FINAL AGENDA

DATE/TIME: Wednesday, September 07, 2016 immediately following Justice and Public Safety Meeting

COMMITTEE: Health and Human Services

COMMITTEE CO-CHAIRS: Chair Duzyj / Vice-Chair Smith

COMMITTEE MEMBERS: Committee of the Whole

LOCATION: Room 126, Oakland University / Anton Frankel Center, 20 S. Main Street Mount Clemens, MI

1. Call to Order

2. Pledge of Allegiance

3. Adoption of Agenda

4. Approval of Minutes dated August 4, 2016 for Health and Human Services (page 2)

5. Public Participation (5 minutes maximum per speaker, or longer at the discretion of the Chairperson, related only to issues on the agenda)

6. Request by the Macomb County Health Department to increase the Health Department 2015/2016 (page 5)

Fiscal Grant Fund by $175,000 to support the Department's Medicaid Outreach program and contracts

with Macomb Children's Healthcare Access Program (MCHAP) and Michigan Association of United

Ways (MAUW)

7. Department Budget Review – Health and Community Services / Steve Gold, Director

8. Department Budget Review – Health Department / Bill Ridella, Director

9. Department Budget Review – Medical Examiner / Dr. Daniel Spitz, Medical Examiner

10. Department Budget Review – Animal Shelter / Jeff Randazzo, Director

11. Correspondence:

a. State Ward Chargeback Rates for Calendar Year 2017 / Children's Service Agency (page 12)

b. Effective April 01, 2016 - Medicaid Funding formula change (page 14)

12. New Business

Macomb County Board of Commissioners Dave Flynn – Board Chair Kathy Tocco – Vice Chair Steve Marino – Sergeant-At-Arms

District 1 – Andrey Duzyj District 2 – Marv Sauger District 3 – Veronica Klinefelt District 5 – Rob Mijac District 6 – Jim Carabelli District 7 – Don Brown District 8 – Kathy Vosburg District 9 – Fred Miller District 12 – Bob Smith District 13 – Joe Sabatini

FINAL AGENDA HEALTH AND HUMAN SERVICES – SEPTEMBER 7, 2016 PAGE 2 OF 2

13. Public Participation (5 minutes maximum per speaker, or longer at the discretion of the Chairperson, related only to issues on the agenda)

14. Adjournment

DATE: Thursday, August 4, 2016 _

COMMITTEE: JOINT – Government Operations, Justice and Public Safety, Health and Human Services, Finance

MINUTES

Meeting location: Room 126, Oakland University/Anton Frankel Center, 20 S. Main St., Mount Clemens, MI

Members Present: Committee of the Whole____________

Absent and excused: None__________________________

Call to Order time: 9 a.m.___________________________

There being a quorum of the committee present, Government Operations Chair Klinefelt called the meeting

to order at 9:00 a.m.

PLEDGE OF ALLEGIANCE

The Pledge of Allegiance was recited.

AGENDA

MOTION

A motion was made by Miller, supported by Tocco, to adopt the agenda as amended to include item #11c

and exclude item 12. The Motion Carried.

PUBLIC PARTICIPATION

Andrew Daniels, 21843 Elmway St, Clinton Township, MI 48035

Suzanne Whelan, 17851 Airport Road, Fraser, MI

Michael Salyers, 14206 Lacavera Drive, Sterling Heights, MI 48313

Pam Surel, Clarkston, MI

Laura Wilmercheck, 50018 S Main Court, Chesterfield, MI 48051

INTERVIEWS OF CANDIDATES FOR BOARDS & COMMISSIONS APPOINTMENTS (FINAL VOTES FOR

Macomb County Board of Commissioners Dave Flynn – Board Chair Kathy Tocco – Vice Chair Steve Marino – Sergeant-At-Arms

District 1 – Andrey Duzyj District 2 – Marv Sauger District 3 – Veronica Klinefelt District 5 – Rob Mijac District 6 – Jim Carabelli District 7 – Don Brown District 8 – Kathy Vosburg District 9 – Fred Miller District 12 – Bob Smith District 13 – Joe Sabatini

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APPOINTMENTS WILL TAKE PLACE AT 8/18/16 FULL BOARD MEETING)

Veterans Affairs Commission

The following individuals were present:

Michael Sayers

David Auwen, Sr.

William Brownsing

Frank Flores

Phillip Gannia

Ammon C. Martin

The following individuals were unable to be present:

Therese Wrobel (submitted a letter to the Board of Commissioners)

Paul Corrado

Justice and Public Policy

BUDGET AMENDMENT/EMERGENCY MANAGEMENT GRANT FUND/DEPARTMENT OF EMERGENCY MANAGEMENT &

COMMUNICATIONS

MOTION

A motion was made by Marino, supported by Duzyj, to forward to the Full Board a recommendation

to approve FY 2016 budget amendment request for net increase of $90,000 to the Emergency Management

Grant Fund (Fund 350) from 2015 Operation Stonegarden Grant Agreement {OPSG) / Department of Emergency

Management & Communications.

Chair Vosburg called for a vote on the motion and THE MOTION CARRIED.

Health and Human Services

TWO SEVEN OH INC. GRANT/DEPARTMENT OF ANIMAL CONTROL

COMMITTEE RECOMMENDATION – MOTION

A motion was made by Vosburg, supported by Sauger to recommend that the Board of Commissioners

approve the agreement with Two Seven Oh Inc. to receive a $10,000 grant.

Macomb County Animal Control Chief Jeff Randazzo informed the Board that this is a reimbursement grant

being used to upgrade the kennels in the garage.

Chair Duzyj called for a vote on the motion and THE MOTION CARRIED.

AMENDMENTS TO THE MACOMB COUNTY ANIMAL CONTROL REGULATIONS (FOR INFORMATION

ONLY; VOTE WILL TAKE PLACE AT 8/18/16 JOINT COMMITTEE MEETING)

Macomb County Animal Control Chief Jeff Randazzo answered questions regarding the proposed amendments

to the Macomb County Animal Control Regulations

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The following commissioner spoke: Klinefelt, Flynn, Marino, Vosburg, and Smith.

MOTION

A motion was made by Klinefelt, supported by Tocco, to receive and file the information provided by Macomb

County Animal Control Chief Jeff Randazzo.

Chair Duzyj called for a vote on the motion and THE MOTION CARRIED.

MARTHA T. BERRY MEDICAL CARE FACILITY MONTHLY UPDATE; KEVIN EVANS, INTERIM ADMINISTRATOR

Kevin Evans offered a monthly update on the Martha T. Berry Medical Care Facility.

The following commissioner spoke: Flynn, Vosburg, Duzyj, Miller, and Carabelli.

MOTION

A motion was made by Marino, supported by Brown to receive and file the information provided by

Martha T. Berry Administrator Kevin Evans

Chair Duzyj called for a vote on the motion and THE MOTION CARRIED.

ADOPTION OF PROCLAMATIONS

COMMITTEE RECOMMENDATION – MOTION

A motion was made by Miller, supported by Carabelli to recommend that the Board of Commissioners adopt the

Following proclamation:

a) Evan Fadanelli – Eagle Scout (offered by Brown)

THE MOTION CARRIED.

CORRESPONDENCE

MOTION

A motion was made by Miller, supported by Vosburg to receive and file the following information:

a. Area Agency on Aging – 1B July Advocate

b. 07-26-16 Correspondence from Sunoco RE: Maintenance Work in Shelby Township

and Washington Township

c. Healthstyles Employee Health Fair 08-10-16

THE MOTION CARRIED.

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Government Operations

INTRODUCTION OF “AN ORDINANCE TO AMEND AND RESTATE ORDINANCE NO. 2011-10 ENTITLED ‘AN ORDINANCE

TO ESTABLISH A STANDARD OF ETHICS FOR ALL PUBLIC SERVANTS OF MACOMB COUNTY PURSUANT TO

SECTION 2.2 OF THE HOME RULE CHARTER OF MACOMB COUNTY, MICHIGAN’ “(FOR INFORMATION ONLY; VOTE

WILL TAKE PLACE AT 8/18/16 JOINT COMMITTEE MEETING)

The following Commissioners spoke: Flynn, Smith, Kinefelt, Tocco, Marino, and Vosburg

PRESENTATION ON STATUS OF BOARD OF COMMISSIONERS SOCIAL MEDIA; KARIN ARMBRUSTER

EXECUTIVE SESSION TO DISCUSS PENDING LITIGATION MOTION

A motion was made by Marino, supported by Smith, to enter into Executive Session for the purpose of discussing

Attorney/Client privileged correspondence from corporation counsel.

A roll call vote was taken as follows: Voting yes were Brown, Carabelli, Duzyj, Flynn, Klinefelt, Marino, Sabatini, Sauger,

Smith, Tocco, Miller and Vosburg. There were 12 “Yes” votes.

In accordance with the motion, committee entered Executive Session at 11:01 a.m., with it concluding at 11:15 a.m.

RECOMMENDATION FROM CORPORATION COUNSEL RE: CASE OF HENRIETTA SCHOENHERR V. MACOMB

COUNTY AND MACOMB COUNTY COMMUNITY SERVICES AGENCY (MCCSA)

A motion was made by Sauger, supported by Marino to approve recommendation from corporation

Counsel re: case of Henrietta Schoenherr v. Macomb County and Macomb County Community services

agency (MCCSA). The Motion Carried.

NEW BUSINESS

A motion was made by Marino, supported by Smith to receive and file the information on an upcoming resolution,

introduced by the Treasurer's Office, for the acceptance of payments by financial transaction devices and

The Motion Carried.

ADJOURNMENT

MOTION

A motion was made by Duzyj, supported by Vosburg to adjourn the meeting at 11:02am. The Motion Carried.

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To: David Flynn, Board Chair

Macomb County Executive Mark A. Hackel

From: Pamela J. Lavers, Deputy County Executive

Date: August 29, 2016

Mark F. Deldin Deputy County Executive

RE: Agenda Item - Health Department, Budget Amendment, Fiscal Grant Fund

Attached you will find documentation and a resolution from Health Department Director William Ridella, to increase the Health Department 2015/2016 Fiscal Grant Fund by $175,000.

Funds will be used to support the Department's Medicaid Outreach program and contracts with Macomb Children's Healthcare Access Program (MCHAP) and Michigan Association of United Ways (MAUW).

The Executive Office respectfully submits this agenda item for the Commission's consideration and recommends approval to increase the Health Department 2015/2016 Fiscal Grant Fund by $175,000.

PJL/smc

cc: Steve Gold William Ridella Steve Smigiel

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MACOMB COUNTY, MICHIGAN

RESOLUTION Resolution to:

Please approve a request by the Macomb County Health Department to increase the Health Department 2015/2016 Fiscal Grant Fund by $175,000.

Additional Background Information (If Needed):

The Michigan Department of Health and Human Services (MDHHS) approved an increase in the Health Department's Health Grant fund. The addition of a Medicaid Outreach program category will result in an increase to the 219 Health Grant Fund revenues and expenses of $175,000. Funds will be used to support the Department's Medicaid Outreach program and contracts with Macomb Children's Healthcare Access Program (MCHAP) and Michigan Association of United Ways (MAUW). Therefore, the Health Department is requesting a new org key in the 219 Health Grant Fund and requesting budgeted revenues and expenses for the Medicaid Outreach program are adjusted accordingly. A spreadsheet showing the Fund 219 categories into which the increased funds will be allocated is attached.

Committee Meeting Date

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0' s < . . 1",c::..,,o ,.~

Mark A. Hackel County Executive

DATE:

MEMORANDUM 08/23/2016

Office of County Executive

William Ridella, Director/Health Officer

Health Department RE: REQUEST APPROVAL I ADOPTION OF

Amendment #5 to FY15/16 CPBC Grant Agreement SUBJECT:

Amendment #5 to the CPBC Grant Agreement between the Michigan Department of Health & Human Services (MDHHS) and the Macomb County Health Department (MCHD).

PURPOSE/ JUSTIFICATION:

The Michigan Department of Health and Human Services (MDHHS) approved an increase in the Health Department's Health Grant fund. The addition of a Medicaid Outreach program category will result in an increase to the 219 Health Grant Fund revenues and expenses of $175,000. Therefore, the Health Department is requesting a new org key in the 219 Health Grant Fund and requesting budgeted revenues and expenses for the Medicaid Outreach program are adjusted accordingly. A spreadsheet showing the Fund 219 categories into which the increased funds will be allocated is attached.

FISCAL IMPACT/ FINANCING:

The Department's revenues from the State grant are increased in the amount of $175,000 in new program funding. There is no fiscal impact on the County's General Fund.

FACTS AND PROVISION/ LEGAL REQUIREMENTS {If applicable):

Program elements funded under the CPBC Agreement will be administered by the Health Department in accordance with the Public Health Code P.A. 368of1978, as amended, and contractual program specific assurances and requirements.

IMPACT ON CURRENT SERVICES (PROJECTS):

Funds will be used to support the Department's Medicaid Outreach program and contracts with Macomb Children's Healthcare Access Program (MCHAP) and Michigan Association of United Ways (MAUW).

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Prepared: August 1, , 016

CATEGORICAL CHANGES TO FUND 219 BUDGET

FOR CPBC ADMEN OM ENT #5

SUPPUES & CONTRACT INTERNAL Other Other Cost INCR/(DECR) PROGRAM NAME 219 FUND PERSONNEL MATERIALS SERVJCES SERVICES Misc. Distribution JN REVENUE

Medicaid Outreach TBD $175,000.00 $175,000.00

TOTALS $0.00 $0.00 $175,000.00 $0.00 $175,000.00

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07/29/2016

Contract#: 20161695-04

Number: 5

Agreement

Michigan Department of Health

on

referred to as the

and

Of M::11r-n1mh

Health

"t.:J'<Jit:..;;.J Elizab.~th f{d. "'""'"'"""'Ml 48043'1034

referred'to as the

ANDJ

purpose of this amench:n.ent is to:

Human

Entity"

1.Add/revlse information in Atta?hment 1. -Annual Budget lnstructlons; '• ...

2.Add/revise information in Attachment HI - Program Specific Assurance and Requirements;

and

3. Incorporate Attachm~nt IV- Funding/Reimbursement Matrix as revised for the Essential

Local Public Health Service (ELPHS) and categorical budget detafts, output measures and

performance criteria.

4. Increase the Departmen1's agreement amount from $5,998,487 to $6,024,954, as shown on

the Attachment B budget pages.

Amendment Revisions:

1. The following are the additions/revisions to.Attachment I and m A) The following projects Include additions/revisions as highlighted in Attachment I - Annual

···--------------·-sadgertnstructtons:- ----------- ------ ·· ··--------------------··

Reimbursement Chart - the following program efements are added to or changed on the reimbursement chart:

1. Local Health Department (LHD) Sharing Support

Comprehensive Agraement- 2016. Date: 0712912016 Page: 1 of 13

9

2,

07/2912016

2. Wurthsmith Water Recovery

B) The following projects include additions/revisions as highlighted ln Attachment Ill -

Program Specific Assurance and Requirements:

1. Communities Uniting for Suicide Prevention (CUSP)

Following are adjustments to as in Attachment IV:

levels Comprehensive

Budget item following elements:

Performance

N/A

Budget

1632305-00

It is understood remains the same.

Adjustments :. ·.·

Project Title

Current Amount

Med~?aidQ\.ltreach ·

agreed.~hat a1,1:(;ther .conditions of

Amended New Project Amount Amount

original agreement

CornprehensJve Agreement~ 2016, Dale: 07129/2016 Page: 2of13

10

4.

07/29/2016

this amendment

The individual or officer sigining this amendment certifies by his or her signature that

he or she is authorized to sign this amedment on behalf of the reponsib!e governing

board official or agency.

Signature Section

For Macomb Health Department

William Ridella

Name (please print)

For the Michigan n""1n~r-tm

Kim Kim Stephen, Director

Bureau of Purchasing

and

Director

Title

05/24/2016

Comprehensive Agraemer;t· 2016, Dale: 07/2912016 Page: 3cf13

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R ICK SNYDER GOVERNOR

August 31, 2016

STATE OF MICHIGAN

DEPARTMENT OF HEAL TH AND HUMAN SERVICES LANSING

Dear Family Court Judges, Family Court Administrators and County Treasurers:

Please find attached the state war.d chargeback rates for calendar year 2017.

NICK LYON DIRECTOR

The Youth Rehabilitation Services Act, MCL 803.301 et seq., requires that the department "prescribe the liability of counties for the cost of services for state wards." The department has determined that the attached rates will be effective for calendar year 2017, effective January 1, 2017. These rates shall remain in effect until the next scheduled revision in 2018.

Each county will continue to be charged one-half of the appropriate per diem costs for care provided to a state ward . There is no chargeback for Title IV-E funded youth placements.

The department is making every effort to contain the cost of care for youth placed in state facilities. We are making every effort to keep the chargeback rate as low as possible , including aggressive cost containment, consolidation of administrative functions , cost effective tangible goods contracts and reduction in fixed costs.

Medical costs incurred for individual youth that are over and above routine medical care will continue to be billed directly and are not included in the per diem cost. Routine medical care consists of services such as routine physical exams, dental exams, first aid and over the counter medications for common ailments. Any non-routine medical costs for an individual youth will be billed to the county with court jurisdiction over the youth resulting in commitment to DHHS under the Youth Rehabilitation Services Act. This change is in keeping with MCL 803.305(1), which requires that "the county from which the public ward is committed is liable to the state for 50% of the cost of his or her care." Attributing non-routine medical costs to the county of commitment will help lower the daily cost for all youth and assign additional medical costs only to the youth in need of such services.

If you have any questions regarding the chargeback rates, please contact Herman McCall, Director, Juvenile Justice Programs at (517) 335-3489.

Sincerely,

JS ~x{p ik;or Children's Service Agency

Attachment cc: MDHHS Local Office Directors

235 SOUT H GRAND AVENUE • P.O . BOX 30037 • LANS ING , MICHIGA N 48909

www.mlchigan.gov/mdhhs • 517-373-3740

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Shawono

Bay Pines

STATE WARD CHARGEBACK RATE

Calendar Year 2017

COST PER PROGRAM CHILD PER

DAY

$31 2.03

$301.19

Foster Family Homes

CHARGEBACK RATE NON-TITLE IVE

$156 .02

$150.59

$1 1.35

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