INGHAM COUNTY BOARD OF COMMISSIONERS P.O. Box 319. Mason, Michigan Telephone (517) Fax (517)

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1 CHAIRPERSON MARK GREBNER VICE-CHAIRPERSON ANDY SCHOR. VICE-CHAIRPERSON PRO-TEM RANDY SCHAFER HUMAN SERVICES COMMITTEE CURTIS HERTEL, JR., CHAIR TINA WEATHERWAX-GRANT VICTOR CELENTINO LISA DEDDEN DIANNE HOLMAN MIKE SEVERINO INGHAM COUNTY BOARD OF COMMISSIONERS P.O. Box 319. Mason, Michigan Telephone (517) Fax (517) THE HUMAN SERVICES COMMITTEE WILL MEET ON MONDAY, JUNE 6, 2005 AT 7:00 P.M. IN THE PERSONNEL CONFERENCE ROOM (D & E) OF THE HUMAN SERVICES BUILDING, 5303 S. CEDAR, LANSING. Call to Order Approval of the May 16, 2005 Minutes Additions to the Agenda Limited Public Comment Agenda 1. Veterans Affairs Appointments 2. Military Order of the Purple Heart - Request for Discretionary Funding from Ingham County 3. Ingham County MSU Extension/Youth Violence Prevention Coalition - Resolution to Authorize Ingham County MSU Extension to Subcontract with Human Ecology Management/Dr. Carl Taylor on Behalf of the City of Lansing/Ingham County Youth Violence Prevention Coalition 4. Ingham Health Plan Board - Report from the IHP Board, Stu Paterson, President 5. Health Department a. Resolution to Authorize Adolescent Health Child and Adolescent Health Center Grant Agreement with the Michigan Primary Care Association b. Resolution to Authorize an Extension of the Claims Processing Agreement with McLaren Health Advantage c. Resolution to Authorize Amendments to the Teen Parent Program Grant Agreement with the Michigan Department of Human Services d. Resolution to Authorize an Amendment to the Contract with the Michigan Department of Human Services to Place an Out-Stationed Worker in the Health Department Registration and Enrollment Unit e. Resolution to Authorize a Provider Agreement with the Livingston Health Plan Announcements Public Comment Adjournment PLEASE TURN OFF CELL PHONES OR OTHER ELECTRONIC DEVICES OR SET TO MUTE OR VIBRATE TO AVOID DISRUPTION DURING THE MEETING The County of Ingham will provide necessary reasonable auxiliary aids and services, such as interpreters for the hearing impaired and audio tapes of printed materials being considered at the meeting for the visually impaired, for individuals with disabilities at the meeting upon five (5) working days notice to the County of Ingham. Individuals with disabilities requiring auxiliary aids or services should contact the County of Ingham in writing or by calling the following: Ingham County Board of Commissioners, P.O. Box 319, Mason, MI Phone: (517) A quorum of the Board of Commissioners may be in attendance at this meeting. Meeting information is also available on line at

2 HUMAN SERVICES May 16, 2005 Minutes Members Present: Members Absent: Others Present: Curtis Hertel, Tina Weatherwax-Grant, Victor Celentino, Lisa Dedden, Dianne Holman, Mike Severino and Board Chairperson Mark Grebner None John Neilsen, Bruce Bragg, Randy Marwede and Dean Sienko The meeting was called to order by Chairperson Hertel at 7:02 p.m. in the Personnel Conference Room of the Human Services Building, 5303 S. Cedar, Lansing. Approval of the May 2, 2005 Minutes MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. DEDDEN, TO APPROVE THE MAY 2 MINUTES AS AMENDED. MOTION CARRIED UNANIMOUSLY. Additions to the Agenda 2e. Lead Issue Update Limited Public Comment: None 1. Veterans Affairs Committee Interviews The Committee interviewed George Bachman and Glen Carnes for a vacant position on the Veterans Affairs Commission. The Committee held a brief discussion regarding the composition of the Veterans Affairs Commission. Mr. Marwede stated the composition of the Commission is set by the law. This Committee did not recommend an appointment at this time. MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. HOLMAN, TO APPROVE A CONSENT AGENDA FOR THE FOLLOWING ITEMS: 2. Health Department a. Resolution to Authorize an Agreement with Care Medical, Inc. b. Resolution to Authorize an Agreement with the State of Michigan to Carry Out a Mobile Home Park Inspection Program in Ingham County d. Informational Item: UAW GM Local #602 OYC Subcontract MOTION CARRIED UNANIMOUSLY. MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. HOLMAN, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY. 2. Health Department c. Resolution to Authorize a Collaborative Agreement with the Capital Area United Way

3 MOVED BY COMM. DEDDEN, SUPPORTED BY COMM. SEVERINO, TO APPROVE THE RSOLUTION TO AUTHORIZE A COLLABORATIVE AGREEMENT WITH THE CAPITAL AREA UNITED WAY. Comm. Holman asked why this issue was not a part of the County s Community Agency process. Chairperson Hertel stated this is a mutually beneficial Agreement between the County and the United Way. Comm. Holman asked if the Health Department had any future plans regarding the Power of We program (Program). Mr. Bragg explained the Program has influenced many people in many different organizations. The number of indicators will grow over time. He further explained that the same items must be measured over time to determine if progress is being made in those areas. Comm. Holman stated she would support this matter because Mr. Bragg supports same. MOTION CARRIED UNANIMOUSLY. e. Lead Issue Update Dr. Sienko provided the Committee with a summary of information which was discussed by the Board of Water and Light earlier today. This summary was provided by way of a power-point presentation. The Board of Water and Light (Board) hired a consultant to test the water quality in 30 specific area homes. One-third of those homes tested had levels which peaked above 15 pbb at some point in the testing process. The consultant recommended the homeowners flush their water for seven minutes before they consume the water. Dr. Sienko stated the Health Department received the addresses of 28 of the 30 homes which were tested through the Board. Thirteen of the 28 homes exceeded 15 pbb at one point in the testing process. The Health Department offered capillary blood testing to all household members in these homes. Fifteen home owners consented to having this test. Six of those 15 people exceeded 15 pbb. No child tested approached the CDC s level of concern. Adults tested also did not approach the level of concern. The same people received a second capillary blood test. This test showed decreased lead levels. It is expected that a third upcoming test will also have dramatically reduced levels of lead. The Health Department recommends that pregnant women and nursing infants flush their water for seven minutes before consumption. Comm. Weatherwax-Grant asked if the Board would make their study public. Dr. Sienko stated the information would be available to the public. Chairperson Dedden stated radio stations have stated pregnant women and minor children should use bottled drinking water. Dr. Sienko stated that is an extreme recommendation. There are pros and cons to any position taken on this matter. The EPA is re-evaluating their flushing standards; however, the seven minute recommendation was made for specific homes. Comm. Holman explained the sampling protocol used by the Board. Chairperson Grebner stated his theory that the Health Department should consider cultural influences when evaluating sources of lead exposure. Dr. Sienko agreed with this theory. He hopes this matter is addressed when future lead studies are conducted on children with above-normal lead levels. Comm. Weatherwax-Grant asked about the timeline for the Board to replace the water lines in specific homes. Dr. Sienko stated the Board has indicated they have already changed the lines in area day-care centers. The Board is current with their replacement schedule. 3. Controller s Office Resolution Updating Various Fees for County Services 2

4 MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. DEDDEN, TO APPROVE THE RESOLUTION UPDATING VARIOUS FEES FOR COUNTY SERVICES. Mr. Neilsen addressed Comm. Celentino s concern regarding the decrease in the Veterans Affairs Commission fees. He explained the decrease is due to budgetary issues. MOTION CARRIED with Comm. Severino voting NO. Mr. Neilsen stated the Health Department s fee recommendations will be available in June. Announcements: Public Comment: None None The meeting adjourned at 7:45 p.m. Respectfully submitted, Debra Neff 3

5 Agenda Item 2 TO: FROM: Ingham County Human Services and Finance Committees John L. Neilsen, Deputy Controller DATE: May 26, 2005 RE: Chapter 37 of the Military Order of the Purple Heart 70 th Convention Attached you will find a request from Chapter 37 of the Military Order of the Purple Heart requesting a contribution from Ingham County to assist in defraying the cost of their 70 th Convention, held May th. Working with the County Attorney s Office, we are of the opinion that this organization is eligible for funds under the Veterans Conventions; County Appropriation Act 323 of 1939 that allows Counties to appropriate up to $5,000 in one fiscal year for a Congressionally Charted Veterans Organization. That being said, it is strictly a discretionary decision on behalf of the Board of Commissioners as to whether the Board should appropriate these funds. Because the Board has not budgeted any funds for this purpose, any portion of the request would have to come from the 2005 County s Contingency Fund. (Currently at $512,894.) Representatives of the Chapter 37 of the Military Order of the Purple Heart 70 th Convention will be invited to the next Human Services Committee to present their request and to answer any questions. JLN/lrs Attachments

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7 Agenda Item 3 RESOLUTION STAFF REVIEW DATE: May 31, 2005 Agenda Item Title: Resolution to Authorize Ingham County MSU Extension to Subcontract with Human Ecology Management/Dr. Carl Taylor on Behalf of the City of Lansing/Ingham County Youth Violence Prevention Coalition Submitted by: Ingham County MSU Extension/Youth Violence Prevention Coalition Committees: LE, JD, HS *, CS, Finance * Summary of Proposed Action: This resolution will authorize Ingham County MSU Extension to subcontract with MSU s Human Ecology Management for an amount not to exceed $60,000 to provide data collection consultant services and related support within the time period of June 15, 2005 through October 31, This is a portion of the grant for Comprehensive Strategy Title II funding with the MFIA Juvenile Justice Grant Unit that the Board of Commissioners accepted in the amount of $125,000 for the period of November 1, 2004 through October 31, Financial Implications: This subcontract will be funded out of the MFIA Juvenile Justice Grant Unit Grant Budget: Cost Not to Exceed Personnel $12,200 Supplies/operating $12,500 Equipment $ 0 Travel $ 1,000 Consultant/contractual $99,300 Total $125,000 There is no match required for this grant. Other Implications: The Ingham County/Michigan State University Extension represents Ingham County as the fiduciary for these funds awarded to Ingham County. Staff Recommendation: JA JN * HH This resolution should be approved.

8 Agenda Item 3 Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE INGHAM COUNTY MSU EXTENSION TO SUBCONTRACT WITH HUMAN ECOLOGY MANAGEMENT/DR. CARL TAYLOR ON BEHALF OF THE CITY OF LANSING/INGHAM COUNTY YOUTH VIOLENCE PREVENTION COALITION WHEREAS, the City of Lansing/Ingham County Youth Violence Prevention Coalition (YVPC) is established to coordinate youth violence prevention programming in the City of Lansing and Ingham County; and WHEREAS, a Comprehensive Strategies Planning Project has been completed creating a Five-Year Plan and Comprehensive Strategy; and WHEREAS, a Title II grant (Juvenile Justice Grant Unit Project # ), in the amount of $125,000, has been received from the Juvenile Justice Grant Unit of the Michigan Family Independence Agency (MFIA) by Ingham County MSU Extension on behalf of Ingham County and in support of the YVPC to implement the strategies; and WHEREAS, the Title II grant focuses its activities on coordinated data collection among youth serving agencies throughout Ingham County; and WHEREAS, the Title II grant allocates up to $60,000 for a data collection consultant as a component of the overall scope of services; and WHEREAS, Human Ecology Management, led by Dr. Carl Taylor of Michigan State University, has demonstrated capacity in data collection, community organizing, and collaboration efforts; and WHEREAS, the YVPC proposes a professional services subcontract with Human Ecology Management not to exceed the amount of $60,000 to provide data collection services, and other related supports as outlined in the overall scope of services. THEREFORE BE IT RESOLVED, that the Ingham County MSU Extension is authorized to subcontract with Human Ecology Management for an amount not to exceed $60,000 to provide data collection consultant services and related supports within the time period of June 15, 2005 through October 31, BE IT FURTHER RESOLVED, that the Chairperson of the Ingham County Board of Commissioners and the County Clerk are authorized to sign any necessary contract documents consistent with this resolution and approved as to form by the County Attorney.

9 Agenda Item 5a RESOLUTION STAFF REVIEW DATE: May 27, 2005 Agenda Item Title: Resolution to Authorize Adolescent Health Child and Adolescent Health Center Grant Agreement with the Michigan Primary Care Association Submitted by: Health Department Committees: LE, JD, HS *, CS *, Finance * Summary of Proposed Action: (See the attached letter of explanation.) This resolution will authorize a new Child and Adolescent Health Center School Linked Health Center Agreement with the Michigan Primary Care Association. This grant will support the expansion of clinical services to adolescents for the period April 1, 2005 through September 30, The grant will support 4 new positions: 1. Part-time Nurse Practitioner (MNA Grade 6) 2. Part-time Community Health Rep II (TOPS Grade D) 3. Part-time Clinic Assistant I (TOPS Grade D) 4. Part-time Health Educator II (ICEA PRO07) Financial Implications: This $112,500 award ($225,357 annualized) will support the expansion of clinical services to adolescents and increase fee for services, thereby potentially reducing the level of general fund support for these services. Other Implications: None. Staff Recommendation: JA JN * HH This resolution should be approved.

10 Agenda Item 5a MEMORANDUM To: From: Human Services Committee County Services Committee Finance Committee Bruce Bragg Date: May 24, 2005 Subject: Resolution to Authorize an Adolescent Health Child and Adolescent Health Center Agreement This is a recommendation to authorize a new School Linked Health Center Agreement with the Michigan Primary Care Association. Ingham County has an existing Child and Adolescent Health Center Agreement which supports the operation of the Otto Middle School Health Center. The County also has an existing alternative model adolescent health program agreement to support the activities of the Peer Educators providing services through the high schools in the County. Early in 2005, the Department, responded to an RFP from the Department of Community Health, submitted a proposal to enhance the clinical services at the Willow Health Center. The proposal was accepted and the grant has now been awarded. This $112,500 award ($225,357 annualized) will support the expansion of clinical services to adolescents. The goals of the proposal are: 1. Increase access to health care services for medically underserved County youth. 2. Reduce teen pregnancy rates in Ingham County. 3. Develop and implement a successful weight management program for adolescents and their parents. 4. Increase number of uninsured youth and families accessing needed Medicaid services. The following new positions are required in order to deliver the project: 1. Part-time Nurse Practitioner (MNA Grade 6) 2. Part-time Community Health Rep II (TOPS Grade D) 3. Part-time Clinic Assistant I (TOPS Grade D) 4. Part-time Health Educator II (ICEA PRO07) The salaries and fringes of the additional staff persons will be fully supported by the grant. However, these staff will allow the Willow Health Center to increase its productivity and will result in additional fee-for-service revenue. The result should be a reduction in demand for general fund support. I recommend that the Board of Commissioners adopt the attached resolution and authorize the Child and Adolescent Health Center Agreement with the Michigan Primary Care Association. Attachment

11 Agenda Item 5a Introduced by the Human Services, County Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE ADOLESCENT HEALTH CHILD AND ADOLESCENT HEALTH CENTER GRANT AGREEMENT WITH THE MICHIGAN PRIMARY CARE ASSOCIATION WHEREAS, the State issued a Request for Proposals to expand school linked health centers; and WHEREAS, the Health Department submitted a proposal to expand the services now provided through the Willow Health Center; and WHEREAS, the County has been notified that the proposal was accepted and a $159,541 grant awarded for the period April 1, 2005 through September 30, 2005; and WHEREAS, the Health Officer has recommended that the Board authorize the agreement and has advised the Board that the grant activity is fully supported by grant revenue. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an Adolescent Health Child and Adolescent Health Center grant agreement with the Michigan Primary Care Association. BE IT FURTHER RESOLVED, that the agreement shall be for the period April 1, 2005 through September 30, 2005 and that the Michigan Primary Care Association shall provide Ingham County with up to $112,500. BE IT FURTHER RESOLVED, the following positions are established: One part-time Nurse Practitioner position (MNA 6) One part-time Community Health Representative II position (UAW TOPS D) One part-time Clinic Assistant I position (UAW TOPS D) One Health Educator II position (ICEA PRO 07) BE IT FURTHER RESOLVED, that the Controller is authorized to adjust the Health Department s 2005 budget to implement this resolution. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the grant agreement after review by the County Attorney.

12 Agenda Item 5b RESOLUTION STAFF REVIEW DATE: May 27, 2005 Agenda Item Title: Resolution to Authorize an Extension of the Claims Processing Agreement with McLaren Health Advantage Submitted by: Health Department Committees: LE, JD, HS *, CS, Finance * Summary of Proposed Action: (See the attached letter of explanation) This resolution will authorize a three month extension for the claims processing agreement with McLaren Health Advantage. The existing contract with McLaren Health Advantage expires at the end of September 2005 this will extend it through December 31, Health Advantage has been providing the County with the assistance it requires in data entry, adjudication and payment of medical claims associated with the County s work to support the county health plans it serves. Another vendor is being considered along with Health Advantage to assume this function in This additional three months is needed to fully evaluate the two proposals and as a transition period if necessary. Financial Implications: All other terms and conditions of the agreement shall remain unchanged. Other Implications: None. Staff Recommendation: JA JN * HH This resolution should be approved.

13 Agenda Item 5b MEMORANDUM To: From: Human Services Committee Finance Committee Bruce Bragg Date: May 26, 2005 Subject: Resolution to Extend the Claims Processing Agreement with McLaren Health Advantage This is a recommendation to extend for three months the claims processing agreement with McLaren Health Advantage. In 2002, the Board of Commissioners passed resolution #02-233, which authorized an agreement with Health Advantage. The agreement commenced on October 1, 2002 and continues until September 30, Health Advantage has been providing the County with the assistance it requires in data entry, adjudication and payment of medical claims associated with the County s work to support the county health plans it serves. Specifically, Health Advantage provides the following products and services: 1. Maintains a benefit edit criteria. 2. Receives medical claims from providers and adjudicates the claims against the membership file and the plan design. 3. Performs edit checks on all claims against the plan design to ensure claims are paid based on covered services. 4. Downloads the most current Medicaid Fee Screens and updates the fee screens as necessary. 5. Receives and processes claims electronically in accordance with the industry standard. 6. Provides Ingham County with the ability to view and print reports. 7. Provides routine claims statistics, audit, and summary reports. 8. Performs claims audits on a quarterly basis. 9. Conducts backups of claims database daily. The Ingham Health Plan and the other county health plans supported by the Health Department s Health Plan Management Bureau, are in the process of considering options for the services currently being provided by McLaren Health Advantage. Once a vendor is selected, the contracts will be executed between the vendor and each county health plan. The Health Plan Management Bureau will use these arrangements to manage the several county health plans. Ingham County will no longer contract directly with the vendor. McLaren Health Advantage is one of two vendors being considered. The county health plans have requested that Ingham County extend the existing contract with McLaren Health Advantage through December 31, This will allow time to make a decision as to the best vendor and make the transition to a new vendor, if the other vendor is selected. The only change to terms and conditions of the agreement are related to the extension of the term of the agreement. McLaren supports the extension of the agreement through December 31, I recommend that the Board of Commissioners adopt the attached resolution and authorize the amendment of the claims processing agreement with McLaren Health Advantage.

14 Agenda Item 5b Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE AN EXTENSION OF THE CLAIMS PROCESSING AGREEMENT WITH McLAREN HEALTH ADVANTAGE WHEREAS, the Ingham County Health Department operates the Health Plan Management Bureau, which provides administrative and management services to the Ingham Health Plan Corporation and to several other county health plans; and WHEREAS, the Ingham County Board of Commissioners authorized a claims processing agreement, Resolution #02-233, with McLaren Health Advantage to support the work of the Health Plan Management Bureau; and WHEREAS, the term of the agreement with McLaren Health Advantage is October 1, 2002 through September 30, 2005; and WHEREAS, the Health Plan Management Bureau is now working with the boards and directors of the several county health plans to evaluate proposals for continuing the claims processing work; and WHEREAS, the county health plans have requested that Ingham County extend the existing agreement with McLaren Health Advantage through December 31, 2005 in order to provide adequate time to evaluate proposals and prepare for any transition; and WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize the amendment of the agreement with McLaren Health Advantage. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an amendment to the claims processing agreement with McLaren Health Advantage, originally authorized by Resolution # BE IT FURTHER RESOLVED, that the amendment shall extend the term of the agreement through December 31, 2005 and that all other terms and conditions of the agreement shall remain unchanged. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the amendment after review by the County Attorney.

15 Agenda Item 5c RESOLUTION STAFF REVIEW DATE: May 27, 2005 Agenda Item Title: Resolution to Authorize Amendments to the Teen Parent Program Grant Agreement with the Michigan Department of Human Services Submitted by: Health Department Committees: LE, JD, HS *, CS, Finance * Summary of Proposed Action: (See the attached letter of explanation.) This resolution will authorize three amendments to the Teen Parent Program grant agreement with the Michigan Department of Human Services (Family Independence Agency). To extend the current agreement for the period April 1, 2005 through June 30, To extend the current agreement for the period July 1, 2005 through September 30, To authorize a Fatherhood and Marriage Initiative for the period June 1, 2005 through September 30, Also authorized, is amending the Health Department s budget and the use of temporary employees, Program Facilitators. Financial Implications: The Department of Human Services (DHS) is offering to extend the Teen Parent Program agreement for two periods of three months each (April 1, 2005 June 30, 2005 and July 1, 2005 through September 30, 2005). In each period, the additional funding to be made available is $29, With these two amendments, the total Fiscal Year revenue from the Teen Parent Program grant will be $119,464.20; the amount anticipated in the Department s budget. The Fatherhood and Marriage Initiatives is for $73,600, and is a new initiative and will be implemented during the period of April 1, 2005 through September 30, These initiatives will enable the Health Department to provide parenting skills training to fathers and couples in a group setting. These group sessions will be facilitated by temporary County employees, Program Facilitators, at the rate of $25 per hour, not to exceed 250 hours. Other Implications: None. Staff Recommendation: JA JN * HH This resolution should be approved.

16 Agenda Item 5c Memorandum TO: FROM: Human Services Committee Finance Committee Bruce Bragg DATE: June 1, 2005 SUBJECT: Authorization to Amend the Teen Parent Program Agreement with the Michigan Department of Human Services This is a recommendation to authorize three amendments to the Teen Parent Program grant agreement with the Michigan Department of Human Services (Family Independence Agency). 1. To extend the current agreement for the period April 1, 2005 through June 30, To extend the current agreement for the period July 1, 2005 through September 30, To authorize a Fatherhood and Marriage Initiative for the period June 1, 2005 through September 30, Ingham County, through Willow Plaza Services, provides a broad array of services for adolescents between the ages of 11 and 21 years. The primary mission of Willow Plaza is to reduce the number of unintended teen pregnancies and the infant mortality rate within Ingham County through the services to adolescents. Willow Plaza has been in operation for 15 years and services have evolved to meet the diverse and complicated needs of adolescents. Services include: counseling, case management, peer education, employment assistance, prenatal care, reproductive health and primary care services. For the last seven years, under a contract with the Department of Human Services (formerly Family Independence Agency), Willow Plaza Services has operated a set of services through a Teen Parenting Network. This program provides intensive home and community-based services for pregnant and parenting teens. It draws on a network of established Ingham County providers to address needs defined by an individualized assessment and service plan. The program utilizes the strengths of para-professionals (peer advocates) to work one-on-one with program participants under the constant supervision of the Teen Parent Specialist. The Teen Parenting Network trains these college students. These peers relate well to teen parents in a supportive and non-threatening way. The Teen Parent Program is an important component of the array of services available to teens through Willow Plaza Services. The Health Department has demonstrated that it can responsibly deliver the services. The program is included in the Department s 2005 budget.

17 Resolution # authorized a Teen Parent Program agreement for the period October 1, 2004 through March 31, The Department of Human Services issued a Request for Proposals and the Health Department submitted a proposal to continue to provide the Teen Parent Program services. Now, the Department is offering to extend the Teen Parent Program agreement for two periods of three months each (April 1, 2005 June 30, 2005 and July 1, 2005 through September 30, 2005). In each period, the additional funding to be made available is $29, With these two amendments, the total Fiscal Year revenue from the Teen Parent Program grant will be $119,464.20, the amount anticipated in the Department s budget. Additionally, the Department of Human Services has awarded Ingham County a Fatherhood Initiative and the Marriage Initiative grant. Both of these initiatives are to be incorporated into the Teen Parent Contract with DHS and an additional $73,600 will be provided to the County. The Fatherhood and Marriage Initiatives will be implemented during the period of April 1, 2005 through September 30, These initiatives will enable the Health Department to provide parenting skills training to fathers and couples in a group setting. These group sessions will be facilitated by temporary County employees, Program Facilitators, at the rate of $25 per hour, not to exceed 250 hours. The delivery of the fatherhood and marriage sessions will occur at the Black Child and Family Institute. I recommend that the Board of Commissioners adopt the attached resolution to authorize the three amendments to the Teen Parent Program Agreement. Attachment cc: Jaeson Fournier, w/attachment Kathy Way w/attachment John Jacobs, w/attachment Bob Townsend w/attachment

18 Agenda Item 5c Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE AMENDMENTS TO THE TEEN PARENT PROGRAM GRANT AGREEMENT WITH THE MICHIGAN DEPARTMENT OF HUMAN SERVICES WHEREAS, Ingham County operates Willow Plaza Services, an adolescent health program organized to reduce unintended pregnancies, lower infant death rates, and reduce the incidence of sexually transmitted diseases among adolescents between the ages of 11 to 19 years; and WHEREAS, Willow Plaza Services utilizes an array of services to accomplish its purposes, including: counseling, case management, peer education, employment assistance, prenatal care, reproductive health and primary care services; and WHEREAS, for the last seven years, the Health Department has successfully operated a Teen Parenting Program, through Willow Plaza Services, under contract with the Michigan Department of Human Services (formerly FIA); and WHEREAS, the Teen Parent Program has become an important tool to achieve the stated purposes of Willow Plaza Services; and WHEREAS, the Michigan Department of Human Services has proposed three amendments to the Teen Parent Agreement with Ingham County for FY ; and WHEREAS, the Health Officer recommends that the Board of Commissioners authorize the amendments with the Department of Human Services and advises that $119,464, in Teen Parent Program revenue is included in the Health Department s 2005 budget. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an amendment to the Teen Parent Agreement with the Michigan Department of Human Services to extend the agreement for the period April 1, 2005 through June 30, 2005 through which the State shall provide Ingham County with an additional $29,866.05, bringing the total State funding to $89, BE IT FURTHER RESOLVED, that the Board of Commissioners authorizes an amendment to the Teen Parent Agreement to extend the agreement for the period July 1, 2005 through September 30, 2005 through which the State shall provide Ingham County with an additional $29,866.05, bringing the total State funding to $119, BE IT FURTHER RESOLVED, that the Board of Commissioners authorizes an amendment to the Teen Parent Agreement to implement a Fatherhood Initiative and a Marriage Initiative during the period April 1, 2005 through September 30, 2005 through which the State of Michigan shall provide Ingham County with up to $73,600. BE IT FURTHER RESOLVED, that the Board of Commissioners authorizes the use of temporary employees, Program Facilitators, at the rate of $25 per hour, not to exceed 250 hours in total, to implement the Fatherhood and Marriage Initiatives.

19 BE IT FURTHER RESOLVED, that the Controller is authorized to adjust the Health Department s 2005 budget to implement the Fatherhood and Marriage Initiatives. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the amendment after review by the County Attorney.

20 Agenda Item 5d RESOLUTION STAFF REVIEW DATE: May 27, 2005 Agenda Item Title: Resolution to Authorize an Amendment to the Contract with the Michigan Department of Human Services to Place an Out-Stationed Worker in the Health Department Registration and Enrollment Unit Submitted by: Health Department Committees: LE, JD, HS *, CS, Finance * Summary of Proposed Action: (See the attached letter of explanation.) This resolution will authorize an amendment to the existing contract with the Michigan Department of Human Services (DHS) which locates a Medicaid Eligibility Worker in the Health Department s Registration and Enrollment Unit. The proposed amendment will expand the duties/responsibilities of the DHS worker to include processing Ingham Health Plan applications in the event that an individual does not qualify for Medicaid. MDHS advises that the amendment is necessary to clarify that these are appropriate duties of the out-stationed worker. All other terms and conditions of the contract remain unchanged. Financial Implications: The financial terms remain the same, only the duties have been clarified. Other Implications: None. Staff Recommendation: JA JN * HH This resolution should be approved.

21 Agenda Item 5d MEMORANDUM TO: FROM: Human Services Committee Finance Committee Bruce Bragg DATE: June 1, 2005 RE: Authorization to Amend the Contract with the Michigan Department of Human Services This is a recommendation to authorize an amendment to the contract with the Michigan Department of Human Services (DHS) which locates a Medicaid Eligibility Worker in the Health Department s Registration and Enrollment Unit. In 2004, a contract was authorized in Resolution # to place an out-stationed FIA worker within the Health Department Registration and Enrollment Unit. With this inter-agency team, we have been able build a comprehensive eligibility and enrollment service and respond effectively to the needs of lowincome, uninsured persons by enrolling them in the Medicaid Program or the Ingham Health Plan. The proposed amendment will expand the duties/responsibilities of the DHS worker to include processing Ingham Health Plan applications in the event that an individual does not qualify for Medicaid. MDHS advises that the amendment is necessary to clarify that these are appropriate duties of the out-stationed worker. All other terms and conditions of the contract remain unchanged. I recommend that the Board adopt the attached resolution and authorize an Amendment to the Medical Provider Donation Contract with the Michigan Department of Human Services, formerly the Michigan Family Independence Agency. Attachment cc: Jaeson Fournier w/attachment Karen Jennings w/attachment John Jacobs w/attachment

22 Agenda Item 5d Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE AN AMENDMENT TO THE CONTRACT WITH THE MICHIGAN DEPARTMENT OF HUMAN SERVICES TO PLACE AN OUT-STATIONED WORKER IN THE HEALTH DEPARTMENT REGISTRATION AND ENROLLMENT UNIT WHEREAS, the Ingham County Health Department was awarded Federally Qualified Health Center (FQHC) status which resulted in full cost reimbursement for outreach; and WHEREAS, with the FQHC status, the Health Department obtained funding in the amount of $220,000 to support the Registration and Enrollment Unit; and WHEREAS, an agreement was authorized in Resolution # with the Michigan Family Independence Agency which is now identified as the Michigan Department of Human Services, to place an out-stationed FIA worker in the Health Department s Registration and Enrollment Unit; and WHEREAS, placement of the Medicaid Eligibility Worker in the Registration and Enrollment Unit benefits the County and individuals seeking eligibility to the health care system; and WHEREAS, the MDHS has requested that the contract language be revised to include in the contractual activities of the Medicaid Eligibility Worker the responsibility to assess eligibility and process enrollment for the Ingham Health Plan in situations where individuals do not qualify for Medicaid; and WHEREAS, the Health Officer has recommended that the Board authorize the amendment. THEREFORE BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes an amendment to the agreement with the Michigan Department of Human Services which establishes an outstationed Medicaid Eligibility Worker in the Registration and Enrollment Unit of the Health Department. BE IT FURTHER RESOLVED, that the duties of the Medicaid Eligibility Worker shall be amended to include the assessing eligibility and enrolling individuals in the Ingham Health Plan in situations where the individuals do not qualify for Medicaid. BE IT FURTHER RESOLVED, that all other terms and conditions of the agreement are unchanged. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the amendment after review by the County Attorney.

23 Agenda Item 5e RESOLUTION STAFF REVIEW DATE: May 27, 2005 Agenda Item Title: Resolution to Authorize a Provider Agreement with the Livingston Health Plan Submitted by: Health Department Committees: LE, JD, HS *, CS, Finance * Summary of Proposed Action: (Se the attached letter of explanation.) This resolution will authorize a new Provider Agreement between the Ingham Health Plan Corporation d/b/a Livingston Health Plan and Ingham County. Livingston County has now joined the Ingham Health Plan Corporation (IHPC) and has begun a small county health plan. Financial Implications: The Agreement shall provide that the Ingham Health Plan Corporation shall pay Ingham County Medicaid fee-for-service rates for services provided to Livingston Health Plan enrollees assigned to Ingham County Other Implications: None. Staff Recommendation: JA JN * HH This resolution should be approved.

24 Agenda Item 5e MEMORANDUM To: From: Human Services Committee Finance Committee Bruce Bragg Date: May 25, 2005 Subject: Resolution to Authorize a Provider Agreement with the Livingston Health Plan This is a recommendation to authorize a Provider Agreement between the Ingham Health Plan Corporation d/b/a Livingston Health Plan and Ingham County. Livingston County has now joined the Ingham Health Plan Corporation (IHPC) and has begun a small county health plan. The Livingston Health Plan will operate as a separate division of the IHPC, just like Mid-Michigan, and Ionia. Some Livingston County residents use Stockbridge for their medical services. The Health Department operates a Health Center in Stockbridge. The Stockbridge Health Center currently serves Medicaid eligible persons and those enrolled in the Ingham Health Plan. This agreement will authorize the Health Center to serve persons enrolled in the Livingston Health Plan (operated by the IHPC). The Health Center would be paid the Medicaid fee-for-services rate for any services provided. The Primary Care Director and I have discussed the need to build a larger client base in Stockbridge if it is to remain a viable clinic site. The potential to serve Livingston Health Plan enrollees will help that situation. We do not anticipate that this will result in a large enrollment of Livingston Health Plan members. And, those served do have a source of payment. I recommend that the Board of Commissioners adopt the attached resolution and authorize the Provider Agreement. Attachment cc: Jaeson Fournier w/attachment Laura Peterson w/attachment

25 Agenda Item 5e Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE A PROVIDER AGREEMENT WITH THE LIVINGSTON HEALTH PLAN WHEREAS, Livingston County has initiated a county health plan modeled after the Ingham County Health Plan; and WHEREAS, Livingston County is now a member of the Ingham Health Plan Corporation and the Livingston Health Plan will operate as a division of the Ingham Health Plan Corporation; and WHEREAS, some Livingston County residents live close to Ingham County cities and will seek medical care in Ingham County; and WHEREAS, the Health Officer and the Primary Care Director have recommended that Ingham County enter into a Provider Agreement with the Ingham Health Plan Corporation through which the Ingham County network of community health centers might serve Livingston Health Plan enrollees. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes a Provider Agreement with the Ingham Health Plan Corporation d/b/a Livingston Health Plan. BE IT FURTHER RESOLVED, that the Agreement shall provide that Ingham County may accept assignment and provide services to enrollees of the Livingston County Health Plan. BE IT FURTHER RESOLVED, that the Agreement shall provide that the Ingham Health Plan Corporation shall pay Ingham County Medicaid fee-for-service rates for services provided to Livingston Health Plan enrollees assigned to Ingham County. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the Provider Agreement after review by the County Attorney.