TAYLOR COUNTY HUMAN SERVICES BOARDTAYLOR COUNTY HUMAN SERVICES BOARD December 9, 2015 Taylor County...

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

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 $285.20 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

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 $6400.00

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

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


November 11, 2015



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 2016.

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.

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.


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.


Action on Contracts and Addenda: One addendum was presented for approval.

AMOUNT OF FUNDING


Black River Industries $ 1,812.60 CCS/CSP $786,437.60

(#15-DD-08)

SPC 509 – Community Support Program (CSP)

Unit Rate: $19/hour (15 hours/month)

(two clients) ($1710)

SPC 107 - 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)

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 2015. 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.


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


Kathy Barr

for



October 12, 2015



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.


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.

Sue Breneman stated that the Senior Fair will be held on October 16, 2015. She also added that

a Broadband workshop will be held in Eau Claire on November 18-19, 2015. 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 2000. 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 $10,800.00

Adolescent Center (#15-CFS-09)

SPC 504 – Residential Care Center

Unit Rate: $360/day (30 days)(one client)


DBP Enterprises, Inc. d.b.a. N/A COP-W $14,520.00

Home Helpers & Direct Link CIP II – NH Diversion

(#15-LTS-25)

SPC 104.20 – Supportive Home Care

Unit Rate: $17/hour (one client)($10,200)

SPC 107.40 – Specialized Transportation

Unit Rate: $.46/mile (one client)($920)

SPC 103 – Respite

Unit Rate: $17/hour (one client)($3400)


AMOUNT OF FUNDING TOTAL

PROVIDER INCREASE SOURCE*

ADDENDA

Parker Place $ 4,000.00 CIP-1B/ICF-MR $76,580.00

(#15-DD-35)

SPC 202.02 – Adult Family

Home (3-4 bed)

Unit Rate: $228/24 hr. day

(one client) (Effective: 9/15/15)

Lutheran Social Services of WI & $ 21,375.00 CIP-1B $68,495.00

Upper Michigan, Inc.

(#15-CFS-05)


Unit Rate: $225/day (one client) (Effective: 9/28/15)

Clark County Rehabilitation $ 1,125.00 CIP II $ 38,088.00

& Living Center

(#15-DD-06)

SPC 107.40 - Transportation

Unit Rate: $12.50/trip ($25/day)

(one client) (Effective: 9/30/15)

Sullivan Homes, Inc. $ 1,425.00 COP $182,910.30

(#15-MH-06)

SPC 104.10 – 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

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 2016.

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.


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;


Kathy Barr

for



September 9, 2015


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. 19.83

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,

2017. 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.


Marie Koerner


September 9, 2015


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.


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.

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 2016. 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 2016. 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

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.


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


CONTRACT

Rehabilitation House, Inc. N/A CCS funding $ 15,180.00

(Bletzinger House) (#15-MH-12)

SPC 506 – Community-Based

Residential Facility (CBRF)

Unit Rate: $132/day (115 days)


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.


October 14, 2015 at 10 a.m. at the Taylor County Human Services Department.

Handouts distributed: amended agenda; contract/addenda list


Kathy Barr

for


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: Lori Willner

Other Attendees: 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 19.85 (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


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.


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.


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, 2015. 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.


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

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


ADDENDA

Opportunity of North Central WI, Inc. $ 34,170 CIP IA $ 55,402.00

(#15-DD-44) Community Aids funds

SPC 202.02 – Adult Family Home (3-4 bed)

Unit Rate: $174.40/24 hour day (one client)($6805)


Unit Rate: $210.87/24 hour day (one client)($27,365)

Effective: 7/16/15

Everest Housing, LLC $ 5100 CIP IB/COP $ 72,252.00

(#15-DD-51)

SPC 103.22 – Residential Respite Care

Unit Rate: $100/24-hour day (one client) ($5000)

SPC 103.22 – Residential Respite Care

Unit Rate: $10/hour (one client) ($100)

Effective: 8/1/15

A Helping Hand of Central WI, LLC $27,128.48 Nursing Home $ 53,756.96

(#15-LTS-22) Diversion

SPC 103.26 – Respite

Unit Rate: $16.08/hour (one client)

($26,628.48)

SPC 107.4 – Specialized Transportation

Unit Rate: $.46/mile (one client) ($500)

Effective: 8/1/15

Aurora Residential Alternatives, Inc. $ 1625.00 Community $ 56,740.00

(#15-MH-03) Aids



Unit Rate: $325/day (one client)

Effective: 7/30/15

CONTRACTS

Aurora Community Counseling N/A CCS funding $ 251,160.00

(Comprehensive Community

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


(23 weeks) ($91,080)

CCS Outpatient AODA


(23 weeks) ($91,080)


*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.


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


Kathy Barr

for


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.


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.


Kathy Barr

for



July 22, 2015


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.



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 email.

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

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 court-

ordered 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

required to pay the State’s portion of Medicaid funding for Medicaid eligible elderly patients

and children who reside at either of the state’s two mental health institutes.

Ms. Fallos then discussed the Northern Income Maintenance Consortium. In 2012, Taylor

County joined with 11 other counties to form the Northern Income Maintenance Consortium,

one of ten consortia in the state. At that time, the state decreased the state-wide allocation by

19.5%, using a formula which favored counties that had higher populations. This reduction left

the Northern Income Maintenance Consortium with a 34% funding reduction. In addition to

this funding cut, Taylor County is still expected to pay $76,208 in county levy annually to the

Income Maintenance Program. This expenditure is included in the 2016 proposed budget.

Ms. Fallos reported on the Woodland Health Services Coalition which was formed in 2012 at the

Clark County Health Care Center. Taylor County had joined this coalition to allow placements

for residents who have severe behavioral problems. Medicaid does cover a portion of the cost

for these clients, with the remainder of the cost being paid by Taylor County at a rate currently

at $64.13 per day, per client. The 2016 proposed budget does include $117,050 for the

residents currently placed through the coalition.

Ms. Fallos then presented information comparing county levy allocation from the years 2012 to

the 2016 proposed budget. She reviewed with the Board the Expenditure Budget Worksheet,

explaining costs for each unit.

The 2016 proposed budget does include a one percent increase for Black River Industries and

certified adult family homes as has been the board direction for the past three years. The 2016

proposed budget requests county levy in the amount of $955,287 consistent with the past three

years, and decreased from the prior year.

Approve 2014 Annual Report: Ms. Fallos briefly reviewed the annual report with the Board

noting the challenges presented daily to staff at Human Services and the commitment of the

staff and Board members to ensure quality services for Taylor County residents. A MOTION

WAS MADE BY JASON JULIAN, SECONDED BY SUE BRENEMAN TO APPROVE THE 2014 ANNUAL

REPORT. THE MOTION CARRIED.

Approve Director’s Expense Summary: A MOTION WAS MADE BY SUE BRENEMAN,

SECONDED BY ROGER EWAN TO APPROVE THE DIRECTOR’S EXPENSE SUMMARY FROM

JANUARY 2015 TO PRESENT IN THE AMOUNT OF $210.15. A ROLL CALL VOTE WAS TAKEN.

THE MOTION CARRIED WITH A VOTE OF SIX AYES, TWO ABSENT (MILDBRAND, KRUG).

Action on Contracts and Addenda: Three contracts were presented for approval and

explained by Ms. Fallos.

AMOUNT OF FUNDING


CONTRACTS

A Helping Hand of Central WI, LLC N/A CIP II $ 26,628.48

(#15-LTS-22) Nursing Home Diversion


Unit Rate: $16.08/hour (one client)


Judy Willacker N/A CIP II $ 3,000.00

(#15-LTS-23)

SPC 103.22 – Residential Respite

Unit Rate: $70/24-hour day (one client)


Azura Harbor Holdings, LLC N/A COP-W $ 29,500.00

(#15-LTS-24)



Unit Rate: $5500/month (one client)


*CIP (Community Integration Program)

COP (Community Options Program)

A MOTION WAS MADE BY ROGER EWAN, SECONDED BY JASON JULIAN TO APPROVE THE

CONTRACTS AS PRESENTED. A ROLL CALL VOTE WAS TAKEN. THE MOTION CARRIED WITH A

VOTE OF SIX AYES, TWO ABSENT (KRUG, MILDBRAND).

Director’s Report: Ms. Fallos reported she has been working with staff and finishing projects as

she will be leaving the agency on 7/24/15. She reported that the department has received a one

year provisional license for the CCS program, which is granted to all beginning agencies. Ms.

Fallos also reported that after the state budget was passed she received information from the

state DHS that until the Family Care program re-design is researched, no new counties will be

accepted into Family Care.


August 19, 2015 following the Public Hearing at the Community Center.

Adjournment: ROGER EWAN MADE A MOTION TO ADJOURN. JASON JULIAN SECONDED

THE MOTION. THE MOTION CARRIED. THE MEETING ADJOURNED AT 11:45 A.M.

Handouts distributed: contract/addenda list; Expenditure Budget Worksheet; 2016 Comparison

of County Levy; Considerations Regarding the Proposed 2016 Budget for Human Services


Kathy Barr

for



June 30, 2015



Members Present: Jason Julian, Scott Mildbrand, Lori Willner, David Krug, Sue Breneman, and

Rollie Thums.

Members Absent: Roger Ewan; Rose Madlon had an excused absence.

Other Attendees: Mark Berglund from The Star News, Larry Brandl, Liza Daleiden, Amber Fallos,

and Kathy Barr.

Review and Approve Minutes from the May 7, 2015 meeting: SCOTT MILDBRAND MADE A

MOTION TO APPROVE THE MINUTES FROM THE MAY 7, 2015 MEETING. DAVID KRUG


Approve the Agenda: DAVID KRUG MADE A MOTION TO APPROVE THE AMENDED AGENDA

CONTAINING 17 ITEMS. SUE BRENEMAN SECONDED THE MOTION. THE MOTION CARRIED.



operational topics. No action will be taken on any of the topics discussed: Sue Breneman

reported that the Commission on Aging is working on a County Plan on Aging.

David Krug informed the Board that Diane Jacobson is currently the interim director for the

ADRC of the Northwoods.

Amber Fallos reported that Long-Term Support Coordinator Patty Koepke has been attending

trainings and working with the community in regards to a state-wide initiative, Dementia

Friendly Community. This program focuses on educating businesses on how to make them

friendlier for memory-impaired individuals so they may continue living a normal life as long as

possible in an environment where they feel safe.

Liza Daleiden, Deputy Director/Children and Family Services Coordinator at Human Services

introduced herself and gave a brief overview of her work history at Human Services.

Approval of resignation of Vicki Duffy: A MOTION WAS MADE BY SUE BRENEMAN,

SECONDED BY DAVID KRUG TO APPROVE THE RESIGNATION OF VICKI DUFFY. THE MOTION

CARRIED.

Approval of resolution recognizing years of service by Vicki Duffy on Human Services

Board:

Ms. Fallos read a resolution in memory and in recognition of Mrs. Duffy’s service to Taylor

County which was signed by the Board members. A MOTION WAS MADE BY JASON JULIAN TO

APPROVE THE RESOLUTION AS PRESENTED. THE MOTION WAS SECONDED BY SCOTT

MILDBRAND. THE MOTION CARRIED.

Approve acceptance of resignation and approve appointment of interim director: A

MOTION WAS MADE BY DAVID KRUG, SECONDED BY SUE BRENEMAN TO APPROVE THE

ACCEPTANCE OF RESIGNATION BY DIRECTOR AMBER FALLOS AND APPROVE THE

APPOINTMENT OF LIZA DALEIDEN AS THE INTERIM DIRECTOR. THE MOTION CARRIED.

Approve additional pay for interim director (amended agenda item): A MOTION WAS

MADE BY SCOTT MILDBRAND, SECONDED BY SUE BRENEMAN TO APPROVE THE ADDITIONAL

PAY OF $3.00 PER HOUR FOR INTERIM DIRECTOR LIZA DALEIDEN. THE MOTION CARRIED.

Approve Filling Vacancy(ies): Ms. Fallos requested that her position as director be filled. Her

last day at the agency is July 24, 2015. A MOTION WAS MADE BY SUE BRENEMAN, SECONDED

BY LORI WILLNER TO APPROVE FILLING THE POSITION OF HUMAN SERVICES DIRECTOR. THE

MOTION CARRIED. There was some discussion on the process of selecting a new director. Ms.

Fallos indicated she would be available to assist as needed during this transition period.

Sue Breneman asked about filling Vicki Duffy’s position on the Board. Ms. Fallos replied that she

has been discussing this with Chairperson Thums and this will be addressed at a later date.

Approve 2016 Plan for Budget and Planning Process: The Board reviewed a handout

outlining the timeframe of the public participation planning process for the 2016 budget. Ms.

Fallos stated that the Human Services Department is mandated by the State of Wisconsin to

involve the public in the planning process of their annual budget, either through an extensive

report with community involvement or by conducting a public hearing. Ms. Fallos proposed

that the Human Services Board conduct a public hearing. A MOTION WAS MADE BY JASON

JULIAN, SECONDED BY SUE BRENEMAN TO APPROVE THE PUBLIC PARTICIPATION AND

PLANNING PROCESS FOR THE 2016 BUDGET BY CONDUCTING A PUBLIC HEARING AND TO

CHANGE THE DATE OF THE PUBLIC HEARING TO WEDNESDAY, AUGUST 19, 2015 AT 1 P.M.

FOLLOWED BY THE REGULAR HUMAN SERVICES BOARD MEETING (the public hearing is usually

held the second Wednesday in August). It was suggested that the location of the public hearing

and Board meeting be at the Community Center or the Education Center depending upon

availability.

Approve Policies and Procedure Manual: The Board received a copy of the updated policy

and procedures manual dated 6/22/15. Ms. Fallos reviewed the sections of the manual that had

been updated:

Section 5 - Safety Policies: 5.8 Oleoresin Capsicum (pepper spray) has been removed from the

manual. Ms. Fallos indicated that this policy had been denied by the Personnel Committee for

all county staff, including Human Services. She indicated, however, that per state statute,

individuals are allowed to carry Oleoresin Capsicum.

Section 11 - Mental Health Policy and Procedures: 11.26 Medication Administration and

Management Policy Purpose had been approved by the Board in August 2014 but is now part of

the policy and procedures manual. Ms. Fallos added that the agency maintains non-narcotic

medication samples which is now covered in the policy and procedures manual.

Section 16 - Long Term Support (LTS) Policies and Procedures: 16.1 Recording information

regarding ineligible stays for billing purposes; 16.2 Long Term Support Case Transfer Procedure;

16.3 Use of Community Options Program (COP) and /or Community Aids (CA) funds to pay

room and board expenses; 16.4 Guardianship. Ms. Fallos briefly explained each of these LTS

policies that were added to the manual.

Section 17 - Family Support Program: 17.1 Purchase of Electronic Adaptive Equipment and

Software was added to the policy and procedures manual.

Ms. Fallos explained that it is anticipated that the funding for the Family Support Program will

be transferred to the Community Options Program (COP) in 2016 along with more restrictions

placed on its use. A MOTION WAS THEN MADE BY SUE BRENEMAN, SECONDED BY SCOTT

MILDBRAND TO APPROVE THE POLICIES AND PROCEDURES MANUAL AS PRESENTED. THE

MOTION CARRIED. The Board signed a form indicating that they had received a copy of the

policies and procedure manual, as required by program regulations.

The Board also received a copy of Resolution No. 89 regarding the request to extend the ban on

concealed weapons to the Taylor County Human Services building, USDA building, Education

Center and Commission on Aging office. They signed a form indicating that this resolution has

been read and understood.

Approve Director’s Expense Summary: This item was tabled and will be presented at the next

meeting as Ms. Fallos did not present a report.

Action on Contracts and Addenda: Two contracts and one addendum were presented for

approval:

AMOUNT OF FUNDING


ADDENDUM

Aspirus VNA Extended Care, Inc. N/A N/A N/A

(#15-LTS-01)

Addendum: Name change only to:

Aspirus Help At Home

Effective: 6/1/15

CONTRACTS

A & J Mobility N/A CLTS $ 22,750.00

(#15-DD-03)

SPC 112.57 – Adaptive Aids - Vehicle

Unit Rate: ($22,750)

(one client)


Positive Alternative Living Services LLC N/A CIP II $ 32,384.00

(#15-LTS-08)


Unit Rate: $176/day (one client) (184 days)


* CLTS (Children’s Long-Term Support)

CIP (Community Integration Program) II

A MOTION WAS MADE BY DAVID KRUG, SECONDED BY JASON JULIAN TO APPROVE THE

CONTRACTS AND ADDENDUM AS PRESENTED. A ROLL CALL VOTE WAS TAKEN. THE MOTION

CARRIED WITH A VOTE OF SIX AYES, TWO ABSENT (MADLON, EWAN).

Director’s Report: Ms. Fallos told the Board that staff have been working for about a year on

the Comprehensive Community Services (CCS) program and are expected to be certified in the

very near future. She explained that three state agencies, the Division of Quality Assurance, the

Department of Health Services, and the Division of Mental Health and Substance Abuse Services

oversee this program which is one hundred percent state funded for case management and

administrative costs. Seventy-eight (78) clients currently served by mental health programs

meet the functional screen qualifiers for the CCS program, according to Ms. Fallos. She

continued by stating that the CCS program averages 10 to 15 clients per staff member. Ms.

Fallos indicated that with the expected implementation of the Family Care Program by 2017 and

the loss of staff jobs due to that program, staff involved could transition to the CCS program,

which would also save the county on paying out unemployment benefits. Ms. Fallos concluded

by reporting that after Family Care is implemented, some programs in the Long-Term Support

and Developmental Disabilities units will remain; those include Adult Protective Services,

Children’s Long-Term Support, Birth to Three, guardianship, and targeted case management.


July 22, 2015 at 10 a.m. at the Taylor County Human Services Department.

Adjournment: DAVID KRUG MADE A MOTION TO ADJOURN. JASON JULIAN SECONDED THE

MOTION. THE MOTION CARRIED. THE MEETING ADJOURNED AT 11:15 A.M.

Handouts distributed: contract/addenda list; policy and procedures manual; public participating

planning process for 2016 budget; resolution no. 89 regarding ban on concealed weapons


Kathy Barr

for


May 7, 2015



Members Present: Sue Breneman, David Krug, Roger Ewan, Lori Willner, Jason Julian, Scott

Mildbrand, Rose Madlon, and Rollie Thums.

Members Absent: Vicki Duffy had an excused absence.

Other Attendees: Larry Brandl, Amber Fallos, and Kathy Barr.

Review and Approve Minutes from the March 11, 2015 meeting: ROGER EWAN MADE A

MOTION TO APPROVE THE MINUTES FROM THE MARCH 11, 2015 MEETING. ROSE MADLON


Approve Current Agenda: SUE BRENEMAN MADE A MOTION TO APPROVE THE CURRENT

AGENDA. SCOTT MILDBRAND SECONDED THE MOTION. THE MOTION CARRIED.


Introduction of Board Members: Board members and county staff introduced themselves.

Jason Julian has replaced Dave Bizer on the Board for District 10.

Election of Vice-Chairperson and Secretary for Human Services Board: ROLLIE THUMS

NOMINATED SCOTT MILDBRAND FOR VICE-CHAIRPERSON. ROGER EWAN SECONDED THE

MOTION. DAVID KRUG MADE A MOTION TO CLOSE THE NOMINATIONS AND CAST A

UNANIMOUS BALLOT FOR SCOTT MILDBRAND AS VICE-CHAIRPERSON. DAVID KRUG

NOMINATED ROSE MADLON FOR SECRETARY. SCOTT MILDBRAND SECONDED THE MOTION.

ROLLIE THUMS MADE A MOTION TO CLOSE THE NOMINATIONS AND CAST A UNANIMOUS

BALLOT FOR ROSE MADLON AS SECRETARY.


operational topics. No action will be taken on any of the topics discussed: Rollie Thums

and Sue Breneman questioned why this agenda item could not be placed on the County Board

agenda since it has been approved by Taylor County Corporation Counsel for the Human

Services Board agenda. They believed topics brought up under this agenda item could keep

committee members informed of informational topics since members serve on other county

committees.

David Krug informed the Board that Pam Parkkila has left her position as Director of the ADRC

of the Northwoods. There was also some discussion on the regulations from the Centers for

Medicare and Medicaid Services (CMS) and the interpretation of these regulations by the CMS

and the Wisconsin Department of Health Services which will affect vocational services/sheltered

workshops such as Black River Industries.

The Board discussed a resolution to retain the existing model of ADRC’s and Long-Term Care

(submitted by David Krug and Sue Breneman) that had been presented at the April County

Board meeting and sent to state officials.

Review of End-of-Year 2014 Financial Report – Larry Brandl: County Accountant Larry

Brandl presented the Board with 2014 end-of-year financial information for the Human Services

Department. He distributed a handout comparing revenues and expenditures for 2012 and

2013. Mr. Brandl told the Board that there was a deficit for 2014 of $326,207.52 as compared to

deficits of $213,707.33 in 2013, and $25,160.78 in 2012. He reported that in 2014 the mental

health budget was significantly overspent by $419,591.04 due primarily to placements at the

state’s mental health institutions, mental health inpatient (including Institute for Mental Disease)

and mental health transitional living facilities, some of which continue to be long-term

placements. Ms. Fallos stated that these expensive placements involve clients who are suicidal

or homicidal and who are usually placed at these facilities by a court-order. Scott Mildbrand

asked if the Comprehensive Community Services (CCS) program will help to offset some of these

costs. Ms. Fallos indicated that the CCS program will not help to cover these particular costs,

but will help to offset mental health group home costs. Mr. Brandl continued by explaining that

the Developmental Disabilities (DD) budget was overbudget due to reduced Community

Integration Program (CIP) IB allocations and the same number of clients served as in 2013.

Alcohol Treatment was underbudget, as was the Children, Youth & Families budget. The Long-

Term Support budget was underspent due to fewer clients utilizing the services and funding that

was available, particularly in the area of nursing home diversions. Ms. Fallos explained that

often times state money is earmarked, which means that it is allocated for a specific program

and cannot be transferred to other areas of the budget. Next, Mr. Brandl reported that Youth

Aids was overbudget due to high placement costs in foster care, group home, child caring

institutions and state juvenile correctional facilities, such as Lincoln Hills and Copper Lake. Ms.

Fallos indicated that pending legislative approval 17 year olds may be placed back into the

juvenile system which could place an even further burden on the Youth Aids budget unless the

state provides adequate money to counties. Mr. Brandl also reported that Administration was

underbudget, as was Economic Assistance which had comparable costs to 2013. He then

discussed the various revenues that come in to the Human Services Department. Mr. Brandl

indicated that although revenue is somewhat less than in 2013 the efforts have been good in

the billing department for care of clients, or direct billing for outpatient services. He then

concluded by reporting that in the first four months of 2015, the mental health and youth aids

budgets are overspent based on projections. He indicated that he did not foresee a better

financial picture in 2016 due primarily to the high placement costs in the area of mental health

and youth aids and also decreased revenue from the state. Mr. Brandl recommended that the

Board consider looking at increasing the county levy by $200,000 to $300,000 next year. Scott

Mildbrand asked if implementation of the Family Care Program would save the county some

money. Ms. Fallos reported that from what she has observed, some clients are being

underserved in Family Care counties, and it is still unknown if the Family Care program could

save the county money. Ms. Fallos and Mr. Brandl agreed that the legacy waiver programs

continue to serve Taylor County residents well.

There was also a question about the differences between the Comprehensive Community

Services program (CCS) and the Coordinated Services Team (CST) program. Ms. Fallos

explained that Taylor County had applied with Iron County to the state to operate the CCS

program. This program assists individuals with mental health and substance abuse disorders by

providing a more consumer directed recovery oriented type of service. Ms. Fallos indicated that

she is anticipating state surveyors to be on-site next week. Ms. Fallos explained that Human

Services will be working on the Coordinated Services Team (CST) program, which is a state

program centered on assisting children with behavioral health problems through a coordination

of providers and development of service plans.

Approve Filling Vacancy(ies): Ms. Fallos explained to the Board that the foster care

coordinator is part-time in Taylor County and has also been working part-time in Langlade

County. She reported that the foster care coordinator has limited time to recruit new foster

homes and the number of foster homes has decreased county-wide. Ms. Fallos requested that

the foster care coordinator position be increased to full-time, contingent upon Langlade County

paying for the additional time of the position. A MOTION WAS MADE BY SUE BRENEMAN,

SECONDED BY SCOTT MILDBRAND, TO APPROVE INCREASING THE FOSTER CARE

COORDINATOR POSITION TO FULL-TIME CONTINGENT UPON CONTINUED PAYMENT BY

LANGLADE COUNTY. THE MOTION CARRIED.

Approve Policies and Procedure Manual: The Board received a copy of the updated policy

and procedures manual. Ms. Fallos indicated which sections of the manual were updated as

follows:

2.3 A section entitled “Certification Requirements” was added requiring “all social workers hired

after 1/1/13 to have or have the ability to obtain Social Work Certification within one year of

employment.”

5.2 Potentially Dangerous Situation – The word “immediately” was added to the sentence: “The

potential threat will be immediately brought to the attention of the agency director or

designee with a request to notify staff.” The word “if” was changed to “how” in the sentence:

“The agency director or designee will decide how staff needs to be notified of a potentially

dangerous situation.”

5.3 Emergency Lockdown - No changes were made; however, this section will be discussed at a

future meeting.

5.8 Oleoresin Capsicum (pepper spray) – This policy was added, pending approval by the

Personnel Committee to allow staff members to carry and use pepper spray.

6.4 Agency Vehicle – Wording added that the signing out of agency vehicles will be done

through the sign out calendars as opposed to the sign out books.

6.5 Universal Precautions and First Aid Supplies – Change in language, removing “old First Aid

Kit” and placement of the “First Aid Kit” to a different location in the break room.

6.6 Serving Individuals Presumed to be under the Influence of Alcohol or Drugs – Wording

added where the client may be asked to submit to a saliva test if appearing to be under the

influence. If the test is refused or the results are positive, the client will not be served at that

time and will need to be rescheduled.

6.12 Fee Charging Policy for the Release of Agency Records – Clients and agencies who request

records from the Taylor County Human Services Department may be charged a fee for such

records. Ms. Fallos indicated that as the charge for release of agency records may change

annually, language referring to Wisconsin Statute 146.83(3f)(b) has been added to this section.

6.13 Fee Payment Procedure – Policy language was added regarding submission of unpaid

balances to the Wisconsin Tax Refund Intercept Program (TRIP).

Section 15 – General Relief Policy – This policy has been added to the policy and procedure

manual.

The Board also received a copy of Resolution No. 89 regarding the request to extend the ban on

concealed weapons to the Taylor County Human Services building, USDA building, Education

Center and Commission on Aging office. A form indicating that this resolution has been read

and understood will be signed by the Board at a future meeting.

The Board then decided to take action on the updated policy and procedures manual at a future

meeting. Program regulations mandate that Human Services Board members and Human

Services employees sign a form indicating they have received the policy manual. This will be

done at a future meeting.

Action on Contracts and Addenda: Three contracts were presented for approval:

AMOUNT OF FUNDING


CONTRACTS

The Homeplace of Dorchester N/A CIP II $ 25,700.00

(#15-LTS-10)

SPC 506 – Community Based


Unit Rate: $3000/month (one client)

Contract Effective: 4/13/15 to 12/31/15

Saint Rita Adult Family Home N/A CIP IA $ 79,700.00

(#15-DD-19)

SPC 202.02 – Adult Family

Home (3-4 bed)

Unit Rate: $323.67 (24-hr. day)(one client)


AMOUNT OF FUNDING


New Horizon Community Care, LLC N/A CIP II $ 4,560.00

(#15-LTS-11) Nursing Home

SPC 104.20 – Supportive Home Care Diversion

($3,456)

Unit Rate: $18/hour

Specialized Transportation ($1104)

Unit Rate: $.46/mile (one client)

Contract effective 5/5/15 to 12/31/15

* CIP (Community Integration Program)

A MOTION WAS MADE BY DAVID KRUG, SECONDED BY ROGER EWAN, TO APPROVE THE

CONTRACTS AS PRESENTED. A ROLL CALL VOTE WAS TAKEN. THE MOTION CARRIED WITH A

VOTE OF EIGHT AYES, ONE ABSENT (DUFFY).

Director’s Report: Ms. Fallos reported that lay member Vicki Duffy will be resigning from the

Human Services Board and explained that her replacement should be a consumer of agency

services or family member of the consumer.

Ms. Fallos also reported that Paul Thornton will be leaving his position as director of Black River

Industries and she will keep the Board updated on the process by Catholic Charities of finding

his replacement.

Next, Ms. Fallos explained to the Board the services she and other Human Services staff had

provided to elderly and disabled residents of an apartment building in Medford during a recent

gas leak. She indicated that the Human Services Department is state mandated to assist with

sheltering individuals during an emergency disaster. This is the second time an emergency

disaster has occurred at this apartment building, and she believed there was a lot of great

coordination between county departments. The departments within the county have learned

valuable information from these evacuations to help in future disasters. Ms. Fallos was thankful

for the staff at Human Services that assisted on site and in the office.


June 10 at 10 a.m. at the Taylor County Human Services Department.

Adjournment: JASON JULIAN MADE A MOTION TO ADJOURN. SUE BRENEMAN SECONDED


Handouts distributed: contract/addenda list; 2014 revenue/expenditure reports and 2012-2014

expenditure/revenue summary; policy and procedures manual; resolution no. 89 regarding ban

on concealed weapons


Kathy Barr

for



March 11, 2015


Call Meeting To Order: Chairperson Dave Bizer called the meeting to order at 10 a.m.

Members Present: Scott Mildbrand, Lori Willner, Roger Ewan, Vicki Duffy, Rollie Thums, Sue

Breneman, Rose Madlon, and Dave Bizer.

Members Absent: David Krug had an excused absence.

Other Attendees: Amber Fallos, Kathy Barr.

Review and Approve Minutes from the February 11, 2015 meeting: ROGER EWAN MADE A

MOTION TO APPROVE THE MINUTES FROM THE FEBRUARY 11, 2015 MEETING. SUE

BRENEMAN SECONDED THE MOTION. THE MOTION CARRIED.

Approve Current Agenda: ROLLIE THUMS MADE A MOTION TO APPROVE THE CURRENT

AGENDA WITH 11 ITEMS. SCOTT MILDBRAND SECONDED THE MOTION. THE MOTION

CARRIED.



operational topics. No action will be taken on any of the topics discussed (amended

agenda item): Sue Breneman encouraged Board members to attend the Wisconsin Counties

Association Human Services Day which will be held on April 8, 2015 in Madison. She also

reported that the Taylor County Commission on Aging (COA) is purchasing care call units from a

company called Life-Assist which will provide a cost savings to COA.

Approve Filling Vacancy(ies): Ms. Fallos requested Board approval to hire two temporary

Economic Support Specialists in the Economic Support (ES) unit (each position working 35 hours

per week) and distributed the job description for these positions. She explained that there is

money available through the Patient Protection and Affordable Care Act (PPACA) to fund the

positions. Ms. Fallos then distributed a state-wide map of the Income Maintenance Consortia

counties, pointing out that several of the other counties in the Northern Income Maintenance

Consortium (of which Taylor County is a part of) had already hired temporary workers to assist

with determining eligibility for economic support programs in the consortium, and she believed

that with the availability of PPACA funds that Taylor County should take their turn and hire

temporary workers to assist with the increased workload in the consortium. Ms. Fallos indicated

that when the PPACA funding is no longer available or is spent, the positions would end. Mr.

Mildbrand asked about the necessity of the temporary workers, their job capabilities, and

unemployment costs when the positions end. Ms. Fallos replied that when changes are made

to the programs in PPACA it creates additional work for staff in the consortium. She indicated

that the temporary Economic Support Specialists will receive the same training program that is

required for permanent Economic Support Specialists. Ms. Fallos added that any

unemployment costs would be paid for out of a reserve fund from the Northern Income

Maintenance Consortium. A MOTION WAS MADE BY ROGER EWAN TO APPROVE HIRING TWO

TEMPORARY ECONOMIC SUPPORT SPECIALISTS WITH THE STIPULATION THAT WHEN THE

PPACA FUNDING ENDS THE POSITIONS WILL END, AND ANY UNEMPLOYMENT COSTS WILL BE

PAID FOR BY THE NORTHERN INCOME MAINTENANCE CONSORTIUM. SUE BRENEMAN


Action on Contracts and Addenda: One contract and three addenda were presented for

approval:

AMOUNT OF FUNDING


CONTRACTS

Eau Claire Academy N/A Youth Aids 108,038.00

(#15-CFS-06)

SPC 504 – Residential Care Center

Unit Rate: $335.52/day (one client)

Effective: 2/13/15 to 12/31/15

ADDENDA

Black River Industries $960.00 CIP IB $784,625.00

(#15-DD-08)

SPC 107 – Specialized Transportation

Unit Rate: $7.50/one way (two clients)

Effective: 3/18/15

Clark County Health Care Center N/A N/A N/A

(#15-DD-06)

Legal name change only to: Clark County

Rehabilitation & Living Center

Effective: 2/1/15

Woodland Enhanced Health Services

(#15-LTS-21)

Legal name

change only to: Woodland Enhanced N/A N/A N/A

Health Services Commission DBA

Clark County Rehabilitation

& Living Center

Effective: 2/1/15

* CIP (Community Integration Program) IB

A MOTION WAS MADE BY SCOTT MILDBRAND, SECONDED BY SUE BRENEMAN, TO APPROVE

THE CONTRACT AND ADDENDA AS PRESENTED. A ROLL CALL VOTE WAS TAKEN. THE MOTION

CARRIED WITH A VOTE OF EIGHT AYES, ONE ABSENT (KRUG).

Approve Director’s Expense Report: Ms. Fallos presented an expense report of $93.50 for her

social worker certification and a meal. A MOTION WAS MADE BY SUE BRENEMAN, SECONDED

BY ROGER EWAN, TO APPROVE THE DIRECTOR’S EXPENSE REPORT IN THE AMOUNT OF $93.50.

THE MOTION CARRIED.

Director’s Report: Ms. Fallos recapped 2014 indicating that six new staff were hired last year;

the agency contracted with Dr. Cullen to provide psychiatric services to clients; the Children and

Family Services unit received training for the Wisconsin Post-Reunification Support Program,

and application was made with Iron County to the Comprehensive Community Services (CCS)

program (it is anticipated that the surveyor for the CCS program will be at the Human Services

Department next month). Ms. Fallos pointed out that one advantage of applying for the CCS

program with another county would be one hundred percent funding versus applying as a

single county which would have reduced the funding to only the federal portion of about sixty

percent. She added that training, technical support, and software will be shared with Iron

County with the objective of creating an effective and successful program. Ms. Fallos also

pointed out information in the Board packet which included a Developmental Disabilities (DD)

unit satisfaction survey for 2015, showing very high satisfaction level among clients who receive

services from the DD unit. The Board also reviewed a summary report from the Northern

Income Maintenance Consortium indicating that 3,990 Taylor County residents received

economic support benefits in January 2015. Ms. Fallos then reviewed information regarding the

lack of mental health professionals in the Taylor County area as compared to nationally and

state-wide. She also pointed out an article in the Board packet from the Reader’s Digest (02-

2014) focusing on mental illness. Ms. Fallos added that Russ Blennert is assisting the agency with

the reconciliation process for 2014. Lastly, she reported she continues working with County

Clerk Bruce Strama and County Accountant Larry Brandl regarding financial assistance to the

agency.


April 1, 2015 at 10 a.m. at the Human Services Department.

Adjournment: ROGER EWAN MADE A MOTION TO ADJOURN. ROLLIE THUMS SECONDED


Handouts distributed: Contract/Addenda List; Job Description for Temporary Economic Support

Specialist; Map of the State’s Income Maintenance Consortia


Kathy Barr for Rose Madlon, Secretary


February 11, 2015


Call Meeting To Order: Chairperson Dave Bizer called the meeting to order at 10 a.m.

Members Present: Sue Breneman, Rollie Thums, Rose Madlon, David Krug, Vicki Duffy, Roger

Ewan, Lori Willner, Scott Mildbrand, and Dave Bizer.


Other Attendees: Amber Fallos and Kathy Barr.

Review and Approve Minutes from the January 20, 2015 meeting: ROLLIE THUMS MADE A

MOTION TO APPROVE THE MINUTES FROM THE JANUARY 20, 2015 MEETING. ROGER EWAN


Approve Current Agenda: SUE BRENEMAN MADE A MOTION TO APPROVE THE CURRENT

AGENDA. ROLLIE THUMS SECONDED THE MOTION. THE MOTION CARRIED.



operational topics. No action will be taken on any of the topics discussed: Members

discussed the Governor’s budget proposal to expand the Family Care program statewide by

1/1/17. Ms. Fallos stated the budget proposal is still preliminary and the state has set dates in

the past for the expansion of the Family Care program.

David Krug reported back to the Board on information he had gathered on the local Aging &

Disability Resource Center’s (ADRC) time reporting. Mr. Krug noted the differences in software

and the type of programs at the ADRC compared to the Human Services Department. He also

explained how time reporting is processed at the ADRC. Ms. Fallos indicated that the Economic

Support Specialists complete 100% time reporting for the consortium. Some of the

coordinators at Human Services also report their time for Wisconsin Medicaid Cost Reporting

(WIMCR). She added that currently the department calculates waiver administrative costs using

a percentage formulated by the state. It was suggested that the ADRC specialists could attend a

Board meeting or meet with Director Fallos regarding time reporting strategies. Members felt

that this decision should be left up to Director Fallos.

Sue Breneman reported that the Jump River meal site, which has the largest number of

participants, is in need of additional funding. Ms. Fallos also reported that home-delivered

meals through the Commission on Aging are no longer available in the Lublin area, and that in

2015 meal costs overall have increased by approximately $2.00 per meal.

Approve Filling Vacancy(ies): Ms. Fallos stated there were no vacancies at this time. She

reported that the Long-Term Support Coordinator has returned to work part-time and is

expected to return to full-time status by March.

Action on Contracts and Addenda: The following 2014/2015 contract addenda were

presented for approval:

AMOUNT OF FUNDING


2015 ADDENDA

Northwest Pathways to None Waiver $203,527.00

Independence, Inc.

(Adult Family Home and

Supportive Home Care)

(#15-DD-09)

(Unit rates same as 2014;

Less clients result in

Lower contract total)

Circle of Love $ 506.80 Waiver $ 70,561.80

(Adult Family Home)

(#15-LTS-19)

Woodland Enhanced $13,052.00 Mental Health $ 65,065.00

Health Services Community Aids

(#15-LTS-21)

2014 ADDENDA

Aurora Residential Alternatives, Inc. $18,996.00 Waiver; $168,476.00

(#14-DD-37) Mental Health

Adult Family Home Community Aids

Community Care Resources, Inc. $22,189.00 Youth Aids $ 69,413.00

(#14-CFS-04)

(Case Management)

Choices to Change, Inc. $21,311.00 Youth Aids $ 90,764.00

(#14-CFS-11)

(Group Home)

Aspirus Medford Hospital & $15,239.00 Waiver $233,831.00

Clinics, Inc. (#14-LTS-02)

(Community-Based Residential

Facility)

AMOUNT OF FUNDING


Deerview Meadows Medford LLC $18,141.00 Waiver $209,649.00

(#14-LTS-05)


Facility)

At Home Care $ 4,537.22 Waiver $259,537.22

(#14-LTS-06) Children’s Waiver

(Supportive home care, Respite

care, Specialized transportation)

Gemini Cares, Inc. $7,897.00 Waiver $ 16,897.00

(#14-LTS-10)

Supportive home care,

Respite care, transportation)

Adult Development Services $1,394.00 Waiver $ 8,910.80

(#14-MH-16)

(Pre-vocational services)

Randall Cullen, M.D. $7,893.00 Mental Health $ 44,853.00

(#14-MH-09) Community Aids

(Consulting Psychiatrist)

Aurora Residential $7,500.00 Waiver $ 62,250.00

Alternatives, Inc. Mental Health

(#14-MH-03) Community Aids


Facility)

Lutheran Social Services of $5,700.00 Safe & Stable Funds $ 86,761.52

WI & Upper MI, Inc. Youth Aids Block Grant

(#14-MH-01)

(Family Preservation Program)

A MOTION WAS MADE BY DAVID KRUG TO APPROVE THE 2014/2015 CONTRACT ADDENDA AS

PRESENTED. THE MOTION WAS SECONDED BY ROGER EWAN. A ROLL CALL VOTE WAS TAKEN.

THE MOTION CARRIED WITH A VOTE OF NINE AYES.

Director’s Report: Ms. Fallos reported that she and the Human Services coordinators had

recently assisted disabled/elderly individuals during a fire at their apartment complex in

Medford. She indicated that the Human Services Department is state mandated to assist with

sheltering individuals during an emergency disaster. Ms. Fallos reported that she and staff have

been attending trainings and meetings to help prepare for emergency disasters. She stated that

assistance given in this disaster was a community effort, with help from the Red Cross, local

businesses / organizations and individuals. She added that her management staff is not

compensated overtime for assisting with a disaster and she commended them for their efforts.

Sue Breneman agreed and felt the Human Services Board should be supportive as needed.

Ms. Fallos reported that the Comprehensive Community Services (CCS) committee had their first

meeting and are waiting for approval from the state on submitted paperwork.

Next, Ms. Fallos stated that, per the Information Technology Department, the Human Services

building is expected to transition to a wireless network sometime this year.

Ms. Fallos reported that she had met with County Clerk Bruce Strama and County Accountant

Larry Brandl in regards to Human Services receiving assistance with financial duties. It was

reported that Mr. Brandl will be providing assistance to the agency and assigning some of his

duties to his assistant. He will also be attending financial management meetings related to

Human Services programs, and will be doing time reporting for his time spent on agency duties.

There was also some discussion on whether the County Clerk or the Finance Committee

oversees the County Accountant. Mr. Mildbrand asked if an intern could be hired to assist with

these duties, but it was felt that the programs are much too complex for a limited term

employee.

Ms. Fallos then distributed a handout from the Wisconsin Counties Association summarizing

Governor Walker’s proposed state budget for 2015-2017. She indicated that the majority of the

Governor’s proposed budget affects the Human Services Department, and she reviewed the

summary with the Board:

The proposed budget is requesting waivers from the federal government in order to provide

drug testing for illegal drugs to able-bodied adults with no dependents who receive Medicaid

and/or FoodShare benefits. Costs of these tests, along with drug treatment programs and

monitoring of individuals failing drug tests could be expensive and passed on to local

government.

The Wisconsin Works (W-2) program time limit would be reduced from 60 months to 48

months. Ms. Fallos explained that when Human Services administered the W-2 program the

clients participating had several barriers to employment. Ms. Fallos is concerned that decreasing

the number of months in the program will increase the number of individuals applying for other

benefits.

There will be updates in the CARES system, which is a computer system used by the Economic

Support Specialists in the agency and new training would be needed for this.

Under Governor Walker’s plan, the IRIS program would be discontinued. This program is a

Medicaid Home & Community-Based services family care program self-directed for adults with

long-term care needs. The IRIS program gave participants more flexibility in long-term care

options.

In the area of emergency detention the proposed budget requires counties to provide a

community-based crisis assessment by a licensed professional counselor or psychiatrist prior to

an emergency detention. This process is currently done in Milwaukee County, and Ms. Fallos

indicated that Taylor County is unlike Milwaukee County as Taylor County has one mental health

professional to every 2500 individuals. Currently, in Taylor County bachelor’s degree level staff

provides crisis assessments prior to emergency detentions. According to Ms. Fallos, securing a

psychiatrist or other mental health professional for crisis assessments would be very costly and

unrealistic due to the limited number of professionals in the area.

As discussed earlier, the Governor’s budget proposal expands the Family Care Program to all

counties by January 1, 2017, or upon federal government approval. This would have to be

approved by the Joint Finance Committee and there has not been any communication from the

state regarding this proposal. There was also some discussion on the managed care

organizations as related to Family Care.

The Governor’s budget proposal reorganizes the funding and contracts for the ADRC’s. There

was some belief that this could lead to privatization of ADRC’s.

The Governor’s budget proposal also changes funding for substance abuse treatment.

Currently, Medicaid pays for substance abuse medical detox and outpatient counseling but does

not cover the cost for the residential treatment. Ms. Fallos believed this change would be

beneficial to clients and the agency.

Ms. Fallos reviewed the Governor’s budget proposal for the juvenile programs which includes

reorganization and supervision of programs including bringing 17 year olds back to the juvenile

system, which will impact workload and funding.

The proposed budget makes some changes to the Wisconsin Shares program. Ms. Fallos

reported that child care applications are processed by the consortium but the agency is still

responsible for child care/day care certifications and authorizations.

Next, the Governor’s proposed budget adds funding for the Uniform Appeals Process for child

protective services. Ms. Fallos indicated this would make the appeals process the same for all

counties in the state and pointed out that the timeframes for the appeals process in child

maltreatment cases is extremely important and labor intensive for the agency.

Ms. Fallos added that many of Governor Walker’s budget proposals would require more training

and work for agency staff due to new mandates for mandatory state programs. Rollie Thums

pointed out that the Governor’s budget proposal is preliminary pending legislative review and

approval.


March 11, 2015 at 10 a.m. at the Human Services Department.

Adjournment: ROGER EWAN MADE A MOTION TO ADJOURN. ROSE MADLON SECONDED


Handouts distributed: 2014/2015 Contract Addenda List; Wisconsin Counties Association Budget

Summary – February 4, 2015




January 20, 2015

Taylor County Education Center

Call Meeting To Order: Chairperson Dave Bizer called the meeting to order at 10:05 a.m.

Members Present: Scott Mildbrand, Roger Ewan, Lori Willner, David Krug, Sue Breneman, Rollie

Thums, Rose Madlon, and Dave Bizer.

Members Absent: Vicki Duffy (excused)

Other Attendees: Liza Daleiden (for a portion of the meeting), Amber Fallos, and Kathy Barr.

Review and Approve Minutes from the November 12, 2014 meeting: SUE BRENEMAN

MADE A MOTION TO APPROVE THE MINUTES FROM THE NOVEMBER 12, 2014 MEETING. ROSE

MADLON SECONDED THE MOTION. THE MOTION CARRIED.

Approve Current Agenda: ROLLIE THUMS MADE A MOTION TO APPROVE THE CURRENT

AGENDA. ROGER EWAN SECONDED THE MOTION. THE MOTION CARRIED.



operational topics. No action will be taken on any of the topics discussed: Scott Mildbrand

suggested that Ms. Fallos meet with County Clerk Bruce Strama and County Accountant Larry

Brandl to discuss options for financial management assistance at Human Services. Ms. Fallos

reported she had planned to meet with them and agreed with Board members that due to

County Board action eliminating the Financial Manager position at Human Services that other

alternatives needed to be looked at for the agency. She indicated that the Long-Term Support

Coordinator is expected to return part-time in mid-February, and it was suggested that possibly

the agency could once again contract with Russ Blennert for assistance with some of these

responsibilities. Rollie Thums felt that possibly hiring a financial person part-time to assist with

financial duties could be looked at, while other members suggested reconsidering a full-time

financial manager position next year. There was also some discussion on why Human Services

does not document 100% time reporting for claiming revenue. Ms. Fallos stated that Human

Services is not required to do 100% time reporting, which would be reported in 15 minute

increments, and that this was very time-consuming for staff, especially when considering their

multiple job duties. David Krug reported that the Aging and Disability Resource Center (ADRC)

of the Northwoods documents 100% time reporting and believed Human Services could be

doing this as well. Ms. Fallos indicated that Human Services is unlike the ADRC, as Human

Services has various programs reporting costs, and more exploration would be needed to

determine whether 100% time reporting would benefit the agency through reimbursement of

revenue versus costs of staff time. There was also some discussion on possible computer

programs for time reporting and the costs associated with it. Ms. Fallos also indicated that there

would be a significant amount of time needed from a financial person to gather, decipher, and

report time reporting that is not available. Rollie Thums asked David Krug, who is the Taylor

County Board’s representative on the ADRC Board to contact the ADRC regarding their time

reporting system.

Ms. Fallos then introduced Liza Daleiden, Deputy Director/Children and Family Services

Coordinator at Human Services. Ms. Fallos referenced newspaper articles that had been

provided to the Board regarding the case of a Taylor County woman filing a federal law suit to

overturn a Wisconsin law which allows officials to detain and impose treatment on pregnant

women using drugs or alcohol. Ms. Daleiden told the Board that staff must interpret child

protective services laws they are required to follow, and she also explained how child

maltreatment allegations are assessed, substantiated versus unsubstantiated cases, and appeals.

Ms. Fallos also pointed out an article in the Board packet of a draft document from the

Wisconsin County Human Services Association (WCHSA) on their attempt to change child

welfare laws to allow more jurisdiction to child welfare agencies to intervene on behalf of

unborn and newborn infants whose mothers are ingesting illegal substances. Ms. Fallos wanted

to inform the Board that much of her time is often spent on priorities such as child protective

services cases as well as other urgencies in the agency.

Approve Filling Vacancy(ies): Ms. Fallos indicated there are no vacancies at this time. As

indicated above, she will be meeting with the County Clerk and County Accountant regarding

options to assist the agency with financial duties.

Approve 2013 Annual Report: Ms. Fallos reviewed the report with the Board. She emphasized

the importance of the Comprehensive Community Services (CCS) program which provides

services to consumers with mental health and/or substance use disorders as a means to assist in

lowering costs in the mental health budget. She indicated that approximately 70 clients of the

agency qualify for the CCS program, which is anticipated to be implemented in the near future.

Client caseloads in the Taylor County Community Support Program average about 40 individuals

per one case manager, according to Ms. Fallos, which is extremely high compared to the 10:1

client/case manager ratio of a certified Community Support Program. The CCS program is

funded by state and federal revenue.

The Coordinated Service Team (CST), a state-wide program aimed at helping children with

behavioral health issues who receive services in at least two systems of care (e.g. child welfare,

mental health, long term care, etc.) should also assist in reducing the amount of county levy

placed in the mental health budget. Ms. Fallos reported that there will be supplement funding

provided by the state for the CST program. A MOTION WAS MADE BY ROLLIE THUMS,

SECONDED BY SUE BRENEMAN TO APPROVE THE 2013 ANNUAL REPORT. THE MOTION

CARRIED.

Action on Contracts and Addenda: The Board reviewed a comparison list of the 2014 and

2015 purchase of services contracts. Ms. Fallos indicated that she and the management team

negotiate the rates with providers for these services. She also reported that Wisconsin

Department of Health Services has made changes to the audit requirements of the standard

purchase of services contract and will at some point be releasing a contract addendum. A

MOTION WAS MADE BY ROGER EWAN, SECONDED BY DAVID KRUG TO APPROVE THE 2015

PURCHASE OF SERVICES CONTRACTS AS PRESENTED. A ROLL CALL VOTE WAS TAKEN. THE

MOTION CARRIED WITH A VOTE OF EIGHT AYES, ONE ABSENT (DUFFY).

Approve Director’s Expense Summary: Ms. Fallos presented a summary of her expenses from

July 2014 to December 2014 in the amount of $36.10. A MOTION WAS MADE BY ROLLIE

THUMS, SECONDED BY SUE BRENEMAN TO APPROVE THE DIRECTOR’S EXPENSE SUMMARY IN

THE AMOUNT OF $36.10.

WCHSA Information: This item had been discussed earlier in the meeting.

Director’s Report: Ms. Fallos reported that the agency will be implementing new software

which will assist with the billing process for the CCS program. She indicated she is working on

the grant for the CST program and will be contracting with the Taylor County Health

Department for some of the service.


February 11, 2015 at 10 a.m.

Adjournment: ROLLIE THUMS MADE A MOTION TO ADJOURN. ROGER EWAN SECONDED


Handouts distributed: 2014/2015 Contract Comparison List



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