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Minutes May 26, 2009 HS

 

Wabasha County Human Services Board
Meeting of May 26, 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., May 26, 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 Dwelle, Hall, Norman, Riester, and Windhorst. Absent: None

HALL – WINDHORST

BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda, with no changes:

Adopted Unanimously.

RIESTER – HALL

WHEREAS, the Minutes of the April 28, 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 04/28/09 through 05/25/09 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 04/28/09 through 05/25/09 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 04/28/09 through 05/25/09 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 04/28/09 through 05/25/09 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.

WINDHORST – RIESTER

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 $776.00 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, 2008 through June 30, 2009. The monthly rate is $776.00. Provider include: Mary Fellows.

Adopted Unanimously.

NORMAN – WINDHORST

Whereas, the Department of Social Services has received an appeal of detoxification fee from Ms. Katherine Cummings; and

Whereas, a fee of $834 was assessed to cover the full cost of services received, as the individual did not respond with financial data timely during 2007; and Whereas, Wabasha County has received $121.00 from revenue recapture efforts;

Now therefore be it resolved, the Wabasha County Human Services Board will accept a recommendation of the Director to accept the amount of $121.00 as payment in full, due to the submission of a tax return for 2007 that shows an income below our fee guidelines. The amount received will retained by the County.

Adopted Unanimously.

NO ACTION TAKEN Whereas, the Department of Social Services has received an appeal of detoxification fee from Mr. Bill Rauscher; and Whereas, a fee of $561.30 was assessed to cover the full cost of services received, as the individual did not respond with financial data timely during April 2009; and Whereas, Wabasha County has received $121.00 from revenue recapture efforts; No action was taken, pending further financial data being provided by Mr. Rauscher.

RIESTER – NORMAN
Whereas, UCare has offered a contract for mental health targeted case management services to the Wabasha County Department of Social Services; and

Whereas, UCare is a managed care organization enrolling public assistance clients in Wabasha County; and

Whereas, the Wabasha County Attorney’s Office has review said contract, and the Director of Social Services recommends approval of the mental health targeted case management contract with UCare;

Now, therefore be it resolved, the Wabasha County Human Services Board approves the mental health targeted case management contract with UCare, based upon providing a continuum of mental health services to Wabasha County residents and the recommendation of the Director.

Adopted Unanimously.

DISCUSSION and INFORMATIONAL ITEMS

Mental Health Case Management by County Staff
Board members continued discussion from last month on the potential to provide mental health case management services through staff hired by the County. The fiscal projections continue to show the County should be able to save money. There are unanswered questions in the areas of staff supervision, reasonable caseload ratios, and housing of additional staff. Social Services staff will continue to examine the potential of hiring mental health case managers.

Introduction
Ms. Cassey Clausen, Account Technician, was introduced to the Human Services Board members.

Environmental Health Services Report
Darrin Thompson reported this has been a normal season, with much work being done out of the office. SEMMCHRA is reviewing plans to move a house in the Reads Landing area. This involves Environmental Services as the old well(s) need to be located. Mr. Thompson explained the steps that have been taken and what still might need to be done in the search for wells on the property.

Susie West indicated school inspections are nearly complete for the year. She is assisting schools in the development of their hazard analysis plans. Pool inspections have been completed (wading pools to be in compliance with Abigail’s Law). A new project is beginning for well inspections. This process looks at the area one-quarter out from the well to see what influences the water safety of the well. Ms. West clarified this new well inspection program is for a limited number of wells (those serving up to 25 homes).

Social Services Unit Update
Smith reported new equipment has been installed in the Social Services interview room. The new camera and audio equipment are an upgrade from the original equipment. There are now 4 cameras in the room and the audio equipment improved. The change takes the County from a system of tapes to digital technology.

Income Maintenance Unit Update
Lisa McNally provided a brief update on migrant activity. The migrant season is now starting, and should continue to June. The number of migrants is expected to be fewer this season, as Lakeside Packing has promised to hire dislocated workers from North Star, after their plant was destroyed by fire. There will continue to be some migrants that are directly contacted by Lakeside Packing, as they have been working here for many years and bring their experience to the job. Last year, Wabasha County served about 20 migrant families. They are usually eligible for medical and food support programs.

Legislative Update
Barton & Smith highlighted a few Legislative changes. The major cut was the elimination of the General Assistance Medical Care program, saving about $380 million dollars in the current budget. The Health & Human Services bill included the AMC version of the county-state redesign. Governor Pawlenty has yet to make decisions on unallotments. Those decisions are anticipated to be announced near July 1st.

PHS & SS Miscellaneous
Barton provided an update on the H1N1 flu virus. Barton explained how the reported cases of H1N1 are counted different by the States and work is underway to have a vaccine ready for the Fall. In other discussion, it is unknown if the SHIP grant or other grants will be reduced by the Governor?

Smith shared information that South Country Health Alliance has made a decision to contract with a firm to explore a name-change.

RIESTER – NORMAN

Being no further business to come before the Board, motion was made and duly carried at 10:39 a.m. to recess this meeting until 9:00 a.m. on June 23, 2009.

Adopted Unanimously
Agenda for this meeting

 

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