HomeMy WebLinkAboutLong Term Support Committee 02-22-01ST. CROIX COUNTY
NOTICE OF COMMITTEE MEETING
TO: Tom Dorsey, Chairman
St. Croix County Board
FROM: Ron Lockwood, LTS Coordinator
Long Term Support Unit
DATE: February 6, 2001
COMMITTEE TITLE: Long Term Support Planning Committee
MEETING DATE: THURSDAY FEBRUARY 22, 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)
UNFINISHED BUSINESS:
1) St. Croix Industries Report by Ron Eichstaedt
NEW BUSINESS:
1) Financial Report
2) Variance & Purchase Requests & COP High -Cost Requests
3) Comprehensive Mental Health /Substance Abuse Parity Legislation and State
Budget bill proposals for state financing of Community Support Programs,
presented by Mental Health /AODA Coordinator Ron Kiesler.
4) Survival Coalition recommendations regarding Biennial Budget by Wanda Viellieux
and Ron Lockwood.
5) Prescription Drug benefit for older persons and other CWAG proposals by Sandy
Gehrmann.
ANNOUNCEMENTS & CORRESPONDENCE:
POSSIBLE AGENDA ITEMS FOR NEXT MEETING:
ADJOURNMENT:
Copies to: County Clerk's Office
Committee Members
C
• Eliminate waiting lists for persons with developmental disabilities and persons with brain injuries -
$40 million GPR/yr. for CIP IB and Brain Injury Waiver
• Eliminate waiting lists for persons with physical disabilities - $8 million GPR/yr. for COP - Waiver
• Eliminate waiting lists for the Family Support Program - $2.5 million GPR in Year 1 & $5 million GPR in Year 2 1
• Increase funding for the Birth to 3 program - $2 million GPR in Year 1 and $2 million GPR in Year 2
• Eliminate waiting lists for Medicaid Community Support Programs for adults with mental illness
B. CRISIS IN COMMUNITY SERVICES E. FAAMY CARE
• Provide $20 million GPR in Year I and $20 Funding for the Alternative Model
million in Year 2 to increase wages for' _ t. -, .,.,.
community service workers by 30% F. MENTAL HEALTH PACKAGE
C. "FAMILIES ARE WORTH IT" CHILDREN & • Increase funding for Mental Health/Substance Abuse
FAMILIES PACKAGE demonstration project counties, and fund independent
advocacy component, evaluation and planning
• Begin piloting Children's LTC Redesign (serve
20% of the state's eligible children) - $1.3 Medicaid CSP funding to end waiting lists
million GPR in Year I and $3.3 million GPR violate Medicaid taw)*
in Year 2
• Funding for Medicaid Crisis Intervention services
• Increase funding for the Family Support ;
Program and the Birth to 3 Program Increase funding for wraparound services for children
with severe emotional disabilities
• Add 7 more projects to the Lifespan Respite -
Initiative (@ $225,000 each year) Comprehensive Mental Health/Substance Abuse
Parity legislation
• Increase fimding for Special Education
• Funding for consumer and family support
D. STATE INSTITUTIONS
G. CROSS DISABEU TY PROGRAMS :,... . .
• Increase CIP IA rates to the maximum
allowable levels within federal limits - • " D 4 funding and reforms
• • . Specialized tcanspoitatioa fondling , -�
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� '� '��s��•`- .. - raSSiStLY I�TCCl1aOlO�,I�1ti�t\Te?' �
*Also part art of the W Ii
te aiting List Initiati
. .t.. o ."'.3 .. - •_q' .. ;3�..:. r_i. 3' __° �2:? �: s''' �i3xl "a'•?ek�;f�st+'?�".~
A. THE WAITING LIST INITIATIVE
1/3/01
Mental Health Package
2001 -2003 State Budget
A. Mental Health/ AODA Managed Care Demonstration Projects
1. Demonstration Site Planning and Development Funds
We are requesting $125,000 per site (federal and state funds combined) in each year of the biennium to
achieve adequate funding to ensure successful implementation of these projects. This money will be
utilized to develop information systems, support network development, formulate quality improvement
processes, fulfill the additional requirements of a managed care contract, and involve consumers and
family members in the planning process. (Cost: $250,000 GPR each year)
2. Independent Advocacy
Create an external independent advocacy program comparable to what has been done for Family Care;
one FTE position for each 1000 enrollees. The MH/AODA managed care demonstrations are projecting
total enrollment of slightly over 3000 individuals to be phased in over the period of the demonstrations.
We are therefore requesting one FTE beginning Jan. 2002 with an additional FTE added in FY03.
(Cost: $62,500 total for the biennium)
3. DHFS Planning and Development
We are requesting one staff person to provide technical assistance and monitoring for the demonstration
sites beginning in Jan. 2002. Half of the cost for this position should be funded by FFP. This project is
currently staffed considerably below the level of Family Care, a fact which is reflected in DHFS' current
inability to accomplish the number of complex tasks required for this initiative. (Cost $45,000 GPR total)
4. Evaluation
We are requesting $100,000 in FY02 and $200,000 in FY03 to contract with an independent entity to
conduct consumer outcome surveys and other activities to support project evaluation.
(Cost: $150,000 GPR)
B. Medjcal Assistance Program
1. Community Support Program (CSP) Funding
We are requesting that the state pay the state share of Medicaid CSP reimbursement for all eligible yet
currently unserved individuals. This is necessary because a significant number of individuals are on formal
or informal waiting lists for this service in violation of Medicaid regulations. - -
(Cost: $450,000 GPR in Year I and $1.5 million in Year 2)
Y: -
2. Crisis Intervention Funding
We are requesting the state to pay the state share of Medicaid crisis intervention. We believe this service
is currently underutilized because counties and tribes pay the "state share" of the Medicaid reimbursement
rate for crisis intervention services. This results in a disincentive for counties/tribes to provide this service
because Medicaid would pay the full amount if the individual is hospitalized. Studies suggest that the use
of crisis intervention would reduce psychiatric hospitalization costs as well as emergency detentions,
while providing a less restrictive alternative for individuals in crisis.
(Cost: $1 million in Year 1 and $2 million in Year 2)
C. Other Initiatives Supporting the Blue Ribbon Commission Recommendations
1. Wraparound✓Integrated Services for Children and Adolescents with Serious Emotional Disturbances
Up to this point the state has provided $80,000 per site from the Mental Health Block Grant in seed
money to over 20 counties to develop these systems of care. We are requesting $200,000 in FY02 and
$600,000 in FY03 to provide grants to additional counties. We are also requesting. 1.5 FTE staff persons
in the Bureau of Community Mental Health to implement and monitor these projects beginning in Jan.
2002. These projects have been successful in reducing inpatient hospital stays (resulting in savings to the
Medicaid program) and in reducing juvenile justice placements.
(Cost: $245,000 GPR in Year 1 and $690,000 in Year 2)
2. Consumer and Family Support
Using Mental Health Block Grant funds in the DHFS supports a variety of activities that increase the
availability of consumer- operated services throughout the state and provide information, education,
advocacy and support to families of persons with mental illness. We are requesting $250,000 in FY02 and
$500,000 in FY03 that the DHFS can use to contract for additional consumer and family support
activities that meet the goals and outcomes established by the BRC.
We are also requesting $24,000 each year to increase the BCMH Consumer Relations Coordinator
position to I FTE. This position has been responsible for providing a critical mental health consumer
perspective within DHFS, helping to involve other consumers in planning efforts and providing technical
assistance and support to consumers throughout the state. However, the need in this area well exceeds
the resources of a part -time (.6 FTE) position.
D. Comprehensive Mental Health/Substance Abuse Parity Legislation
We support legislation which would prohibit the discriminatory practice of health insurance companies which
arbitrarily restrict the level of mental health treatment included in their coverage (in comparison to other
medical services available.)
2
ST. CROIX COUNTY DEPARTMENT OF HEALTH
AND HUMAN SERVICES / HEALTH CENTER
1445 N. Fourth Street
New Richmond, Wisconsin 54017 -1063
Alcohol / Drug Abuse
246-&M
Child Protection
246aM
LONG TERM SUPPORT PLANNING COMMITTEE
Economic Support
MEETING MINUTES
246 -8257
February 22, 2001
Family & Children's
Services
2468285
Home Health
2468279
MEMBERS PRESENT: James Craig, Keith Gregerson, Fem Johnson,
Long-Term Clinical
Ray Mealey, John Mortensen, Robert Palewicz, Marguerite Sumner,
Services/CSP
Wanda Viellieux, Marge Wolske, Glenda Zielski
248.8400
Long-Term Support
MEMBERS EXCUSED: Bruce Bayer, Robert Boche, Richard Peterson
246 -8250
Mental Health
MEMBERS ABSENT: Francis Schaffner
2468287
Nursing Home
STAFF PRESENT: Ron Lockwood, LTS Coordinator; Dena Ryttie, LTS
2466991
SW Supervisor, Michele Johnson, LTS Program Specialist; Sandra
Public Health
Gehrmann, Department on Aging Director
Family Planning
WIC
246 -8263
GUESTS: Ron Eichstaedt, St.Croix Industries Director; Colleen Hammer,
St. Croix Industries
St. Croix Industries Asst. Director; Ron Keisler, Mental Health/AODA
246-WW
Coordinator
FAX
246-
6SM
Meeting called to order by Chair Ray Mealey at 1:30pm
Information
Roll Call: Ten present, three excused and one absent.
Other Departments
715/2466991
TDD
Motion made by M. Sumner to adopt agenda; second by F.Johnson,
246&'!25
carried.
Motion by K.Gregerson to accept previous meeting minutes as written;
second by R.Palewicz, carried.
Next Meeting Date: April 12, 2001 at 1:30pm at St. Croix Human
Services complex — Board Room.
UNFINISHED BUSINESS:
St Croix Industries report by Ron Eichstaedt — A brief overview of St
Croix Industries (SCI) operations was given tying it in with the year 2000
annual report. SCI offers a variety of opportunites for disabled persons
from St. Croix County. Some of the services include Support Services.
Community Based Day Program, Supported Employment, Work Services.
LTS Planning Committee Meeting
02/22/01
Page 2
Ron shared descriptions of these programs, who they benefit and statistics on the
numbers of persons in these programs. Details can be found in the 2000 Human
Services Annual Report.
Other SCI topics discussed were space issues, community involvement, funding and
awareness of the community and the full county board. A suggestion of having Mr.
Eichstaedt report to the full county board was made. After further discussion, it was
decided that it is the role of the human services board to convey these reports to the full
county board and make them aware of the programs operated under the human
services board.
NEW BUSINESS:
Financial Report Financial report for year end of 2000 shows that our expenses were
within budget on most everything and any that are over, has some carryover attached
with it.
Dena Ryttie gave a report on the waiting list. (it will not be on the financial report any
longer). Care is being taken to be sure that no person is left in immediate danger to
themselves or others. Dena and other LTS Staff members are working on a policy and
what constitutes a urgent or crisis situation.
Variance & Purchase Requests: A variance to the waiting list was requested by LTS
Social Worker D.Gillen in regards to a client that has been in LTS system for the past 15
years. He has lived in an Adult Family Home and has been supported with St. Croix
County funds and his own. He has now spent down a small inheritance and is eligible
for the MA Waiver 1 B program. The timing of his eligibility has changed due to a
change in state law which allows him to buy into the MA program by paying a share of
his wages as a premium. Approving this variance would allow MA waiver funds to pay
for his support services thus reducing the county costs by $10,800 over the next three
years. Motion to approve variance by W. vellieux; second by I Mortensen; carried
Ron Kiesler, MH/AODA Coordinator, reported on mental Health/ AODA Legislative
and Budget proposals. Ron shared information regarding a plan that has been in the
works for two plus years called Community Comprehensive Services which would
broaden the target groups that could receive community supported services and help
decrease the waiting list for the MH Community Support Program. However, there has
now been some concern that this would only increase the waling lists, because there
would be many more clients that would qualify. The federal share (59.29 %) of this
program would not cover costs for increased staff to manage these extra cases unless
the state would pick up the matched dollars. After discussion and questions a motion
was made by M. Wolske to have this committee advocate with the legislature to have
the state fully match the 40.71% ; second by W.Viellieux; carried.
LTS Planning Committee Meeting Page 3
02/22/01
Survival Coalition Report by Wanda Viellieux and Ron Lockwood. The Survival
Coalition is a group of professionals and consumers that meet every Monday in
Madison to discuss issues that effect disabled persons. Motion by K.Gregerson, second
by M.Sumner to show support of the 2001 -2003 Proposal for disability services; carried.
Motion made by J.Mortensen, second by J.Craig to support legislation to eliminate size
limits on residential care apartment complex funding; carried. Motion by W.Viellieux,
second by M. Sumner to support legislation that provides for licensing private agencies
to be personal care only providers; carried.
Aging Department Report:
• Prescription drug Senate Bilr 1 — handout. Motions by K.Gregerson; second by
M.Wolske for this committee to contact legislators to support Senate Bill 1; motion
carried.
• New Program — Senior Farmer Market Program — to run June -Oct. Will use a
voucher system. Contact Department on Aging for more details
• Local AARP Chapter — apparently there is not New Richmond Chapter and hasn't
been for quite some time now. Sandy G and Ron L would coordinate a local
advocacy group. Contact them if you know some of 50+ years old that would be
interested.
• Outstanding senior nominations are being taken.
Additional Business:
John Mortensen reported on the State LTS Meeting, one issue discussed was the many
nursing home closings. 52 in 2000; one owner may close a nursing home, move
residents around, and then closes another, moves residents around, etc.
Motion to adjourn at 3:OOpm by J.Mortensen, second by K.Gregerson; carried.
Submitted by
Michele Johnson, LTS Specialist