided by WDI and recommends approval of the contract addendum to operate a supported work program;
Now therefore be it resolved, the Wabasha County Board of Human Services hereby approves the amendment to the existing contract between Workforce Development, Inc. and Wabasha County. The amendment will assist WDI I the provision of services through June 30, 2011. The Federal government has allocated an additional $12,252 for this purpose.
Approved Unanimously
DISCUSSION and INFORMATIONAL ITEMS

Environmental Health Services Report
Susie West reported the number of certified well tests is double the amount from 2009, at this point of the year. Barney’s Kampground in Lake City has been steadily moving through the review process. The public pool in Plainview is open. Ms. West and Mr. Thompson will be working together on well head inspections and inspections.
Darrin Thompson indicated the work with septic systems and wells has been steady the past month. There have been an estimated 10 hew septic systems in process this year, which may be a sign of a change in the economy and/or the favorable weather early this Spring.
Child Protection Services Annual Report
Marci Hitz, Cindy Lundstrom, Rachel Luehmann, Tammy Loretz and Becky Kruger were present to provide this report. Hitz provided background information regarding caseload size, case reviews, mental health case reviews from South Country Health Alliance, and abuse or neglect report statistics. All participated in a question and answer portion to clarify recent activity
Mental Health Services Update
Marci Hitz and Nicki Moline provided this update, to help the Board members know if the County’s decision to bring mental health case management service in-house has been a positive move? A review of the budget shows a savings to the county of approximately $94,000 for the past 8 months (October 2009 through May 2010). This is a savings compared to expenses had case management service continued to be contracted to a private vendor. Hitz highlighted the caseload size and additional supervisory duties that have stretched her ability to complete with all other required Supervisor tasks.
Plainview ICF/MR Update
Michael Weinandt, Administrator for Great River Homes, was present for this discussion. Great River Homes is exploring the potential to develop an ICF/MR in Plainview. The facility would provide a home for about 4 residents. Early discussion is taking place to determine if there is interest among our current Wabasha County clients to live in Plainview? A meeting is being scheduled for the families, provider, and county staff to continue discussing this potential. Many actions need further research before decisions can be made.
Day Treatment Funding
Smith shared a concern on the funding for day treatment services at River Valley Academy in Kellogg. Last month, it appeared the County might be asked to fund the day treatment program, at a cost of about $70,000 per year. During a meeting on June 21, 2010, it now appears this potential has been removed from consideration and funding will continue through a combination of insurance, private pay and limited county expense.
SHIP Orientation/Discussion
Laurie Hodgson, PHN gave an overview of the SHIP grant awarded to a regional project of 9 southeastern counties, of which Wabasha County is a participant. This grant requires that counties work in the areas of system changes, environmental changes, or policy changes in order to impact lifestyle choices residents make that affect the areas of obesity and tobacco use. Our local Community Leadership team, made up of various community members, has been doing a lot of work and has begun working on various community projects within the grant guidelines.
PHS/SS Miscellaneous
Barton shared information on a grant received by Mayo Systems in Rochester. Mayo received a Beacon Grant in the amount of $1.6 million. Of this amount, $1.2 million will be utilized to upgrade electronic systems in the regional PHS offices.
Smith reported the use of an electronic survey to gather additional input for staff reviews. He encouraged Commissioners to participate by completing the survey when they receive it.
HALL – DWELLE
Being no further business to come before the Board, motion was made and duly carried at 10:54 a.m. to recess this meeting until 9:00 a.m. on July 27, 2010.
Adopted Unanimously.


 

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