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HomeMy WebLinkAboutLong Term Support Planning Committee11-16-95ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO; Robert Boche, Chairman St. Croix County Board FROM: Ron Lockwood, SW Supervisor Long Term Support Unit DATE: November 6, 1995 COMMITTEE TITLE: Long Term Support Planning Committee MEETING DATE: Thursday, November 16, 1995 MEETING TIME: 1:30 p.m. Board Room - St. Croix Co. Health & Human Services Complex MEETING LOCATION: 1445 N. 4th Street, New Richmond, WI 54017 CALL TO ORDER: ROLL CALL: ADOPTION OF AGENDA: ACTION ON PREVIOUS MINUTES: DATE/LOCATION OF NEXT MEETING: AGENDA: (Agenda not necessarily presented in this order) UNFINISHED BUSINESS: 1) 1996 Plan & Budget for LTS Programs. 2) Legislative proposal to create single division within State DHSS to administer both institutional and home and community -based long term care programs. 3) Medicaid Block Grant Issue Paper from Coalition of WI Aging Groups. NEW BUSINESS: 1) Financial Report 2) Variance and Purchase requests 3) Waiting list report 4) Consider designating persons who are protectively placed by the court under Chapter 55 as a priority target group under COP and COP-W waiting list policy. 5) Consider changing COP Plan to require annual program eligibility redetermination for COP using the COP Functional Screen beginning January 1, 1996. 6) Consider changing COP and COP-W waiting list policy to clarify that persons on the top of waiting list who reject services when offered will go to the bottom of the waiting list should they desire to be considered for services at a future date. 7) AB 244 to reduce county government liability for Adult Protection Services(see enclosure). ANNOUNCEMENTS & CORRESPONDENCE: POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT: Copies to: County Clerk's Office Committee Members /lts-com/notice i VISCONSIN COALITION ADVOCACY AB 244 PUTS BASIC RIGHTS AND PROTECTIONS. ON THE LINE The Senate Health, Human Services and Aging Committee voted on Thursday to send AB 244 to the Senate floor. Advocates for people with disabilities and elders proposed compromise language, but the Counties Association has only been willing to support the bill as written. The,billwould: • Legalize inappropriate, inadequate and unnecessarily restrictive services. The bill limits rights to appropriate and least restrictive services to services counties 4fund with state and federal funds and required county match. People in services funded privately, with Medical Assistance or with voluntary county match would lose these basic rights. • Allow counties to refuse to provide any placement or services to people at risk of serious harm. Counties could not be forced to implement protective placements or services if county funds would be required, even under court orders. • Allow counties to waste tax dollars on institutions, when cheaper and less restrictive alternatives are available. Counties could leave people in institutions if community placement would require county funding, even where institutional care is more expensive overall than community care. Courts would have no power to overrule this decision. The vote in the committee was close (4 to 3). There is increasing awareness among legislators of the impact of this bill, and there is a good chance that it can be stopped or changed on the Senate floor if they hear from enough people who are concerned. It may be considered in the Senate as early as the week of November 6. This is the last chance to stop this bill. Write or call your Senator and ask that he or she vote no on AB 244. Get the word out to individuals and families who are likely to be aft=ected. 'ihis includes both people in institutions who could be served in community settings and people now in the community who could be at risk of harm in the future, e.g., because their condition changes or because a caregiver is no longer able to provide the care they need. The address for all Senators is P.O. Box 7882, Madison, WI 53707-7882. You can also call the Senators office directly or leave a message through the Legislative Hotline, k800-362-9472. PUEASIE ACT NOW Madison ONice: ToNp�heC1�00.-928-8T18 (pe so0n �w�h disabilities olr mennal 1%nessaand thei��am�les oMy) ax 608-267-0368 Advocacy for Wisconsin citizens with disabilities LONG TERM SUPPORT COMMITTEE MEETING Thursday, November 16, 1995 Members present: James Craig, Charles Dow, Vern Dull, Honorine Gedatus, Ray Mealey, Myrtle Munns, Lee Steinberger, Robert Stephens, Marguerite Sumner Members excused: Glenda Zielski Members absent: Lynn Erkkila, Charles Murphy, Lee Kellaher Staff present: Ron Lockwood Meeting called to order by Chair Ray Mealey at 1:30 p.m. Roll call: Nine present, three absent and one excused. ,Quorum present. Motion to adopt agenda with as written by Robert Stephens, second by Lee Steinberger. Motion carried. Motion to approve minutes as mailed by Robert Stephens, second by- Vern Dull. Motion carried. Chair Ray Mealey set the date and time for next meeting to be Thursday, January 18, 1996 at 1:30 p.m. at the Human Services Complex in New Richmond in the Board Room unless otherwise indicated on the meeting notice.. Unfinished Business: Ron Lockwood presented a handout -of the Human Services Budget that he prepared, indicating the specific breakdown of the different departments of human services. It is noted that _..there was $70,000 not listed in the previous budget sheets. This was the original $70,000 that was put in the block grant for and was to be allocated to CIP2/COPW funds. Only $35,000 of this was put in the budget for 1996. This leaves $35,000 that has not been designated to a department yet. Tt will be designated to Supportive Home Care Program for 1996. Action -Alert from Coalition of Wisconsin Aging Groups indicates proposed changes for transportaion, medicare -and medicaid. The issue of fraud and mishandling of funds was discussed. A motion was made by Lee Steinberger that a letter be drafted by the chairman of this committee to indicate that this committee does not support the Medicare and Medicaid cuts until such time as fraud and any other mishandling of funds are attacked. Motion seconded by Honorine Gedatus. No more discussion,. Motion carried unanimously. ITS Planning Committee Meeting Thursday, November 16, 1995 Page 2 New Business: Ron Lockwood went over the financial report. It was noted that the COP Waiver Program budget is reaching its budgeted amount and we still have three months yet to cover. Ron explained how the matching funds from 60% Federal Match, and 40% COP Match will cover the amount over the budgeted amount. Noted also was the drop in number of clients on the Supportive Home Care Program; some of whom have been approved for CIP2/COPW Programs. Variance Request by Gail Casey, Alzheimer's Caregivers Program for purchase of a Monitoring system. This is a bracelet that the Alzheimer's Patient wears, it is set for a certain distance and if the person goes beyond that, it sounds an alert on a unit that the caregiver has with them. Gail recommends that the county purchase the unit with COP - Alzheimer dollars and then put it on loan. Questions came up as to how it was decided who gets to borrow the unit. In the past these loans have been made by First Come,First Served basis. The cost of the unit is $675.00. A motion was made by Myrtle Munns to approve the COP-Alz program budget to purchase this tracking unit. Seconded by Charles Dow. No further discussion. Motion carried unanimously. Consideration of designating court ordered protectively placed persons as a priority target group. If the court orders a person protectively placed in a facility that is not MA -- cert-ified, the county is responsible for the costs incurred. If, however, the person was protectively placed to a facility not MA certified and, variance was approved, the person could be placed on COP or COP Waiver program to assist the county with the costs. A motion was made by Marguerite Sumner for this committee to recommend that persons who are protectively placed by the court under Chapter 55 will be a priority target group under COP and COPW waiting list policy. Consideration in changing annual requirements for COP clients. As the policy reads now, once you are found to be COP eligible by the.- functi oval screen,, you are'always eligible. The screen is not done again to determine any changes in the level of care. This means that if at one time you are eligible for COP, no matter if your condition improves and you need less care or assitance, you are still qualified to receive COP funding. Changing the annual requirements would mean that a COP Functional Screen Level would be required to determine if you are still qualified for the program by meeting the required level of care. A motion was made by James Craig that the requirements for annual COP reviews include a COP Functional Screen to be used to determine eligibility on an annual basis. Seconded by Vern Dull. Carried unanimously. LT5 Planning Committee Meeting Thursday, November 16, 1995 Page 3 Consideration of changing the policy regarding waiting list for COP, CIP2, & COP Waiver, was introduced by Ron Lockwood. Increases in persons on the waiting lists for these programs makes it necessary to think about the policy on refusals for the programs. Currently, when a person's name comes up on. the waiting list to get on a program, they are asked if they want to receive services at this time. Occasionally the person decides they don't need the help right now, but maybe next month or so. This holds up the services for the next person, who may need services immediately and accept services. A motion was made by Lee Steinberger to clarify the waiting list policy for COP, CIP2, COP Waiver Programs to be specific in that if a person's name comes up on the waiting list and they refuse or don't want services at that time, there name will be placed back at the bottom of the list so as to go to the next person and offer services. Seconded by Honorine Gedatus. Carried unanimously. Discussion of Assembly Bill 244 which allows counties to refuse to provide placement services for protectively placed persons if county dollars would be used to cover costs . A motion was made by Honorine Gedatus for this committee to draft a letter apposing AB244 in it's current format and until a time when some compromise is made in the Bill. Seconded by Lee Steinberger. Carried unanimously. Other Business: Raymond Mealey brought up the issue of Quality of Care for our residents in the community. After the viewing of a televison report showing the kinds of problems, safety issues, vulnerability of the residents in home care situations, Mr. Mealey would like to request that this committee receive information from the contracted providers that St. Croix County deals with regarding what kind of protection do our clients have? What kind of training requirements do these agencies have? How do we keep informed? Ron Lockwood suggested we could have the agencies we contract with; Aurora Residental Alternatives, Cooperating Community Programs, and Indianhead Home Care Agency provide this committee with this information. Ron Lockwood also suggested that it may a good idea to look at how the Case Management on the Long Term Support Unit ties in with the requirements and advocacy for our clients. It was further brought up by another member of .this committee if it would be possible to discuss at a later date, subcomittees to make spot checks on some of the clients. This will be discussed at a future meeting. Motion made by Myrtle Munns to _adjourn meeting. Seconded by Lee Steinberger. Carried unanimously, Minutes presented by Michele Johnson, Clerk III 112095