Call Meeting To Order: Chairman Rollie Thums called the meeting to order at 10 a.m.

Transcription

1 TAYLOR COUNTY HUMAN SERVICES BOARD December 9, 2015 Taylor County Human Services Department Call Meeting To Order: Chairman Rollie Thums called the meeting to order at 10 a.m. Members Present: Lori Willner, David Krug, Paula Dubiak, Scott Mildbrand, Rose Madlon, Roger Ewan, Sue Breneman, and Rollie Thums. Members Absent: None Other Attendees (for all or a portion of the meeting): Amber Fallos, Tammy Tom-Steinmetz, Liza Daleiden, Patty Koepke, Cheryl Ketelhut, Jen Meyer, Jenn Arndt, and Kathy Barr. Approve Minutes from the November 11, 2015 meeting: ROGER EWAN MADE A MOTION TO APPROVE THE MINUTES FROM THE NOVEMBER 11, 2015 MEETING. THE MOTION WAS SECONDED BY SUE BRENEMAN. THE MOTION CARRIED. Approve the Agenda: SUE BRENEMAN MADE A MOTION TO APPROVE THE AGENDA CONTAINING 16 ITEMS. SCOTT MILDBRAND SECONDED THE MOTION. THE MOTION CARRIED. Agency Staff Reports: Ms. Tom-Steinmetz introduced Jenn Arndt, Administrative Assistant (Agency) and Kathy Barr, Administrative Assistant (Administration). Board members then introduced themselves. Ms. Arndt reported on some of her job duties including child care audits, psychiatric appointment scheduling and maintaining electronic files. Ms. Barr stated some of her job duties include preparing provider contracts, release of agency records and mental health electronic files. Public Input: Black River Industries Director Amber Fallos reported that Black River Industries is purchasing a vehicle to deliver meals for the Commission on Aging. She indicated that they are seeking donations for the United Way, which is a supporter of Black River Industries. Ms. Fallos stated that currently three individuals have been placed at job sites in the community as they continue the transition to community employment. She also invited the Board to the Black River Industries Christmas party which will be held on December 17th. Discussion between Board Members and Human Services employees regarding various operational topics. No action will be taken on any of the topics discussed: Sue Breneman reported that the Commission on Aging is looking for committee members to replace those whose terms will be expiring. She indicated that applications will be accepted and interviews will be conducted for these positions. Chairman Thums read some information he had obtained regarding poverty. David Krug reported that all the positions on the Aging and Disability Resource Center (ADRC) of the Northwoods Board have been filled. He added that the ADRC specialists are taking

2 additional training regarding dementia. He also discussed the time reporting that is done at the ADRC and how it affects their funding from the federal government. Approve Director s Expense Summary: THE DIRECTOR S EXPENSE SUMMARY FROM OCTOBER TO DECEMBER 2015 IN THE AMOUNT OF $ WAS APPROVED ON A MOTION BY SCOTT MILDBRAND AND A SECOND BY DAVID KRUG. A ROLL CALL VOTE WAS TAKEN. THE MOTION CARRIED WITH A VOTE OF EIGHT AYES. Coordinated Services Team (CST) Initiative Approval: Ms. Tom-Steinmetz reported that the application for the Coordinated Services Team (CST) Initiative has already been sent to the State due to a deadline. She explained that the CST Initiative is a strength-based, voluntary program for children with intricate behavioral health needs. A comprehensive plan is developed by a team of individuals to address the needs of the child and their family using community-based supports. Ms. Tom-Steinmetz stated that if Taylor County receives approval from the State for the CST Initiative they would receive $60,000 for CST implementation. The Board then reviewed a resolution relating to support of the application for the CST Initiative. A MOTION WAS MADE BY SUE BRENEMAN, SECONDED BY ROGER EWAN TO APPROVE THE COORDINATED SERVICES TEAM (CST) INITIATIVE. THE MOTION CARRIED. Approve CST (Facilitator) Coordinator Position: Ms. Tom-Steinmetz asked for approval of the Coordinated Services Team (Facilitator) Coordinator position. She indicated the position would be paid for through $60,000 in State funding, revenue generated through case management billing to Medicaid, and 20% match money of the salary of the Children and Family Services Coordinator. A MOTION WAS MADE BY SUE BRENEMAN, SECONDED BY PAULA DUBIAK TO APPROVE THE COORDINATED SERVICES TEAM (FACILITATOR) COORDINATOR POSITION. Scott Mildbrand expressed his concern that since this funding is renewed annually by the State, they could decide to eliminate it. A MOTION WAS THEN MADE BY SCOTT MILDBRAND, SECONDED BY ROGER EWAN TO AMEND THE MOTION TO APPROVE THE COORDINATED SERVICES TEAM (FACILITATOR) COORDINATOR POSITION CONTINGENT UPON THE STATE PROVIDING THE FUNDING. THE MOTION CARRIED ON A VOICE VOTE WITH SUE BRENEMAN OPPOSING. THE COORDINATED SERVICES TEAM (FACILITATOR) COORDINATOR POSITION WAS THEN APPROVED WITH THE AMENDMENT. THE MOTION CARRIED. Approve LTE Position: Ms.Tom-Steinmetz explained to the Board that two staff members will be on maternity leave in the near future and requested that limited term employee (LTE) positions be approved to cover their caseload. A MOTION WAS MADE BY SCOTT MILDBRAND, SECONDED BY SUE BRENEMAN TO APPROVE THE LTE POSITION. THE MOTION CARRIED. Approve Job Descriptions (Coordinated Services Team (Facilitator) Coordinator and Social Worker): Copies of the job descriptions for the Coordinated Services Team (Facilitator) Coordinator and the Social Worker (Children and Family Services) positions were distributed. The Coordinated Services Team (Facilitator) Coordinator is a new position, while some of language in the Children and Family Services Social Worker job description has been updated. A MOTION WAS MADE BY DAVID KRUG, SECONDED BY ROSE MADLON TO APPROVE THE COORDINATED SERVICES TEAM (FACILITATOR) COORDINATOR AND CHILDREN AND FAMILY SERVICES SOCIAL WORKER JOB DESCRIPTIONS. THE MOTION CARRIED. Ms.Tom-Steinmetz

3 indicated that they will be updating agency job descriptions over the next few months and will bring them to the Board for approval. Approve Filling Vacancy(ies): There were no staff vacancies at this time. Action on Contracts and Addenda: A contract and addendum were presented for approval. AMOUNT OF FUNDING PROVIDER INCREASE SOURCE* TOTAL CONTRACT North Central Health Care N/A CIP IB $ Prevocational Services COP (#15-DD-47) CA SPC 108 Prevocational Services Unit Rate: $7.52/hour (one client) ($4700) SPC 108 Community-Based Prevocational Services (one client) Unit Rate: $11.28/hour ($1700) Contract effective: 7/1/2015 to 12/31/2015 ADDENDUM At Home Care N/A N/A N/A (#15-LTS-06) No increase Language addition only Effective: 11/20/15 *Community Integration Program (CIP) IB Community Options Program (COP) Community Aids (CA) A MOTION WAS MADE BY ROGER EWAN, SECONDED BY PAULA DUBIAK TO APPROVE THE CONTRACT AND ADDENDUM AS PRESENTED. A ROLL CALL VOTE WAS TAKEN. THE MOTION CARRIED WITH A VOTE OF EIGHT AYES. Director s Report: Ms. Tom-Steinmetz referred to information in the Board packet regarding the Northern Income Maintenance Consortium and their excellent rating for case accuracy and timeliness. Liza Daleiden reported that interviews have been completed for the vacant Children and Family Services social worker/case manager position and there were several qualified applicants. Ms. Daleiden explained how child welfare referrals come into the agency, the screening process, and standards for what meets criteria. She stated that some time ago several counties had met

4 to discuss this process, as some of the counties have fewer trained workers to handle these referrals and the critical decisions involved in Children and Family Services cases, and it was felt that it could be beneficial if counties worked together. Ms. Daleiden reported that currently only a few counties have continued looking at this option and she believes that a regional access and screening process should continue to be explored. Lori Willner was excused at 10:55 a.m. Ms. Tom-Steinmetz reported that staff are decorating their office doors for Christmas in conjunction with a food drive for the local food pantry. Set Next Meeting Date: The next Human Services Board meeting is scheduled for Wednesday, January 13, 2015 at 10 a.m. at the Taylor County Human Services Department. Adjourn: A MOTION WAS MADE BY ROGER EWAN, SECONDED BY ROSE MADLON TO ADJOURN. THE MOTION CARRIED. The meeting adjourned at 11:05 a.m. Handouts distributed: CST (Facilitator) Coordinator job description; Social Worker job description; contract/addenda list Respectfully submitted: Kathy Barr for Rose Madlon, Secretary

5 TAYLOR COUNTY HUMAN SERVICES BOARD November 11, 2015 Taylor County Human Services Department Call Meeting To Order: Chairman Rollie Thums called the meeting to order at 10 a.m. Members Present: Jason Julian, Roger Ewan, Sue Breneman, Rose Madlon, David Krug, Scott Mildbrand, Lori Willner, and Rollie Thums. Members Absent: Paula Dubiak (excused) Other Attendees (for all or a portion of the meeting): Amber Fallos, Tammy Tom-Steinmetz, Liza Daleiden, Patty Koepke, Peggy Kellnhofer, Jen Meyer, Jayne Strama, Gina Thorson, and Kathy Barr. Approve Minutes from the October 12, 2015 meeting: Tammy Tom-Steinmetz distributed a handout with proposed changes to the meeting minutes as follows (changes are depicted in bold print): The unit supervisors were present to explain their respective contracts. Cheryl Ketelhut, Developmental Disabilities Coordinator also explained the various funding sources from the state and federal government that are used to allow developmentally disabled individuals to live in less restrictive settings such as adult family homes or smaller community-based residential facilities (CBRF) rather than state institutions. Peggy Kellnhofer, Economic Support Coordinator reported that the Personnel Committee had approved extending the two LTE (limited term employees) Economic Support Specialists employees through 2016 or until the money is no longer available. She indicated that PPACA (Patient Protection and Affordable Care Act) monies through the consortium will cover this cost through JASON JULIAN MADE A MOTION TO APPROVE THE OCTOBER 12, 2015 MINUTES AS AMENDED ABOVE. THE MOTION WAS SECONDED BY SUE BRENEMAN. THE MOTION CARRIED. Approve the Agenda: ROGER EWAN MADE A MOTION TO APPROVE THE AGENDA CONTAINING 11 ITEMS. ROSE MADLON SECONDED THE MOTION. THE MOTION CARRIED. Agency Staff Reports: Ms. Tom-Steinmetz distributed a copy of the 2015 Table of Organization chart which lists Human Services staff and their job titles. She introduced Jayne Strama, Accounting Specialist (Accounts Payable) and Gina Thorson, Accounting Specialist (Accounts Receivable). Board members then introduced themselves. Ms. Strama and Ms. Thorson briefly explained their Positions at Human Services. Ms. Strama reported she and Ms. Thorson work closely with county accountant, Larry Brandl. They also discussed some of the software programs they utilize and the changes that have occurred over the years due to technology.

6 Public Input: Black River Industries (BRI) Director Amber Fallos stated production work is very busy. They are continuing to pursue community employment for their workers and are in the process of hiring new staff to assist in locating job sites. She reported that the sub-minimum wage license for BRI may not be completely eliminated; instead it is looking like there will be stricter requirements placed on the workshop. Ms. Fallos added that the transition to community employment will be more costly for BRI due to additional staff time required for job coaching and transportation costs. Sue Breneman expressed concern about how this change would affect the workers, and Ms. Fallos indicated vocational assessments will be completed to determine appropriate placement. Discussion between Board Members and Human Services employees regarding various operational topics. No action will be taken on any of the topics discussed: David Krug, Taylor County s representative on the Aging and Disability Resource Center (ADRC) of the Northwoods Board stated that they are working on the ADRC budget and briefly discussed some of the cost differences between the various counties. Ms. Breneman reported that the Commission on Aging (COA) had approved their aging plan for the next few years. The option of purchasing a vehicle for meal delivery was also explored; however, it was decided that it was more cost effective to continue having Black River Industries deliver the meals in the community. Ms. Breneman also reported that the terms for five of the members on the COA committee will be expiring soon, and anyone interested in serving on the COA committee should contact COA Director Nathanael Brown. Jason Julian stated that he has located someone from his district that may be willing to serve on the County Board in his place, and he will be contacting the County Board Office in regards to this. Rollie Thums expressed his appreciation to Mr. Julian for his service on the Human Services Board. Approve Filling Vacancy(ies): There were no staff vacancies at this time. Action on Contracts and Addenda: One addendum was presented for approval. AMOUNT OF FUNDING PROVIDER INCREASE SOURCE* TOTAL Black River Industries $ 1, CCS/CSP $786, (#15-DD-08) SPC 509 Community Support Program (CSP) Unit Rate: $19/hour (15 hours/month) (two clients) ($1710) SPC Specialized Transportation Unit Rate: $.57/mile (30 miles/month) (two clients) ($102.60) Effective: 10/15/15 *Comprehensive Community Services (CCS) Community Support Program (CSP)

7 A MOTION WAS MADE BY DAVID KRUG, SECONDED BY ROGER EWAN TO APPROVE THE ADDENDUM AS PRESENTED. A ROLL CALL VOTE WAS TAKEN. THE MOTION CARRIED WITH A VOTE OF EIGHT AYES, ONE ABSENT (DUBIAK). Director s Report: Ms. Tom-Steinmetz distributed a copy of a letter from the State of Wisconsin-Division of Long Term Care stating that Taylor County has met all of the compliance requirements during a quality assurance monitoring review of the Community Options Program (COP) Waiver programs in Patty Koepke, Long-Term Support Coordinator reported that 15 files were reviewed, along with 15 home visits made to clients receiving COP Waiver services. Next, Ms. Tom-Steinmetz passed out information on the Coordinated Services Team (CST). CST is a strength-based process in which a team develops and implements a comprehensive, individualized system of care for children with complex behavioral health needs. Ms. Tom- Steinmetz reported this model of care is a type of wraparound service that addresses the needs of the child and their family with community-based supports. She indicated that Taylor County is sending in an application to the State and, if approved, will receive $60,000 to implement this program. Ms. Tom-Steinmetz reported that this funding is renewed annually, and if Taylor County s application is approved, she will ask the Board for approval of a new position. She added this position could bill for services and generate revenue, and would work primarily in the Children and Family Services unit. Ms. Tom-Steinmetz also reported that she, Jen Meyer, and Liza Daleiden attended a meeting with Jean Flood from the Drug Opposition Partners regarding the Drug Endangered Children Program, which is a program geared toward supporting drug endangered children. Lastly, Ms. Tom-Steinmetz indicated that the carpeting at the Human Services building will be slowly replaced over time and some of the walls will also be painted. She concluded by stating that Ms. Daleiden and the other unit supervisors will continue to attend the Board meetings when available. Set Next Meeting Date: The next Human Services Board meeting is scheduled for Wednesday, December 9, 2015 at 10 a.m. at the Taylor County Human Services Department. Adjourn: A MOTION WAS MADE BY ROGER EWAN, SECONDED BY JASON JULIAN TO ADJOURN. THE MOTION CARRIED. The meeting adjourned at 10:45 a.m. Handouts distributed: proposed changes to minutes; 2015 table of organization; Coordinated Services Team (CST) summary; Letter from State of WI regarding Quality Assurance Monitoring Review; contract/addenda list Respectfully submitted: Kathy Barr for Rose Madlon, Secretary

8 TAYLOR COUNTY HUMAN SERVICES BOARD October 12, 2015 Taylor County Human Services Department Call Meeting To Order: Chairman Rollie Thums called the meeting to order at 10 a.m. Members Present: David Krug, Rose Madlon, Scott Mildbrand, Paula Dubiak, Sue Breneman, Jason Julian, and Rollie Thums. Lori Willner arrived a few minutes late. Members Absent: Roger Ewan (excused) Other Attendees: Larry Brandl, Tammy Tom-Steinmetz, Liza Daleiden, Jen Meyer, Peggy Kellnhofer, Cheryl Ketelhut, and Kathy Barr. Approve Minutes from the September 3, 2015 and September 9, 2015 meeting: SUE BRENEMAN MADE A MOTION TO APPROVE THE MINUTES FROM THE SEPTEMBER 3, 2015 AND SEPTEMBER 9, 2015 MEETINGS. SCOTT MILDBRAND SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda (Amended): JASON JULIAN MADE A MOTION TO APPROVE THE AMENDED AGENDA CONTAINING 12 ITEMS. ROSE MADLON SECONDED THE MOTION. THE MOTION CARRIED. Introduction of new Human Services Director: Tammy Tom-Steinmetz was introduced as the new Human Services Director. She gave a brief overview of her work history. Paula Dubiak was also introduced as the new lay member on the Board. Introductions were then made by those present. Chairman Thums thanked Liza Daleiden for filling in as Interim Director. Chairman Thums then requested adding a standing item on the Board agenda for staff reports from the various units in the agency. Public Input: There was no Public Input. Discussion between Board Members and Human Services employees regarding various operational topics. No action will be taken on any of the topics discussed: Jason Julian reported that due to other commitments he will probably not seek re-election to the Taylor County Board of Supervisors. David Krug, Taylor County s representative on the ADRC (Aging and Disability Resource Center) of the Northwoods Board reported that Janell Schroeder has been hired as the new director of the ADRC of the Northwoods.

9 Sue Breneman stated that the Senior Fair will be held on October 16, She also added that a Broadband workshop will be held in Eau Claire on November 18-19, This initiative is through the University of Wisconsin-Extension. Scott Mildbrand, a member of the Finance Committee reported that the committee will be presenting the 2016 proposed budget to the full County Board on October 28. He indicated the budget includes a.09 percent tax increase, with the highway budget being increased by $200,000 for road maintenance, etc., and that approximately $64,000 has been included in the Human Services budget to assist in paying for court-ordered placements. He concluded by stating that the committee did not have to draw from reserve funds. Resolution expressing appreciation to Darlene Anderson for her many years of service to Taylor County: Liza Daleiden read the resolution that had been prepared for Darlene Anderson, who was present, and who is retiring after 19 plus years of service to Taylor County. Ms. Anderson began employment in October 1996 as a Jailer/Dispatcher with the Taylor County Sheriff s Department, and then was hired as a Social Worker by Taylor County Human Services in the summer of A MOTION WAS MADE BY JASON JULIAN, SECONDED BY SUE BRENEMAN TO SUPPORT THE RESOLUTION FOR DARLENE ANDERSON. THE MOTION CARRIED. Approve Filling Vacancy(ies): Ms. Daleiden requested that the Social Worker position formerly held by Darlene Anderson in the Children and Family Services unit be filled. She indicated that the Personnel Committee had already approved filling the position, which is funded through Community Aids and Children and Family grant monies. DAVID KRUG MADE A MOTION TO APPROVE FILLING THE SOCIAL WORKER POSITION IN THE CHILDREN AND FAMILIES SERVICES UNIT. THE MOTION WAS SECONDED BY SCOTT MILDBRAND. THE MOTION CARRIED. Action on Contracts and Addenda: Two contracts and four addenda were presented for approval. AMOUNT OF FUNDING TOTAL PROVIDER INCREASE SOURCE* CONTRACTS Northwest Passage Child & N/A Youth Aids $10, Adolescent Center (#15-CFS-09) SPC 504 Residential Care Center Unit Rate: $360/day (30 days)(one client) Contract effective: 9/24/15 to 12/31/15 DBP Enterprises, Inc. d.b.a. N/A COP-W $14, Home Helpers & Direct Link CIP II NH Diversion (#15-LTS-25) SPC Supportive Home Care Unit Rate: $17/hour (one client)($10,200) SPC Specialized Transportation

10 Unit Rate: $.46/mile (one client)($920) SPC 103 Respite Unit Rate: $17/hour (one client)($3400) Contract effective: 9/21/15 to 12/31/15 AMOUNT OF FUNDING TOTAL PROVIDER INCREASE SOURCE* ADDENDA Parker Place $ 4, CIP-1B/ICF-MR $76, (#15-DD-35) SPC Adult Family Home (3-4 bed) Unit Rate: $228/24 hr. day (one client) (Effective: 9/15/15) Lutheran Social Services of WI & $ 21, CIP-1B $68, Upper Michigan, Inc. (#15-CFS-05) SPC Supportive Home Care Unit Rate: $225/day (one client) (Effective: 9/28/15) Clark County Rehabilitation $ 1, CIP II $ 38, & Living Center (#15-DD-06) SPC Transportation Unit Rate: $12.50/trip ($25/day) (one client) (Effective: 9/30/15) Sullivan Homes, Inc. $ 1, COP $182, (#15-MH-06) SPC Supported Apartment Unit Rate: $475/month ($1425) ($225 Weekly Medication Planning) ($50 Medication Refill/Pick-up) ($200 Meals)(one client) (Effective: 10/1/15) A MOTION WAS MADE BY DAVID KRUG, SECONDED BY SUE BRENEMAN TO APPROVE THE CONTRACTS AND ADDENDA AS PRESENTED. A ROLL CALL VOTE WAS TAKEN. THE MOTION CARRIED WITH A VOTE OF EIGHT AYES, ONE ABSENT (EWAN). The unit supervisors were present to explain their respective contracts. Cheryl Ketelhut, Developmental Disabilities Coordinator also explained the various funding sources from the state and federal government that are used to allow developmentally disabled individuals to live

11 in less restrictive settings such as adult family homes or smaller community-based residential facilities (CBRF) rather than state institutions. Director s Report: Ms. Daleiden reported that the Personnel Committee had recently considered two reclassification requests from Human Services staff. She indicated that the Economic Support Specialists were increased in their point level, but were not moved to a higher grade level. The Administrative Support - AODA (Alcohol and Other Drug Abuse) employee was moved up one grade level. Peggy Kellnhofer, Economic Support Coordinator reported that the Personnel Committee had approved extending the two LTE (limited term employees) Economic Support Specialists employees through 2016 or until the money is no longer available. She indicated that PPACA (Patient Protection and Affordable Care Act) monies through the consortium will cover this cost through Ms. Daleiden and Jen Meyer, Clinical Services Coordinator presented information from Millennium Health, a company which offers instant-read urine drug testing devices. Ms. Daleiden reiterated that the Board has already approved a drug testing policy for Human Services. Ms. Daleiden and Ms. Meyer indicated that this testing is HIPAA (Health Insurance Portability and Accountability Act) compliant and can be billed to insurance. The saliva tests that are currently being administered are not very accurate, and are not covered by insurance unless they are requested by a court-order. Staff will be provided with training on the urine drug testing, which will be used primarily in the Children and Family Services and Alcohol and Other Drug Abuse (AODA) units. The budget reports through September 2015 were available for the Board. Set Next Meeting Date: The next Human Services Board meeting is scheduled for Wednesday, November 11, 2015 at 10 a.m. at the Taylor County Human Services Department. Adjourn: A MOTION WAS MADE BY ROSE MADLON, SECONDED BY JASON JULIAN TO ADJOURN. THE MOTION CARRIED. The meeting adjourned at 11 a.m. Handouts distributed: amended agenda; contract/addenda list; Millennium Health information; Respectfully submitted: Kathy Barr for Rose Madlon, Secretary

12 TAYLOR COUNTY HUMAN SERVICES BOARD September 9, 2015 Taylor County Human Services Department It was moved by Julian, seconded by Breneman to go into Closed Session pursuant to Wisconsin State Statutes 19.85(1)(c) at 12:00 noon for the purpose of considering employment, promotion, compensation or performance evaluation data of a Human Services Director applicant. Seven voting aye, one absent (Mildbrand), the motion carried. It was moved by Julian, seconded by Breneman to go into Open Session pursuant to Sec Wisconsin State Statutes at 12:31 p.m. to take any necessary action on the matter in Closed Session. Seven voting aye, one absent (Mildbrand), the motion carried. It was moved by Julian, seconded by Breneman to begin the new Human Services Director at Step 3, Grade S and upon a satisfactory performance review at six months of employment, the Director would be increased to Step 4, Grade S and would continue in Step 4 until October 12, A unanimous vote cast, the motion carried. It was moved by Julian, seconded by Breneman to adjourn at 12:31 p.m. A unanimous vote cast, the motion carried. Respectfully submitted: Marie Koerner

13 TAYLOR COUNTY HUMAN SERVICES BOARD September 9, 2015 Taylor County Human Services Department Call Meeting To Order: Chairperson Rollie Thums called the meeting to order at 10 a.m. Members Present: Jason Julian, Roger Ewan, Sue Breneman, Rose Madlon, David Krug, Lori Willner, and Rollie Thums. Members Absent: Scott Mildbrand (excused) Other Attendees: (for all or a portion of the meeting) Larry Brandl, Liza Daleiden, Cheryl Ketelhut, Patty Koepke, Peggy Kellnhofer, Jen Meyer, Amber Fallos and Kathy Barr. Approve Minutes from the August 19, 2015 Public Hearing and August 19, 2015 regular Board meeting: DAVID KRUG MADE A MOTION TO APPROVE THE MINUTES FROM THE AUGUST 19, 2015 PUBLIC HEARING AND THE AUGUST 19, 2015 REGULAR BOARD MEETING. ROGER EWAN SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda (Amended): JASON JULIAN MADE A MOTION TO APPROVE THE AMENDED AGENDA CONTAINING 14 ITEMS. SUE BRENEMAN SECONDED THE MOTION. THE MOTION CARRIED. Discussion between Board Members and Human Services employees regarding various operational topics. No action will be taken on any of the topics discussed: David Krug, Taylor County s representative on the Aging and Disability Resource Center (ADRC) of the Northwoods Board reported that they will be interviewing candidates for the director position of the ADRC of the Northwoods. Introductions were made by the unit supervisors and Board members. Review and Approve 2016 Proposed Budget: The unit supervisors were present to discuss their respective units and budgets. Liza Daleiden, Interim Director and Children and Family Services (CFS) Coordinator reported that the Children and Family Services unit receives revenue from several sources including Safe and Stable Families funding which is used for services such as intensive in-home therapy and respite care. She indicated that another revenue source, Community Aids funding is used for staff salaries and other areas of the budget. Unfortunately, the lack of inflationary increase in Community Aids funding for the past several years continues to present challenges to the agency to cover the costs for court-ordered or state-mandated services. Ms. Daleiden also reported that she uses Youth Aids funding in her budget for areas such as services for juvenile delinquents. She concluded by stating that she also receives grant money to assist in paying for service costs.

14 Next, Long-Term Support (LTS) Coordinator Patty Koepke reported that according to information received from the State changes will be made to the Community Options Program budget in It is unknown at this time what those changes will be, however. She explained the Community Integration Program (CIP) II Nursing Home Diversion, Money Follows Person and Nursing Home Relocation programs which assists individuals from going into nursing homes. Ms. Koepke added that there are four social workers in the LTS unit who capture revenue through case management reporting. Currently, there is no wait list for services in the LTS unit. She concluded by discussing the Woodland Enhanced Health Services Commission. Taylor County is part of this commission which allows placement of protectively placed residents at the Clark County Health Care Center. Medicaid pays a portion of this cost with the remainder being paid for by Taylor County. Ms. Koepke indicated although these placements are expensive, placements at a state facility would be substantially higher. Peggy Kellnhofer, Economic Support Coordinator reported that Taylor County is one of 11 counties in the Northern Income Maintenance Consortium. She stated that the consortium was notified by the State of Wisconsin that their consortium was the only consortium in the state that had no errors. Ms. Kellnhofer stated she was informed that the Patient Protection and Affordable Care Act (PPACA) funding will be decreased by 65%, which may result in the job loss for a couple of workers in the consortium. However, the consortium may be receiving funding from other sources, and are hopeful for the development of an internal fraud section which could also help employ these workers. She reported that the child care assistance program, which assists families in paying for child care is now processed through the consortium. Child care certification continues to be completed by the foster care specialist in the Children and Families Services unit. Lastly, Ms. Kellnhofer briefly discussed the Fuel Assistance and General Relief programs. Cheryl Ketelhut, Developmental Disabilities (DD) Coordinator discussed the DD unit. She reported that their unit serves individuals from childhood through adulthood. They are required at times to submit applications to the state for approval for some of the programs. The DD unit works closely with the Long-Term Support unit by utilizing match monies through different funding sources. Ms. Ketelhut also explained the 60%/40% split, whereby the federal government pays 60% of the cost for a particular service if the agency can cover the remaining 40% of the cost. She reported that through state initiative most individuals who once resided in institutions have been moved into smaller less restrictive community-based homes paid for through Community Integration Program (CIP) funding. Ms. Ketelhut explained that the Birth to Three Program is a very beneficial program but is very expensive and continues to be underfunded. She reported on the value of early intervention services in the home for children in the Birth to Three Program and the change to one provider in the home is better for the child and their family. Physical therapy, occupational therapy and speech therapy for the Birth to Three Program are provided through a contract with CESA 10. Ms. Ketelhut then discussed that Family Support will be transitioned into the Community Options Program in When this change occurs the agency will lose the flexibility on how Family Support dollars can be used for services. Next, Clinical Services Coordinator Jen Meyer reported that a majority of her unit s revenue is from Community Aids. Costs continue to be very high for transitional living, inpatient

15 hospitalizations, and institute for mental disease (IMD). She stated that there are also a growing number of individuals with alcohol and drug abuse issues, presenting new challenges for locating facilities for treatment for these clients. Ms. Meyer explained the multi-disciplinary team approach that involves several staff members and other service providers which focuses on creating the most effective treatment plan for a client. She then discussed the Comprehensive Community Services (CCS) program that has recently been implemented at the agency and the qualifiers for that program. County accountant Larry Brandl reported that this year s county levy request is about $100,000 more than last year and felt the Board could either reduce costs by $100,000 or increase the county levy by $100,000. He also noted that it will most likely be a year or two before the Comprehensive Community Services program can generate enough revenue to offset costs. Mr. Brandl indicated in an effort to reduce the county levy request, past budgets have not included revenue for placements at the institute for mental disease, hospitalizations at state mental health institutes and placements at correctional facilities for juveniles. The fund balance, which ideally should be 10% of the operating budget, has also been used in past years for covering expenses, according to Mr. Brandl. A MOTION WAS THEN MADE BY SUE BRENEMAN, SECONDED BY JASON JULIAN TO APPROVE THE 2016 PROPOSED BUDGET ALONG WITH THE RECOMMENDATION BY ACCOUNTANT LARRY BRANDL TO INCREASE THE COUNTY LEVY BY $100,000. THE MOTION CARRIED. Public Input: Black River Industries (BRI) Director Amber Fallos reported that they are extremely busy with the sewing of uniforms through the contract with the Department of Corrections. A new bus will be arriving at the end of this year and they will be submitting a request for another bus for next year. Ms. Fallos explained that it is a possibility that the sub-minimum wage license for BRI as well as other workshops will be eliminated. She indicated that BRI cannot afford to pay their workers minimum wage, and she stated she will be contacting local businesses in an effort to find employment for workers should the sub-minimum wage license no longer be in existence. There was some discussion on the camaraderie of the clients at BRI and their choice to go to work there. Approve Filling Vacancy(ies): There were no staff vacancies at this time. Review and approve new job description for CCS program: The job description for the Comprehensive Community Services (CCS) Service Facilitator was included in the Board packet. The job description was approved by the Personnel Committee on 8/24/15. A MOTION WAS MADE BY DAVID KRUG, SECONDED BY SUE BRENEMAN TO APPROVE THE COMPREHENSIVE COMMUNITY SERVICES (CCS) SERVICE FACILITATOR JOB DESCRIPTION. THE MOTION CARRIED. Action on Contracts and Addenda: One contract was presented for approval. AMOUNT OF FUNDING PROVIDER INCREASE SOURCE* TOTAL CONTRACT

16 Rehabilitation House, Inc. N/A CCS funding $ 15, (Bletzinger House) (#15-MH-12) SPC 506 Community-Based Residential Facility (CBRF) Unit Rate: $132/day (115 days) Contract effective: 9/8/15 to 12/31/15 A MOTION WAS MADE BY JASON JULIAN, SECONDED BY ROGER EWAN TO APPROVE THE CONTRACT AS PRESENTED. A ROLL CALL VOTE WAS TAKEN. THE MOTION CARRIED WITH A VOTE OF SEVEN AYES, ONE ABSENT (MILDBRAND). Director s Report: Ms. Daleiden reported she has been working with staff on implementation of the Comprehensive Community Services (CCS) program. Set Next Meeting Date: The next Human Services Board meeting is scheduled for Wednesday, October 14, 2015 at 10 a.m. at the Taylor County Human Services Department. Handouts distributed: amended agenda; contract/addenda list Respectfully submitted: Kathy Barr for Rose Madlon, Secretary

17 Human Services Board September 3, 2015 Third Floor County Board Room, Taylor County Courthouse Call Meeting to Order: Rollie Thums called the meeting to order at 9:00 a.m. Members Present: Rollie Thums, Roger Ewan (left at 11:45 a.m.), David Krug, Jason Julian, Sue Breneman, Scott Mildbrand, Rose Madlon Members Absent: Other Attendees: Lori Willner Marie Koerner, Larry Brandl Closed Session. A motion was made by Julian, seconded by Breneman, at 9:00 a.m. to go into closed session pursuant to Wisconsin State Statutes, Section (1)(c), to conduct interviews for the Human Services Director. A unanimous vote cast, the motion carried. Open Session. A motion was made by Julian, seconded by Breneman, to go into open session at 3:12 p.m. A unanimous cast, the motion carried. A motion was made by Julian, seconded by Breneman, to offer the Human Services Director position to the first-ranked applicant with a beginning salary of Step 3, Grade S, and three weeks of vacation. A unanimous vote cast, the motion carried. Adjournment. A motion was made by Julian, seconded by Breneman, to adjourn at 3:12 p.m. A unanimous vote cast, the motion carried. Secretary: Marie Koerner

18 TAYLOR COUNTY HUMAN SERVICES BOARD August 19, 2015 Community Center, Taylor County Fairgrounds Call Meeting To Order: Chairperson Rollie Thums called the meeting to order at 1:45 p.m. following the Public Hearing. Members Present: Lori Willner, David Krug, Scott Mildbrand, Sue Breneman, Roger Ewan, Jason Julian, Rose Madlon, and Rollie Thums. Members Absent: None Other Attendees: Liza Daleiden, Patty Koepke, Peggy Kellnhofer, Laura Holmes, Jen Meyer, and Kathy Barr. Approve Minutes from the July 22, 2015 meeting: ROGER EWAN MADE A MOTION TO APPROVE THE MINUTES FROM THE JULY 22, 2015 MEETING. SUE BRENEMAN SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda: JASON JULIAN MADE A MOTION TO APPROVE THE AGENDA CONTAINING 11 ITEMS. ROSE MADLON SECONDED THE MOTION. THE MOTION CARRIED. Public Input: There was no public input. Discussion between Board Members and Human Services employees regarding various operational topics. No action will be taken on any of the topics discussed: Chairperson Thums reported that the submission for applications for the Human Services Director position ends on August 21, He asked Board members for their input on a date/time that they would be available to conduct interviews for this position. It was decided that the interviews would be scheduled for Thursday, September 3, 2015 at 9 a.m. at the Taylor County Courthouse (tentative location). David Krug, Taylor County s representative on the Aging and Disability Resource Center (ADRC) of the Northwoods Board reported that it was suggested to him that the ADRC specialists in the Medford office become Taylor County employees (currently they are employees of the ADRC) in order for the Elderly Benefit Specialist to capture revenue through time reporting. Approve Filling Vacancy(ies): There were no staff vacancies at this time. Review and approve new job descriptions for CCS program: This item was tabled and will be presented at the next meeting as the job descriptions were not available. Action on Contracts and Addenda: One contract and four addenda were presented for approval. Jen Meyer, Clinical Services Coordinator reported on the Comprehensive Community Services (CCS) program and the contract with Aurora Community Counseling for that program. Ms. Meyer indicated that approximately 90 individuals currently served by mental health

19 programs meet the functional screen qualifiers for the CCS program. The CCS program averages about 15 clients per staff member. She also explained the program is one hundred percent state funded for case management and administrative costs. Additionally, the program is expected to reduce mental health group home costs, according to Ms. Meyer. AMOUNT OF FUNDING PROVIDER INCREASE SOURCE* TOTAL ADDENDA Opportunity of North Central WI, Inc. $ 34,170 CIP IA $ 55, (#15-DD-44) Community Aids funds SPC Adult Family Home (3-4 bed) Unit Rate: $174.40/24 hour day (one client)($6805) SPC Adult Family Home (3-4 bed) Unit Rate: $210.87/24 hour day (one client)($27,365) Effective: 7/16/15 Everest Housing, LLC $ 5100 CIP IB/COP $ 72, (#15-DD-51) SPC Residential Respite Care Unit Rate: $100/24-hour day (one client) ($5000) SPC Residential Respite Care Unit Rate: $10/hour (one client) ($100) Effective: 8/1/15 A Helping Hand of Central WI, LLC $27, Nursing Home $ 53, (#15-LTS-22) Diversion SPC Respite Unit Rate: $16.08/hour (one client) ($26,628.48) SPC Specialized Transportation Unit Rate: $.46/mile (one client) ($500) Effective: 8/1/15 Aurora Residential Alternatives, Inc. $ Community $ 56, (#15-MH-03) Aids SPC 506 Community-Based Residential Facility (CBRF) Unit Rate: $325/day (one client) Effective: 7/30/15 CONTRACTS Aurora Community Counseling N/A CCS funding $ 251, (Comprehensive Community

20 Services (CCS) Program) (#15-MH-01) CCS Service Director/CCS Administrator Unit Rate: $125/hour (up to 24 hours/week) (23 weeks)($69,000) CCS Outpatient Mental Health Unit Rate: $165/hour (up to 24 hours/week) (23 weeks) ($91,080) CCS Outpatient AODA Unit Rate: $165/hour (up to 24 hours/week) (23 weeks) ($91,080) Contract effective: 7/28/15 to 12/31/15 *CIP (Community Integration Program) COP (Community Options Program) A MOTION WAS MADE BY SUE BRENEMAN, SECONDED BY DAVID KRUG TO APPROVE THE ADDENDA AND CONTRACT AS PRESENTED. A ROLL CALL VOTE WAS TAKEN. THE MOTION CARRIED WITH A VOTE OF EIGHT AYES. Director s Report: Ms. Daleiden introduced Laura Holmes, Birth to Three Program Coordinator for Taylor County and referenced a letter in the Board packet from the State of Wisconsin Department of Health Services. This letter indicated that from 7/1/13 to 6/30/14 the Taylor County Birth to Three Program has met the requirements for the services provided to children and their families in the Birth to Three Program, which is above the state s overall ranking for that same time period. The Birth to Three Program is a state-mandated program which serves children with disabilities under the age of three. Ms. Holmes briefly explained the Birth to Three referral process, timeline, and transition steps of this program. Set Next Meeting Date: The next Human Services Board meeting is scheduled for Wednesday, September 9, 2015 at 10 a.m. at the Taylor County Human Services Department. Adjournment: ROGER EWAN MADE A MOTION TO ADJOURN. ROSE MADLON SECONDED THE MOTION. THE MOTION CARRIED. THE MEETING ADJOURNED AT 2:20 P.M. Handouts distributed: contract/addenda list Respectfully submitted: Kathy Barr for Rose Madlon, Secretary

21 TAYLOR COUNTY HUMAN SERVICES BOARD - PUBLIC HEARING August 19, 2015 Community Center Taylor County Fairgrounds Call Meeting to Order: The Public Hearing on the 2016 Plan and Budget for the Taylor County Human Services Department was held on Wednesday, August 19, 2015 in the Community Center at the Taylor County Fairgrounds. The public hearing was called to order by Chairperson Rollie Thums at 1 p.m. Members Present: Members in attendance were Jason Julian, Scott Mildbrand, Sue Breneman, David Krug, Lori Willner, Roger Ewan, Rose Madlon, and Rollie Thums. Members Absent: None Human Services staff: Liza Daleiden, Patty Koepke, Peggy Kellnhofer, and Kathy Barr. Introduction to Public Hearing Liza Daleiden, Interim Human Services Director and Rollie Thums, Human Services Board Chair: Chairperson Thums welcomed the individuals in attendance. Board members and Human Services staff introduced themselves. Interim Director Liza Daleiden also welcomed everyone to the public hearing. Human Services Conducts Public Hearing for Year 2016 Plan and Budget: Next, Chairperson Thums read the names of the individuals who indicated they wished to give oral testimony. Those that provided the oral testimony were: Doreen Fierke, Darlene Nowak (presented handouts), Dawn Ploeckelman, Chad Brost, Mark Schiltz, Kevin Gallistel, Tanya Brandl, Chris Bartelt, Tammy Bahr, Rhonda Weber, Molly Tomczak, Donovan Poehler, Elsie Mesner, Don Tomczak, Tina Clark, Otto Bechlem, Cindy O., Kyle Hempel, Jerry Winger, and Amber Fallos. The oral testimony provided support for funding for programs for the developmentally disabled, including respite and adult family home services; services provided by Black River Industries such as sheltered employment, supported employment, food service, commercial sewing contracts, adult day services program, and transportation services. Other individuals who were present, but who did not give oral or written testimony included Melissa Fierke, William Fuchs, Monte, Diane Korinek, George, Marlene Czarnecki, Clyde Schaefer, Beverly Hamm, Seth Ewoldt, Gail Obscherning, Mary Alvord, Shanna Birkholz, and Erin Meyer. Closing Comments Ms. Daleiden thanked those in attendance at the public hearing, stating that the public s opinion is extremely important in the county s budget process and services for county residents. Chairperson Thums stated that he appreciated the presence of all the individuals and was pleased to see the support and friendship among the attendees. CHAIRPERSON THUMS ADJOURNED THE PUBLIC HEARING AT 1:30 P.M. Respectfully submitted:

22 Kathy Barr for Rose Madlon, Secretary

23 TAYLOR COUNTY HUMAN SERVICES BOARD July 22, 2015 Taylor County Human Services Department Call Meeting To Order: Chairperson Rollie Thums called the meeting to order at 10:05 a.m. Members Present: Sue Breneman, Roger Ewan, Lori Willner, Jason Julian, Rose Madlon, and Rollie Thums. Members Absent: Scott Mildbrand and David Krug had excused absences. Other Attendees: Mark Berglund from The Star News (arrived at 10:30 a.m.), Liza Daleiden, Amber Fallos, and Kathy Barr. Review and Approve Minutes from the June 30, 2015 meeting: SUE BRENEMAN MADE A MOTION TO APPROVE THE MINUTES FROM THE JUNE 30, 2015 MEETING. LORI WILLNER SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda: ROGER EWAN MADE A MOTION TO APPROVE THE AMENDED AGENDA CONTAINING 15 ITEMS. JASON JULIAN SECONDED THE MOTION. THE MOTION CARRIED. Public Input: There was no public input. Discussion between Board Members and Human Services employees regarding various operational topics. No action will be taken on any of the topics discussed: There was a discussion regarding some of the Board members having difficulties receiving county . Approve Changes to Chapter 13 of the County Code: The Board reviewed changes made to Chapter 13, Human Services, of the Taylor County Code. Ms. Fallos explained that grammar changes, along with bringing the code up-to-date were made, including eliminating the Representative Payee program and the Wisconsin Works (W-2) Steering Committee. The language for the former Food Stamp Program was updated to the current statute language under the new name FoodShare. She indicated that the Comprehensive Community Services (CCS) Program Committee has also been added to the code. Ms. Fallos told the Board that Human Resource Manager Marie Koerner has reviewed these changes in order to make sure it is uniform with Human Resource policies. A MOTION WAS MADE BY SUE BRENEMAN, SECONDED BY ROSE MADLON TO APPROVE THE CHANGES TO CHAPTER 13, HUMAN SERVICES, OF THE TAYLOR COUNTY CODE. THE MOTION CARRIED. Approve Updated Job Description: The Board reviewed the job description for the Human Services Director which was included in the Board packet. Ms. Fallos explained that there were two changes made to the job description under the section entitled: Essential Duties, Responsibilities and Authority. The first change is that the Human Services Director will supervise and evaluate administrative staff rather than just the administrative secretary. The second change was the addition of the following: Provide direct service and coordination for emergency sheltering and crisis services. A MOTION WAS MADE BY ROGER EWAN, SECONDED

24 BY JASON JULIAN TO APPROVE THE UPDATED JOB DESCRIPTION OF THE HUMAN SERVICES DIRECTOR. THE MOTION CARRIED. Approve Filling Vacancy(ies): There were no staff vacancies. Sue Breneman asked about the lay member vacancy on the Board. The Board discussed an individual who they felt would be an asset to the Board and then directed Ms. Fallos to contact this individual to see if she would be interested in serving on the Board. Review the 2016 Budget (Amended Item): Ms. Fallos presented information on the 2016 proposed budget. She informed the Board that due to her leaving the agency the budget had been prepared earlier without review by county accountant, Larry Brandl. Ms. Fallos indicated that the proposed budget does not include any increase in health insurance or cost of living costs. It does incorporate increases/benefit adjustments consistent with the county s salary structure. She explained that the Comprehensive Community Services (CCS) program which began on 7/1/15 is expected to bring in $256,011 in projected revenue to the department in 2016, and is included in the 2016 proposed budget. Although approximately 80 clients are eligible to receive services through this program, the 2016 proposed budget permits half that number of clients to receive services, which will be reimbursed 100% by the state. Revenue for the CCS program is collected through two different methods, one by direct billing to Medicaid and the other through annual Wisconsin Medicaid Cost Reporting (WIMCR). Ms. Fallos pointed out that unlike direct billing, in which revenue will be seen at the end-of-year reconciliation, revenue through WIMCR is received much later. She indicated that she is hopeful that the CCS program will help reduce mental health residential group home costs. Ms. Fallos continued by stating that the Community Aids allocation is the same in the 2016 proposed budget as last year. As in the past several years, there has not been an inflationary increase in the Community Aids allocation. This funding is the only source of non-earmarked revenue that can be used for a myriad of services, some of which include supportive home care for elderly clients, child protection, and detoxification for alcohol and drug-addicted clients. This lack of inflationary increase has caused counties to transfer costs of state mandated and courtordered services to the local tax levy. Next, Ms. Fallos reported that the 2016 proposed budget does not include any funding for placements at Lincoln Hills which is consistent with the past several years of board direction. Funding for this type of placement is through Youth Aids monies, which has for many years been underfunded. Currently, the annual cost for one child at Lincoln Hills is approximately $107,310. At this time, there are no Taylor County placements at Lincoln Hills. She continued by reporting that no revenue is included in the budget for placements at an institute for mental disease (IMD) as has been advised for the past several years. Currently, the annual cost of a placement at an IMD is more than $113,150, and Taylor County does have one placement at the IMD. Another area that has no revenue in the proposed budget is for psychiatric placements in the geriatric unit at Mendota Mental Health Institute. The cost for one placement for one year at Mendota is approximately $372,300. Counties continue to be