Minutes

Long Term Support Planning Committee

LONG TERM SUPPORT PLANNING COMMITTEE

MINUTES OF NOVEMBER 21, 2005

Members Present: Jim Schendel, Margaret Sheldon, Peter Duncan, Robert Walerstein, Karen Nadolski, Katie Callen, Suzanne Bruner, Gail Bruss, Susan Zuege, Mary Deluca, Sharon Gilman, Ellen Zonka

Members Absent: NONE

The meeting was called to order by Jim Schendel, Committee Chairperson. Frank assured the proper meeting notice was given.

PUBLIC COMMENTS - Frank read a letter from a daughter whose mother is on the CBRF waiting list. The woman is 84 years old and has been in the CBRF since May 2004. The daughter is concerned her mother is running out of funds and will be forced to leave the CBRF and seek a nursing home bed on T19 at a much higher cost in State and Federal dollars. Committee members discussed the need to track these situations and to inform State Legislators of the need for increased funding to cover these situations.

APPROVAL OF MINUTES OF 9/12/05 - Motion by Bob Walerstein, seconded by Karen Nadolski that the minutes be approved with a correction to Ginger Ayres last name. Motion approved by voice vote.

2005 PROGRAM UPDATE- The Committee reviewed the 2005 expenditures showing COP expenditures of $334,854 (82% spent in 83% of the year), COP-Waiver expenditures of $863,113 (100% spent in 83% of the year), CIP II expenditures of $514,445 (75% spent in 83% of the year). Frank projects we will use the $34,500 of County levy that was budgeted in addition to $20,000 of COP funds to help cover the extra spending in COP-Waiver funds. There may be an additional $18,500 in local match that will be needed.

CBRF SPENDING- The Committee reviewed funding committed for CBRF spending in 2005. This includes the original allocation set at 40% of budgeted funds plus the "new relocation funds" that are spent on CBRF placements.

WAITING LIST REVIEW/DESCRIPTION: The Committee discussed best options of presenting the Waiting List to the County Board. Committee recommends against too much detail and being too technical. Best way may be to use 4-5 scenarios describing the clients and their needs.

CIP II COMMUNITY RELOCATION INITIATIVE - Frank informed the committee that he and staff have met with Heritage staff and Lasata staff to explain the Relocation Initiative and which nursing home residents qualify. Four residents from Heritage are interested in the relocation initiative. Human Services Staff are working on Community Relocation Plans for these individuals. State approval is needed for each plan based on showing a cost savings to the State.

CBRF ROOM AND BOARD RATE FOR 2006 - Frank discussed the idea of applying as much of the CBRF Program costs to the Federal Waiver funds as possible to reduce the amount of our State COP Funds needed to pay for the Room and Board Costs. Frank has checked with State officials for the OK to do this. The State approves as long as we do not charge Room and Board costs to the Waiver Programs. The State approves this plan. Frank will be discussing with the CBRF operators. Committee also suggests Frank discuss with the County Corporation Counsel.

PERSONAL CARE PROGRAM UPDATE – The Committee received an update on the Personal Care Program. Expansion of the Personal Care Program allows Waiver funds to be stretched further and used to open more cases from the Waiting List.

COP PLAN UPDATE - Frank gave copies of the questions to Committee members. The Committee will review further at January meeting.

Motion by Bob Walerstein, seconded by Margaret Sheldon to adjourn. Motion carried by voice vote. Next meeting scheduled for January 9, 2006 at 1:00

Respectfully Submitted,

Frank Peterson

Long Term Support Planning Committee Liaison

Table of Contents

SEPTEMBER 12, 2005

Members Present: Jim Schendel, Ellen Zonka, Kathlyn Callen,  Peter Duncan, Karen Nadolski,  Robert Walerstein, Ginger Ayers for Sharon Gilman

Members Absent: Suzanne Bruner, Susan Zuege, Margaret Sheldon, Mary Deluca, Gail Bruss

Meeting was called to order by Jim Schendel, Committee Chairperson. Frank assured the proper meeting notice was given.

Motion by Bob Walerstein, seconded by Pete Duncan to approve the minutes as written.

DISCUSSION OF MEMO REQUESTING $75,000 COUNTY LEVY AS MATCH FOR COP-WAIVER FUNDING. Katie Callen supports the request for $75,000 of County Levy. Discussion of how to present the memo. Frank will poll any other members who were absent at the July meeting. (Mary Deluca and Gail Bruss). Frank will attach a list of Committee members in support.

2005 PROGRAM UPDATE- The Committee reviewed the 2005 expenditures showing COP Expenditures of $304,271 (71% spent in 58% of year), COP-Waiver expenditures of $717, 226 (83% in 58% of year), and CIP II expenditures of 425,483 (62% spent in 58% if the year). The Committee discussed the COP and COP-Waiver spending, and ways to conserve funds in the remaining months of 2005. Frank indicated some August expenses may be included in these totals which may account for some of the high spending amounts. COP funds are used to cover Room and Board payments to a CBRF above the ability of the resident to pay. Because we’ve had more CBRF placements with the relocation funds available, there has been more pressure on our COP funds.

WAITING LIST REVIEW– The Committee saw the Waiting list numbers with 22 physically disabled person, 43 elderly in their own home and 13 elderly in CBRF’s, waiting for funding. This is higher than in January 2005 as the Long Term Support Activity Sheet indicates. Discussion of how best to present the Waiting list to the County Board. BobWalerstein suggests a Waiting list definition for the County Board. The Committee also would like to see numbers for developmentally disabled persons and person with severe and persistent mental illness.

CBRF SPENDING - The Committee reviewed the funding committed for CBRF spending in 2005. This includes the original allocation as well as the "new relocation funds" that are spent on CBRF placements.

NEW ESTATE RECOVERY FUNDS - Frank explained this initiative to serve elderly age 95 and older or persons in hospice diagnosed with a terminal illness. The 100 year old on our waiting list won’t be financially eligible for Estate Recovery funds until November 1^st. By that time, all the Estate Recovery funds may be gone. Another person on the Wait List is on hospice. Estate Recovery funding will be explored for that person

CIP II COMMUNITY RELOCATION INITIATIVE– This initiative is new with the new biennial budget. Elderly persons in a nursing home more than 100 days may qualify for funding to come out of the nursing home. The cost must be shown to be less than the nursing home cost. Frank will be attending a Regional meeting on October 11, to learn more details.

CBRF MAXIMUM RATES FOR 2006 - The Committee discussed the CBRF maximum rates which were raised 3% for 2005, but had been kept at no increase for 2004. Motion by Katie Callen, seconded by Karen Nadolski to approve a 3% increase in the CBRF maximum rates for 2006. (see proposal sheet). Motion approved by voice vote.

UPDATE ON THE PERSONAL CARE PROGRAM – Frank presented on updated report on the MA-Personal Care Program. Expansion of the Personal Care Program will help reduce per client spending with COP-Waiver funds and allow more persons to be served from the Waiting List.

The meeting was adjourned at 2:40 pm, Motion by Peter Duncan, seconded by Bob Walerstein, Motion approved.

Respectfully Submitted,

Frank Peterson

Long Term Support Planning Committee Liaison

Table of Contents

JULY 18, 2005

Members Present:  Robert Walerstein, Susan Zuege, Jim Schendel, Margaret Sheldon, Sharon Gilman, Karen Nadolski, Peter Duncan, Ellen Zonka, Suzanne Bruner

Members Absent: Katie Callen, Mary DeLuca, Gail Bruss

Guests: Tom Meaux

The meeting was called to order by Jim Schendel, Committee Chairperson. Frank Peterson assured the proper meeting notice was given.

Motion by Peter Duncan, seconded by Suzanne Bruner to accept the minutes of the March 10, 2005 meeting. Motion carried.

Motion by Bob Walerstein; seconded by Karen Nadolski to approve the minutes of the May 12, 2005 meeting. Motion carried.

Motion by Suzanne Bruner, seconded by Bob Walterstein, to approve the minutes of the June 1, 2005 meeting. Motion carried.

PUBLIC COMMENTS/CORRESPONDENCE OR COMMUNICATIONS– None

REVIEW OF ORIENTATION MEETING – Frank had several additional handouts to further explain the Long Term Support Programs and Medical Assistance. The Committee members were encouraged to ask questions when something is not clear.

2005 PROGRAM UPDATE/WAITING LIST REVIEW/CBRF SPENDING – The Committee reviewed the 2005 expenditures showing COP expenditures of $208,039 (56% spent in 42% of the year), COP-Waiver expenditures of $457,891 (53% spent in 42% of the year), and CIP II expenditures of $296,777 (43% spent in 42% of the year). Concern was expressed at the rate of COP funds are being used. The Committee will look at this further at a future meeting. Discussion by the Committee members concerning the County levy applied to the COP-Waiver program. Motion by Sharon Gilman seconded by Bob Walterstein to request $75,000 of County levy in the 2006 budget to serve persons off the waiting list. The motion further directed Frank to draft a letter for this request. Motion approved by voice vote.

USE OF VOLUNTARY CONTRIBUTIONS – The Committee discussed the use of voluntary contributions and the need to establish policy to address County liability concerns. The matter was tabled to a future meeting date.

APPROVAL OF CEDAR GARDENS VARIANCE – Motion by Sharon Gilman, seconded by Bob Walerstein to approve the variance request for Cedar Gardens. Cedar Gardens has increased from a 50 bed CBRF to a 75 bed CBRF. The change in the number of beds necessitates seeking another variance from the State in order to use COP-Waiver and CIP II funds for residents of Cedar Gardens. Motion approved by voice vote.

VIEW THE ELDER CHOICE VIDEO "MY WAY"

The meeting was adjourned at 2:50 PM.

Respectfully Submitted,

Frank Peterson

Long Term Support Planning Committee Liaison

Table of Contents

JUNE 1, 2005

Members Present:  Gail Bruss, Suzanne Bruner, Jim Schendel, Susan Zuege, Margaret Sheldon, Karen Nadolski, Peter Duncan, Katie Callen

Members Absent: Robert Walerstein, Mary DeLuca, Ellen Zonka, Sharon Gilman

Guests: Maryann Erickson, Tom Meaux

The meeting was called to order by Jim Schendel, Chairperson.

The meeting has been properly noticed per Frank Peterson, with the agenda out one week prior to the meeting.

Minutes of the March 10, 2005 meeting and May 12, 2005 meeting will be approved at the next regularly scheduled Committee meeting.

The purpose of this Committee meeting is to provide orientation to the Long Term Support programs overseen by the Long Term Support Planning Committee.

LIST OF COMMONLY USED TERMS – The Committee reviewed the Glossary of Terms, Acronyms, and Abbreviations from the Department of Health and Family Services Web Site. Only a portion of these terms apply to Long Term Support programs. Jim Schendel offered to reduce the list to the terms discussed today.

ORIENTATION OF NEW MEMBERS - The Committee was given a packet of handouts including: A glossary of Community Long Term Care Programs managed by Wisconsin Counties, Community Options Program information sheet, Wisconsin Medicaid Fact sheet, Community Options Program – Minimum Significant Proportions, Waiting List Guideline and Procedures, Waiting List dated 5/11/05, Long Term Support Activity-January to April 2005, 2005 Long Term Support Provider List, 2 Copies of Individual Service Plans-MA Waivers.

The topics of discussion included: History of Long Term Support funding, Eligibility criteria (financial and functional screen), How the Waiting List works, Significant Proportions of participants, Assessment and Case Plan process, list of contracted services and providers, sample Individual Service Plans, Community Based Residential Facility (CBRF) restrictions and Case Management function.

In addition, the Committee discussed the impact of divestment on the Long Term Support funding. The Committee is aware this issue is being addressed with the County Aging and Long Term Care Committee. The Committee discussed the options for possible expansion of Assisted Living at Lasata Care Center. The question was raised which type of Assisted Living is needed in the County: CBRF or RCAC (Residential Care Apartment Complex)? The Committee will look into this further.

Respectfully Submitted,

Frank Peterson

Long Term Support Planning Committee Liaison

Table of Contents

MINUTES MAY 12, 2005

Members Present: Robert Walerstein, Ellen Zonka, Suzanne Bruner, Karen Nadolski, Margaret Sheldon, Gail Bruss, Susan Zuege, Mary DeLuca, Kathlyn Callen, Peter Duncan, Sharon Gilman, Jim Schendel

Members Absent: None

Guests: Maryanne Erickson, Tom Meaux, Robert Brooks

ASSURANCE THE MEETING HAS BEEN PROPERLY NOTICES:– Frank Peterson indicated the agenda was sent out at least one week prior to the meeting:

Motion by Katie Callen, seconded by Bob Walerstein to adopt the agenda as presented. Motion approved by voice vote.

PUBLIC COMMENTS/CORRESPONDENCE AND COMMUNICATIONS- Frank indicated the State approval for our Cop Plan Update for 2005 has been received.

INTRODUCTION OF NEW MEMBERS: Katie Callen and Bob Walerstein were introduced as new members to the Committee representing the County Board of Supervisors. Susan Zuege and Suzanne Bruner were introduced as consumer and citizen members respectively.

Tom Meaux spoke to the Committee about the linkage to the Health and Human Services Committee and the Aging and Long Term Care Committee. Tom proposed the Long Term Support Planning Committee meet after the Aging and Long Term Care Committee in July (July 18^th) and the following time, meet after the Health and Human Services Committee (September 12^th). After some discussion, it was agreed the Long Term Support Planning Committee will meet at 1:00 pm on July 18^th in Room A-200 (second floor of the annex-outside the County Board Room).

SELECTION OF COMMITTEE CHAIRPERSON AND VICE CHAIRPERSON: Motion by Suzanne Bruner, seconded by Bob Walerstein to nominate Jim Schendel as Committee Chairperson. As there was no other nomination, motion was approved by voice vote. Jim indicated a willingness to serve in this capacity for no longer than one year. Motion by Suzanne Bruner, seconded by Katie Callen, to nominate Bob Walerstein as Committee Vice-chairperson. Motion approved by voice vote.

ORIENTATION OF NEW MEMBERS – Discussion of how best to have new committee members aware of the Long Term Support Programs the Committee oversees. Scheduled June 1^st at 1:00 in room A-200 to meet for orientation training. Notice will be given as a LTS Planning Committee meeting. Experienced committee members are welcome to attend as well as the newer members. One specific request was made for a list of terms and abbreviations with definitions. Frank will pursue getting a list of terms.

2005 SPENDING UPDATE - The Committee reviewed the 2005 expenditures showing COP expenditures of $108,859 (29% spent in 25% of the year), COP-Waiver expenditures of $165,199 (19% spent in 25 % of year), and CIP II expenditures off $129,779 (19% spent in 25% of the year). The Committee also reviewed the Long Term Support Activity report for January-April 2005.

WAITING LIST REVIEW – The Committee viewed the report showing 17 physically disabled persons and 44 elderly persons on the Waiting List. 31 of the 44 Elderly persons are waiting for services in their home. 13 Elderly persons are waiting for CBRF funding.

CBRF SPENDING UPDATE – The Committee reviewed the report showing the anticipated CBRF spending separated into the 40% limit on the original allocation and the new funding received through relocation initiatives. The spending is projected to be on target at the 40% limit.

USE OF V0LUNTARY PAYMENTS FROM FAMILY – Frank brought a new issue to the Committee. The State will allow a family member or participant to voluntarily contribute over the amount determined to be the client cost share. This is called a voluntary contribution. The specific request comes from a man in another county who wants to go to a CBRF in Ozaukee County. This may be for three months or so until he can get into a Milwaukee Nursing Home. The County where he lives will give him a CIP II slot to use, however, the $40.00 per day revenue will only cover part of the cost. The family has offered to send a check to Ozaukee County to cover any difference. The son offered to give Ozaukee County a check for three months in advance. Concern expressed by the Committee as to what precedent this sets and what liability is the County accepting? Suggestion to check with Lasata Care Center about their policy to accept funds from the family. Frank will check further and report back to the Committee.

Note: Today’s agenda did not include approving the minutes of the March 10, 2005 meeting. So these will be acted upon at the July 18^th meeting.

The meeting was adjourned at 11:00 a.m.

Respectfully Submitted,

Frank Peterson

Long Term Support Planning Committee Liaison

Table of Contents

MINUTES JANUARY 13, 2005

Members Present: Wanda Davies, Karen Nadolski, Jim Schendel, Peter Duncan, Margaret Sheldon, Mary Deluca, Katherine Smith, Sharon Gilman

Members Absent: Rita Salamun, Gail Bruss, Ellen Zonka David Fagan/resigned

Minutes of the November 11, 2004 meeting were approved as written.

COMMITTEE REORGANIZATION/ROLE OF LTS PLANNING COMMITTEE – The Committee discussed the County Board structure changes scheduled for April 2005. The Long Term Support Planning Committee will relate to the Health and Human Services Board as well as the Aging and Long Term Care Committee.

2004 SPENDING/STATUS OF COUNTY LEVY - The Committee reviewed the year to date expenditures showing COP Expenditures of $431,868 (100% spent in 100% of the year), COP-Waiver expenditures of $1,164,639(128% spent in 100% of year), CIP II expenditures of $367,648 (121% spent in 100% of year). Frank explained that the $40,000 of County Levy was reinstated into the 2004 budget and will by be fully spent in 2004. Additional funds from Social Services budget will be required beyond the remaining COP funds and County levy to serve as the 41% local match.

UPDATE ON RELOCATIONS FROM MEQUON HEALTH CARE CENTER-FINAL REPORT -

A written report was shared with the Committee indicating Ozaukee County receives funding for 17 persons in community placements. It is anticipated that 3 more persons will be served in 2005 as a result of this nursing home closing.

OVERVIEW OF CBRF SPENDING – 26 persons (3 pending) under the original allocation are being funded in CBRF’s as well as 19 additional persons are funded with new relocation funds. Total CBRF spending for 2005 is approximately $1,100,000 due to the additional funds received last year.

WAITING LIST REVIEW – Discussion of the current waiting lists for Community Aids funding and for Long Term Support funding (COP, COP-Waiver and CIP II). Community Aids Waiting List has 7 persons with an average of one year waiting time. LTS Waiting List has 66 persons (48 receive no services, 15 receive some services, 3 are funded with temporary funds). Average waiting time is 18 months to 2 years and $403,000 would be needed in local match to fund these persons. Discussion of how to present the Waiting List issues to the full County Board and the community at large. The combined Social Services and Community Programs Boards will be meeting to discuss waiting lists and how to apply $60,000 to County funds to help persons on the waiting lists. The Developmental Disabilities Unit maintains several waiting lists as well for that population.

COP PLAN UPDATE - The Committee reviewed the COP Plan Update Form that needs to be submitted by February 28, 2005. Discussion of the percentage to be used for CBRF funding. As the MA-Personal Care Program expands into CBRF’s, less Waiver funds are needed per resident. Thus more persons can be served in CBRF’s with the same 40% limit on CBRF spending. Frank will complete the COP Plan Update based on today’s discussion by the Committee.

COP HIGH COST REQUEST - The Committee reviewed two requests for COP High Cost funds. The first involves a 43 year old physically disabled man receiving CIP II relocation funding. The man recently began using a motorized wheelchair in his home. Modifications to the home are required such as widening interior doorways, installing a ramp from the front door, modifying the bathroom sink and modifying the rear exit from the home. Total cost is projected to be $9,870 for the work. COP High Cost funds of $4,131 are needed as local match. Motion by Wanda Davies, seconded by Sharon Gilman to approve this COP High Cost request. Motion approved by voice vote. The second request concerns a 90 year old woman in a CBRF in Port Washington. She has come near the top of the CBRF Waiting List and has run out of funds. The family inquired into the availability of funding at the State level and learned the County can request COP High Cost funds as a temporary measure to cover the cost of the CBRF. Since this woman is near the top of the CBRF list (4^th) it is anticipated temporary funding in the form of COP High Cost funds would be needed for 3 months. By then, regular COP-Waiver funding will be available to her. Motion by Katie Smith, seconded by Peter Duncan to approve the COP High Cost request for the months of January, February, and March. COP High Cost funds total $4,896 for the three months. (1,632/month). Motion approved by voice vote.

ELDER CHOICE GRANT - The Committee discussed the Elder Choice Grant that has been approved by the State. Aging Services Department has been awarded $23,700 to produce a video through U.W. –Milwaukee University as well as other materials to promote choices and planning for persons facing the future need for long term support services. Aging Services, Social Services and other Agencies are working on this project with U.W.M.

AGING AND DISABILITY RESOURCE CENTER - Ozaukee County has applied to receive State funds to develop a resource center to serve as the entry point for County Services as well as provide information on all topics related to the elderly and disabled persons. The first year focuses on planning. The second and third years of the grant require a Disabilities Benefit Specialist to be hired and information and assistance to be provided to an expanded group of disabled persons including physically disabled, developmentally disabled and persons with mental illness. If awarded the grant, Ozaukee County would receive $245,000 of additional funding in each year of operation. Ozaukee County will be informed on February 18^th if we have been selected to receive this grant.

The meeting was adjourned at 11:00 a.m.

Minutes Respectfully Submitted,

Frank Peterson

Long Term Support Planning Committee Liaison

Table of Contents

MINUTES NOVEMBER 11, 2004

Members Present: Wanda Davies Karen Nadolski, Margaret Sheldon, Katherine Smith, Mary DeLuca, Peter Duncan, Sharon Gilman, Jim Schendel

Members Absent: Ellen Zonka, Gail Bruss, Rita Salamun, David Fagan (resigned)

UPDATE ON COMMITTEE MEMBERSHIP – Frank will ask the administrator at Heritage if he is interested in being nominated for the Committee. The hospital no longer has a representative on the Committee, Frank will pursue.

2004 SPENDING – The Committee reviewed the year to date expenditures showing COP expenditures of $291,370 (78% spent in 83% of the year, Cop-Waiver expenditures of $954,003 (106% spent in 83% of the year) and CIP II expenditures of $251,990 (100% spent in 83% of the year). Discussion of the amount of County Levy used as local match to Cop-Waiver dollars. The report shows $10,000 of County Levy? What happened to the other $30,000 originally allocated? What is the amount in the 2005 budget? Frank will clarify with the director and fiscal manager. CIP II revenue doesn’t show all of the Mequon Health Care Center relocations as of yet so the spending percentage is higher than it actually is.

UPDATE ON MEQUON HEALTH CARE (MHCC) RELOCATIONS - The Committee received a report showing 18 residents remain at the facility as of 11/11/04. 15 residents are receiving CIP II funding and are placed in local CBRFs. One resident waiting for Brian Injury Waiver funds is receiving CIP II funds for his placement at Brotoloc. Two additional persons left MHCC as private pay residents of CBRF’s. When their assets are spend down to MA levels, they will receive CIP II funding in 2005.

OVERVIEW OF CBRF SPENDING - The Committee reviewed the CBRF spending for 2004. Those persons in CBRF’s because of new funds received in 2004 (Estate Recovery and CIP II relocation slots) are tracked separately and do not count in the 40% cap.

WAIT LIST REVIEW – Discussion of how to present waiting list information. Current Waiting List is: 16 Physically Disabled persons, 30 elderly persons needing services at home and 13 persons needing CBRF care. The numbers don’t tell the human story of need. Frank in DSS and Sharon in Aging will work with Community Programs to present an overall picture of need to the County Board. The Committee asks that a combined Waiting List be developed to show what is needed for what type of person and at what approximate cost? Discussion about the initial 2005 budget request being based on need. Social Services did not submit a budget request to address the need of approximately 60 persons on our Waiting List. Suggestion to present the County Wide Waiting List information as a "white paper" and have a community discussion some time during 2005 at one of the "First Friday" forums.

REQUEST TO CHANGE CBRF WAITING LIST POLICY – The Committee reviewed a request to use the original program application date for existing COP, COP-Waiver and CIP II clients who now need CBRF funding. This change from service state date to application date is seen as more equitable to existing clients. Motion by Jim Schendel, seconded by Peter Duncan to change the CBRF waiting list policy to use the original application date for existing clients to establish their place on the CBRF waiting list. Motion approved by voice vote.

CBRF VARIANCE REQUEST- Belgium Gardens is currently licensed for 20 individuals. They have 20 private rooms. Two rooms have married couples in them, so Belgium Gardens has 2 empty rooms. Belgium Gardens is requesting to increase licensed capacity to 22 beds so they can fill the two empty rooms. They have a waiting list and are slotted to take one additional person from Mequon Health Care Center if the license is increased. CIP II and COP-Waiver funds can only be used in facilities up to 20 beds, unless Long Term Support Planning Committee and the State approved a variance request. After some discussion, motion by Katie Smith, seconded by Sharon Gilman to accept the variance request and ask the State to approve Belgium Gardens to be licensed for 22 beds and continue to receive COP-Waiver and CIP II funds.

UPDATE ON CASE MANAGER INCREASE IN HOURS- Frank indicated that Human Resources and the County Board approved increasing two Social Services Case Managers from 30 hours per week to 40 hours per week and another case manager from 37.5 hours per week to 40 hours per week. DSS now has four case managers all at 40 hours. The increased case management revenue from CIP II relocations will cover the additional costs.

AGING AND DISABILITY RESOURCE CENTER(ADRC) GRANT PROPOSAL - Frank and Sharon explained the County is considering applying for a State grant to create an ADRC. At the present time, the Elderly and Physically Disabled adults in the County go to Aging Services for Information and Assistance. An ADRC under the grant must serve 2 populations by the 2^nd year and all target populations by the 3^rd year (Elderly, Physically Disabled, Developmentally Disabled, Mental Health, Drug and Alcohol). Aging, Social Services, Community Programs are studying this. The application is due in January if we go ahead.

USE OF MA-PERSONAL CARE IN CBRF’s - Frank indicated we are assessing 3 persons at Family Tree CBRF’s as a starting point. We anticipate the MA-personal Care funds will help offset Cop-Waiver, and CIP II funds going to the CBRF’s. This will lower the CIP II, Cop-Waiver CBRF costs and allow us to service more people at home and in CBRF’s. We anticipate the program will grow through 2005 adding additional CBRF’s each month.

Motion by Jim Schendel, seconded by Peg Sheldon to adjourn. Motion approved. The meeting was adjourned at 11:00 a.m.

Minutes Respectfully Submitted,

Frank Peterson

Long Term Support Planning Committee Liaison

Table of Contents

MINUTES SEPTEMBER 9, 2004

Members Present: Katherine Smith Karen Nadolski (for Myra Arendt)

Peter Duncan Deb Bartlett (for Mary Deluca)

Ellen Zonka Ginger Ayres (for Sharon Gilman)

Jim Schendel

Members Absent: Debbie Nowak, Gail Bruss, Wanda Davies, Margaret Sheldon, Rita Salamun,

(Dr. Fagan resigned)

The meeting was called to order by Frank Peterson

THE MINUTES OF JULY 8, 2004 – Motion by Katie Smith, seconded by Peter Duncan to approve the minutes as written. Motion approved by voice vote.

UPDATE ON COMMITTEE MEMBERSHIP – The committee was notified that Dr. David Fagan resigned from the Committee. Discussion of recognizing Dr. Fagan’s years on the Committee and his contribution to Community Services. Suggestion the County Board recognize Dr. Fagan with a plaque. Frank will discuss with Tom Meaux. Karen Nadolski was introduced to the Committee, proposed by the Department of Community Programs to represent individuals with developmental disabilities. Discussion of a replacement physician for the committee. A nursing home representative is still being sought. Frank will discuss with the administrator at Heritage Nursing and Rehabilitation Center.

2004 SPENDING - The Committee reviewed the year to date expenditures showing COP expenses of $246,382 (69% spent in 67% of the year), COP-Waiver expenditures of $761,475 (87% in 67% of the year) and CIP II expenditures of $139,049 (109% spent in 67% of the year). Note, the new COP-W and CIP II funds received in 2004 for new clients have not yet been added to the budget amount. These will be adjusted for next meeting.

WAIT LIST STATUS – The Committee reviewed the Waiting List showing 20 physically disabled persons, 25 elderly persons waiting for Community Services and 13 elderly persons waiting for CBRF funding.

UPDATE ON MEQUON HEALTH CARE CENTER CLOSING- The Committee received a report showing 46 residents remain at the facility as of 9/8/04. 11 persons have received CIP II funding and are already placed into local CBRF’s. 4 additional persons may be placed into CBRF’s as well. 2 additional persons, who left MHCC as private pay, will receive CIP II slots when they spend down to M.A. level of assets. 43 residents have been referred for assessments for community placement.

UPDATE ON CBRF SPENDING - The committee reviewed the CBRF spending for 2004. Those in CBRF’s because of new funds received in 2004 (Estate Recovery funds, CIP II Relocation funds, and Mequon HCC Relocation funds) are tracked separately and do not count in the 40% cap.

CBRF MAXIUMUM MONTHLY RATE - The Committee discussed the maximum rates for 2005. There was no increase in 2004. Frank is proposing a 3% increase for 2005 plus an additional $200 per month increase in the cap for individuals receiving MA-Personal Care in the facility. MA-PC will bring in additional revenue from $475/month for 1 hour daily of personal care to $1,425 for 3 hours of personal care daily. This reduces the Waiver funds needed for each participant and will allow us to serve more individuals in the program overall. Motion by Jim Schendel, second by Katie Smith to approve the 3% maximum increase for 2005 and add the $200 per month for individuals participating in the Medical Assistance Personal Care Program.

CASE MANAGER STAFF INCREASE – In order to handle the increase in cases due to the relocations at Mequon Health Care Center and Estate Recovery relocations, Social Services is asking for increased hours for several staff. Two part-time case managers currently working 30 hours per week are requested to go full time at 40 hours per week. One case manager is full time at 37.5 hours per week. Social Services is requesting that person increase to 40 hours per week. One support staff person working with the Adult Service unit works 18.75 hours per week. Social Services is asking for a 3 hour per week increase to 21.75 hours. The increased case management revenue will cover most costs. The Committee discussed the COP High Cost request seeking $28,400 in funds for 2005 to cover the health insurance costs necessary in moving the 2 case managers from part-time to full time. The ongoing costs will be covered by the higher caseload and billable case management hours. This is a one time request. Motion by Katie Smith, seconded by Jim Schendel to approve the COP High Cost request of $28,400 to expand case management hours. Motion approved by voice vote.

CEDAR GARDENS VARIANCE REQUEST – Social Services has submitted a request for a variance to allow funding to be used for Cedar Gardens CBRF. Cedar Gardens is a 50 bed facility and a variance is required for any facility over 20 beds. The State approval letter has been received. Cedar Gardens is the only CBRF in Cedarburg that has private rooms available within the CBRF maximum rate. We have one person awaiting placement when a bed becomes available. Motion by Jim Schendel, seconded by Peter Duncan to approve the variance request for Cedar Gardens. Motion approved by voice vote.

The meeting was adjourned at 10:40 a.m.

Minutes Respectfully Submitted,

Frank Peterson

Long Term Support Planning Committee Liaison

Table of Contents

MINUTES JULY 8, 2004

Members Present: Wanda Davies Ellen Zonka

Margaret Sheldon Mary DeLuca

Katherine Smith Gail Bruss

Sharon Gilman Peter Duncan

Members Absent: David Fagan, Debbi Nowak, James Schendel, Rita Salamun

Guests: Tom Meaux, County Administrator; David Barrow, County Supervisor

The meeting was called to order by Wanda Davies, Chairperson.

THE MINUTES OF THE MAY 13, 2004 - Meeting minutes approved as written.

COMMITTEE MEMBERSHIP – Recommendations for Committee membership were discussed. Ellen Zonka will follow up to see if a family member of a developmentally disabled person wishes to participate on the Committee. Supervisor Barrow suggested Ron Yokes who is a member of Community Programs Board. The vacancy is due to the resignation of Myra Arendt. Frank indicated we also could have a Nursing Home representative and hospital representative on the Committee. Frank will ask Ralph Luedtke if a member of Lasata’s staff or Board of Trustees would be interested. Frank indicated a Mequon Resident, Beth Anderson, expressed an interest in participating on the Board. She is Executive Vice President of Laureate Group which operates a number of Assisted Living Facilities in Waukesha and Milwaukee Counties. Ms. Anderson also participates on a State-Wide Long Term Care Advisory Committee. Frank will pursue, per the Committee request.

2004 SPENDING - The Committee reviewed the year to date expenditures showing COP expenditures of $200,529 (57% spent in 50% of year), COP-Waiver expenditures of $553,811 (63% spent in 50% of the year), CIP-II expenditures of $91,686 (72% spent in 50% of the year).

ESTATE RECOVERY FUNDS – Frank indicated Ozaukee County has received new funds through Estate Recovery to serve 4 additional persons with the potential for several more individuals also being funded. The limitations with these Estate Recovery funds is that the new funds end June 30, 2006. Should these individuals remain clients beyond this point, those individuals will be picked up under our existing Cop-Waiver allocation.

WAITING LIST STATUS - The Committee reviewed the Waiting List showing 22 physically disabled persons, 25 elderly persons waiting for community services at home and 10 individuals waiting for CBRF funding. The number of individuals waiting for CBRF funding has been reduced from 18 persons in May 2004.

MEQUON HEALTH CARE CENTER CLOSING - Because of the facility’s announced closing, we are able to receive new funds in the form of CIP II slots for each individual on Title 19 who relocates to a community setting. Ozaukee County will participate as part of the relocation team along with state officials and advocates. Mequon Health Care Center anticipates closing in nine months.

CIP II RELOCATION SLOTS PROPOSED TO BE EXCEPTIONS TO CBRF FUNDING LIMITS - Discussion by the Committee that the 10-15 or so persons who will relocate from Mequon Health Care Center will likely go into a CBRF setting. Since this is a new money, this does not adversely affect others on our waiting list. We will track the CIP II Relocation funds separate from our original 40% CAP for CBRF funds. Motion by Katie Smith, seconded by Peter Duncan to exempt the CIP II relocation funds from our CBRF cap. Motion approved by voice vote.

LASATA CARE CENTER STUDY – The Committee discussed the status of the County Study relating to Lasata Care Center. Now with Mequon Health Care Center closing, Lasata Care Center is all the more important to Ozaukee County so we have a local resource for nursing home beds. The Committee asked to be kept up to date as decisions are made.

COP PLAN APPROVAL FOR CARRYOVER FUNDS - Motion by Sharon Gilman, seconded by Katie Smith to approve the COP Carryover plan for $2,719 of funds carried over into 2004.

2005 BUDGET PROCESS - We will have no increase in COP and COP-Waiver funding for 2005. Any increased funds will come through the Estate Recovery funds and CIP II relocation slots. Ozaukee County also hopes to expand MA-Personal Care to save COP Waiver funds for persons at home and for persons in a CBRF. There will be more information as we complete the budget planning.

The meeting was adjourned at 10:40 a.m.

Minutes respectfully submitted,

Frank J. Peterson

Long Term Support Planning Committee Liaison

Table of Contents

MAY 13, 2004

Members Present: Wanda Davies, Ellen Zonka, Margaret Sheldon, Peter Duncan, Sharon Gilman, Mary Deluca, Gail Bruss

Members Absent: David Fagan, Debbi Nowak, Katherine Smith, James Schendel and Rita Salamun

Meeting was called to order by Frank Peterson

Introductions were done. Frank indicated Myra Arendt has resigned from the Committee. The Committee thought it is appropriate to recognize Myra Arendt for her years of service on the Committee with a Certificate of Appreciation. Frank indicated Dr. Fagan does not wish to be considered for Chairperson of the Committee. A Certificate of Appreciation is appropriate for Dr. Fagan for his years of service as Committee Chairperson.

ELECTION OF CHAIR AND VICE-CHAIR – Motion by Sharon Gilman, seconded by Peter Duncan that Wanda Davies be nominated as Committee Chairperson. Call for other nominations. None given. Motion approved by voice vote. Motion by Peter Duncan, seconded by Mary Deluca that Sharon Gilman be nominated as Vice Chairperson of the Committee. There were no other nominations. Motion approved by voice vote.

MINUTES OF FEBRUARY 20, 2004 AND MARCH 11, 2004 - The Committee meetings were approved as written on a voice vote. Motion by Ellen Zonka, seconded by Margaret Sheldon.

2003 STATISTICS - Final tally of Cop and Waiver funding for 2003 indicates $67,238 of County Levy was needed as the 40% local match for Cop-Waiver funds. This was necessary for several reasons. A greater amount of Cop funds were needed for direct client costs and therefore less Cop funds were available as the local match. The $67,238 of County Levy was absorbed within the Social Services Budget.

2004 STATISTICS – The Committee reviewed the year to date expenditures showing Cop expenditures of $130,923 (37% spent in 33% of the year), COP-Waiver expenditures of $334,920 (39% spent in 33% of the year), and CIP II expenditures of $57,212 (45% in 33% of the year). The waiting list shows 21 physically disabled individuals, 24 elderly persons needing services at home and 18 persons needing CBRF care. Discussion by Committee members becomes more familiar with the type of clients served in program. A similar summary will be tried for waiting list persons.

ESTATE RECOVERY FUNDS – The State has made new Cop-Waiver funds available to counties for specific purposes. These funds are recycled Estate Recovery Funds. The three targets are persons 95 years of age or older on the Waiting List, elderly persons in a nursing home for more than 90 days, and persons on the waiting list who are hospice participants (diagnosed with a terminal illness). Ozaukee County has been awarded funding for 4 persons that qualify for these funds. When new nursing home relocation funds were approved last year, the Committee agreed to track CBRF costs separate from our normal CBRF fund cap. Frank is asking the Committee to do the same with the Estate Recovery Funds. Frank will check with State to see if this is acceptable and get back to the Committee.

CEDAR GARDENS REQUEST TO BE APPROVED FOR COP-WAIVER FUNDING - The Committee discussed the March visit to Cedar Gardens. The Committee asked if there were unique care needs that this facility can provide. The Committee decided to take no action at this time on the request. There are no waiting list persons in that facility at present, so there is no pressing need to seek State approval. Should there be a need, the Committee will consider further at a later date. Input should be sought from Aging Services Staff and State Ombudsman.

UPDATE ON FAMILY CARE PLAN - The Committee learned the individual was evaluated as appropriate for her own apartment and did not need CBRF placement. The person moved to Ozaukee County on April 1^st.

The meeting was adjourned at 11:00 A.M

Minutes Respectfully Submitted,

Frank J. Peterson

Long Term Support Planning Committee Liaison

Table of Contents

MARCH 11, 2004

Members Present: David Fagan, D.O. Sharon Gilman

Wanda Davies Mary Glenn Tuchalski for Cindy Close

Margaret Sheldon

Members Absent: Myra Arendt, Mary Deluca, Peter Duncan, Jim Schendel, Ellen Zonka, Katherine Smith, Rita Salamun, Gail Bruss

Meeting was called to order by Dr. Fagan at 9:05 AM

MINUTES – The approval of the February minutes was waived for lack of a quorum.

2003 RECONCILIATION - The Committee reviewed the latest numbers prior to the State reconciliation. COP expenditures were $405,013 for 2003, leaving $41,181 to be applied to COP-Waiver. COP-Waiver expenditures of 1,123,123 are $246,362 over original allocation. In addition to the $41,181 of Cop funds able to be used as the 40% local match, $55,861 will need to come from County sources. This will use all of the $40,000 County carryover from 2002. The CIP II expenditures total $168,824. CBRF spending shows 620,002 (99%) spent of the $625,284.

2004 STATISTICS – The Committee reviewed the year to date expenditures of 58,816 of Cop funds (17% spent in 17% of the year), COP-Waiver expenditures of $124,713 (14% spent in 17% of the year), and CIP II expenditures of $16,785 (13% in 17% of year).

UPDATE ON MILWAUKEE FAMILY CARE PERSON – The individual in a CBRF in Milwaukee County has had a P.T. evaluation that indicates she can live independently in her own apartment. She is seeking an appropriate apartment and plans to move to Ozaukee County. Since there is no longer a CBRF funding issue, the LTS Planning Committee approval in not needed.

ON-LINE FUNCTIONAL SCREEN – Frank discussed the State requirement to have all counties using the on-line tool instead of the paper functional screen. The state hopes to improve reliability and consistency with the on-line version. All staff need to take a 10 hour course on-line to be certified to use it. Concern was expressed that this will take additional staff time.

TOUR OF CEDAR GARDENS ASSISTED LIVING FACILITY - Cedar Gardens is a CBRF licensed for 50 beds (40 are being used). Because the facility is larger than 20 beds, special state approval is required to use Cop and Cop-Waiver funds in the facility. The Long Term Support Planning Committee must also approve. The tour by the Committee is the first step in this process. Melissa Sheveland, Manager, conducted a tour for the group. All resident rooms include individual bathrooms. Rooms are single occupancy or for a couple. Rates on based on 3 levels of care.

OTHER BUSINESS – The Committee received the resignation of Cindy Close from Columbia St. Mary’s-Ozaukee Campus and recommending Mary Glenn Tuchalski, a case manager at St. Mary’s-Ozaukee take her place. The resignation will be given to the Social Services Committee and County Administator.

The meeting was adjourned at 10:20 A.M

Minutes Respectfully Submitted,

Frank J. Peterson

Long Term Support Planning Committee Liaison

Table of Contents

FEBRUARY 20, 2004

Members Present: David Fagan, D.O. Mary Glen Tuchalski For Cindy Close Myra Arendt Peter Duncan, Wanda Davies, Jim Schendel, Mary Deluca, Ellen Zonka, Sharon Gilman

Members Absent: Katherine Smith, Margaret Sheldon, Rita Salamun, Gail Bruss

Guests: Cheri Rusch, Adult Protection Worker, Social Services, Julie Schlehlein, Adult Protection Worker, Social Services

The meeting was called to order at 8:30. This was a joint meeting with the Social Services Committee to discuss the first agenda item.

CBRF WAITING LIST POLICY REVISION – Robert Haupt, Director of Social Services and Frank Peterson gave background information on the policy for funding CBRF’s and the policy on administering the CBRF waiting list. Both committees received a current copy of the waiting list with names removed. 25 persons are on the CBRF waiting list. The committee’s discussed the issue of elderly and physically disabled persons protectively placed by the Court under Chapter 55. In the past, the Long Term Support Planning Committee has given approval to have protectively placed persons served immediately over all the persons on the CBRF waiting list. Discussion of Dennis Kenealy’s written response indicating Ozaukee County is not liable for placement costs if the County has no funds to cover the placement costs and has exhausted all state and federal sources of funding. Discussion of the issue of fairness to the remaining persons on the waiting list when they are passed over and made to wait longer on the waiting list, in order to fund the protectively placed individual. The Social Services Committee voted to support the Long Term Support Planning Committee’s decision in this matter. Cheri Rusch and Julie Schlehlein presented a form to accompany the report to the Court to identify whether funding is available.

The Long Term Support Planning Committee separated from the Social Services Committee meeting and reconvened in Room 218. Further discussion on the wording changes to the CBRF waiting list policy. A second point of clarification was discussed concerning moves into a local CBRF by a person in a Family Care County. The wording was adjusted to conform to the Committee action at the January meeting. Motion by Mary Glen Tuchalski, seconded by Wanda Davies to approve the CBRF waiting list policy as amended. Motion approved by voice vote.

Discussion concerning the use of the form to notify the Court of the availability or non-availability of Cop and Cop-Waiver funds. The form signifies the Long Term Support Planning Committee has been asked for funding and indicates the Committee’s response. The Committee Chairperson will sign the response portion. The form will also include reason for the discussion.

APPROVAL OF MINUTES – Motion by Peter Duncan, second by Jim Schendel to approve the minutes of January 15, 2004 meeting.

COP PLAN UPDATE APPROVAL – The 2004 Cop Plan Update was presented to the Committee for approval. The Department of Community Programs additions were viewed by the Committee as well. Suggestions were made to a number of questions in the Cop Plan Update. Motion by Peter Duncan, seconded by Ellen Zonka, to approve the 2004 Cop Plan Update as amended. Motion approved by voice vote.

UPDATE ON MILWAUKEE FAMILY CARE PERSON - Discussion of the current status of the request by this person to move to Ozaukee County and be funded by Ozaukee County. The State is considering Ozuakee’s request for sufficient Cop funds as well as Cop-Waiver funds to cover cost of care. Harbor Club CBRF has declined to accept the individual wishing to relocate. The individual is not seeking to move to any other CBRF at this time. Instead, the individual wishes to move into an independent apartment in Ozaukee County. Because it is unknown if a safe care plan is possible in an apartment, the individual will undergo an assessment to determine independent living skills

CASE STAFFING - Issue of risk of safety was discussed with the Committee. The person is currently in a CBRF and wishes to be in an apartment. Discussion of the risk factors involved. No action taken by the Committee.

REQUEST TO BE CONSIDERED FOR COP AND COP-WAIVER FUNDING - Cedar Gardens is requesting to be considered for a State variance to allow Cop and Cop-Waiver funds to be used in its facility. Because it is larger than 20 beds, this variance is necessary. The Committee will try to meet at Cedar Gardens on March 11 to tour the facility.

The meeting was adjourned at 10:45 A.M

Minutes Respectfully Submitted,

Frank J. Peterson

Long Term Support Planning Committee Liaison

Table of Contents

JANUARY 15, 2004

Members Present: Peter Duncan Wanda Davies, Mary Deluca,  Myra Arendt, Sharon Gilman Katherine Smith, Ellen Zonka,  Jim Schendel

Members Absent: David Fagan D.O., Cynthia Close, Margaret Sheldon, Rita Salamun, Gail Bruss, Debbie Nowak

Guests: Carolyn Lien, Assistant Area Administrator, Southeast Region DHFS/Office Of Strategic

Finance, Tom Meaux, Administrative Coordinator; Gus Wirth, County Board Chairman, Jean,

sister of Milwaukee Family Care Participant

The meeting was called to order at 9:05 by Frank Peterson acting chairperson.

Motion by Wanda Davies, Second by Peter Duncan, to approve the minutes of November 13, 2003 as written. Motion approved by voice vote.

2003 SPENDING/STATISTICS – The Committee received the year to date spending showing COP expenditures of $362, 526 (102% in 100% of the year), COP-Waiver expenditures of $1,095,032 (125% spent in 100% of the year, and CIP II expenditures of $164,674 (131% spent in 100% of the year). It appears we will need to use some of the County Levy to cover the local match beyond the $90,000 of Cop funds set aside for this purpose.

WAITING LIST UPDATE - Currently 16 physically disabled persons, and 28 elderly persons are on the waiting list for Community Services. In addition, 25 elderly persons are on CBRF waiting list. Discussion concerning the State initiative to offer Counties CIP II relocation slots to bring persons out of a nursing home. No additional funds however are available to prevent the nursing home placements.

CBRF WAITING LIST EXCEPTIONS FOR COURT ORDER PLACEMENTS - There will be a joint meeting between the Long Term Support Planning Committee and Social Services Committee because both groups have an interest in this issue. Joint meeting will be on Friday February 20, 2004 in Room 118. Time to be determined (Time set for 8:30 a.m). The input of the County Corporation Counsel has been sought. Frank will share with the Committee when it is received. (Opinion from Dennis Kenealy is included with the February 20^th agenda). Carolyn Lien has received information on the State level suggesting Ozaukee County could have a CBRF Waiting List Policy that does not give preferential treatment to the person protectively placed under a Court Order. Counties do need to show the Court that there is a significant effort to seek funding, but don’t necessarily need a policy that the protectively placed person is served at the expense of others who have to wait longer on the Waiting List.

CBRF EXCEPTION REQUEST: MOVE FROM MILWAUKEE COUNTY FAMILY CARE-

Discussion by the Committee to seek funding in the form of COP-Waiver funds to allow a Milwaukee Family Care Participant to move to a CBRF in Ozaukee County. Carolyn Lien clarified that Milwaukee Family Care Program could choose to fund this woman in Ozaukee County CBRF, but Milwaukee does not have to do so. Milwaukee County Family Care has denied this woman’s request to fund a placement in Ozaukee County. The LTS Planning Committee does not want to seek funding for this woman if there is a negative impact on our residents on the CBRF Waiting List. If the State funds count against our CBRF cap there is a negative impact because persons on the Waiting List must wait longer until there is room under the CBRF cap once again.

Carolyn Lien clarified that the State is willing to track these funds separately so the funds do not count against our CAP. Ozaukee County needs to add this to our Waiting List Policy. Frank will revise for next meeting.

Some concern expressed that an approval in this instance will be precedent setting. Further discussion clarified the Committee can decide on the merits of each case, each and every time. Motion by Sharon Gilman, seconded by Mary Deluca, to approve use of Cop and Cop-Waiver funds to allow this Milwaukee Family Care Participant to move to an appropriate Ozaukee County facility as long as there are sufficient new State and Federal funds available to cover the costs. The State and Federal funds cannot count against Ozaukee County’s CBRF cap. In addition, the individual must demonstrate they have exhausted all possibility of Milwaukee County Family Care funding in Ozaukee County. Motion approved by voice vote.

CASE STAFFING - Peter Duncan presented a current Cop-Waiver participant, an 81 year old woman who is currently in a nursing home for rehabilitation. This woman lives with her 55 year old son who is disabled, in a wheelchair, and is also a Cop-Waiver participant. The woman has been in and out of nursing homes 3 times in the past 14 months. She experiences weakness and has a history of falls. There are concerns for a safe plan of care if she returns home. At present Social Services has said she can only continue receiving funding if the therapists at the nursing home and her physician have agreed she is safe at home and able to transfer herself safely. The woman is competent to make her own decisions according to the psychiatrist. Committee agreed with this plan.

LONG TERM CARE FUNCTIONAL SCREEN – All counties need to begin using the on-line Functional Screen instead of the paper form currently used. The on-line version is more comprehensive and collects the COP assessment information as well. Social Services staff, Aging Services and Community Programs Department staff will need training to be certified to use the Functional Screen. If Ozaukee County is using the Functional Screen by 6/30/04, we receive $2,000 of COP funds to be used between the 3 agencies.

2004 COP PLAN UPDATE - The Committee members were given a draft of the update. The Committee will review and take action at the February 20^th meeting since the update is due to the State on February 28, 2004. Frank will seek input from Community Programs for completion of the Update.

The meeting was adjourned at 11:00 A.M

Minutes Respectfully Submitted,

Frank J. Peterson

Long Term Support Planning Committee Liaison

Table of Contents