Minutes December 23, 2014 HS

Wabasha County Human Services Board

Meeting of December 23, 2014

 

The Human Services Board of Wabasha County, Minnesota, convened in Regular Session at the County Services Building, in the City of Wabasha, Minnesota at 11:00 a.m., December 23, 2014 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, Harms, Springer and Wobbe.

Absent: Commissioners Roschen

 

Springer/Hall

BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda with the deletion of item 5.0 I, Resolution HS#043, Three Rivers Transportation Agreement.

Adopted Unanimously.

Springer/Hall

WHEREAS,the Minutes of the November 25, 2014 regular board 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

Hall/Springer

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 11/25/14 through 12/23/14 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 Depmiment 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 11/25/14 through 12/23/14 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 11/25114 through 12/23/14 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 11/25/14 through 12/23/14 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.

Harms/Wobbe

Whereas, the Wabasha County Human Services Board authorized the Public Health Director to fill the nursing position left vacant when Tera Binner resigned, and;

Whereas, the Director of Nursing and the Home And Community Based Services Supervisor interviewed potential candidates, and;

Whereas, the Director and Supervisor are in agreement that the position be offered to Therese Schaffner, RN on pay grade 5, step 4 of the non-union pay scale, and

Whereas, both parties agree that January 5,2015 is an appropriate start date,

Now Therefore be it Resolved by the Wabasha County Board of Human Services that, Therese Schaffner, RN be hired effective January 5, 2015, contingent on passing a criminal background study and employment drug screen test. Starting hourly rate will be pay grade 5, step 4 of the non-union pay scale

Adopted Unanimously

Springer/Hall

Whereas, the Wabasha County Social Services and Public Health Services staff has provided input to the 2015 budget committee regarding expenses and revenues for the Depmiment of Social Services and Public Health; and

Whereas, the Directors of Public Health and Social Services recommend acceptance of the recommended budget for 2015;

Now, therefore be it resolved the Wabasha County Human Services Board approves the 2015 budget for the Department of Social Services with anticipated expenditures and revenues of $5,084,987. the total levy request to support this budget is $2,234,982. The Public Health Services anticipates expenditures and revenues in the amount of $1,420,445. A total tax levy to support this budget is $241,823. Approval of these budgets and tax levy amount was done by the County Board of Commissioners on December 23, 2014.

Adopted Unanimously

Springer/Wobbe

Whereas, the Wabasha County Board and the Wabasha Human Services Board have previously approved filling a temporary Eligibility Worker position; and

Whereas, the Wabasha County Board authorized the appointment of April Schones as a temporary Eligibility Worker, at pay grade D, step 1, with a start date of employment of December 17,2014;

Now therefore be it resolved by the Wabasha County Board of Human Services that April Schones be appointed to an Eligibility Worker position at pay grade D, step 1, with a start date of employment of December 17,2014. This position is a temporary position not to exceed 24 months from the date of hire.

Adopted Unanimously

Hall/Harms

Whereas, the historical workload for this position has shown that more than 37.5 hours per week is needed to accomplish the necessary duties of this position; and

Whereas, both staff and the general public would benefit from having access to the Fiscal Supervisor for the additional 2.5 hours per week; and

Whereas, the Social Services Director would like to have the Board increase the work week for this position from 37.5 hrs/wk to 40 hrs/wk so that it is aligned with other management positions in the Department;

Now therefore be it resolved that the Wabasha County Human Services Board approve increasing the work week hours from 37.5 to 40 per week for the Fiscal Supervisor. This change shall be effective January 11,2015.

Adopted Unanimously

Wobbe/Springer

Whereas, Wabasha County has maintained a contract with EmPower CTC to provide Rule 25 assessments and provide clinical supervision for County staff; and

Whereas, the existing agreements to provide these services is set to expire on December 31 st; and

Whereas both parties wish to continue this partnership to provide these services; and

Whereas, the Director of Social Services recommends approval of the necessary contracts to maintain these services;

Now, therefore be it resolved by the Wabasha County Human Services Board that the Director of Social Services be authorized to sign contracts with EmPower CTC to provide Rule 25 assessments and provide clinical supervision for 2015. The rate for assessments will be $100 per chemical dependency evaluation performed along with mileage reimbursement when applicable. The rate for clinical supervision will be $50 per hour.

Adopted Unanimously

Springer/Harms

Whereas, Wabasha County and the Workforce Development, Inc. have maintained a contractual relationship for many years in the provision of employment and training services; and

Whereas, funds have been made available to the County, as authorized under Minnesota Statutes 256.J49, Minnesota Statutes 256.73 and the Personal Responsibility and Work Opportunity Reconciliation Act of 1996; and

Whereas, Wabasha County wishes to continue purchasing of employment and training services Workforce Development, Inc. for our clients receiving Minnesota Family Investment Program (MFIP) and Diversionary Work Program (DWP); and

Whereas, the proposed contract for calendar year 2015 is approximately $112,329 for the MFIP and DWP employment and training services;

Now, therefore be it resolved, the Wabasha County Human Services Board approves a contract between Wabasha County and Workforce Development, Inc. in the amount of $112,329 for MFIP and DWP employment and training services. This contract will expire on December 31, 2015.

Adopted Unanimously

Springer/Hall

Whereas, the Wabasha County Depaliment of Social Services has an existing Cooperative Agreement with the County Attorney's Office and the Sheriff s Department for child support services; and

Whereas, the existing agreement is set to expire on December 31 st and the parties wish to continue this partnership to provide services to child support clientele; and

Whereas, the reimbursements received through this cooperative agreement are reimbursed at the designated fiscal rate for all child support expenditures, and therefore result in a reduced amount of county property taxes necessary to operate county functions; and

Whereas, the maximum amounts that may be earned by each Depaliment shall not exceed $12,000 per term of this agreement; and

Whereas, the Social Services Director recommends approval of the Cooperative Agreement for child support services for 2015-2016;

Now, therefore be it resolved, the Wabasha County Human Services Board approves the 2015-2016 Cooperative Agreement between the Department of Social Services and the offices of the Wabasha County Attorney and Sheriff. Maximum reimbursements are limited to $12,000 per term for each Department. The Director of Social Services is authorized to sign this agreement on behalf of the Human Services

Adopted Unanimously

Springer/Hall

WHEREAS, Fillmore County, Goodhue County, Houston County, Mower County, Olmsted County, Minnesota Prairie County Alliance, Wabasha County, and Winona County ("Participating Counties") have agreed to integrate Rule 12 State Operated Services financial resources into the CREST Initiative ("CREST"); and

WHEREAS, in 2010 each Participating County signed a CREST Initiative Cooperative Agreement that included funding allocations for calendar year 2010 and executed a subsequent addendum in 2011, 2012, 2013 and 2014; and

WHEREAS, the Participating Counties wish to extend the term of this Agreement and include funding allocations for calendar year 2015;

NOW, THEREFORE, in consideration of the mutual undertakings and agreement hereinafter set forth, the Participating Counties agree to the following effective January 1, 2015 - December 31, 2015:

1. Extend the term of the CREST Initiative Cooperative Agreement to December 31, 2015.

2. Allocate 2015 CREST funds by following the percentage formula and funding amounts listed below:

COUNTY

PERCENTAGE

FUNDING ALLOCATION

Fillmore County

4

105,499.00

Goodhue County

6.6

175,588.00

Houston County

3.3

87,493.00

Mower County

5.9

156,159.00

Olmsted County

43.9

1,171,723.00

Minnesota Prairie County Alliance

18.9

505,297.00

Wabasha County

4.2

113,085.00

Winona County

13.2

353,223.00

Olmsted County shall receive $55,000.00 in 2015 to act as fiscal intermediary for CREST allocations and grant funds which is included in the above funding allocation.

3. Continue to add the following provision to the Agreement: "If a client from one of the CREST Counties is in a regional treatment or residential facility located in another CREST county, the County of Financial Responsibility (CFR) shall pay for any client services that are deemed necessary that are not covered by another funding source such as MA, PMAP, etc. The CFR will also be willing to pay the MA match where applicable. Therefore, the host county/county of service will not be responsible for costs associated with services provided to clients with whom they are not the CFR."

4.Palticipating Couties shall individually sign and return this Addendum to Olmsted County Community Services - Contracting Division, Attention: Jill Schmidt, 2100 Campus Drive S.E., Rochester, MN 55904.

5.All other provisions of the original 2010 CREST Initiative Cooperative Agreement and 2011, 2012, 2013 and 2014 Addendum, except as amended herein, shall remain in full force and effect.

Now, therefore be it resolved, the Wabasha County Human Services Board approves the terms of the CREST Initiative Cooperative Agreement effective January 1, 2015 - December 31, 2015

Adopted Unanimously

Springer/Harms

Whereas, the Wabasha County Board has authorized the Social Services Director to accept the 2014 Community Reinvestment Grant award in the amount of $277,400.00 and execute the necessary grant contract agreements with South Country Health Alliance, and;

Whereas, this award will be used to bring in a mental health services provider, Fernbrook Family Center, to work primarily with families and children who are part of the County's child protection system, and;

Whereas, the Human Services Board recognizes that acceptance of this award is to the benefit of the County and that it will help improve outcomes for the children in our care;

Now therefore be it resolved by the Wabasha County Human Services Board that, the County has chosen to accept the 2014 Community Reinvestment Grant award in the amount of $277,400.00 and has agreed to terms of the grant contract.

Adopted Unanimously

6.0 DISCUSSION and INFORMATIONAL ITEMS

A. Social Services - DRS Child and Family Services Review Summary

Social Services Supervisor Luke Simonett reported on the initial findings of the Minnesota Department of Human Services Child and Family Services Review that was conducted during the week of December 8th. The initial findings of the review were overall positive to the county. Luke will work with DHS on putting together a performance improvement plan involving some situations involving timeliness of response and frequency of visits. There will also be an improvement plan put in place involving adoption of older children in care.

B. Social Services - Prescriber Support Agreement

John and Judy reviewed the prescriber support agreement with HVMHC. With this agreement HVMHC commits to hiring 3 mental health practitioners, with prescribing authority, over the next year. The participating counties agree to divide the cost of the support services for these practitioners. HVMHC will bill reimbursement sources to support the cost of the practitioners. Crest grant funding will be used to support this agreement. Judy states this will be a huge benefit to our residents who currently have very limited access to mental health practitioners who can prescribe medications. One psychiatric physician's assistant is already hired and spends time in the Wabasha HVMH center office. HVMHC has an offer in place for the second one.

C. Social Services-Guardianship/Conservator Contracts

John reported that they received a recommendation from the Regional Contract Manager to standardize the Guardianship/Conservator contracts as well as the rates. This is something that the department will look at, but it would likely be cost prohibitive to standardize at one rate initially. While the contracts are under review, the rates will remain at those set at the last contract.

D. Social Services -Supervised Visitation Contract

John reported that he is exploring the idea of putting together a service agreement with the Family and Children's Center in Winona for supervised visitation to standardize and simplify the process. Currently when the department utilizes this service, it makes individual contracts.

E. Social Services -Regional Adoption Worker Update

John and Luke reported they had a meeting with Olmsted County on December 18th to discuss the plans for a regional adoption worker. In the latest proposal, Olmstead County's costs to provide these services would initially be divided equally among the participating counties. In future years it may evolve into a per-use model. Luke has discussed the proposal with staff and there are some concerns regarding how well the work will flow between counties. The majority of the counties in the region have expressed interest in moving forward with the proposal.

F. Social Services- EDMS Update

It was reported that concerns regarding the EDMS project were informally discussed at the AMC Fall Conference. There will be a more formal meeting scheduled to discuss board-level concerns in January.

G. PHS and SS Miscellaneous:

Judy informed the Board that she has 2 nurses on FMLA as well as the current RN position that is unfilled. She is estimating that lost revenue will be approximately $30,000 from this decrease in available nursing hours. This amount is budgeted so there will be shortfall in the Public Health budget. Discussed with the Board the possibility of bringing Tera Binner, RN in part time to help perform waiver case management. By consensus board was in agreement with this. Judy will contact Tera and bring a resolution to the County Board meeting on January 6 if she is willing and available during hours that would benefit the agency.

Luke reported that the Minnesota Department of Human Services completed a Rule 25 audit on December 19,2014. There were some minor corrective actions cited, but overall the initial findings were positive.

John discussed with the Board if they would like any changes to how the Board Memo was put together in the meeting packet. The consensus of the Board was that the memo was helpful and to keep it as is.

H. SCHA Community Reinvestment Grant Award Presentation:

This item was moved to be held after adjournment.

 

Adjourn

Wobbe/Harms

Being no further business to come before the Human Services Board, motion was made and duly carried at 11 :40 A.M. to recess this meeting until 1 :00 p.m. on January 27, 2015.

Adopted Unanimously.

Agenda for this meeting

 

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