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NOTICE OF MEETING AND AGENDA
ST. CROIX COUNTY LONG TERM SUPPORT COMMITTEE
August 23 2007 —1:30 p.m.
Government Center,
Room 1281
1101 Carmichael Road, Hudson, WI 54016
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
APPROVAL OF MINUTES OF PREVIOUS MEETING
DATE/LOCATION OF NEXT MEETING — To be announced
OLD AND NEW BUSINESS
1. Update on Aging and Disability Resource Center development.
2. Discuss efforts to provide choice regarding the Care Management Organization in the
Long Term Care Reform System.
3. Financial Report.
4. COP high cost requests and MA Waiver exceptional expense requests.
5. Nursing Home Relocation Requests.
6. LTS Unit budget for 2008.
7. Aging Department Program report by Kj ersti Duncan.
ADJOURN
(Items may be taken in different order)
** Additions /Changes /Corrections
Items for County Board approval must be submitted to the County Clerk's office
by Wednesday morning preceding a County Board meeting.
8/7/2007 4:33 PM
LONG TERM SUPPORT PLANNING COMMITTEE
MEETING MINUTES
August 23, 2007
MEMBERS PRESENT: James Craig, Bill Cranmer, Keith Gregerson, Lorraine Jacobs,
Ron Jansen, Cindy Leonard, John Mortensen, Richard Peterson, Melissa Walthal
MEMBERS EXCUSED: Deb Ramacher, Marge Wolske
STAFF PRESENT: Ron Lockwood, LTS Coordinator; Angie Magoon, LTS Program
Specialist; Norma Vrieze, Birth to Three Supervisor
Meeting called to order by Chair Gregerson at 1:30 p.m.
Roll Call: Quorum present
Motion to adopt agenda by Mortensen, second by Jansen. Motion carried.
Motion to approve previous meeting's minutes by Peterson, second by Cranmer.
Motion carried.
Next Meeting Date and Time: Thursday, October 25, 2007 at 1:30 pm in the Board
Room at the Human Services Complex, New Richmond
OLD AND NEW BUSINESS:
1. Update on Aging and Disability Resource Center Cost development: Handout
"The ABC's of ADRC" by Duncan. Duncan gave brief update. An ad hoc steering
committee has been formed. The ADRC application is going to be finished in October,
2007. So far, the ADRC will start with two LTC Counselors, two Benefit Specialists (one
for aging and one for disabilities, one half -time Nurse, and one Information and
Assistance person. The offices will be located in Hudson and New Richmond, although
details are yet to be worked out. Some staff may be shared between both locations.
Discussion.
2. Discuss efforts to provide choice regarding the Care Management Organization
in the Long Term Care Reform System: Handout by Lockwood of conference call with
LaCrosse County dated 8/22/07. West Central Wisconsin Care Management
Collaborative has requested a resolution to be a provider for managed care for St. Croix
County. Eau Claire, Pierce and St. Croix have the option to join eight other counties
already in the coalition to have WCC as another provider choice for Long Term Care. The
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resolution must support the addition of a public provider choice for their citizens and staff
directed to request consideration from the District Implementation Council as it prepares
the action agenda for the new District Board and MCO and defer enrollment and program
options until such time as the desired dual Family Care Options, CHP and WCC MCO can
be offered concurrently to enable and assure real consumer choice. The budget bill
currently before the Governor removes County liability for Family Care Districts if there are
losses in the county where family care is operating. WCC requires one representative from
each county to serve on the governing board. Long Term Care Reform is scheduled to be
implemented with CHP on 04/01/08 and WCC is concerned with CHP starting first so there
may be a two to three month delay in the start date to July, 2008. The State of Wisconsin
does not want a choice on the care management level. There may be a $2.7 million
annual charge for the county's share of capitation payments in the first year of reform
based on 2006 match dollars. If the program is implemented mid -year the county
contribution will be pro -rated and reduced by the amount of match dollars already
contributed in the year. 2008 budgets will be built as if nothing will change and a fiscal
analysis will be done. The MCO will employ governmental employees but the employees
will not be St. Croix County employees; however, they will be union employees with
access to Wisconsin retirement. The pay scales will be developed based on all the
counties in the consortium, which are mostly rural counties so the scale will likely be lower
than St. Croix County. The contribution will go down to 22% of the current county
allocation. Lockwood reminded the Committee that another resolution will be needed when
a decision is made as to which direction to go with Long Term Care Reform. Lockwood
indicated the risk section of document comparing the Private MCO and the Public MCO
indicates under the private MCO there is no risk to the county for managed care. All the
risk is born by the private MCO. However, under the public MCO if the organization is
created under the current family care district statutes, the 'obligations and debts of the
family care district are also not the obligations or debts of the county that created the
family care district.' Discussion.
3. Financial Report: Handout by Lockwood through 6/30/07. Discussion.
4. Variance & Purchase Requests and COP high -cost requests: None at this time.
5. Relocation /Diversion Requests: There are 2 (I.F. & C.G.) Nursing Home Relocation
requests at this time. Motion to approve request for both relocation requests by
Jacobs, second by Jansen, motion carried. It was noted that the area Nursing Homes to
their credit are making most of the referrals for nursing home relocations.
6. LTS Unit budget for CY2008: Handout of budget by Lockwood. Budget was created
assuming that no major changes in system design will occur in 2008. A fiscal analysis
assuming full implementation of Long Term Care Reform during 2008 should be
completed for the October meeting. Discussion.
7. Kjersti Duncan, Director, Department on Aging — Program Report: Duncan
stated the Caregiver conference was coming up.
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Jansen handed out a Wisconsin Legislative Directory issued by the Wisconsin Council
on Developmental Disabilities. Jansen also wanted to thank the St. Croix Industries
program that is working with his daughter. St. Croix Industries is making a huge
difference with his daughter.
Motion made to adjourn at 3:25 p.m. by Mortensen, second by Cranmer, motion
carried.
Submitted by
Angie Magoon
LTS Program Specialist
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