Minutes March 27, 2012 HS

Wabasha County Human Services Board

Meeting of March 27, 2012


The Human Services Board of Wabasha County, Minnesota, convened in Regular Session at the County Services Building, in the City of Wabasha, Minnesota at 9:30 a.m., March 27, 2012 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, Norman, Roschen, and Wobbe.

Absent: None



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

Adopted Unanimously.


WHEREAS, the Minutes of the February 28, 2012 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


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 2/28/12 through 3/26/12 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 2/28/12 through 3/26/12are 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 2/28/12 through 3/26/12for 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 2/28/12 through 3/26/12have 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 Human Services Board has one (1) current vacancy in the position of Social Worker, due to the incumbent starting a personal business away from County government; and

Whereas, the filling of this vacancy is anticipated to result in a 2012 budget savings of approximately $6,900 as individual will likely be hired at a salary less than the incumbent; and

Whereas, the delivery of adult protection services are essential to the families and individuals of Wabasha County and are the primary duties of the positions currently being vacated; and

Whereas, the Director of Social Services recommends these vacancies be filled;

Now therefore be it resolved by the Wabasha County Human Services Board to accept, with reluctance and appreciation, the resignation of Ms. Leanne Kruger, effective April 13, 2012. Further, the Director of Social Services is hereby authorized to fill the Social Worker vacancy to maintain normal operations of the Social Services Department.

Adopted Unanimously.


Whereas, the Wabasha County Human Services Board has a responsibility to ensure that applicants/recipients of Medial Assistance (MA) and MinnesotaCare pregnant women and children under 21 years of age are provided with or reimbursed for the appropriate level of needed transportation and other travel related expenses to enable them to access necessary medical treatment; and

Whereas, access transportation services are available for trips to participating providers for services covered under the State MA Plan; and

Whereas, Three Rivers Community Action, Inc. and the County are mutually agreeable to enter into a service agreement for transportation services; and

Whereas, the proposed service agreement has been reviewed and approved by the Minnesota Department of Human Services and the Wabasha County Attorney's Office and determined to be acceptable as to format and execution; and

Whereas, the Director of Social Services recommends approval of this service agreement to help meet the transportation needs of Wabasha County residents;

Now therefore be it resolved by the Wabasha County Human Services Board authorizes the Director of Social Services to complete and execute the service agreement with Three Rivers Community Action, Inc., to provide transportation services to eligible residents of Wabasha County. Said agreement will be effective from July 1, 2012 through December 31, 2013.

Adopted Unanimously.


Whereas, the Wabasha County Human Services Board has a responsibility to ensure that children of all ages locate permanent, stable, loving families; and

Whereas, the Minnesota Department of Human Services, through its agent, Wabasha County, ensures that Minnesota children placed for adoption within the State or across state or international lines benefit from all legal protections; and

Whereas, adopted children and their families are eligible to receive support and social services to meet their individual needs; and

Whereas, Elizabeth Meyer and the County wish to enter into an adoption services contract for the delivery of adoption services to two (2) specific children; and

Whereas, the agreed upon cost for adoption services has been set at $25.00 per hour, with a maximum of 30 hours of service to be provided; and

Whereas, the Director of Social Services recommends approval of this service agreement to help meet the adoption service needs of Wabasha County residents;

Now therefore be it resolved by the Wabasha County Human Services Board approves the independent contract agreement for adoption services with Elizabeth Meyer. This agreement will expire in 6 months from the date hereof. The cost of service is $25.00 per hour and not anticipated to exceed a total of $750.00.

Adopted Unanimously.




Environmental Health Services Report

Susie West provided a follow-up to the number of restaurants that have opened up in the past month. Each is properly licensed and operating. Also, that the Rivertown Café has recently been sold, which will require the new owners to secure the proper license. She is working on a FDA grant with an emphasis on the public education benchmarks required within the grant.

Darrin Thompson indicated the seasonal work has begun early. He has already started some soil investigations and septic installation inspections/support work.


Social Services Quarterly Reports

Marci Hitz shared a report with the Board in which fiscal data on employee salary and revenues were compared. This report covered calendar year 2011. Total staff cost was approximately $961,500 and total revenues at $859,200. The county was then responsible for about 10.6% of the salary expenses. This is the 2nd year in which the county has seen a decrease in the support of county levy funds to support the salary of social workers. In 2010, 12.6% was needed from the levy and in 2009, 37.98% of the salary expenses were covered by the levy. Board members complimented staff on the attention paid to this area and the positive results.


South Country Health Alliance – Enrollment Numbers

Judy Barton presented a hand out of enrollment numbers in SCHA for Wabasha County to Board members. She pointed out the increase of 109 new members since January 1, 2012. This increase in members is all in the Ability Care product, thus Public Health has a significant increase in the number of SCHA members they are care coordinating. Barton states that if the agency stays in Home Care she will need to look at other ways of case managing these folks.


Waiver of co-pay fees for medical services

Barton presented to the Board that effective Jan.1, 2012 DHS has begun requiring medical assistance recipients to pay a flat monthly $2.55 co-pay/month if they receive any medical

assistance services in a month. Case management services provided by both Social Services and Public Health, as well as other services provided by Public Health, are subject to this co-pay, if the County is the first provider to bill for services for the month. DHS deducts this $2.55 from the reimbursement they make to the first provider who bills for that month. So the county may or may not be the provider designated to collect the co-pay based upon when a billing is done.

To collect this co-pay will end up costing the county more than what will be collected on the majority of these claims. When one adds up the staff time to create the bill, the printing cost of the bill, the postage to mail the bill, the staff time to receipt the payment in, and then the staff time to post the payment into the IFS system we will have well beyond $2.55 in cost. Recommendation made by consensus that a resolution be brought to the county board recommending that this fee be waived by the county.


PHS Grant Application to Cargill

Barton presented that Public Health has identified a need for better dental care amongst the children we serve. They would like to provide basic dental supplies and educational materials on care of infants and toddlers teeth to the low income population we serve. The supplies will help assure that parents have the basics to get started as soon as the educational sessions are done. Thus starting a good pattern of dental care. This grant would give them financial resources to purchase these supplies. No county dollars will go into this program. Recommended by consensus of the Human Services board that a resolution be taken to the County Board to accept this grant.


Home Care Services Discussion

Barton presented information on the number of Home Care clients the agency has dropped to and the difficulties of continuing to provide a quality service and viable business with just 22 clients. There was discussion around the numerous factors that have contributed to this decline in clients some of which included: Assisted living beds available in the county, adult foster care available in the county, Sr. Housing complexes becoming Housing with Services complexes, as well as discussion by Board last fall about possible discontinuation of Home Care program. This may have had people shy away from Public Health due to not sure of its longevity. Barton pointed out that if the county wished to discontinue the home care program it should be done prior to July 1so there would not be additional costs for renewing their Home Care license and their MN Home Care Assn membership.

Discussed how the transition from Public Health to other agencies would occur for clients. Also discussed staffing that would be needed once we no longer ran a home care program. The board was informed that 3 HHA's with benefits and 1 HHA without benefits would need to be laid off. Unemployment is a real probability for these 4 staff people. After much discussion consensus of the board was to recommend to the County Board that the Home Care program be discontinued no later than June 29, 2012 with Public Health staff assisting current clients with the transition to a different Home Care Agency as soon as it can be arranged and a smooth transition can be made.


Redesign Update

Terry Smith provided an update on this regional project. An important change was recently made in the timeline for county participation, in the elimination of the May 1st decision of counties to continue moving forward.

There are 2 additional meetings being scheduled that will help counties understand the financial details of the current model, and to explore possible governance of a regional entity. These two areas need much more discussion to help every county make a final decision on moving forward toward implementation.

Communication continues to be a high priority for the Steering Committee. The Bush Foundation has assigned two (2) staff to assist the project. We can anticipate additional messages to be developed for stakeholders, staff, the general public, and Legislators.


PHS/SS Miscellaneous

Smith and Nicki Moline, Fiscal Supervisor, updated the Board on progress towards filling an Account Technician vacancy. A primary question asked was in regard to the appropriate Step to offer a candidate? After discussion, the Board agreed that an offer could be made at Step 3. It is hoped that a higher salary in this position would help slow the turnover rate, thus improving the functioning of the Unit.

Judy reminded the Board that there is an MDH sponsored ITV on climate change and the impact on Public Health. MDH is encouraging County Board members to participate. It is April 24 from noon to 1pm. Judy has arranged for it to be seen at the Public Health conference room, second floor of the services building.

Judy shared that the 2012 County Health Rankings will be released April 3, 2012. This is a report funded by Robert Wood Johnson Foundation that reflects the overall health of the counties in every state across the country. This is the third year in a row that this report has been issued. Web site for the report is www.countyhealthrankings.org



Being no further business to come before the Board, motion was made and duly carried at 12:03 p.m. to recess this meeting until 9:30 a.m. on April 24, 2012

Adopted Unanimously.

Agenda for this meeting


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