Minutes April 22, 2008 HS
Wabasa County Human Services Board
Meeting of April 22, 2008
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., April 22, 2008 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, McNallan, Riester, Springer, and Windhorst. Absent: None
BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda, with one addition:
6.H. PHS Sliding Fee Program
Adopted Unanimously.
WHEREAS, the Minutes of the March 25, 2008 meetings 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
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 3/25/08 through 4/21/08 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 3/25/08 through 4/21/08 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 3/25/08 through 4/21/08 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 3/25/08 through 4/21/08 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.
WHEREAS, the Wabasha County Social Services Director has received a request for reconsideration of an out-of-home placement fee from the Strebbing family; and
WHEREAS, the request discussed at the meeting by the Board of Commissioners with input from the family and Social Services staff; and
WHEREAS the County has paid approximately $18,670 for placement expenses and the assessed fee is in the amount of approximately $1,705 for less than 3 months of placement;
Now, therefore be it resolved the Wabasha County Human Services Board approves a reduction in the assessed fee by 50%. The fee of $852.29 will be reimbursed to the County in installments based upon a payment agreement between the family and Social Services.
Adopted Unanimously.
WHEREAS, Kevin Kautz is the owner of a golf course with a bar & restaurant in Zumbro Falls, which requires an approved septic system; and
WHEREAS there are questions about the design of the septic system to meet the State standards due to the expansion of the restaurant at the golf course; and
WHEREAS the Environmental Services staff recommends that Mr. Kautz follow the MN Rule Chapter 7080 flow requirements to size the septic system for the restaurant expansion, and
WHEREAS the Human Services Board agrees with Mr. Kautz to amend the proposed agreement to allow him to use measured flow from the water meter to assess if the current system is adequate.
Now, therefore be it resolved the Wabasha County Human Services Board authorizes Environment Services staff to amend the agreement between the County and Mr. Kautz to include items of discussion. Further, the amended agreement will involve participation by the Wabasha County Attorney's office. When completed, authorization is given for the Human Services Board Chair to sign the agreement.
Adopted Unanimously.
South Country Health Alliance (SCHA) discussion. Barton & Smith shared comments on the financial issues facing SCHA. There is a need for an influx of cash from participating counties to help maintain a sufficient cash reserve. The need has arisen during the past 12 months, with 2 specific identified causes: 1) A Legislative change in rates paid for hospital services, and 2) a discrepancy in the payment rates set when the northern 5 counties joined SCHA on 1-1-07.
SCHA administration has proposed a cash payment by participating counties and a review of current incentive programs/payments for services provided at the local level.
A series of meetings will take place in the next 3 weeks between county and SCHA staff, including Commissioners and County Administrators. It is likely the Joint Powers Board of SCHA will request a payment of $360,115 from Wabasha County. We are able to cover this expenditure from the equity distribution funds (approximately $600,000) issued to the County.
Barton & Smith will continue to attend the necessary meetings and bring back information for the Board. We are invested to make sure the founding principles of SCHA are maintained and the best medical service is available for our county residents, while having minimal financial risk to the taxpayers.
Environmental Health Services Report
Darrin Thompson indicated the number of complaints seems to be higher this year. Septic systems and sand point are getting the most complaints. More time is now being spent with soil verifications (for septic systems) at construction sites.
Suzie West and staff have developed a mosquito pamphlet that will soon be shared with Commissioners. Licensing of establishments continues to take time on her schedule and she is involved developing educational material for burning barrels.
Employee Health Plan Options
Mr. William Colopoulos, consultant to Southeast Service Cooperative, shared information on how a VEBA option compares to our traditional $250 & $1,000 Comprehensive Major Medical plans for employees. An Insurance Committee has been reviewing options as we look toward 2011, when the insurance industry will no longer offer a $250 deductible plan.
Mr. Colopoulos shared a handout comparing our current insurance options and a VEBA plan. It's important for employees to understand VEBA would only be an option, not a requirement. It is clear that not one option will fit all the needs of every employee. Individual choice is important.
Smith indicated it would be more constructive to look at actual numbers/costs when the insurance figures are available this summer. It may be beneficial to offer a VEBA plan for 2009. Any formal action to include a VEBA option in the employee benefits would need formal County Board action. Commissioner McNallan expressed this item should have been brought directly to the County Board for discussion.
Foster Parent Appreciation Dinner
The annual appreciation dinner for foster parents is scheduled on May 8th, at Hills Supper Club in Plainview. Social hour will begin at 5:30 p.m. with dinner following at 6:00 p.m.
PHS Sliding Fee Program
Barton indicated the sliding fee program at PHS is expending its budget much quicker than anticipated. At this point, about 50% of the budget has already been expended. Normally, the program would not see this level of expenses until late in the Fall. While no decision was requested today, the Board will need to determine if more funds should be shifted to this program, or if the program should be frozen (no new referrals/services) for the remainder of the year.
PHS & SS Miscellaneous
Ms. Judy Barton informed the Board a Medicare survey was recently completed at PHS with good results. Auditing staff was very complimentary of the manner files are maintained by the employees. Thank you to all staff for their hard work completed every day.
Due to time limitations, the following items were not discussed:
Social Services Expenditure & Grant Reconciliation Report
Social Services Unit Quarterly Report
Social Services Quarterly Budget Report
Being no further business to come before the Board, motion was made and duly carried at 10:55 a.m. to recess this meeting until 9:00 a.m. on May 27, 2008.
Adopted Unanimously.
Agenda for this meeting


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