Meeting Minutes
Webster County
MH/DD Planning Committee
Meeting Minutes

Webster County Disabilities Alliance
Planning Meeting
February 4, 2010

Attending: Beth Stuhr, Diana Johnson, Gregg Kreamer, Mary Augustus, Linda Smith, Richard Scisco, Deb Delp, Ken Hays, Martha Miller, Irene Blair, Teresa Naughton

  1. Welcome was given.
  2. December minutes were reviewed.  Linda Smith moved to accept the minutes, Gregg Kreamer seconded.  Motion passed unanimously.
  3. CPC/Case Management Report:
    1. Irene submitted her budget for fiscal year 11 to the county.  The budget was kept about the same.
    2. November expenditures were at 30% of the budget, at 42% of the year.  In December, 35% of the budget was spent by 50% of the year.  Irene believes the decrease to the non-federal Medicaid match (the match is known as FMAP) has made a huge difference in the budget.  The FMAP is scheduled to end December 2010.  If it ends, then there will be an increase in the Medicaid bills.  FMAP may be extended, but it is unknown at this time.  Webster County has a substantial fund balance, which may be good.  No one knows what the future will be.  There has been a 10% cut in Iowa by the governor which affects Property Tax Relief dollars.  Providers have been cut by 2.5%, which includes case management.  The FY10 balance will impact dollars the county may be eligible to receive for the FY12 budget. 
    3. Irene reviewed the December 2009 and January 2010 commitments.  There were lots of children committed in January.  There continues to be a number of people either in the hospital or in residential care.  Irene is unsure why.
    4. Ken has been busy with new files.  There are 193 individuals receiving case management.  It is difficult to get people eligible for case management, and Irene gave an example of a Magellan denial.
    5. The County Support Network is an information management system that is now live.  In the long run this will save time.  New CPC applications can be entered directly, communication with DHS/ISAC will be enhanced.  Pam is working on the glitches.
    6. State Payment Plan:  There is a waiting list currently.  There had been discussion on disenrollment, but Risk Pool dollars will be used to fund enrollees.  There are over 150 people on the waiting list, but if a person is committed then they get services right away.
    7. DHS Reorganization: The target date for completion is March.  Bill Gardam will no longer be in his position, but instead it will be Jeannie Nesbitt.  She will have the MH/DD commission, plus now institutions and accreditations.  There may be an early retirement program offered.
    8. County Management Plan: There was a public meeting December 15 to approve the plan.  The Webster County plan has been submitted to the state.
    9. A special about the ACT Program will be on IPTV on March 4th at 8pm. 
  4. Legislation
    1. State Government Reorganization Bill: The Senate passed it, and it has been sent to a House Sub-Committee.  The bill includes closing Mt. Pleasant.  In Division 25, it directs DHS to reduce paperwork, staff, etc.
    2. Other bills discussed included HF2093 (Accountability Measures), HF 2095 (SCL Transportation), HSB572 (Field Services), SF2063 (changing how administrative costs are defined and limiting to 18% instead of the current 20%), HSB569 (Revisions to MH/DD commission), SF2072 and SF2050 (defines communication procedures between law enforcement and hospitals due to the Ed Thomas situation), and HF2094 (evals to be made to determine appropriate level of care, not confirming original diagnosis). 
    3. The first funnel is February 12.
  5. Representative Payee: Webster County Disabilities Alliance is the representative payee for a very small number of people.  Bank of America requires documentation that other banks have not required; they won’t accept documentation from the Social Security Administration.  A statement from this committee is needed to allow Webster County Disabilities Alliance to be payee.  Teresa made a motion to allow Webster County Disabilities Alliance to be payee.  Linda Smith seconded the motion.  The motion passed unanimously.
  6. Provider Reports
    1. Fort Dodge Schools: No report
    2. Iowa Vocational Rehabilitation Services: The state budget has decreased.  There will be 14,700 on the IVRS caseload.  By 2012, there will be 5,000 -6,000 less on the caseload.  People employed by IVRS will decreased.  Currrently there are waiting lists for two of their three lists (no waiting list for those classified as Most Significantly Disabled).  There are around 800 currently on the waiting lists.  This will mean that when individuals are not progressing with IVRS services, their services will be terminated in order to serve another who is waiting.
    3. Iowa Workforce Development: There is funding for the Navigator position through June 30.  The future of the Navigator program is unknown.  Programs through Ticket to Work will have priority, and the Navigator program is one of them.  Unemployment is expected to be high through 2012.  Two smaller businesses will be closing in Fort Dodge, but Boehringer Ingleheim Vetmedica (former Fort Dodge Animal Health) has openings.  ICCC is offering $15 classes on basic computer skills, something that many job seekers need.  The volunteer income tax program is again offered through the United Way.
    4. LifeWorks: Had to do some reductions in the workforce. One position was eliminated and seven were reduced.  Thursday February 11 is Charter Night for the Aktion Club.  So far, about 88 people plan to attend.
    5. Northwoods Living: They are now officially known as “Northwoods Living, a service of Opportunity Village.”  NWL has gotten a great deal of assistance from Opportunity Village.  A CARF recommendation they have is to make the performance evaluation form more reflective of the job description, so if anyone has a sample please forward to Linda.  Some staff will be reshuffled to different positions locally, but no one will be losing their job.  Plans are being made to have their first fundraising walk, targeted for the first Sunday in May. 
    6. Berryhill Center: No report.
    7. Friendship Center: DART will provide some limited transportation in the evenings and weekends.
    8. Genesis: There have been cuts to T-XIX and Medicare.  It is challenging to find a provider who will take patients with T-XIX.  There is limited psychiatric care: Ames won’t take people with T-XIX or who live outside the area.
    9. Mental Health Advocate: No report
    10. Action Program: Census is the same.  They will have a fidelity visit in May.  State standards are coming out.  They will be featured on IPTV, as reported earlier.
  7. Committee Reports
    1. Acute Care/Crisis: People have been interviewed for the Mobile Crisis team, and they are running background checks.  The Goal is to start March 1, which might be an ambitious goal.  They need to write policies/procedures, educate law enforcement, and other things.
    2. Education: Met January 22.  The spring legislative forum may not happen given the shortened session.  They are looking at another format.  The committee is considering a workshop to the community on suicide prevention, something on guardianships/trusts, advocacy training.
    3. Administrative Rules: No report.
    4. Community Employment: The focus is on employer awareness.  They wish to present to civic organizations, the Chamber of Commerce’s Employer’s Network, and get into the newspaper more.  There is a local HR Roundtable, and about 15 people attended.


Next meeting: Due to Irene being on vacation, the next meeting was changed from March 4 to Thursday March 11.

Teresa Naughton