Minutes February 19, 2019 HS

The Human Services Board of Wabasha County, Minnesota, convened in Regular Session at the County Services Building, in the City of Wabasha, Minnesota at 8:00 AM, and February 19th, 2019 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 Goihl, Hall, Key, Springer and Wobbe.  No members were absent.
Springer/Key

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

Adopted Unanimously

Key/Hall

WHEREAS, the Minutes of the January 15th, 2018 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.

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 1/15/2019 through 2/19/2019 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 1/15/2019 through 2/19/2019 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 1/15/2019 through 2/19/2019 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 1/15/2019 through 2/19/2019 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 affirmed as valid claims against the County 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 

SPECIAL PRESENTATIONS

  1. Emergency Management Presentation:  Brenda Tomlinson provided an update on the work being done in the Emergency Management program.  Tomlinson is working on the county-wide Emergency Operations plan, an IPAWS set-up, and an emergency plan for Spring Creek.  EOC in a Box was a recent purchase and it will be helpful for setting up a mobile EOC.  Tomlinson provided an early Spring Flood Outlook for the county and surrounding areas. 

ACTION ITEMS 

Key/Springer

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 State financial resources into the CREST Initiative (“CREST”); and

WHEREAS, CREST was established in 1995 under the authority of the County Mental Health Authorities, in accordance with M.S. 245.465 and the Commissioner of Human Services; and

WHEREAS, Participating Counties adopted the CREST Compact Council Operating Procedures and By-Laws developed on July 16, 2004; and

WHEREAS, CREST is responsible for allocating State financial resources to provide Adult Mental Health Initiative services in Participating Counties; and

WHEREAS, by integrating Rule 12 State Operated Services financial resources into CREST, Participating Counties are therefore allowed maximum flexibility in using such resources in a manner best suited to client and regional needs; and

WHEREAS, in December 2013 the Minnesota Department of Human Services (DHS) awarded Participating Counties an Adult & Children’s Mobile Crisis Services Grant  (“Grant”);  

NOW THEREFORE, in consideration of the mutual promises and consideration contained herein among Participating Counties and the authority provided in Minn. Stat. 471.59, Participating Counties agree as follows:             

  1. The purpose of this Agreement is to jointly agree that Participating Counties will integrate the Mobile Crisis Grant (Grant) resources into CREST, from January 1, 2019 to December 31, 2020.
  2. The Grant includes an ongoing amount of $1,010,000.00 split evenly over the two years.
  3. The Participating Counties have agreed to the need to maintain Mobile Crisis Services at full capacity.  In order to maintain that capacity when DHS has reduced the grant award, each Participating County has agreed to pay the amounts listed below to recoup the grant award reduction.  Olmsted County will invoice each Participating County after July 1st of each year. 
County 2019 2020
Fillmore $22,861 $25,403
Goodhue $45,319 $45,319
Houston $20,479 $22,756
MNPrairie $96,943 $120,560
Mower $42,628 $47,368
Olmsted $166,649 $185,180
Wabasha $20,654 $20,654
Winona $49,467 $49,467

If there is underspending from 2019, Participating Counties can carry that amount over and their 2020 invoice will reflect that.  If there is underspending from 2020, Olmsted County will issue a refund prior to March of 2021.

  1. 4. Olmsted County will act as the fiscal host for the Grant and shall receive an administrative fee of $45,000.00 each year to act as fiscal agent for the Grant.
  2. Allocations occurring in future calendar years may be added to this Agreement via written addendum.
  3. If the State requests that allocated funds distributed be returned, Participating Counties shall return such funds allocated for crisis services.
  4. Each Participating County authorizes Olmsted County to be the entity to contract directly with provider agencies for key roles in the development and provision of mobile crisis services. Upon completion and signature of any contracts, Olmsted County shall provide a copy to each Participating County upon request.
  5. Each Participating County who receives grant dollars passed through Olmsted County agrees to indemnify and hold harmless Olmsted County for any determinations by any authority that grant dollars used by or received by the Participating County were not used and/or must be repaid to the State or Federal government.  The affected Participating County agrees to pay any necessary amounts, including any penalties, interest, or fees of any kind, on the time schedule determined by the State or Federal government to the payee determined by the State or Federal government.  If Olmsted County, solely in its own discretion, agrees to be an intermediary in any repayments for the affected Participating County, that County agrees to cooperate fully with Olmsted County and to not delay any necessary payments.  The affected Participating County agrees to reimburse Olmsted County for any reasonable costs incurred by Olmsted County related to assisting the affected Participating County or caused by complying with requests of the granting authority related to funds received by that Participating County.
  6. Olmsted County may not advance pass-through or expense reimbursement grant dollars to any other county.  Each Participating County acknowledges that it will not receive any grant funds from Olmsted County until Olmsted County has received the funds from the grantor.  Olmsted County will make reasonable efforts to disburse funds to each Participating County as soon as practicable through Olmsted County’s normal accounts payable processes.
  7. Each Participating County acknowledges that if the grant terms require provision of documentation by the fiscal support entity for any purpose including securing reimbursement from the grantor that it must provide the documentation to Olmsted County on the schedule established by Olmsted County so that sufficient processing time is available to pass the information through to the grantor.  Olmsted County will make reasonable efforts to gather and pass on required documentation but staff absences or work load may delay this process.  Olmsted County is not responsible for any interest or fees due to delayed pass through of funds which result from the Participating County’s failure to provide documentation on a timely basis.  Olmsted County is not responsible for requesting, editing, reviewing, changing, or verifying any information provided to it by Participating Counties for this grant unless specifically stated elsewhere in this Agreement. 
  8. Participating Counties may audit records related to CREST  and Mobile Crisis and services provided under this Agreement.  Participating Counties agree to cooperate with any records disclosure request made by any Participating County or the State Auditor related to an audit of this program. Parties agree to be bound by the requirements of the Minnesota Government Data Practices Act as it applies to any data which may be created in the course of this program.
  9. Participating Counties shall save and hold harmless all other Participating Counties and its officers, agents, employees, and members, from all claims, suits, or actions of whatsoever nature resulting from or arising out of the activities of Participating Counties or its subcontractors, agents, or employees under this Agreement.
  10. The failure of any Participating County to enforce any provisions of this Agreement shall not constitute a waiver by such County of that or any other provision.
  11. The Participating Counties agree that if any term or provision of this Agreement is declared by a court of competent jurisdiction to be illegal or in conflict with any law, the validity of the remaining terms and provisions shall not be affected, and the rights and obligations of the parties shall be construed and enforced as if the Agreement did not contain the particular term or provision held to be invalid.
  12. The term of this Agreement shall be from January 1, 2019 through December 31, 2020 and/or shall remain in effect until one of the following occurs: 1) a new Agreement is signed by all Participating Counties 2) the term of this Agreement is extended via an Addendum or 3) the Participating Counties choose to terminate the Agreement in accordance with section 17 below.
  13. The Participating Counties may also terminate this Agreement effective upon mailing of 30 days of written notice to other affected parties, under any of the following conditions:
    1. If funding from federal, state, or other sources is not obtained and continued at levels sufficient to allow for purchase of the indicated quantity of services.  The Agreement may at the parties’ discretion be modified to accommodate a reduction in funds.
    2. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this Agreement or are no longer eligible for the funding proposed for payments authorized by this Agreement.
    3. If any Participating County chooses to opt out of providing CREST-funded Rule 12 adult mental health services, which will require at least 60 days notice to the other Participating Counties.  In this event, the remaining Participating Counties shall jointly determine whether to terminate this Agreement or redistribute the CREST funds amongst the remaining Participating Counties.

Any such termination of the Agreement shall not reduce or negate any obligations or liabilities of any party already accrued prior to such termination.

  1. Participating Counties shall individually sign and return this Agreement to Olmsted County Health, Housing and Human Services, Contract Management Unit, Attention: Jill Schmidt, 2117 Campus Drive S.E., Suite 200, Rochester, MN  55904.
  2. Each Participating County shall provide the Jill Schmidt of the Contract Management Unit with a copy of the fully signed Cooperative Agreement.
  3. This Agreement constitutes the final expression of the parties' agreement, and the complete and exclusive statement of the terms agreed upon.  This Agreement supersedes all prior negotiations, understanding, agreements, and representations. There are no oral or written understandings, agreements or representations not specified herein.  Furthermore, no waiver, consent, modification, or change of terms of this Agreement shall bind either party unless in writing and signed by both parties.  Such waiver, consent, modification, or change shall be effective only in the specific instance and for the specific purpose given.

Adopted Unanimously

Springer/Key

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, the county wishes to execute standardized agreements for the provision of Non-Emergency Medical Transportation services with the following entities for 2019: All New Directions, Sunset Mobility and Vantastic; and

WHEREAS, the Director of Social Services recommends approval of these service agreements to help meet the transportation needs of Wabasha County residents; 

BE IT RESOLVED, by the Wabasha County Human Services Board that it authorizes the Director of Social Services to execute service agreements with the following entities: All New Directions, Sunset Mobility and Vantastic to provide transportation services to eligible residents of Wabasha County.  Said agreements will be effective January 1, 2019, to December 31, 2019. 

Adopted Unanimously

DISCUSSION and INFORMATIONAL ITEMS  

  1. Social Services Budget Report: Gwen Resech gave a brief update on the Social Services Budget.  Final 2018 expenses were under by $434K and revenue was over by $65K from estimated projections. The expense reductions were driven by a decrease in Out-of-Home placement spending.   As of 1/31/2019, YTD expenses were $529,802, Non-levy revenue was $122,851 and the cash balance reserve fund was $3,447,129.
 
  1. South Country Health Alliance:  Commissioner Springer provided an update on South Country Health Alliance and asked the Board to reconsider its notice to withdraw.  He provided a timeline for which SCHA will have its final financials filed and discussed the special JPB meeting to be held on March 8th at 9:00 AM.  Commissioner Springer is unable to attend this meeting and asked that one of the other commissioners attend in his place.  Tom Crowley, President of St. Elizabeth’s Medical Center, discussed the impact SCHA has on his organization. Crowley provided information about the ease of filing claims or resolving an issue with SCHA compared to other payers. Crowley reported that a gross payment total of 2.5 million was paid to them from SCHA last year.    He provided the Board with suggestions from his hospital association for exploring the CBP merger.  County Attorney Karrie Kelly stated she is expecting a legal opinion from SCHA regarding the county guarantee.  She will provide the Board her own legal opinion of this after review.. The County Board will hold a special meeting on March 26th at 9:00 AM to vote on rescinding the withdrawal notice.
 
  1.  Nystrom and Associates, LTD/Family Support Services Inc:  Item was not discussed.
  1. MN DHS Human Services Performance Management Adult Repeat Maltreatment Measure-Baseline Performance:  Item was not discussed.

 PHS and SS MISCELLANEOUS: 

Tammy Fiedler reported on the recent Pertussis outbreak at Lake City Schools.  Provided case numbers and time line of events.  Public Health has been active in a surveillance role, and has been working closely with the Staff Epidemiologist at MDH. 
Tammy Fiedler provided Commissioners with a post card invitation to the Toward Zero Death Conference.
Tammy Fiedler thanked the Board for supporting her attendance at the Blandin Foundation Leadership Training.  Fiedler said it was an excellent training, and recommended others attend if they are able.
John Dahlstrom reported that March is Social Worker Month.

Key/Hall
Being no further business to come before the Human Services Board, motion was made and duly
carried at 8:55 AM to recess this meeting until 8:00 AM on March 19, 2019.

Agenda for this meeting  Agenda for this meeting

 

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