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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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2/13/08 |
La Crosse County Care Management Organization (Vernon Room) 1407 Saint Andrew 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 |
Carroll Carlson |
Pamela Eitland X |
Mary Faherty |
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Kathy Gauger X |
Melissa Gilbert X |
Ginny Graves |
Connie Herman |
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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 |
Maryellen Paudler |
Peggy Herbeck |
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Items/Actions to Be Discussed |
Time Line |
Outcome/Notes |
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Welcome - Review minutes - Trempealeau taking minutes |
9 9:05 AM |
Gene called the meeting to order at 9:13 am. 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 |
Paula reported that the northern ADRC (Buffalo, Pepin and Clark counties) is planning 3 stakeholder meetings in each county to present information, solicit feedback and to review the ADRC application. The workgroup is still meeting about every other week and plans to finish the application by May.
Dean reported that La Crosse County continues to meet with Jackson, Vernon and Monroe. Jackson will be the first county to join La Crosse in the new ADRC of Western Wisconsin. La Crosse has been working with its IT Department as network set-up and applications will be critical to the operation of the four-county ADRC. A third supervisor has been hired by La Crosse County to oversee I& A activities and the call center. La Crosse also has hired two Disability Benefit Specialists as county employees. A draft inter-county contract has been written and needs to be reviewed by each countys corp counsel.
The Trempealeau County ADRC is in the process developing its new Encounter reporting system. |
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Recap Implementation Council - 14th Member - Resolution - Hiring Process |
9:30 10 AM |
The Implementation Council has approved a recommendation for the 14th member of the Council/future Long-Term Care District Board. Todd Anderson is a self-employed financial consultant from Jackson County who is affiliated with AXA Advisors and the AXA Network and is very active in his community. All consumer and at-large members must receive official approval from each of the eight partner counties. Documentation of these approvals, as well as documentation of county-specific appointments, should be given to Melissa. A resolution that would provide the La Crosse County Care Management Organization with flexibility to spend up to $2.5 million from its reserves to fund Managed Care Organization start-up costs is being presented to the La Crosse County Board. The Implementation Council supports this measure.
The Council continues to discuss the process and timeline for hiring a CEO, CFO, HR Director and IT Manager. Following an initial round of interviews, the Council has decided to re-open applications for the CEO position. One person (Gene Phillips) from the first round will remain under consideration for the position. |
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Follow-up on WRS Legislation |
10 10:15 AM |
Legislation that would provide another opportunity for the WCC MCO to obtain WRS eligibility in 2008 has been introduced in both houses of the legislature. A public hearing on Assembly Bill 764 will be held at 10 AM on Tuesday, February 19, at the State Capitol, and a public hearing on Senate Bill 457 will be held on Wednesday, February 20, in Room 330 SW of the Capitol.
Counties may want to contact committee chairs with letters of support. The Department of Employee Trust Funds appears to be OK with the measure as long as the proposal only applies in 2008. |
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Transition Team Issues - RFP Follow-up - MCO IT Needs/Strategy - AFH Certification |
10:15 10:45 AM |
The Transition team is working on a revised business plan for the MCO to fulfill remaining RFP requirements. The plan needs to be very detailed and must address start-up and ramp-up costs separately and together. Melissa will e-mail the narrative to Steering members.
More resources need to be devoted to building the IT infrastructure that will be needed by the MCO. La Crosse County IT staff need to be involved due to issues related to separation of the CMO from the county but currently are struggling to meet demands from all departments. It is vital that an MCO IT Manager and support staff be hired as soon as possible and contracting options continue to be explored.
The CMO presently performs Adult Family Home certification for La Crosse County; however, since state statutes assign this responsibility to counties, it is unclear if, or under what arrangement, the regional MCO will be able to continue to provide this service. Unlike the counties, the MCO will rely heavily on AFH availability, raising the importance of timely certification processes. Department of Health and Family Services staff continue to explore this and other issues related to the transition of long-term care responsibilities. |
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Discuss MCO Franchise Concept |
10:45 11 AM |
DHFS also continues to study creation of a model business system for use by Family Care programs throughout the state. This likely would make it easier for the Department to monitor and regulate MCO operations, although it will be important to ensure the resources that already have gone into local business and IT development are not wasted. |
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Clarify Wait List Enrollment Policy |
11 11:55 AM |
Discussion was held regarding wait list policy expectations. Members agreed this policy needs to be consistent among all of the ADRCs to prevent confusion and ensure a sense of fairness. Wait list clients will be enrolled according the following priority: court orders, crisis and order of placement on the wait list. Further clarification of this policy will be discussed at the next meeting. |
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Wrap-Up |
11:55 AM 12 N |
The status of economic support workload, as affected by BadgerCare Plus, will be discussed at the next meeting. |
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Action Items |
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Resource |
Action |
Due Date |
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Melissa |
Send the WRS legislation hearing info and committee chair contact info to Steering members |
ASAP |
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Melissa |
Complete the business plan narrative and send to Steering members |
ASAP |
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Melissa |
Ask Don Percy if he can stay for a short while after the Feb. 20 Implementation Council meeting to provide an update on the business franchise concept |
ASAP |
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Melissa/Peggy |
Draft a more detailed wait list policy proposal |
Next meeting |
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