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MEETING MINUTES |
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MEETING: WCC Steering Subcommittee |
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PURPOSE: Planning |
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Meeting Date |
Location |
Start Time |
End Time |
Call-In # |
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1/23/08 |
La Crosse County Health and Human Services (Basement Auditorium) – 300 N. 4th St. La Crosse |
9 AM |
12 N |
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Facilitator/Lead |
Materials/Preparation Required |
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Gene Phillips |
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Members/Attendance (x = present; italics = alternate) |
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Todd Bowen X |
Carroll Carlson |
Pamela Eitland X |
Mary Faherty |
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Kathy Gauger X |
Melissa Gilbert X |
Ginny Graves |
Connie Herman X |
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Jerry Huber X |
Liz Janke |
Gene Phillips X |
Dean Ruppert X |
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Jane Schmitz X |
Ray Seiler |
Paula Stansbury X |
Phil Wicktor X |
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Others Present |
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Joan Benson |
Jane Deal |
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Items/Actions to Be Discussed |
Time Line |
Outcome/Notes |
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Welcome - Review minutes - Pepin taking minutes |
9 – 9:05 AM |
Gene called the meeting to order at 9:13AM. Minutes were approved. |
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Public Comment Period |
9:05 – 9:15 AM |
No public comment was provided. |
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ADRC Updates |
9:15 – 9:30 AM |
Dean discussed the meeting the ADRC south group had with Donna McDowell, Janice Smith and Wendy Fearnside from the Department of Health and Family Services regarding the application that group had submitted and the response from the State. Dean felt the meeting went well. There was agreement about having non-degreed staff performing the I & A function providing they are AIRS-certified and have the necessary years of experience. The position can be advertised as needing a two-year degree rather than a four-year degree. Upon request for a staff variance, there will be a turnaround time of two days. Jackson County was granted a waiver regarding the encounter reporting requirement until July, at which time Jackson will merge with the La Crosse ADRC. Policies and procedures will be established 60 days before starting.
Paula gave a summary of the ADRC north group activities. Buffalo, Clark and Pepin counties will share a .5 FTE Director. Each county will have its own call center and be staffed by the respective county’s staff. Phone and video conferencing will be utilized for the purposes of training, staffing and meetings to avoid unnecessary travel expenses. Assignments have been made to each of the counties draft certain sections of the ADRC application. These materials will be reviewed in February and March with submission expected by May. Each county will host a series of stakeholder meetings to review the plans for the ADRC and receive input in the next two months. Materials to be presented at the stakeholder meetings are currently being reviewed to ensure consistency. Kathy reported that the Trempealeau County ADRC now is using an AIRS-certified Aging staff member to provide I&A over the noon hour and also using the Elderly Benefits Specialist to provide coverage four hours per week. The ADRC is still checking with the state on whether the EBS can be used to generate additional dollars through 100% time reporting. |
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Recap Implementation Council - Any action needed |
9:30 – 9:45 AM |
Council members would prefer enrollment to occur faster than the proposed strategies indicate but understand the magnitude of the work that needs to be done before enrollment can begin.
Three Council members, along with Jerry Huber and La Crosse County Personnel Director Bob Taunt, will screen applicants for the CEO position on Friday. This group will recommend the top candidates for second interviews.
A subcommittee was established to recruit and recommend a 14th and final Council member.
Andy Phillips reviewed the proposed bylaws for the MCO. Only minor changes were suggested. |
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Follow-up on WRS Participation |
9:45 – 10 AM |
Melissa discussed the WRS issue with Judith Frye of DHFS and relayed the potential impact on implementation. Senator Vinehout and Representative Musser are willing to introduce a bill to provide a second window this year for the MCO to begin WRS participation. |
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Transition Team Issues - RFP Follow-up - Exec hiring process - Personnel update - Implementation timeframes - Other |
10 – 11 AM |
Jane Deal discussed the work being done to satisfy the State’s pre-certification requirements related to the MCO’s business plan. Due to the expansion, DHFS is requiring more narrative than in previous years. Since client data received from the State appears questionable, counties are being asked to submit more current information. She stressed that the information requested is necessary so the CMO has current and understandable data for the business plan. DHFS indicates that once this information is submitted and accepted, the agency has enough staff to devote to the certification process to avoid any unnecessary delays in enrollment.
Enrollment strategies were discussed, and questions arose regarding handling of the wait list. Do counties get to choose which clients enroll initially, or is the order decided according to length of wait or urgent needs? This policy still needs to be clarified. According to state guidelines, the number of individuals who can be put on the initial wait list will be frozen three months prior to the start of enrollment in each respective county. Attrition was discussed. What happens if someone from county A no longer needs services? Does another individual from county A fill that vacant slot or is this slot filled through a combined waitlist pool? Many such issues need to be resolved. |
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Prioritize Future Implementation Council Agenda Items |
11 – 11:15 AM |
Several items for the Feb. 26 agenda were identified at the Jan. 22 Council meeting and were discussed this morning by the Transition Team. These include follow-up on several of the same issues, including selection of the final member and a name for the new entity. Consensus was to wait on the presentation of the draft contract language until the MCO HR director is in place. In addition to the bylaws, the Council needs to develop a number of policies. Members also need to form committees to work on various issues once the Board is officially formed. Council members need to receive the official approval of the counties before becoming the District’s governing board. Since the 14th member still hasn’t been identified, the organizational meeting at which bylaws will be approved and officers elected probably will not take place until March.
Initial screening for the HR and IT director positions should be completed within the next couple of weeks. One major concern is that if there is not movement on the interviewing and hiring process, we will lose the candidates who have applied and this costly and time-consuming process will need to be repeated. The enrollment timeline also will be impacted if hiring is delayed. The CFO position has been re-advertised with a higher starting salary, which hopefully will attract more candidates. |
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Prepare for Large Group Meeting |
11:15 – 11:45 AM |
Assignments were made for the various agenda items for the large group meeting, and issues to address were discussed. |
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Wrap-Up/Lunch |
11:45 AM – 12 N |
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Action Items |
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Resource |
Action |
Due Date |
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Maryellen/Melissa |
Provide narrative to Steering on the MCO enrollment strategy |
Next meeting |
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All |
Send any final Council members recommendations to Melissa |
ASAP |
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