Meeting Minutes
Webster County
MH/DD Planning Committee
Meeting Minutes

Webster County Disabilities Alliance
Planning Meeting
December 3, 2009

Attended:  Ken Hays, Kim Motl, Jim Burr, Linda Smith, Lis Ristau, Mary Augustus, Gregg Kreamer, Brian Schmidt, Richard Scisco, Teresa Naughton, Irene Blair

  1. Welcome was given.
  2. November Minutes were approved.
  3. CPC Report & Case Management Report:
    1. The fund balance is increasing.  The state auditors were here before Thanksgiving.  Last year’s fund balance was at 33%. The non-federal share of Medicaid services has decreased, so the FMAP is now 27.5%.  This has had significant impact on budget.  It is unknown how the legislature will handle this.  Irene believes it’s good that Webster County will have the fund balance.  Currently, FMAP ends Dec. 2010 and the non-federal share of Medicaid will go back up to the original level, around 37%.  There’s talk about the Federal government continuing the decreased non-federal share.  Webster County will receive no money from state because of the high fund balance.  The December fund balance is down a bit from November.  Due to FMAP change, DHS has held bills.  In October, no Medicaid bills were paid.
    2. Commitments are down for November.  November last year was low also.  No children were committed. 
    3. CPC applications are down.  The statistical report doesn’t include applications from case management, hospital, or other CPC’s. Case Management data remains relatively the same.  There are more new case management referrals.
  4. Irene made a clarification about the County budget.  MH/DD services has own fund, services are not paid from the “general basic” fund.  It is in the general basic fund that Webster County must make budget cuts.    
  5. County Management Plan: Wright, Webster, Humboldt, Kossuth, Hamilton, Pocahontas and Calhoun have a united plan.  A hearing will be held Dec. 15th at 10:30.  Irene said that she doesn’t believe the new plan will make Webster County change what they are currently doing. 
  6. Annual Report: This has been e-mailed in and should be on the Webster County website.  The statistics used pull up on the information system used by all counties.  The Friendship Center expenses are going into administrative costs, but people served aren’t being captured.  Also, all case management costs are also in the administrative category.  The system isn’t showing accurate data.
  7. Provider Reports
    1. Fort Dodge Community School District: Lost 131 students, so $750,000 in revenue will be lost.  Lis reviewed other statistics.
    2. Iowa Vocational Rehabilitation Services: Supervisors in Iowa are required to take seven furlough days.  Counselors, who are in a union, don’t have to take furlough days.  Work is being done to share resources.  Last week IVRS had to increase the wait list for “all others eligible”, plus now they have wait list for those identified as “significantly disabled.”  There is no waiting list for people defined as most significantly disabled.    
    3. Iowa Workforce Development: They launched the Integration Program Nov. 20th.  Upon entry, people are getting more assessment.  Through the interview process they are finding there are more people disclosing disabilities.  This was anticipated.  Job situation is miserable right now, and there is lots of competition for jobs.  IWD must cut areas of the budget, and some IWD employees are being required to take furlough days.
    4. LifeWorks: Home and Community Based Services under waivers are being cut by 2.5%.  This is LifeWorks’ largest funding source.  Annual reports have been sent out.  Holiday celebrations are being prepared.  The local Kiwanis clubs partnered with LifeWorks to start an “Aktion Club” for people with disabilities, and charter night will be February 11.  There are currently have two RCF openings.
    5. Northwoods Living: Linda is working hard on transition activities, since they will become part of Opportunity Village on January 1.  They have one 2-bedroom opening at Town Square Apartments.  NWL had an energy audit.  They are hiring, PT Aide, 2 PT direct care, one 32 hour direct care.
    6. Berryhill Center for Mental Health: Jim is working on recruitment and the budget.  Dr. Bernhagen would like to cut days in the clinic to 2 and use telehealth.  The Berryhill Center wants another Psychiatrist or Nurse Practitioner.  Cindy Schuman is leaving.  No plans to replace her, remaining staff will absorb her workload.  Melanie Bonstetter is booked, they are running out of people who can see kids.  Budget is still a challenge.  Substance abuse counseling is not doing well.  Only people they can see have T-XIX or own insurance.  Effective on the first of the year it will be a part-time program.  The Mobile Crisis Unit is struggling for recruitment. The Center continues to be up in terms of the number of individuals served.
    7. Friendship Center- Numbers of people who attend are up this time of year.  They had a good Thanksgiving dinner, serving between 25-30 at the meal.  Dollars were received from Window to my World, and the Friendship Center has dollars in their budget.  They want to extend hours until 11pm during the holidays.  Mon- Sat. 6:30-9pm, and Sunday 10am-9pm are the current hours.   
    8. ACTION Program- Thirty seven is the current census.  They hired last month, so the team is at 5.5 full-time equivalents.
  9. Committee Reports:
    1. Acute Care- meets tomorrow.
    2. Education- meets tomorrow.
    3. Administrative- Needs to set up a time to meet.
    4. Vocational- A presentation was done for Noon Kiwanis.  The goals were to debunk myths, rather than “worker shortage”.  They used a clip on the Walgreens Distribution Center.  The presentation went over well.  On November 19th, the committee invited employers.  One store manager from Wal-Mart came.  They will pursue other presentations at the end of the year.

Merry Christmas!

Next Meeting Thursday, January 7th, 2009

Respectfully Submitted,
Teresa Naughton