HomeMy WebLinkAboutBoard of Commissioners - Minutes - 12/23/1997Call to Order
The Otter Tail County Human Services Board convened Tuesday, December 23, 1997 at 9:30 a.m.
at the Otter Tail County Courthquse with Bill Stone, Chair; Andy Lindquist, Secretary, Malcolm Lee,
and Virginia Partmann present. Vice-Chair, Syd Nelson, was absent.
Approval of Agenda
Motion by Partmann, second by Lee, and unanimously carried to approve the Human Services
agenda of December 23, 1997 as submitted.
Approval of Minutes
Motion by Lee, second by Partmann, ann unanimously carried to approve the Human Services
minutes of December 9, 1997 as presented.
Quotations for Purchase of a Vehicle
Chuck Kitzman, Court Services Director, expressed a need to replace a high-mileage 1990 Omni.
He provided several quotations for compact, mid-size vehicles from several different vendors.
Commissioner Lindquist requested an additional bid and asked that Mr. Kitzman return to the
board after further research.
Family Services Collaborative Update
Family Services Collaborative Coordinator, Frances Eggen, reported that the collaborative has
received an eighteen-month adolescent grant for services provided through the Partners in
Parenting program. Ms. Eggen updated the board on a time study plan and the Welfare to Work
grant. Discussion followed.
Dental Clinic Update
Public Health Director, Diane Thorson, reported that the University of Minnesota staff met with
dentists from Otter Tail County to discuss how to provide the unmet dental needs of MA clients on
a permanent basis. Ms. Thorson reported unanimous support from the dentists for bringing a
permanent clinic to Fergus Falls through the University. Ms. Thorson reported that the next dental
clinic would be held January 26 -February 6, 1998. Discussion followed.
Vice-Chair Syd Nelson was present at 9:40 a.m.
Approval of Contracts
Motion by Portmann, second by Lee, and unanimously carried to authorize the appropriate county
officials' signatures to execute a contract between the Otter Tail County Department of Public . V" Health and Preferred One for public health services subject to the approval of the County Att~rney.
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Otter Tail County Board of Commissioners
December 23, 1997 ··
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Motion by Lee, second by Partmann, and unanimously carried to authorize the appropriate county
officials' signatures to execute a contract between the Otter Tail County Department of Public -
Health and the Minnesota Department of Health for FDA tobacco compliance checks subject to the o~
approval of the County Attorney.
Motion by Nelson; second by Lindquist, and unanimously carried to authorize the appropriate
county officials' signatures to execute the Immunization Action Contract between the MOH and
Otter Tail County Department of Public Health. The contract is extended until March 1, 1999 with
cost and audit requirement changes.
1998 Public Health Sliding Fee Scale
1998 Fees for Public Health Services
Motion by Lindquist, second by Nelson, and unanimously carried to approve the Public Health
sliding fee scale and charges for service effective January 1, 1998 as follows:
SLIDING FEE SCALE FOR 1998
SCALE IS BASED UPON 1997 POVERTY GUIDELINES FOR ALL STATES. FOR FAMILY UNITS ADD $2720 OR
$227/MONTH PER PERSON TO THE INCOME.
GROSS INCOME LEVELS %OF
ASSET LEVELS ANNUAUMONTH CHGS NURSE AIDE PT
$3,000 or less 7890/658 20% (100%) ELIGIBLE $20.00 $10.00 $24.00
$3,001 -10,000 11835/986 (150%) 30% $30.00 $15.00 $36.00
$10,001 -20,000 15780/1315 (200%) 40% $40.00 $20.00 $48.00
$20,001 -30,000 19725/1644 (250%) 50% $50.00 $25.00 · $60.00
$30,001 -40,000 23670/1973 (300%) 60% $60.00 $30.00 $72.00
$40,001 -50,000 27615/2301 (350%) 70% $70.00 $35.00 $84.00
$50,001 -60,000 31580/2630 ( 400%) 80% $80.00 $40.00 $96.00
$60,001 -70,000 35505/2959 (450%) 90% $90.00 $45.00 $108.00
$70,001 -80,000 39450/3288 (500%) 100% $100.00 $50.00 $120.00
1998 Charges for Service
Home Health Fees for 1998
Medicare RN PT ST OT MS HHA HM
Cost Limits Nov 98 $100.03 $109.19 $119.23 $118.05 $167.99 $43.44
Cost Limits Jan 98 $84.66 $91.60 $97.27 $96.31 $132.70 $36.71
1996 Medicare Cost $85.63 $73.57 $129.00 0.00 0.00 $38.11
1997 Agency Charges $100.00 $120.00 $120.00 $120.00 $50.00
1988 Proposed Charges $100.00 $120.00 $120.00 $120.00 NIA $50.00 $14/hour .
DHS Waiver Proarams Set rates at county limits and adjust in July each year
PHN Clinics CTC Exams
Health Promotion & Counsel $14/15min Denver $30.00
Nursing Treatments $13.00 Ht/WgUHistory $10.00 I•
Medication Management $13.00 · Vision $10.00
Nursing Assessment . $17.00 Hearing $10.00
Foot Clinics $15.00 Physical $40.00
Cholesterol $6.00 Hemoglobin $10.00
Diabetic $6.00 Urinalysis $10.00
Immunization Admin $10.00 Lead $17.50
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Otter Tail County Board of Commissioners·
December 23, 1997
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Nursina Consultation $26/hour ECS Package $25.00
Special Contracts per contract
Battle Lake School '
New York Mills School
Head Start {i'.
OTC Detention Facility
Bills & Claims
Motion by Lindquist, second by Lee, unanimously carried to approve the Human Services bills and
claims as presented.
Lakeland Mental Health Center Update
Lakeland Mental Health Center CEO, Marilyn Moen, and COO, Dale Twedt, presented a utilization
of service quarterly handout and a list of current LMH staff. Mr. Twedt reviewed the quarterly
report and reported increased utilization compared to last year. He also reported an improved
financial position. Lengthy discussion took place regarding LMH Center's financial situation and
previous deficit that still exists. Mr. Twedt reported that utilization management is. very important
with the managed care system. The number of visits a client can be seen may be different under
mijnaged care. Staff has been educated and training continues in this area. Turnover of staff was
discussed. Commissioners stated that a 20% turnover costs too much money and suggested an
outside Human Resource professional be brought in to get everyone working• together.
Commissioners requested an improved after hours call system and reduced turnover. Discussion
continued regarding PMAP and a need to request waivers for certain MA. recipients .. Diane
Thorson expressed a desire to continue discussion in order to negotiate with the Department of
Human Services regarding PMAP. Commissioners requested further updates from LMH center
officials.
Approval of Chemical Dependency Counselor Position
Motion by Partmann, second by Lindquist, and unanimously carried to approve a Chemical
Dependency Counselor position as requested.
Information Provided
Children and Adult Mental Health Utilization handouts were provided.
Contract Renewals Approved · .. _,
Motion by Lindquist, second by Lee, and unanimously carried to authorize the appropriate county
officials' signatures to execute a contract between the Otter Tail County Department oLScicial
Services and Lutheran Social Services for the period from January 1, 1998 to December 31, 1998
for outpatient mental health services, subject to the approval of the County Attorney.
Motion by Lindquist, second by Partmann, and unanimously carried to approve the following 1998
contract renewals with the Otter Tail County Department of Social Services subject to the approval
of the County Attorney: · ·
Vergas Assisted Living -Residential Services under AC/EW or CADI " ·
Wilkin County Group Home -DD Waiver in 14 Residential Settings·
Lutheran Social Services -DD Waiver in 14 Residential Settings
Lakes Homes and Program Development, Inc. -DD Waiver in 6 Residential Settings
Homework Center, Inc. -DD Waiver in 2 Residential Settings
St. Williams Annex -Adult Residential Treatment
Otter Tail County Board of Commissioners
December 23, 1997
Page4
St. Williams Annex -Community Support Program Services
Homework Center, Inc. -DD Waiver in 2 Residential Settings
Lakeland Mental Health Center, Inc. -Community Support Program Services Q
Lakeland Mental Health Center, Inc. -Crisis Responder Program Services · ·
Lakeland Mental Health Center, Inc. -Case Management Services for Adults
Otter Tail Lake Residence -Residential Services
Piper Group Home -Residential Services
Prairie Community Waivered Services -Residential Services
Prairie Community Services Arlington Home -Residential Services
Peleske Group Home -Residential Services
Lakeland Mental Health Center, Inc. -CD Outpatient Program Services
Lakeland Mental Health Center, Inc. -Family Community Support Program Services
Lakeland Mental Health Center, Inc. -Adult Day Treatment
Lakeland Mental Health Center, Inc. -Outpatient, Emergency, Case ConsulUPeer Review Services
(The following contracts are for the period from January 1, 1998 to June 30, 1998.)
Otter Tail County Public Health Department -Services for AC/EW and CADI
Lake Region Healthcare Corporation -Services for AC/EW and CADI
New Dimensions Home Health care, Inc. -Services for AC/EW and CADI
Dated ---'{t"4"""M./""""'ta'""•d-=l.3_,...,__l<-"lw?da__ ___ _
Call to Order
The Otter Tail County Board of Commissioners convened Tuesday, December 23, 1997 at
1 :00 p.m. at the Otter Tail County Courthouse with Commissioners Andy Lindquist, Chair;
Syd Nelson, Malcolm Lee, Bill Stone, and Virginia Partmann present.
Approval of Agenda
Motion by Partmann, second by Stone, and unanimously carried to approve the County Board
agenda of December 23, 1997 with the following addition:
Ditch Inspector, Tiny Holm -2:25 p.m. for Ditch No. 41
Approval of Minutes
Motion by Lee, second by Nelson, and unanimously carried to approve the County Board minutes
of December 16, 1997 amended as follows:
12/16/97 minutes, page 2, paragraph 4 is corrected to read:
Approval of Otter Tail County Comprehensive Water Plan Update
Motion by Lee, second by Partmann, and unanimously carried to ad..;pt the 1997 Otter Tail County (.j-
Comprehensive Water Plan Update as approved by the BWSR on June 25, 1997. . ,
Correction to the Minutes of November 18, 1997
Motion by Nelson, second by Stone, and unanimously carried to approve the following correction
4o the November 18, 1997 minutes:
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Otter Tail County Board of Commissioners
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11/18/97 minutes, page 1, paragraph 6 under the heading -Update-Ditch Nos. 41, 63, & 38:
"Motion by Nelson, second by Partmann, and unanimously carried to allow Mr. Sonnenberg to
cleanout the ditch as described above subject to the approval of the County Attorney." Replace
Mr. Sonnenberg with the City of New York Mills.
Institution Community Work Crews Program
John Halvorson, Detention Facility Administrator, Sheriff, Gary Nelson, Chief Deputy, Mark Morris
along with Regional and State STS Directors, John Mclagan and Greg Potein, discussed a
proposal for an ICWC Program in Fergus Falls. The proposal would place minimum-security
inmates in local county jails such as Otter Tail County's detention facility. The proposal provides
for an education and work program whereby inmates would build houses for low-income families.
Lengthy discussion took place regarding staffing and space in Otter Tail County's facility for
ac;f ditional inmates. Mr. Mclagan stated that the state would pay $50 per day for housing of the
inmates in the ICWC program. Commissioners referred further discussion to the Budget
Committee and the Building Committee.
Payments Approved
Motion by Nelson, second by Lee, and unanimously carried to approve payment to the Minnesota
Counties Insurance Trust for the County's 1998 Property/Casualty Insurance premium in the
amount of $242,169, and for the County's 1998 Workers Compensation insurance premium in the
amount of $226,917.
Motion by Partmann, second by Lee, and unanimously carried to approve payment in the amount
of $30 to Lakeland Veterinary Clinic for costs incurred under the provision of Minnesota Statute
343.23.
Motion by Stone, second by Partmann, and unanimously carried to approve payment in the
, amount of $13, 144 to the Association of Minnesota Counties for the County's 1998 annual member
dues.
Resolution by the County Board of Commissioners
Appropriating for County Extension Work
Otter Tail County Resolution No. 97-70
UPON a motion by Partmann, second by Lee, and unanimously carried, the Otter Tail County
Board of Commissioners adopts the following resolution:
Year Beginning January 1, 1998
BE IT RESOLVED> That the sum of $217,801 be set apart from the General Revenue Fund and
appropriated subject to the order of the Dean and Director of the Minnesota Extension Service of
the University of Minnesota for the support of county extension work in Otter Tail County for the
year beginning January 1, 1998, in accordance with Minnesota Statute Section 38.33 -38.38,
1990.
Adopted this 23rd day of December, 1997.
Dated: ·§4MoA0-,, 1'19~ OTTER TAIL COUNTY BO D OF COMMISSIONERS .
Attest: ~~ . ~ LarryKron, Cerk
Otter Tail County Board of Commissioners
December 23, 1997
Page 6
Ag Update
Educator, Bob Stommes, provided several handouts including brochures of a 1998 Crop Clinic and
Tri-State Corn Symposium. Mr. Stommes reviewed several ag programs and activities. He Q
provided statistics of a water testing clinic for nitrates. Commissioner Lindquist requested that this
information be given to the Land & Resource Director.
Recess & .Reconvene
At 1 :50 p.m., Chair Lindquist declared the meeting of the Otter Tail County Board of
Commissioners recessed for a short break. The Chairman reconvened the meeting at 1 :55 p.m.
with Commissioner Nelson absent for the duration of the meeting.
Final Payments Approved
Motion by Partmann, second by Stone, and unanimously carried to approve final payment, in the
amount of $20,263.48, to Landwehr Construction, Inc. for bridge replacement & grading project
(SAP 56-599-04 & 56-599-29) as recommended by the Highway Engineer.
Motion by Lee, second by Partmann, and unanimously carried to approve final payment, in the
amount of $21,555.45, to Mark Sand & Gravel Acquisition Company for bituminous overlay &
aggregate shouldering project (SAP 56-623-08 & CP 97:82BM).
Approval to Purchase Truck & Snow Equipment
Motion by Lee, second by Stone, and unanimously carried to approve purchase of five (5) dump
boxes, hoists, hydraulic systems, underbody blades, and snow removal equipment per MnDOT
contract no. 2006106.
Speed Zone Study
Motion by Lee, second by Stone, and unanimously carried to accept the recommendation of
MnDOT to leave the posted speed of 55 mph remain on a portion of CSAH 56 north of New York
Mills.
Agreement Approved
Motion by Stone, second by Lee, and unanimously carried to authorize the Highway Engineer to
enter into an agreement between Braun lntertec and Otter Tail County for soil exploration, in the
amount of $3,980, relative to the CSAH 80 project east of Perham.
Bicycle Ride for Multiple Sclerosis
Highway Engineer, Rick West, reported that he has received a letter from the National Multiple
Sclerosis Society and provided a map of the portions of Otter Tail County that a multiple sclerosis
benefit ride is scheduled to occur on July 26-31, 1998. Mr. West reported that approximately 1,500
· people would be participating in the ride.
Motion by Partmann, second by Lee, and unanimously carried to approve a bicycle benefit ride,
July 26-31, 1998, through portions of Otter Tail County as presented subject to the approval of the
Sheriff's Department and that Otter Tail County is held harmless relative to liability during the ride.
Discussion -New Minnesota 4(d) Apartment Tax Classification
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HRA · Executive Director, Jeff Gaffaney, informed board members that the. legislature has Q
established a program entitled 4D. Mr. Gaffaney reported that the HRA will participate in the 4D ··
program in Otter Tail County. Discussion followed.
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Otter Tail County Board of Commissioners
December 23, 1997
Page 7
Agreement -Recycling Center Building
Motion by Lee, second by Lindquist, and unanimously carried to accept a mutual agreement
between Otter Tail County and C.I. Construction in which Otter Tail County would remit payment
with the exception of $800 for sod work subject to obtaining lien waivers from the subcontractors.
Joint Powers Agreement
Motion by Partmann, second by Lee, and unanimously carried to authorize the Chair's signature to
renew a 1998 Solid Waste agreement between Wadena County and Otter Tail County subject to
the approval of the Solid Waste Director and County Attorney.
Lake Improvement Districts
Motion by Partmann, second by Lee, and unanimously carried to direct the County Attorney to
send a letter regarding proposed legislation regarding Lake Improvement Districts' budgets to local
senators and representatives and to Mr. Kermit Bye.
Permission to Install New Signs
Motion by Lee, second by Partmann, and unanimously carried to grant permission to officials of the
First Bank to replace signs for the business as presented because of a bank name change.
Ditch No. 41
Ditch Inspector, Tiny Holm, provided a handout of estimated Ditch No. 41 costs as previously
requested by the Board. Mr. Holm reviewed the estimated costs.
Motion by Partmann, second by Lee, and unanimously carried to charge New York Mills $10,000
to enter the Ditch No. 41 system for immediate costs and the remaining to be placed in the ditch
fund.
Commissioners' Salary Resolution
Otter Tail County Resolution No. 97-71
UPON a motion by Partmann, second by Lee, and unanimously carried, the Otter Tail County
Board of Commissioners adopts the following resolution:
WHEREAS, Minnesota Statues 375.055 provides that County Commissioners shall receive as
compensation annual salaries and, in addition, may receive per diem payments and
reimbursements for necessary expenses incurred in performance of the duties of their office, as set
by resolution of the County Board; and
WHERAS, the current base annual salary of the County Board of Commissioners is $16,142, as
set by a resolution adopted in December of 1996, which took effect on January 1, 1997; and
WHEREAS, three percent cost-of-living increase in the County Commissioners' base salary for
1998, which is the same cost-of-living increase that will be provided to all county employees, will
be a modest and justifiable change in their compensation.
NOW, THEREFORE, BE IT RESOLVED, that the Otter Tail County Commissioners shall receive a
three percent increase in their annual base salary for 1998, to a new amount of $16,626.
BE IT FURTHER RESOLVED, that the per diem and expense reimbursements for County
Commissioners shall remain unchanged for 1998.
Adopted this 23rd day of December, 1997.
Otter Tail County Board of Commissioners
December 23, 1997
Page8
Dated:
A.!lest: ~ ti=
Larryl<rn,~
Adjournmen
At 2:45 p.m., Chairman Lindquist declared the meeting of the Otter Tail County Board of
Commissioners adjourned until 9:30 a.m. on Tuesday, January 6, 1998.
Dated: r·· ccOO' c.., l'i'tJ
B
Attest: ~ ~
LarryKr n,ie,-k
CB/kd
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