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Minutes August 24, 2010 HS
Wabasha County Human Services Board
Meeting of August 24, 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., August 24, 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
DWELLE – WINDHORST
BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda, with no changes.
Adopted Unanimously.
DWELLE – HALL
WHEREAS, the Minutes of the July 27, 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
DWELLE – 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 7/27/10 through 8/23/10 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 7/27/10 through 8/23/10 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 7/27/10 through 8/23/10 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 7/27/10 through 8/23/10 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.
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 $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: Janet Stock, Lake City
Approved Unanimously.
RIESTER – WINDHORST
Whereas, Wabasha County has established a parental fee, based upon full cost of treatment services paid by Wabasha County; and
Whereas, the family requested a review/appeal of the fee determination; and
Whereas, the Collections Officer has met with the family and reviewed the parental fee and is recommending a lesser fee based upon full disclosure of the family’s financial information; and
Whereas, the Director of Social Services recommends approval of the recommendation of the parental fee, suggested by the Collections Officer;
Now, therefore be it resolved by the Wabasha County Human Services Board to approve a reduction in the fee determination for Michael and Shelly Voeltz. Their fee will be set at $0, in accordance with their income and the County’s fee schedule.
Approved Unanimously
RIESTER – WINDHORST
Whereas, the Department of Social Services has completed a proposed 2011 budget for all services provided by the Department; and
Whereas, the Human Services Board is required to approve a preliminary budget for consideration by the Wabasha County Commissioners in preparation to set the County levy for 2011; and
Whereas, the preliminary budget is the starting point for further budget discussions, knowing the preliminary budget will not increase after the levy is set;
Now therefore be it resolved, the Wabasha County Human Services Board approves forwarding a proposed Social Services budget of $4,264,417 to the Wabasha County Board of Commissioners for further consideration. A levy request of $1,789,466 is required to achieve a balanced budget for 2011.
Adopted Unanimously.
RIESTER – WINDHORST
Whereas, the Department of Public Health Services has completed a proposed 2011 budget for all services provided by the Department; and
Whereas, the Human Services Board is required to approve a preliminary budget for consideration by the Wabasha County Commissioners in preparation to set the County levy for 2011; and
Whereas, the preliminary budget is the starting point for further budget discussions, knowing the preliminary budget will not increase after the levy is set;
Now therefore be it resolved, the Wabasha County Human Services Board approves forwarding a proposed Public Health Services budget of $1,498,824 to the Wabasha County Board of Commissioners for further consideration. A levy request of $317,435 is required to achieve a balanced budget for 2011.
Adopted Unanimously.
RIESTER – DWELLE
Whereas, the State of Minnesota Dept. Of Health is now requiring a separate delegation agreement with counties for inspection of regulated public noncommunity transient water systems and enforcement of the applicable laws; and
Whereas, Wabasha County Public Health has a current delegation agreement in place with Minnesota Dept. of Health to do all other inspections and enforcement of applicable laws in the same facilities that require this activity.
Now therefore be it resolved, the Wabasha County Board of Human Services hereby approves the delegation agreement with the Minnesota Department of Health for inspection of regulated public non-community transient water systems and enforcement of the applicable laws.
Approved Unanimously
DWELLE – RIESTER
Whereas, Wabasha County is an active participant in the State-County Chemical Health Pilot Project to better support chemical health services through service delivery redesign; and
Whereas, the participating counties must enter into a Cooperative Agreement with a fiscal host for this Pilot Project, and Olmsted County is the designated fiscal contact; and
Whereas, the start up expenses for the Pilot Project attributable to Wabasha County are approximately $9,000; and
Whereas, the start up expenses will be reimbursed to the County through a settlement process by the end of calendar year 2010, thus resulting in no additional county levy funds used for this program;
Now therefore be it resolved, the Wabasha County Board of Human Services hereby approves entering into the Cooperative Agreement with Olmsted County for the State-County Chemical Health Pilot Project. Initial expenses are estimated at under $9,000 for Wabasha County and these funds will be recovered through administrative processes.
Voting For: Norman, Dwelle, Hall and Riester Abstaining: Windhorst
WINDHORST – HALL
Whereas, Wabasha County is an active participant in a project to look at the redesign of social/human services in southeast Minnesota; and
Whereas, the Association of Minnesota Counties and the Commissioners of Wabasha County have continued support for this project to look at improving the delivery of services to our county residents through cooperation of other counties in the region and the Minnesota Department of Human Services; and
Whereas, the SE Minnesota redesign project has received the support of the Rochester Area Foundation and The Bush Foundation to continue research of this potential ; and
Whereas, the Human/Social Services Directors have recommended the County to offer a minimal monetary amount to support the upcoming review of service delivery systems;
Now therefore be it resolved, the Wabasha County Board of Human Services hereby approves the payment of $1,600 for the purpose of supporting the Southeast Minnesota and State Redesign work that is underway.
Approved Unanimously
RIESTER – WINDHORST
Whereas, Wabasha County has a Financial Worker whom will be out of the office on medical leave for up to 8 weeks; and
Whereas, the best interest of serving Wabasha County residents in the application process for health benefits is to fill this vacancy with a temporary employee to reduce the anticipated time delays that will occur if the position is left vacant; and
Whereas, the salary for this position is reimbursed by the State at approximately 50%; and
Whereas, the Director and Financial Unit Supervisor recommend approval to fill this position with a temporary employee;
Now therefore be it resolved, the Wabasha County Board of Human Services hereby approves the hiring a temporary employee to assist in covering services to Wabasha County residents during the medical leave of a current employee. The length of service is expected to be no more than 8 weeks and an update will be brought to the Human Services Board at the September meeting.
Approved Unanimously
DISCUSSION and INFORMATIONAL ITEMS

Environmental Health Services Report
Darrin Thompson reported work regarding two specific areas during the past month that might be of interest. First, there is a report of a septic problem in a city in which the septic flows directly into an alley. This is being addressed by the owner of the home and is believed to be water from a clothes washer. Second, A dispute has arisen regarding a septic system that was installed on a property in 2003. The County is only involved as a point of interest. In this situation, the septic failed, so the dispute is between the owner and the installer of the septic system.
Suzie West reported on 3 specific items of interest in the past month. First, the number of calls coming to the office regarding mold have increased this summer, due to the amount of rainfall. Second, 2 public transient wells have been determined to be unsafe due to bacteria and are in the process of being cleaned. She is working with the owners and will need to retest at various intervals. These wells are in private campgrounds. Third, the Anderson House has applied for a historical grant to make renovations to the structure. Susie will be meeting with a consortium to explain updates that would be needed to operate as a Coffee Shop/Food and/or Lodging facility.
Claims & Collections Audit Review
Lisa McNally provided an update on a recent audit completed by the Minnesota Department of Human Services. The audit found a number of problems that are appearing in most counties. As the economy has driven more families to make application for benefits, staff has maintained a focus on determining eligibility and making sure benefits are issued. While the importance of establishing claims for benefits that were incorrectly issued is important, it is not the highest priority for our staff, or in other counties.
A corrective action plan has been completed and approved by the Department of Human Services. Included in this plan is additional training for staff in the area of establishing claims. The training was since expanded to include many counties in SE Minnesota.
Adult Services Annual Report
Marci Hitz and staff provided this annual report for the Board members on mental health, adult protection services, and chemical health services. Comparison data shows the number on intakes for adult services has steadily increased since 2006, as has the general population of the Wabasha has aged. The cost to provide guardian/conservation services has show a dramatic increase in the past 10 years, from $27,000 to nearly $100,000.
Commissioners reviewed a handout on the chemical dependency services that have been provided in 2009, along with comparisons to data from 2005. Chris Dallmann (Social Worker) and Marci Hitz highlighted a few specific areas of interest.
The annual update then had Jim Glimpse, Sylvia Tolzin, Jennifer Blattner, and Alyssa Larson (Social Workers) available to provide specific information about trends and client services. Board members were invited to ask questions to help understand the scope of services and current issues.
PHS/SS Miscellaneous
Judy Barton reported her department is working with the Federal Government (CMS) on revalidation for Medicare. There is an inconsistency with the name of County of Wabasha on the Federal Tax number and our name on the bank account is Wabasha County. CMS states the bank account must be in our legal business name as identified by the IRS. If not resolved, the County is at risk of losing significant funding for services that are reimbursed through Medicare, Medical Assistance, and private insurance companies as these all require Medicare certification in order to be a provider for them.
Second item, there is a growing potential that public health services may have to participate in a national certification process. Criteria are being developed for Public Health Department’s certification, nationwide. Barton is concerned that in the near future grant dollars may be tied to certification and that national criteria may beyond the ability of small Public Health Agencies to meet, this is a nationwide issue.
Third, PHS staff is starting to see a push-back from residents who are seeing their Medicaid Services (PCA, Customized Living, etc) reduced as DHS services have been reduced due to budget constraints and PHS is the authorizing agency. County residents are upset with PHS, however, the DHS tools do not allow discretion and are very structured in amount of services allowed based on the outcome of an assessment.
Smith reported there is an upcoming Health Forum sponsored by South Country Health Alliance on September 16th. County Board members have been encouraged to attend. Second item, the Family Services Collaborative will begin training staff on time study requirements in the coming weeks. Public Health staff has taken the lead on this effort for the County.
DWELLE- WINDHORST
Being no further business to come before the Board, motion was made and duly carried at 10:53 a.m. to recess this meeting until 9:00 a.m. on September 28, 2010.
Adopted Unanimously.
 

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