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HomeMy WebLinkAboutLong Term Support Committee 09-06-01N ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Tom Dorsey, Chairman St. Croix County Boar FROM: Ron Lockwood, LTS Coordinator Long Term Support Unit DATE: August 21, 2001 COMMITTEE TITLE: Long Term Support Planning Committee MEETING DATE: THURSDAY, SEPTEMBER 6, 2001 MEETING TIME: 1:30 P.M. MEETING LOCATION: Board Room at Human Services Center New Richmond 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) OLD BUSINESS: 1) WI Tech proposal to provide low interest loans to people with disabilities to purchase new or used assistive technology. 2) Consider action to support Conference Committee State Biennial Budget recommendations regarding COP, CIP IB, FSP and Birth to Three Programs. NEW BUSINESS: 1) Financial Report 2) Variance and COP High -cost Requests 3) Nursing Home Relocation Requests 4) Changes to COP and MA Waiver Wait List Policy 5) CY 2002 Budget Proposal ANNOUNCEMENTS & CORRESPONDENCE: POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT: Copies to: County Clerk's Office Committee Members /Its- com/notice ST. CROIX COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES I HEALTH CENTER 1445 N. Fourth Street New Richmond, Wisconsin 54017 -1063 Alcohol / Drug Abuse 246 -8209 LONG TERM SUPPORT PLANNING COMMITTEE Child Protection MEETING MINUTES 246 -8285 September 6, 2001 Economic Support 246 -8257 Family & Children's Services MEMBERS PRESENT: Bruce Bayer, Robert Boche, James Craig, Keith Gregerson, Fem Johnson, Ray Mealey, Robert Palewicz, Richard Home Health 246-8279 Peterson, Francis Schaffner, Marguerite Sumner, Wanda Viellieux, Marge Long -Term Clinical Wolske, Glenda Zielski Services / CSP 246 -8400 MEMBERS EXCUSED: John Mortensen Long -Tenn Support Early Intervention 246 -8250 MEMBERS ABSENT: None Mental Health 246 -8287 STAFF PRESENT: Ron Lockwood, LTS Coordinator, Michele Johnson, Nursing Home LTS Program Specialist 246 -6991 Public Health Meeting called to order by Chair Ray Mealey at 1:30pm. Family Planning WIC Roll Call: Quorum present 246 -8263 St. Croix Industries Request by R. Lockwood to add a report from W.Viellieux regarding AB 246 -8299 473 regarding study of the future of DD Centers.Motion to add report on AB 473 and adopt agenda by Sumner,_ second by Peterson; carried 246-8225 246 -8220 Information Motion to accept previous meeting minutes by Boche, second by Other Departments Gregerson, carried. 715/246 -6991 TDD 246-8325 Next Meeting Date: Thursday, November 1, 2001 at 1:30pm in board room at Human Services Complex, New Richmond UNFINISHED BUSINESS: WIS Tech proposal to provide low interest loans to persons with disabilities to purchase new or used assistive technology devices. Not enough information available and also, the time limit is over for letters of support. We will keep an eye on this grant and look into it next year if they need support again. State Biennial Budget Ron handed out an analysis by DAWN of the positions taken by the governor and other constituents with proposed vetoes and approvals to the biennial budget. 1 LTS Committee Meeting September 6, 2001 NEW BUSINESS: Page 2 Financial Report: Report of expenses for January through June 2001 was presented. All program expenses are on target. Variance & Purchase Requests: None Nursing Home relocation requests: R.Lockwood requests endorsement from this committee for relocation slots from the state. These are funds available now to support moving persons from nursing homes to community placements. The funds will continue in the future by being allocated as a permanent increase to our COPW budget. We have one client approved for this and one in process at the present time. Motion to endorse applications for nursing home relocation slots by Gregerson; second by Boche; carried. Waiting list policy change: After discussion, a motion to change wording in #4 regarding the rejection of services to the following: "Persons who rise to the top of the waiting list and subsequently reject an offer of application for services, but who wish to be considered for application at some future time, will be moved to the bottom of the waiting lists ". Motion made by Viellieux; second by Wolske; carried. Calendar Year 2002 budget: Ron Lockwood distributed update of the budget request that will be presented to the HSB. Ron noted that there was an additional $100,000 from MAPC that was collected in year 2001 for services in 2000. Because of the type of accounting system we have, these monies are reported in the year they are received, therefore, the $100,000 in collections is considered current year revenue. This will represent a decrease to the community aides money needed and increase the amount for carryover in the general fund. Motion to approve submitting the HSB with this change made by Wolske, second by Boche; carried. Please call Ron if there are any questions on this. A13#473- Studying the future of DD Centers. Lockwood encouraged members to watch this bill and possibly consider communicating concerns regarding this bill to reps K.Rhoades and M.Pettis. A recommendation by the committee was made to have R. Lockwood communicate with the state reps and put any response on the next meeting. Discussion & questions regarding Foster Care. Will contact Fred Johnson, Family Children's Services to come to the next meeting and present information regarding such. Motion made to adjourn by Peterson, second by Palewicz. Motion carried. Submitted by Michele Johnson,LTS Program Specialist N ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Tom Dorsey, Chairman St. Croix County Boar FROM: Ron Lockwood, LTS Coordinator Long Term Support Unit DATE: August 21, 2001 COMMITTEE TITLE: Long Term Support Planning Committee MEETING DATE: THURSDAY, SEPTEMBER 6, 2001 MEETING TIME: 1:30 P.M. MEETING LOCATION: Board Room at Human Services Center New Richmond 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) OLD BUSINESS: 1) WI Tech proposal to provide low interest loans to people with disabilities to purchase new or used assistive technology. 2) Consider action to support Conference Committee State Biennial Budget recommendations regarding COP, CIP IB, FSP and Birth to Three Programs. NEW BUSINESS: 1) Financial Report 2) Variance and COP High -cost Requests 3) Nursing Home Relocation Requests 4) Changes to COP and MA Waiver Wait List Policy 5) CY 2002 Budget Proposal ANNOUNCEMENTS & CORRESPONDENCE: POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT: Copies to: County Clerk's Office Committee Members /Its- com/notice ST. CROIX COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES I HEALTH CENTER 1445 N. Fourth Street New Richmond, Wisconsin 54017 -1063 Alcohol / Drug Abuse 246 -8209 LONG TERM SUPPORT PLANNING COMMITTEE Child Protection MEETING MINUTES 246 -8285 September 6, 2001 Economic Support 246 -8257 Family & Children's Services MEMBERS PRESENT: Bruce Bayer, Robert Boche, James Craig, Keith Gregerson, Fem Johnson, Ray Mealey, Robert Palewicz, Richard Home Health 246-8279 Peterson, Francis Schaffner, Marguerite Sumner, Wanda Viellieux, Marge Long -Term Clinical Wolske, Glenda Zielski Services / CSP 246 -8400 MEMBERS EXCUSED: John Mortensen Long -Tenn Support Early Intervention 246 -8250 MEMBERS ABSENT: None Mental Health 246 -8287 STAFF PRESENT: Ron Lockwood, LTS Coordinator, Michele Johnson, Nursing Home LTS Program Specialist 246 -6991 Public Health Meeting called to order by Chair Ray Mealey at 1:30pm. Family Planning WIC Roll Call: Quorum present 246 -8263 St. Croix Industries Request by R. Lockwood to add a report from W.Viellieux regarding AB 246 -8299 473 regarding study of the future of DD Centers.Motion to add report on AB 473 and adopt agenda by Sumner,_ second by Peterson; carried 246-8225 246 -8220 Information Motion to accept previous meeting minutes by Boche, second by Other Departments Gregerson, carried. 715/246 -6991 TDD 246-8325 Next Meeting Date: Thursday, November 1, 2001 at 1:30pm in board room at Human Services Complex, New Richmond UNFINISHED BUSINESS: WIS Tech proposal to provide low interest loans to persons with disabilities to purchase new or used assistive technology devices. Not enough information available and also, the time limit is over for letters of support. We will keep an eye on this grant and look into it next year if they need support again. State Biennial Budget Ron handed out an analysis by DAWN of the positions taken by the governor and other constituents with proposed vetoes and approvals to the biennial budget. 1 LTS Committee Meeting September 6, 2001 NEW BUSINESS: Page 2 Financial Report: Report of expenses for January through June 2001 was presented. All program expenses are on target. Variance & Purchase Requests: None Nursing Home relocation requests: R.Lockwood requests endorsement from this committee for relocation slots from the state. These are funds available now to support moving persons from nursing homes to community placements. The funds will continue in the future by being allocated as a permanent increase to our COPW budget. We have one client approved for this and one in process at the present time. Motion to endorse applications for nursing home relocation slots by Gregerson; second by Boche; carried. Waiting list policy change: After discussion, a motion to change wording in #4 regarding the rejection of services to the following: "Persons who rise to the top of the waiting list and subsequently reject an offer of application for services, but who wish to be considered for application at some future time, will be moved to the bottom of the waiting lists ". Motion made by Viellieux; second by Wolske; carried. Calendar Year 2002 budget: Ron Lockwood distributed update of the budget request that will be presented to the HSB. Ron noted that there was an additional $100,000 from MAPC that was collected in year 2001 for services in 2000. Because of the type of accounting system we have, these monies are reported in the year they are received, therefore, the $100,000 in collections is considered current year revenue. This will represent a decrease to the community aides money needed and increase the amount for carryover in the general fund. Motion to approve submitting the HSB with this change made by Wolske, second by Boche; carried. Please call Ron if there are any questions on this. A13#473- Studying the future of DD Centers. Lockwood encouraged members to watch this bill and possibly consider communicating concerns regarding this bill to reps K.Rhoades and M.Pettis. A recommendation by the committee was made to have R. Lockwood communicate with the state reps and put any response on the next meeting. Discussion & questions regarding Foster Care. Will contact Fred Johnson, Family Children's Services to come to the next meeting and present information regarding such. Motion made to adjourn by Peterson, second by Palewicz. Motion carried. Submitted by Michele Johnson,LTS Program Specialist DEFINITIONS PERSONS WITH LONG TERM SUPPORT NEEDS Developmental disability - Delay in development attributed to one or more of the following conditions: Mental Retardation Autism Cerebral Palsy Brain Trauma Epilepsy -Or- a condition that is "like mental retardation" because the condition results in similar impairment -and- - is manifested before age twenty -two (not applicable to brain trauma) - is likely to continue indefinitely - results in substantial functional limitations in three or more of the following areas of major life activity: (1) self -care, (2) receptive and expressive language (3) learning, (4) mobility, (5) self direction, (6) capacity for independent living and (7) economic self - sufficiency -and- - reflects a need for special, interdisciplinary treatment or other services which are long term in nature. Frail Elderly - persons 65 or older who meet functional and financial criteria. Other Disabled - persons with long term (12 month or longer duration) or irreversible mental or physical illness or disability. CASE MANAGEMENT - Those services which assist individuals in gaining access to and managing needed medical, social, educational, vocational, rehabilitation, financial and other services: 1. Assessment 2. Developing Case Plan 3. Ongoing Monitoring - one or more of the following activities performed by a single and identifiable person Ascertain what services have been or are being offered and whether they are adequate * Supportive contact to client to ensure services are meeting need and to Monitor clientlfamily satisfaction ' Revisions of case plan as needed CRISIS SITUATIONS: the client is deemed to be in an emergency situation and there is a lack of natural supports necessary to assure safety. 1 PROCEDURE FOR SERVICE WAITING LIST St. Croix County will use the following procedures for placing new applicants on waiting lists for Community Options (COP) or Medicaid Community Waiver (CIP IB /CIP IUCOPW) funded services: 1. Make a preliminary determination of the applicant's eligibility by documenting that on the date of placement on the waiting lists: . a. There has been contact with the applicantlapplicant's guardian and that the applicant has long term care needs; and b. The applicant is eligible for funding as determined by the COP Functional Screen; and c. A preliminary determination has been made, based on the applicant's unverified declaration of income and assets, that the applicant is likely to be financially eligible for funding; and d. The applicant's declaration of state residency meets the funding requirements. 2. Place the name of the applicant on the waiting list for Community Options and /or Medicaid Community Waiver funding. 3. Offer the applicant a choice of an immediate assessment to be completed within 45 days (See COP guidelines 5.05 D), or delaying the assessment until a time closer to the point that funding will be available. 4. Provide the applicant with: a. The applicants status on the waiting list, and an estimate of when funding may be available: and b. A copy of the county waiting list policy and procedures; and, c. A copy of the county appeal/grievance procedures; and, d. Information about other long term support programs for which the applicant may be eligible and how to apply for these programs; and, e. Information about potential estate recovery of the cost of any services provided. 2 1 St. Croix County will use the following procedures for serving persons from waiting lists: 1. New or increased service needs of current program participants which the care manager has identified in the participant's most recent care plan as necessary to maintain the participant in the community, and to adequately provide for the participant's health, safety and wellbeing, shall be given priority over providing services to new participants. 2. Priority status will be given to: a. persons from target groups needed to satisfy the significant proportions requirements, b. to persons who are terminally ill, and/or persons who have been protectively placed under Chapter 55, c. persons in IMD slots who become 65 years of age, d. persons who meet "crisis situation" definition on page 1. e. children in out of home placements supervised by Family & Children's Services when Family & Children's Services is assuming responsibility for local match requirement. 3. In the absence of persons with priority status, persons on the waiting list will be served in the order of the date of placement on it. 4. Persons who rise to the top of the waiting list and subsequently reject an offer of application for services, but who wish to be considered for application at some future time, will be moved to the bottom of the waiting lists. misc waiting list definitions 073001 3