· complaints , excluding county specific appeals ± which will be handled by each metropolitan c...

DAKOTA COUNTY COMMUNITY SERVICES COMMITTEE OF THE WHOLE

August 16, 2016 9:00 AM

Conference Room 106, Western Service Center, Apple Valley, MN 1. Call To Order And Roll Call

Note: Any action taken by this Committee of the Whole constitutes a recommendation to the County Board.

2. Introductions 3. Reports 4. Audience

Anyone in the audience wishing to address the Committee on an item not on the Agenda or an item on the Consent Agenda may come forward at this time. Comments are limited to five minutes.

5. Approval Of Agenda (Additions/Corrections/Deletions) 6. Consent Agenda

6.1 Approval Of Minutes 3

6.2 Community Services Administration - Authorization To Execute Restated Cooperative Agreement With Anoka, Chisago, Dakota, Hennepin, Isanti, Ramsey, Sherburne, Washington, And Wright Counties For Nonemergency Medical Access Transportation Services 7

6.3 Community Corrections - Authorization To Execute Cooperative Agreement With First

Judicial District Court For Juvenile Drug Court Program Services 31 7. Regular Agenda

7.1 Employment And Economic Assistance - Authorization To Add 11.25 FTE For Health Care Eligibility Processing And Amend 2016 Employment And Economic Assistance Adopted Budget 37

7.2 Social Services - Amend 2016 Social Services Adopted Budget To Reflect New Child

Protection Performance Funds 45

7.3 Social Services - Acknowledge National Association Of Counties Achievement Award For Collaborative Intensive Bridging Services Program 47

8. Community Services Directors Report 9. Adjournment

The next scheduled meeting is September 13, 2016 beginning at 9:00 AM.

Conference Room 106 Western Service Center, 14955 Galaxie Avenue, Apple Valley, MN 55124

For more information please call 651-554-5742. Committee of the Whole agendas are available online at

https://www.co.dakota.mn.us/Government/BoardMeetings/Pages/default.aspx

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DAKOTA COUNTY COMMUNITY SERVICES COMMITTEE OF THE WHOLE

Meeting Minutes

July 19, 2016

Conference Room 106, Western Service Center Call To Order And Roll Call Commissioner Mike Slavik Commissioner Kathleen A. Gaylord Commissioner Thomas A. Egan Commissioner Nancy Schouweiler Commissioner Liz Workman Commissioner Mary Liz Holberg Commissioner Chris Gerlach Also in attendance: Matt Smith, County Manager; Peggy Horsch, Assistant County Attorney; Kelly Harder, Division Director; Colleen Collette, Administrative Coordinator.

The meeting was called to order at 9:02 by the Chair, Chris Gerlach.

Introductions

Sydney Colanino from Community Corrections was introduced by Melinda Stefanski. Hawi Baisa-Chiri from Public Health was introduced by Michelle Trumpy. Michelle Engquist, Molly Drew, Demetria Costa, Amy Johnson, and Tiesha English from Social Services were introduced by Joan Granger-Kopesky.

Reports

No reports were presented.

Audience

Chris Gerlach asked if anyone would like to address the Committee. No one appeared.

Approval Of Agenda (Additions/Corrections/Deletions)

On a motion by Commissioner Kathleen A. Gaylord, seconded by Commissioner Mary Liz Holberg, the agenda was unanimously approved.

Consent Agenda

On a motion by Commissioner Nancy Schouweiler, seconded by Commissioner Thomas A. Egan, the consent agenda was unanimously approved as follows:

6.1 Approval Of Minutes

6.2 Authorization To Amend Children And Family Services Agreement Between EVOLVE Adoption And

Family Services And Dakota County

WHEREAS, under the juvenile protection provisions of the Juvenile Court Act mandates social and medical histories for children in out of home placement at least six months or who are otherwise expected to become

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legally free for adoption; and

WHEREAS, additional statutory duties in the juvenile protection provisions of the Juvenile Court Act require counties to seek relatives or important friends with whom the child has had significant contact to be considered for placement locations; and

WHEREAS, a family accepting foster placement is required to seek a foster care license; and

WHEREAS, the volume of children in out-of-home placement needing these services has increased to create a need for more capacity so that social worker time can focus on higher priority case management with children and families; and

WHEREAS, staff conferred with EVOLVE Adoption and Family Services regarding the agency’s capacity to provide these services and determined that it was appropriate to amend the agreement for EVOLVE to deliver these services as needed through December 31, 2017; and

WHEREAS, funding for these contracts is included in the 2016 Adopted Budget; and

WHEREAS, Dakota County entered into an agreement with EVOLVE Adoption and Family Services for the term of April 15, 2016 through December 31, 2017, for Children and Family Services.

NOW, THEREFORE, BE IT RESOLVED, That the Dakota County Board of Commissioners authorizes the Community Services Director to execute an Amendment to the Children and Family Services Agreement with EVOLVE Adoption and Family Services to implement social and medical history preparation, child-specific foster care recruitment, and relative foster care licensing on Dakota County’s behalf at a contract not to exceed amount of $48,625 through the current contract period ending December 31, 2017, subject to approval by the County Attorney’s Office as to form; and

BE IT FURTHER RESOLVED, That the contracts shall contain a provision that allows the County to immediately terminate the contracts in the event sufficient funds from county, state, or federal sources are not appropriated at a level sufficient to allow payment of the amounts due; and

BE IT FURTHER RESOLVED, That the Community Services Director is hereby authorized to amend said contracts, within the amount budgeted, to alter the types of services provided, contract term, and contract amounts, consistent with County contracting policies, subject to approval by the County Attorney’s Office as to form; and

BE IT FURTHER RESOLVED, That service rates for contracts authorized for the period of January 1, 2016 through December 31, 2017, shall be increased by the inflation rate used in the Dakota County budget process.

6.3 Authorization To Execute Cooperative Agreement Between Guild Incorporated And Dakota County

For Minnesota Housing Bridges Program

WHEREAS, Guild Incorporated receives grant funds from the Minnesota Housing Finance Agency (MHFA) to administer the Bridges Residential Treatment Center (RTC) Pilot program; and

WHEREAS, MHFA requires a partnership between the housing agency (Guild Incorporated) and the Local Mental Health Initiative (Dakota County) for the purposes of applying for and implementing the Bridges RTC Pilot program, and requires that this relationship be established via a Cooperative Agreement; and

WHEREAS, the relationship and respective responsibilities between Guild Incorporated and Dakota County have been outlined in a Cooperative Agreement.

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NOW, THEREFORE, BE IT RESOLVED, That the Dakota County Board of Commissioners hereby authorizes the Community Services Director to execute a Cooperative Agreement with Guild Incorporated to coincide with MHFA grant timing and to implement the Bridges RTC Pilot program effective July 1, 2016 through June 30, 2019, subject to approval by the County Attorney’s Office as to form.

Regular Agenda

7.1 Update On Dakota County Transportation Coordination Collaborative

Report given by Heidi Corcoran, Transportation Coordinator, from Community Services Administration.

7.2 MNsure/Minnesota Eligibility And Technology System Implementation Update

Report given by Marti Fischbach, Director, and Tiffinie Miller, Deputy Director, from Employment and Economic Assistance.

Community Services Directors Report

Kelly Harder, Community Services Division Director, informed the Board that the Public Health department has been selected as the American Public Health Association Maternal and Child Health Section Effective Practice Award winner for 2016 for their work in creating The Breastfeeding Friendly Health Departments initiative.

A grant application from housing has been submitted to accept $10,000 from MN Philanthropy Partners/St. Paul Foundation. The funds will be used to obtain technical assistance to work with the faith community and community partners to develop emergency shelter for singles and youth in Dakota County. A request to accept a contract will be forthcoming.

Last, the Commissioner for the MN Department of Health will be holding meet and greet on Thursday, August 19, 2016, at Thompson County Park. Attendees can play horseshoes with him during a time of informal conversation from 2:30 - 3:30. Then, after being introduced by Commissioner Nancy Schouweiler, he will make some remarks about "What Does Minnesota Need to be Healthy?"

Adjournment

On a motion by Commissioner Nancy Schouweiler, seconded by Commissioner Mike Slavik, the meeting was adjourned at 11:18 a.m.

Respectfully submitted, ________________________ Colleen Collette, Administrative Coordinator Community Services Division

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DAKOTA COUNTY COMMUNITY SERVICES COMMITTEE

Authorization To Execute Restated Cooperative Agreement With Anoka, Chisago, Dakota, Hennepin, Isanti, Ramsey, Sherburne, Washington, And Wright Counties For Nonemergency Medical Access Transportation

Services Meeting Date: 8/16/2016 Fiscal/FTE Impact: Item Type: Consent-Action None Other Division: Community Services Current budget Amendment requested Department: Community Services Administration New FTE(s) requested Contact: Marti Fischbach Board Goal: Thriving People Contact Phone: (651) 554-5618 Prepared by: Van Horn, Luke PURPOSE/ACTION REQUESTED Authorization to execute a Restated Cooperative Agreement with Anoka, Chisago, Dakota, Hennepin, Isanti, Ramsey, Sherburne, Stearns, Washington, and Wright Counties for nonemergency medical transportation (NEMT) services. SUMMARY Enrollees in Minnesota’s publicly funded health care programs are eligible to receive transportation services to obtain health care. Access transportation services (ATS) is transportation provided to ambulatory and wheelchair recipients who do not require driver assistance from inside their residences to inside their health care providers’ offices, and includes buses, taxis, and personal or volunteer mileage for curb-to-curb or door-to-door services. Prior to 2004, counties administered ATS. In July 2004, the Minnesota Department of Human Services (DHS) implemented the Minnesota Nonemergency Transportation (MNET) program to improve services and control costs. Under MNET, DHS contracted with Medical Transportation Management, Inc. (MTM), a medical transportation management company (broker), to determine the appropriate level of transportation service for eligible public enrollees statewide and make ATS arrangements for fee-for-service enrollees in the metropolitan area. In 2009, Legislative action transferred the administration and coordination of ATS services from the state to the counties in the metropolitan area effective July 1, 2009. By Resolution Nos. 09-316 (June 16, 2009), and 09-603 (December 15, 2009), the County Board authorized execution of a Cooperative Agreement between Anoka County and the metropolitan counties for continued use of MTM for ATS services in 2009 and 2010. By Resolution Nos. 10-350 (June 22, 2010), 13-555 (October 15, 2013), and 15-525 (October 20, 2015), the County Board authorized a Cooperative Agreement between Hennepin County and the other metropolitan counties choosing to participate in this arrangement that allowed Hennepin County to be reimbursed for the administrative services the broker provides. Since the execution of the 2016 Cooperative Agreement, Wright County has requested to be added to the Agreement. Pursuant to the Cooperative Agreement, all amendments must be by unanimous agreement of all Metro Counties by resolution. Therefore, a Restated Cooperative Agreement has been developed by Hennepin County for authorization by the respective county boards (Attachment A). RECOMMENDATION Staff recommends execution of the Restated Cooperative Agreement with Anoka, Chisago, Dakota, Hennepin, Isanti, Ramsey, Sherburne, Stearns, Washington, and Wright Counties for the provision of NEMT services for eligible Medical Assistance and MinnesotaCare recipients effective August 1, 2016, and shall continue through December 31, 2016, unless extended by some or all of the metropolitan counties. EXPLANATION OF FISCAL/FTE IMPACTS There is a $0 net county cost as a result of this action.

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Supporting Documents: Previous Board Action(s):

Attachment A: Restated Cooperative Agreement 09-316; 06/16/09 09-603; 12/15/09 10-350; 06/22/10 13-555; 10/15/13 15-525; 10/20/15 RESOLUTION WHEREAS, enrollees in Minnesota’s publicly funded health care programs are eligible to receive transportation services to obtain health care; and WHEREAS, in July 2004, the Minnesota Department of Human Services (DHS) implemented the Minnesota Nonemergency Transportation (MNET) program to improve services and control costs; and WHEREAS, under MNET, DHS contracted with Medical Transportation Management, Inc. (MTM), a medical transportation management company (broker), to determine the appropriate level of transportation service for eligible public enrollees statewide and make ATS arrangements for fee-for-service enrollees in the metropolitan area; and WHEREAS, since 2009, the Metropolitan Counties formalized the terms and conditions through which they cooperatively manage the non-emergency medical transportation (NEMT) services, pursuant to contract, through a Cooperative Agreement; and WHEREAS, pursuant to the Cooperative Agreement, all amendments must be by unanimous agreement of all Metro Counties by resolution; and WHEREAS, the Metropolitan Counties now wish to add Wright County, effective August 1, 2016, to the group of Metropolitan Counties through a Restated Cooperative Agreement; and WHEREAS, a Restated Cooperative Agreement governing the provision of administrative services supporting delivery of NEMT services has been developed by Hennepin County for authorization by the respective county boards. NOW, THEREFORE, BE IT RESOLVED, That the Dakota County Board of Commissioners hereby authorizes the Community Services Director to execute the Restated Cooperative Agreement with Anoka, Chisago, Dakota, Hennepin, Isanti, Ramsey Sherburne, Stearns, Washington and Wright Counties for the provision of non-emergency medical transportation services for eligible Medical Assistance and MinnesotaCare recipients effective August 1, 2016, and shall continue through December 31, 2016, unless extended by some or all of the metropolitan counties, subject to approval by the County Attorney’s Office as to form. County Manager’s Comments: Reviewed by (if required):

☒

☒☒

☒ Recommend Action ☒

☒☒

☒ County Attorney’s Office

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☐☐

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Do Not Recommend Action ☒

☒☒

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Financial Services

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☐☐

☐

Reviewed---No Recommendation ☒

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Risk Management

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☐☐

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Reviewed---Information Only ☐

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Employee Relations

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☐☐

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Submitted at Commissioner Request ☐

☐☐

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Information Technology

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Facilities Management

County Manager

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A154056

1

RESTATED COOPERATIVE AGREEMENT BY AND AMONG

THE METROPOLITAN COUNTIES OF ANOKA, CHISAGO, DAKOTA,

HENNEPIN, ISANTI, RAMSEY, SHERBURNE, STEARNS,

WASHINGTON, AND WRIGHT

STATE OF MINNESOTA

RECITALS

WHEREAS, the County of Hennepin, State of Minnesota (“Hennepin”), on

behalf of the following named metropolitan counties, requested proposals from

qualified applicants to provide for administrative services for non-emergency

medical transportation (“NEMT”) and related services for covered recipients in

the Counties of Anoka, Chisago, Dakota, Hennepin, Isanti, Ramsey, Sherburne,

Stearns, and Washington, (the “Metropolitan Counties”); and

WHEREAS, the Metropolitan Counties wish to formalize the terms and

conditions through which they will cooperatively manage the services, pursuant to

contract, of the Transportation Coordinator (TC); and

WHEREAS, the Metropolitan Counties now wish to add Wright County,

effective August 1, 2016, to the group of Metropolitan Counties through this

restated Cooperative Agreement; and

WHEREAS, the governing board of each Metropolitan County has, by

resolution, declared its intent to be bound in accordance with the terms of this

Cooperative Agreement and the contract governing the provision of administrative

services supporting delivery of NEMT.

THEREFORE, the undersigned Metropolitan Counties agree as follows:

1. In order to effectively coordinate the activities of their respective county

staff and the provision of services to county clients, there is hereby created,

pursuant to Minn. Stat. § 471.59, a Cooperative Agreement with a

Governing Board representative of the Metropolitan Counties, responsible

for managing the operational and fiscal matters related to the provision of

NEMT.

The Members of this Governing Board are the following currently serving

Human Service/Welfare directors of the ten Metropolitan Counties, or their

successors, as appointed by their respective County Boards:

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Name Position/Title

Anoka Cindy Cesare Human Services Division

Manager

Chisago Nancy Dahlin Director of Health and Human

Services

Dakota Kelly Harder, Community Services Director

Hennepin Rex Holzemer Assistant County

Administrator- Human

Services & Public Health

Isanti Penny Messer Director of Community

Social Services

Ramsey Tina Curry Community Human

Services Director

Sherburne Mary Jo Cobb Director of Health and Human

Services for Sherburne County

Stearns Janet Goligowski Division Director

Washington Dan Papin Director, Washington

County Community Services

Wright Jami Goodrum Schwartz Director, Wright County

2. The Governing Board shall oversee the implementation of a program for the

delivery of NEMT services to eligible county clients and the administrative

services required to manage such a program.

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3. The Governing Board shall develop and approve a funding policy and a

proposed annual budget at its first official meeting. This proposed budget for

delivery of any NEMT services will be based on each Metropolitan County’s

projected proportional share of NEMT rides arranged by the TC. Approvals

shall be made pursuant to a voting process established by the Governing

Board, with each Metropolitan County having one vote.

4. On behalf of the Metropolitan Counties, Hennepin County shall act as fiscal

agent and contract manager and will draft and enter into a written agreement

(the “Contract”) with the party selected to perform as TC.

The Contract between Hennepin County and the TC (“Contractor”

immediately below) must include the following provisions:

a) Any and all claims that arise or may arise against Contractor, its officers,

employees, or agents as a consequence of any act or omission on the part

of Contractor or its officers, employees, and agents, while engaged in the

performance of the contract shall in no way be the obligation or

responsibility of the Metropolitan Counties. Contractor shall indemnify,

hold harmless and defend the Metropolitan Counties, their present and

former officials, officers, agents, employees, and volunteers from any

liability, claims, causes of action, judgements, damages, losses, costs, or

expenses, including reasonable attorney's fees resulting directly or

indirectly for any act or omission of Contractor, a subcontractor, anyone

directly or indirectly employed by them, and/or anyone for whose acts

and/or omissions they may be liable in the performance of the services

required by this Contract, and against all loss by reason of the failure of

Contractor to perform any obligation under this Contract pursuant to the

Contract.

b) Contractor shall obtain insurance in order to protect itself and the

Metropolitan Counties under the indemnity provisions set forth in the

Contract and shall maintain said insurance for the term of the Contract

and shall list all Metropolitan Counties as additional insured; and

c) CONTRACTOR shall select the means, method, and manner of

performing the services. Nothing is intended nor should be construed as

creating or establishing the relationship of a partnership or joint venture

between the parties or as constituting CONTRACTOR as the agent

representative, or employee of the Metropolitan Counties or Hennepin

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County for any purpose. CONTRACTOR is and shall remain an

independent contractor for all services performed under this Contract.

CONTRACTOR shall secure at its own expense all personnel required in

performing services under this Contract. CONTRACTOR’s personnel

and/or subcontractors engaged to perform any work or services required

by this Contract will have no contractual relationship with the

Metropolitan Counties or Hennepin County and will not be considered

employees of any Metropolitan County or Hennepin County. Neither

Hennepin County nor the Metropolitan Counties shall not be responsible

for any claims that arise out of employment or alleged employment under

the Minnesota Unemployment Insurance Law or Minnesota Statutes,

chapter 176 (which may be referred to as the “Workers’ Compensation

Act”), on behalf of any personnel, including, without limitation, claims of

discrimination against CONTRACTOR, its officers, agents, contractors,

or employees. Such personnel or other persons shall neither accrue nor

be entitled to any compensation, rights, or benefits of any kind from

Hennepin County or the Metropolitan Counties, including, without

limitation, tenure rights, medical and hospital care, sick and vacation

leave, workers’ compensation, unemployment compensation, disability,

severance pay, and retirement benefits.

5. Services under said Contract are to commence no later than January 1, 2016

and will initially continue for a term of twelve (12) months.

In order to improve the quality of service to clients, Hennepin County will

develop and maintain a relationship with the Minnesota Department of

Human Services (“DHS”) and will consult with DHS, to review issues of

performance, payment and quality of service delivered by the TC.

On behalf of the Metropolitan Counties, Hennepin County will collect

reports on compliance with contract terms, related regulations and terms of

the RFP. Hennepin County will manage all issues relating to insurance

requirement compliance, affirmative action and data practices, and

performance issues including service delivery, call center compliance,

quality assurance, fraud control and management and resolution of customer

complaints, excluding county specific appeals – which will be handled by

each Metropolitan County.

Hennepin County contract management staff will meet with each

Metropolitan County at least twice in the first six months of the Contract

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term and thereafter as needed to maintain service to clients and monitor

Contract compliance. Hennepin County expects to meet with the

Metropolitan Counties, as a group, as needed to resolve issues involving

unforeseen financial and/or funding concerns, coordination and cooperation

among the Metropolitan Counties.

Hennepin County will bill each Metropolitan County at least monthly for the

actual number of rides provided clients in each Metropolitan County

according to the rate provided in the Contract. Each Metropolitan County

shall make payment to Hennepin County within 30 days of receipt of such

invoice. Each Metropolitan County, except Stearns and Wright, has

deposited with the fiscal agent the sum of money listed on the attached

Appendix A. On or about January 1, 2017, Stearns County and Wright

County will deposit a sum of money with the fiscal agent based on the same

formula that was used to determine the deposits of the other Metropolitan

Counties. This money will establish the initial funding pool from which the

fiscal agent will reimburse the TC for its work. All payments made to the

fiscal agent by the Metropolitan Counties will be deposited into and

accounted for in this funding pool.

6. Indemnification

Each Metropolitan County agrees that it will be responsible for the acts or

omissions of its officials, agents, and employees, and the results thereof, in

carrying out the terms of this Agreement, to the extent authorized by law and

shall not be responsible for the acts/omissions of the other Metropolitan

Counties and the results thereof. The liability of each Metropolitan County

shall be governed by applicable provisions of the Minnesota Tort Claims

Act, Minnesota Statutes Chapter 466, 471.59 and other applicable state and

federal laws, including common law.

Each Metropolitan County agrees to defend, hold harmless, and indemnify

the other Metropolitan Counties, their officials, agents, and employees, from

any liability, loss, or damages the other Metropolitan Counties may suffer or

incur as the result of demands, claims, judgments, or cost arising out of or

caused by the indemnifying Metropolitan County's negligence in the

performance of its respective obligations under this Agreement. This

provision shall not be construed nor operate as a waiver of any applicable

limitation of liability, defenses, immunities, or exceptions by statute or

common law.

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In the event of any claims or actions filed against the Metropolitan Counties

and/or any individual Metropolitan County for any of the activities for which

the Metropolitan Counties are responsible, nothing in this Cooperative

Agreement shall be construed to allow a claimant to obtain separate

judgments or stack separate statutory liability caps from the Metropolitan

Counties and/or each individual Metropolitan County.

Each Metropolitan County agrees that it will be responsible for its own

errors, acts, and omissions and the results thereof to the extent authorized by

law and shall not be responsible for the errors, acts, and omissions of the

others and the results thereof. The Metropolitan Counties agree that, if any

litigation is brought relating to this cooperative agreement, and if any

liability is found by a court or administrative agency of competent

jurisdiction, each Metropolitan County's share of any final liability shall be

determined on a pro rata basis using the following formula:

Total number of county trip legs divided by total number of all trip legs.

The numbers used in this formula will be the numbers in existence on the

date the action/event creating liability occurred.

7. Data Practices

The Metropolitan Counties, the Transportation Coordinator under contract

with Hennepin County, their officers, agents, owners, partners, employees,

volunteers and subcontractors shall abide by the provisions of the Minnesota

Government Data Practices Act, Minnesota Statutes, Chapter 13 (MGDPA),

the Health Insurance Portability and Accountability Act (HIPAA) and

implementing regulations, if applicable, and all other applicable state and

federal laws, rules, regulations and orders relating to data privacy or

confidentiality, and as any of the same may be amended. The Transportation

Coordinator must agree to defend, indemnify and hold harmless the

Metropolitan Counties, their officials, officers, agents, employees, and

volunteers from any claims resulting from the Transportation Coordinator’s

officers', agents', owners', partners', employees', volunteers', assignees' or

subcontractors' unlawful disclosure and/or use of such protected data, or

other noncompliance with the requirements of this section. The

Transportation Coordinator must agree to promptly notify the fiscal agent if

it becomes aware of any potential claims, or facts giving rise to such, under

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7

the MGDPA. The terms of this section shall survive the cancellation or

termination of this Cooperative Agreement and the Contract with the

Transportation Coordinator.

The fiscal agent will be responsible for the collection, creation, receipt,

maintenance, storage, dissemination, use and access of any data created or

arising out of the Cooperative Agreement. Each Metropolitan County shall

be responsible for its own data under the MGDPA.

8. Withdrawal and Termination

Any Metropolitan County may withdraw from this Cooperative Agreement,

with or without cause, upon 75 days prior written notice evidenced by

resolution of the Metropolitan County's governing body to this Governing

Board. Such withdrawal will not take effect until reviewed by the fiscal

agent and the non-withdrawing Metropolitan Counties, which review must

take place within75 days from the date of the written notice. In the event of

withdrawal by any Metropolitan County, this Cooperative Agreement shall

remain in full force and effect as to all remaining parties. In the event that

any funds deposited into the funding pool by the withdrawing Metropolitan

County remain unspent, such funds will be returned to that Metropolitan

County following a final accounting of all charges incurred by that

Metropolitan County.

9. Amendments

This Cooperative Agreement may be amended by unanimous agreement of

the Metropolitan Counties as evidenced by resolutions adopted by their

respective governing bodies. The amendment becomes effective upon the

date approved by the last Metropolitan County.

10. Records -Availability/Access

Subject to the requirements of Minnesota Statutes section 16C.05, subd. 5

(as may be amended), each Metropolitan County, and the Transportation

Coordinator providing services herein, agrees that the other Metropolitan

Counties, the State Auditor, the Legislative Auditor or any of their duly

authorized representatives, at any time during normal business hours, and as

often as they may reasonably deem necessary, shall have access to and the

right to examine, audit, excerpt, and transcribe any books, documents,

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8

papers, records, etc., which are pertinent to the accounting practices and

procedures of the Transportation Coordinator and involve transactions

relating to this Cooperative Agreement. Such materials shall be maintained

and such access and rights shall be in force and effect during the period of

the Cooperative Agreement and for six (6) years after its termination or

expiration.

11. Term

This Cooperative Agreement shall become effective upon approval by all

Metropolitan Counties on the date of approval by the last Metropolitan

County, but no later than January 1, 2016 and shall continue through

December 31, 2016, unless extended by some or all of the Metropolitan

Counties.

12. Minnesota Law Governs

The laws of the State of Minnesota shall govern all interpretations of this

Agreement, and the appropriate venue and jurisdiction for any litigation

between the Metropolitan Counties and/or the Transportation Coordinator

which may arise hereunder will be in and under those courts located within

the County of Hennepin, State of Minnesota.

13. Notices

All notices and communications required by this Cooperative Agreement

shall be given in writing, by certified mail, as follows:

To Anoka County: Cindy Cesare, Human Services Division

Manager

Anoka County Government Center

2100 Third Avenue

Anoka, MN 55303

To Chisago County: Nancy Dahlin, Director of Health and

Human Services

313 N Main Street, RM 239

Center City, MN 55012-9665

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To Dakota County: Kelly Harder, Community Services Director,

Dakota County Northern Service Center,

1 Mendota Road West, Suite 500,

St. Paul, MN 55118-4773.

To Hennepin County: Cindy Towe, Contract Analyst

Human Services and Public Health

Department

300 South 6th Street, MC-106

Minneapolis, MN 55487-0106

To Isanti County: Penny Messer, Director of Community

Social Services

1700 East Rum River Drive South, Suite A,

Cambridge MN 55008

To Ramsey County: Kia Xiong, Contract Manager

Ramsey County Community Human

Services,

160 East Kellogg Blvd.

Saint Paul, MN 55101

To Sherburne County Amanda Larson, Planner

Sherburne County Social Services

13880 Business Center Drive

Elk River, MN 55330

To Stearns County Barb Corson, Contracts Coordinator

Stearns County Human Services

705 Courthouse Square

P.O. Box 1107

St. Cloud, MN 56302-1107

To Washington County Dan Papin, Director, Washington County

Community Services

Washington County Government Center,

14949 62nd St. N.

P.O. Box 30

Stillwater, MN 55082-0030

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To Wright County Kimberly Johnson

Financial Services Manager

Wright County

10 2nd St. NW

Buffalo, MN 55313

14. Assignment

No party to this Cooperative Agreement shall assign, delegate or transfer

any rights or obligations under this Cooperative Agreement without prior

written consent of the other parties.

15. Entire Agreement

This Cooperative Agreement contains the entire agreement between the

parties with regard to the matters set forth herein.

16. Recitals

All recitals contained in this Cooperative Agreement shall be incorporated

into and made a part of this Cooperative Agreement.

17. Counterparts

The Cooperative Agreement may be signed in one or more counterparts,

each of which shall constitute an original and all of which, taken together,

shall constitute one and the same agreement.

18. No Third Party Beneficiary

This Cooperative Agreement is made solely and specifically among and for

the benefit of its named parties, and their respective successors and assigns,

and no other person or entity shall have any rights, interest, or claim under it

or be entitled to ally benefits pursuant to or on account of this Cooperative

Agreement, whether as a third party beneficiary or otherwise.

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COUNTY BOARD APPROVALS

The respective County Boards of Commissioners having duly approved this Cooperative Agreement the date indicated in their signature block, and pursuant to such approval, the proper County officials having signed this contract, the parties hereto agree to be bound by the provisions herein set forth. Approved as to form COUNTY OF ANOKA STATE OF MINNESOTA ______________________________ By: Assistant County Attorney Chair of Its County Board Date: ________________________ Date: ________________________

And: Approved as to execution Assistant/Deputy/County Administrator ______________________________ ATTEST: Assistant County Attorney Deputy/Clerk of County Board Date: _________________________

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The respective County Boards of Commissioners having duly approved this Cooperative Agreement the date indicated in their signature block, and pursuant to such approval, the proper County officials having signed this contract, the parties hereto agree to be bound by the provisions herein set forth . Approved as to form COUNTY OF CHISAGO STATE OF MINNESOTA ______________________________ By: Assistant County Attorney Chair of Its County Board Date: ________________________ Date: ________________________ And: Assistant/Deputy/County Administrator ATTEST: Deputy/Clerk of County Board And: Director, Health & Human Services Date: _________________________

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The respective County Boards of Commissioners having duly approved this Cooperative Agreement the date indicated in their signature block, and pursuant to such approval, the proper County officials having signed this contract, the parties hereto agree to be bound by the provisions herein set forth. Approved as to form COUNTY OF DAKOTA STATE OF MINNESOTA ______________________________ By: Assistant County Attorney Community Services Division Director Date: ________________________ Date: ________________________

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The respective County Boards of Commissioners having duly approved this Cooperative Agreement the date indicated in their signature block, and pursuant to such approval, the proper County officials having signed this contract, the parties hereto agree to be bound by the provisions herein set forth. Reviewed by: COUNTY OF HENNEPIN STATE OF MINNESOTA ______________________________ By: Assistant County Attorney Chair of Its County Board Date: ________________________ Date: ________________________ ATTEST: Deputy/Clerk of County Board


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The respective County Boards of Commissioners having duly approved this Cooperative Agreement the date indicated in their signature block, and pursuant to such approval, the proper County officials having signed this contract, the parties hereto agree to be bound by the provisions herein set forth. Approved as to form COUNTY OF ISANTI STATE OF MINNESOTA ______________________________ By: Assistant County Attorney Chair of Its County Board Date: ________________________ Date: ________________________ And: Approved as to execution Assistant/Deputy/County Administrator ______________________________ ATTEST: Assistant County Attorney Deputy/Clerk of County Board Date: _________________________

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The respective County Boards of Commissioners having duly approved this Cooperative Agreement the date indicated in their signature block, and pursuant to such approval, the proper County officials having signed this contract, the parties hereto agree to be bound by the provisions herein set forth. Approved as to execution COUNTY OF RAMSEY STATE OF MINNESOTA ______________________________ By: Assistant County Attorney Chair of Its County Board Date: ________________________ Date: ________________________ And: Assistant/Deputy/County Administrator ATTEST: Deputy/Clerk of County Board

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The respective County Boards of Commissioners having duly approved this Cooperative Agreement the date indicated in their signature block, and pursuant to such approval, the proper County officials having signed this contract, the parties hereto agree to be bound by the provisions herein set forth. COUNTY OF SHERBURNE STATE OF MINNESOTA By: Chair of Its County Board Date: ________________________ And: Assistant/Deputy/County Administrator

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The respective County Boards of Commissioners having duly approved this Cooperative Agreement the date indicated in their signature block, and pursuant to such approval, the proper County officials having signed this contract, the parties hereto agree to be bound by the provisions herein set forth. COUNTY OF STEARNS STATE OF MINNESOTA By: Chair Stearns County Board of Commissioners Date: And: Vice Chair Stearns County Board of Commissioners ATTEST: Stearns County Auditor/treasurer Clerk Stearns County Board of Commissioners

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The respective County Boards of Commissioners having duly approved this Cooperative Agreement the date indicated in their signature block, and pursuant to such approval, the proper County officials having signed this contract, the parties hereto agree to be bound by the provisions herein set forth. Approved as to form COUNTY OF WASHINGTON STATE OF MINNESOTA ______________________________ By: Assistant County Attorney Chair of Its County Board Date: ________________________ Date: ________________________ And: Approved as to execution Assistant/Deputy/County Administrator ______________________________ Assistant County Attorney Date: _________________________

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The respective County Boards of Commissioners having duly approved this Cooperative Agreement the date indicated in their signature block, and pursuant to such approval, the proper County officials having signed this contract, the parties hereto agree to be bound by the provisions herein set forth. Approved as to form COUNTY OF WRIGHT STATE OF MINNESOTA ______________________________ By: Assistant County Attorney Chair of Its County Board Date: ________________________ Date: ________________________ And: Approved as to execution Assistant/Deputy/County Administrator ______________________________ ATTEST: Assistant County Attorney Deputy/Clerk of County Board Date: _________________________

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APPENDIX A

Proposed Budget Pool for two months for MCC

NEMT Based on 50% FFP

ANOKA $34,568

CHISAGO $5,359

DAKOTA $28,869

HENNEPIN $174,535

ISANTI $2,766

RAMSEY $105,817

SHERBURNE $5,225

WASHINGTON $13,548

Totals $370,687

3rd Quarter

2009 Total # of

Trips Monthly Avg

# of Trips % of Total

Proposed Number of Trips per

Year

Proposed Number of Trips

per Month

Estimated 2 Months

Payments by County

Based on 50% FFP

ANOKA 20,285 6,762 0.0933 74207 6184 $34,568

CHISAGO 3,145 1,048 0.0145 11505 959 $5,359

DAKOTA 16,941 5,647 0.0779 61974 5164 $28,869

HENNEPIN 102,420 34,140 0.4708 374673 31223 $174,535

ISANTI 1,623 541 0.0075 5937 495 $2,766

RAMSEY 62,095 20,698 0.2855 227156 18930 $105,817

SHERBURNE 3,066 1,022 0.0141 11216 935 $5,225

WASHINGTON 7,950 2,650 0.0365 29083 2424 $13,548

Totals 217,525 72,508 795750 66313 $370,687

Total Proposed Payments to MTM $4,448,243 Total Paid by Counties’ after FFP (50%) $2,224,121

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Authorization To Execute Cooperative Agreement With First Judicial District Court For Juvenile Drug Court

Program Services Meeting Date: 8/16/2016 Fiscal/FTE Impact: Item Type: Consent-Action None Other Division: Community Services Current budget Amendment requested Department: Community Corrections New FTE(s) requested Contact: Reetz, Sarah Board Goal: Thriving People Contact Phone: (651) 438-4953 Prepared by: Kaslow, Michelle PURPOSE/ACTION REQUESTED Authorize execution of Cooperative Agreement with the First Judicial District Court for Juvenile Drug Court services. SUMMARY The purpose of this Cooperative Agreement between the Dakota County Department of Community Corrections and the First Judicial District Court is to establish cooperative procedures for the effective operation of the Juvenile Drug Court program (Attachment A). Community Corrections staff and the First Judicial District established a Juvenile Drug Court program in 2009 designed to intervene in the lifestyles of chemically dependent juvenile drug offenders and to improve public safety. The First Judicial District Court initiated an agreement with Community Corrections to purchase additional specialized contracted services for Fiscal Year (FY) 2014. The FY2014 and FY2015 allocation awarded to the First Judicial District was $30,000 for each year. The State Drug Court Initiative Advisory Committee (DCI) recommended a 16 percent reduction in drug court funding for all courts for FY2016 and FY2017 due to budgetary restrictions. Drug Court funding supports court-ordered contracted services to enhance the rehabilitation of Juvenile Drug Court participants. Services include chemical dependency services, systemic family therapy and drug testing. Corrections works with the offender to identify wrap team members that include informal and formal supports in the home, school, and community. Wrap team members work together with the offender to identify strengths, develop goals, and create a sobriety/crisis plan. Community Corrections tracks the eligible services through monthly vendor invoices and submits reimbursement requests to the First Judicial District Court on a quarterly basis. The First Judicial District Court will reimburse Community Corrections in an amount not to exceed $25,000 for contracted service costs incurred on behalf of Juvenile Drug Court offenders participating in the program from July 1, 2016 through June 30, 2017. OUTCOMES The goal of Juvenile Drug Court is to reduce drug-related recidivism among program participants:

• Of the 27 individuals who graduated from Juvenile Drug Court 2010 – 2016 YTD, 59 percent (16 juveniles) remained crime-free after one year.

• Of the 41 percent (11 juveniles) who committed new offenses, only one committed a drug related offense.

• The large majority (82 percent) of offenses this group committed were misdemeanors.

Moving forward, Community Corrections plans to enhance and track outcomes that measure more than recidivism. In January 2016, the juvenile drug court team started tracking academic progress, employment status, and number of pro-social supports and activities of juvenile drug court participants. RECOMMENDATION Staff recommends authorization to execute a Cooperative Agreement with the First Judicial District Court for reimbursement in an amount not to exceed $25,000 for contracted services for Juvenile Drug Court participants for the period July 1, 2016 through June 30, 2017. EXPLANATION OF FISCAL/FTE IMPACTS There is a $0 net County cost anticipated as a result of this action. The reimbursement amount of $25,000 is included in the 2016 Adopted Budget and will be included in the 2017 County Manager’s Recommended Budget.

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Attachment A: Juvenile Drug Court Agreement RESOLUTION WHEREAS, the First Judicial District Court and Dakota County, through its Community Corrections Department, seek to establish cooperative procedures for the effective operation of the Juvenile Drug Court program; and WHEREAS, the First Judicial District Court wishes to enter into an agreement with Dakota County through the Community Corrections Department to purchase additional specialized contracted services. NOW, THEREFORE, BE IT RESOLVED, That the Dakota County Board of Commissioners hereby authorizes the Community Corrections Director to execute a Cooperative Agreement with the First Judicial District Court for reimbursement in an amount not to exceed $25,000 for Juvenile Drug Court participant contracted services for the period of July 1, 2016 through June 30, 2017, subject to approval by the County Attorney’s Office as to form. County Manager’s Comments: Reviewed by (if required):

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DAKOTA COUNTY JUVENILE DRUG COURT First Judicial District Court and Dakota County Community Corrections

COOPERATIVE AGREEMENT

This Agreement, by and between Dakota County through its Department of Community Corrections (herein "DCCC") and the State of Minnesota acting through its agent First Judicial District Administrator's Office (herein "Court") is entered into for the period of July 1, 2016 through June 30, 2017.

WHEREAS, the Court has established a Juvenile Drug Court program that is designed to intervene in the chemically dependent lifestyles of juvenile drug offenders and to improve public safety, and;

WHEREAS, the Court and DCCC desire to establish cooperative procedures for the implementation and effective operation of the Juvenile Drug Court program, and;

WHEREAS, the Court wishes to enter such an Agreement with DCCC to purchase additional specialized Contracted Services as more fully described in paragraph I.E. from DCCC coextensive with the availability of County, State and Federal Funds for such purchase, and

WHEREAS, DCCC is empowered under Minnesota law to provide probation supervision services to and participate in the Juvenile Drug Court process;

NOW THEREFORE, the parties agree as follows:

I. DEFINITIONS

A. Agreement. "This Agreement" means this Cooperative Agreement. B. Court. "The Court" means the First Judicial District. C. 'DCCC" means Dakota County Community Corrections. D. "Contracted Services" means services ordered to enhance the rehabilitation of

juvenile drug court participants including CD WRAP around services, Systemic Family Therapy, and Drug Testing. These services are defined as follows:

1. Chemical Dependency Wraparound (CD Wrap): Services provided to all Dakota County Juvenile Drug Court participants through a contract between Dakota County and two providers in the community. The wrap services include a wrap facilitator who works with each family to develop support systems and create individualized sobriety and crisis plans based on family/offender strengths and needs.

2. Systemic Family Therapy (SFT): SFT services are intensive family therapy services provided in the home by a qualified family therapist under contract with Dakota County.

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3. Drug Testing: drug testing services for drug court participants, including testing for synthetic drugs provided by treatment programs under contract with Dakota County.

II. TERMS OF THE AGREEMENT

A. Agreement Period. Notwithstanding the date of signatures by the parties, the

Agreement period is from July 1, 2016 through June 30, 2017, unless otherwise terminated by law or a provision of this Agreement.

B. Payment. The Court shall reimburse DCCC for the cost of Contracted Services identified in I.E. above related to the Juvenile Drug Court program.

C. Payment Rate. The Court shall compensate DCCC for costs DCCC incurred for the Contracted Services on behalf of Juvenile Drug Court participants during each calendar quarter subject to the following limitations. The cost of the Contracted Services provided to Juvenile Drug Court participants shall not exceed Twenty-Five Thousand Dollars ($25,000.00) in the period from July 1, 2016 through June 30, 2017.

D. Billing Procedure. DCCC shall submit an invoice to the Court on a quarterly basis for services rendered pursuant to this Agreement. That invoice shall identify the vendor and the dollar amount of the reimbursement for Contracted Services provided by each vendor during the quarter for each juvenile, who shall be identified by first name and last initial.

E. DCCC and Juvenile Drug Court Responsibilities:

1. DCCC is responsible to:

Provide qualified contracted vendors to provide services to Juvenile Drug Court participants with c o -occurring disorders and monitor the provision of the services to participants.

2. Both DCCC and Juvenile Drug Court are responsible to:

a. Arrive at financial agreements that allow the Court and DCCC to

operate within fiscally sound principles that meet the payment and receipt procedures.

b. Agree on what information systems will be utilized, what data must be acquired, entered and maintained, and who has access rights to the resulting information.

c. Create the Juvenile Drug Court program design, program delivery methods, participant eligibility criteria, graduation criteria, termination criteria, caseload caps, office equipment, and alcohol and drug testing protocols.

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F. TERMINATION

1. With or Without Cause. This Agreement may be terminated prior to the last day of the Agreement period by either party, with or without cause, by giving thirty (30) calendar days written notice to the other party. This Agreement shall be terminated on the date of termination specified in the written notice or thirty (30) calendar days after the written notice is received by the receiving party, whichever is later.

2. Non-Appropriation. Notwithstanding any provision of this Agreement to the contrary, this Agreement may be terminated by either party in the event sufficient funds from county, state, or federal sources are not appropriated, obtained and continued at least at the level relied on for the performance of this Agreement, and the non-appropriation of funds did not result from any act of bad faith on the part of the Court.

G. ADMINISTRATION

1. Administration of the contract terms will be monitored for DCCC by Matthew Bauer, Deputy Director, Dakota County Department of Community Corrections, 1600 Highway 55, Hastings, Minnesota 55033 and all inquiries shall be directed to his attention.

2. Administration of the contract terms will be monitored for the Court by Brian Jones, First Judicial District Administrator, 1620 S Frontage Road, Suite 200, Hastings, Minnesota 55033, and all inquiries shall be directed to his attention.

H. LIABLE FOR OWN ACTS.

DCCC and the Court agree that each party will be responsible for its own acts and the results thereof to the extent authorized by law and shall not be responsible for the acts of any others and the results thereof. The Court liability shall be governed by the provisions of the Minnesota Tort Claims Act, Minnesota Statutes, Section 3.736, and other applicable law. It is understood and agreed that the provisions of the Municipal Tort Claims Act, Minn. Stat. Ch. 466, and other applicable laws govern liability arising from the acts or omissions of DCCC or its employees. DCCC shall require that contractors selected by it shall be insured in amounts consistent with the limits of liability under Minnesota Statutes, Section 3.736 and Chapter 466, in the event of malpractice or injury to the drug court participants served by the contractor. Each Party warrants that it has an insurance or self-insurance program that has minimum coverage consistent with the liability limits required of it.

I. COMPLIANCE WITH LAWS/STANDARDS.

Each Party to this Agreement shall abide by all Federal State or local laws, statutes, ordinances, rules and regulations now in effect or hereinafter adopted pertaining to this Cooperative Agreement or to the facilities, programs and staff for which the Party is responsible.

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J. DATA PRIVACY.

It is expressly agreed that DCCC and its employees are independently required to comply with the requirements of the Minnesota Government Data Practices Act. The Court and its employees are bound by the Minnesota Rules of Public Access to Records of the Judicial Branch. Both parties agree that neither shall be liable for any violation of any provision of the Data Practices Act or the Rules of Public Access to Records of the Judicial Branch indirectly or directly arising out of, resulting from, or in any manner attributable to the actions of the other party. DCCC shall require that its contractors comply with the requirements of the Minnesota Government Data Practices Act and the Minnesota Rules of Public Access to Records of the Judicial Branch with respect to data on Juvenile Drug Court participants.

K. INDEPENDENT CONTRACTOR.

Any and all claims that arise or may arise against a Party to this Agreement, including its officials, employees or agents as a consequence of any act or omission on the part of that Party or its officials, employees or agents, while engaged in the performance of this Agreement, shall in no way be the obligation or responsibility of the other Party.

STATE OF MINNESOTA

Date: Brian Jones, First Judicial District Admin Date: Carla Heyl State Court Administration Senior Legal Counsel Encumbered by: COUNTY OF DAKOTA

By

Barbara Illsley, Director, Dakota County Approved as to form: Community Corrections Date: Assistant County Attorney/Date

File No

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Authorization To Add 11.25 FTE For Health Care Eligibility Processing And Amend 2016 Employment And

Economic Assistance Adopted Budget Meeting Date: 8/16/2016 Fiscal/FTE Impact: Item Type: Regular-Action None Other Division: Community Services Current budget Amendment requested Department: Employment and Economic Assistance New FTE(s) requested Contact: Miller, Tiffinie Board Goal: Thriving People Contact Phone: (651) 554-5610 Prepared by: Miller, Tiffinie PURPOSE/ACTION REQUESTED Request authorization to add up to 11.25 FTE as service demand warrants (10.0 FTE limited 2 years status and 1.25 FTE permanent) for Health Care eligibility processing and amend Employment and Economic Assistance (EEA) budget in order to comply with additional mandates in MNsure compounded by poorly developed technology. SUMMARY In June 2013, July 2015 and 2016, staff provided updates (Attachment A) to the County Board on the Affordable Care Act (ACA) implementation. Impacts to Dakota County include increased Medical Assistance (MA) enrollment, increased work effort due to new systems, new program rules, and increased processing and enrollments’ times due to inefficient technology. By Resolution Nos. 13-310 (June 18, 2013) and No. 15-662 (December 15, 2015), the Board approved, in total, an additional 14.0 FTE Financial Workers and 3.0 FTE Program Associates.

In December 2013, Dakota County’s MA caseload was 21,344. As of May 2016, the MA caseload has grown to approximately 36,500, a 70 percent increase. In addition to the increased enrollment, implementing all the changes has resulted in unexpected increased work for financial workers, managed care specialists, and support staff.

• Financial workers continue to work in the new system (Minnesota Eligibility and Technology System (METS)), without I.T. case management functionality. Due to the onerous and lengthy procedures, as well as chronic problems with the interface to the healthcare provider system, staff are not able to reasonably manage all aspects of mandated case and workload requirements. In addition, starting this summer, there are two new large initiatives that will increase the workload in METS: 1. The remaining cases on MA in the legacy system will start to move over to METS (excluding elderly

and disabled MA cases). Approximately, one-fourth of our MA legacy caseload will move to METS. 2. Periodic Data Matching (PDM) will be implemented (Attachment B). The PDM legislation included an

allocation to help support the increase to work on state and county agencies. • Non-METS work has increased: Related managed care volume has increased along with MA; phone calls

alone have doubled from 2013 to 2015. • Since MNsure rolled out in 2013, the average number of phone calls handled through the call center has

increased 135 percent. Financial workers’ calls have also increased from an average of 179 calls a week to an average of 505 calls a week. With additional support staff, more questions can be resolved at first point of contact.

OUTCOMES • Successfully manage the increase in workload legislatively mandated by the implementation of PDM and

the migration of an additional projected 14,983 new individuals/6,578 cases from the legacy system. • Maintain satisfactory services to the 40,000+ individuals and families currently being served by EEA staff

and continue to meet mandatory processing timelines. RECOMMENDATION Staff recommends the Board authorize the addition of up to 11.25 FTE as service demand warrants to support Health Care eligibility processing and further recommends amending the 2016 Adopted Budget to include the additional $83,000 in 2016 Periodic Data Matching Allocation dollars. EXPLANATION OF FISCAL/FTE IMPACTS The 2016 Adopted Budget is amended to include 11.25 FTEs as service demand warrants totaling $230,753. The expense will be funded by Federal dollars ($115,377), PDM Allocation ($83,000) and use of Fund Balance ($32,377) in 2016. These positions will be funded in 2017 and 2018 with FFP, PDM, and use of Fund Balance. (Attachment C) The 2017 PDM Allocation is $135,375 and $138,250 in 2018. The 11.25 FTEs will be included in the Employment and Economic Assistance 2017 and 2018 County Manager’s Recommended Budget. Continuation of positions is contingent on continued availability of funding.

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Attachment A: EEA’s MNsure/METS Update 13-310; 6/18/13 Attachment B: Definition of PDM 15-662; 12/15/15 Attachment C: EEA 11.25 FTE Estimated Cost RESOLUTION WHEREAS, the Department of Employment and Economic Assistance (EEA) provided an update to the County Board on the Affordable Care Act and its impacts on Dakota County; and WHEREAS, significant county impacts included the need to learn new systems, program rules, increase processing and enrollments times; and WHEREAS, Periodic Data Matching (PDM) legislation and Medical Assistance (MA) case migration to METS represent additional MNsure Health Care eligibility processing work. NOW, THEREFORE, BE IT RESOLVED, That the Dakota County Board of Commissioners hereby authorizes the 2016 Adopted Budget be amended to include the additional $83,000 Periodic Data Match funding and add up to 11.25 FTE as service demand warrants as follows:

Expenses 2016- prorated 3 months FTEs 11.25 Salary 152,041 Benefits 59,462 Equipment 19,250 Total Expenses 230,753

Revenues FFP 50% 115,377 PDM Allocation 83,000 Use of Fund Balance 32,377 Total Revenues 230,753

County Manager’s Comments: Reviewed by (if required):

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Attachment A

E&EA’s MNsure/METS Update

In 2013, we requested 9 positions (6 Financial Workers & 3 Support Staff) and in 2015 8 financial worker

positions to support MNsure rollout and implementation. Our estimate was partly based on scenario 1

& 2 below. The rollout has not gone as originally predicted.

• New enrollments are significantly higher than predicted.

• System functionality has been limited and inefficient.

• Expected efficiency gains 2014 have not been realized to date.

Because the system functionality has rolled out slowly the workload has been climbing

incrementally. The State has been actively working on improvements to the system; however, time

to work on system improvements reduced this last year as State staff were required to develop and

implement PDM due to 2015 legislation.

Below is a visual example of a workload comparison; managing the same cases in the two systems.

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Legacy / Maxis METS

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Multi-System Logon

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Retro Coverage

Phone Calls

Processing Changes

Renewals

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Attachment A


Additional information of the ongoing rollout of MNsure and the impact on counties:

• Maxis migration to METS starts in September- an additional projected 14,983 new

individuals/6,578 cases will move from the legacy system to the new METS system.

• Periodic Data Match (PDM) starts in September is ongoing permanent work

• Limited functionality in “worker portal”

o Inability to pend incomplete applications

o Repetitive work (no way to re-instate program eligibility so you have to re-enter the

application)

• Backlog of Tasks (over 32,119)- which average 15minutes to clear a task

• E&EA is currently not providing the quality service we want to our residents

o Over the last 8 months the MNsure team phone line has had an average wait time of

over 9 minutes; in February the team experienced average wait times over 21 minutes

o Document processing has been on average over the performance threshold

o Renewal processing has average 26 days in the last 8 months; our goal is 7 days

o Verifications and case change document processing has averaged 30 days in the

last 8 month; our goal is 14 days

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Attachment B

Periodic Data Match (PDM) starts in the fall of 2016

Passed in 2015, new legislation requires a “periodic data match” that uses available

electronic data to identify recipients who may not meet eligibility criteria since

enrollment for a public health care program. This data matching for MA recipients is

required at least once during a participant’s 12-month period of eligibility. This is a new

requirement not included in past MNsure/METS workload estimates. There are dollars

allocated to Counties to assist in meeting this mandate.

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Attachment C

2016 2017

Expense Expense

FTE Total cost FTE Total cost

Financial Workers 8 159,448 Financial Workers 8 581,792

Managed Care Specialist 0.25 4,143 Managed Care Specialist 0.25 16,573

Customer Relations Specialist 1 21,733 Customer Relations Specialist 1 79,932

Program Associate 1 16,885 Program Associate 1 60,541

Program Supervisor 1 28,544 Program Supervisor 1 107,174

New position requests 08/16 11.25 230,753 New position requests 08/16 11.25 846,012

Revenue Revenue

FFP 50% 115,377 FFP 50% 423,006

PDM 83,000 PDM 135,375

Use of Fund Balance 32,376 Use of Fund Balance 287,631

Total Revenue 230,753 Total Revenue 846,012

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Amend 2016 Social Services Adopted Budget To Reflect New Child Protection Performance Funds

Meeting Date: 8/16/2016 Fiscal/FTE Impact: Item Type: Regular-Action None Other Division: Community Services Current budget Amendment requested Department: Social Services New FTE(s) requested Contact: Granger-Kopesky, Joan Board Goal: Thriving People Contact Phone: (952) 891-7458 Prepared by: Granger-Kopesky, Joan PURPOSE/ACTION REQUESTED Approve use of additional dedicated child protection funds from Dakota County’s Vulnerable Children and Adults Act allocation received for meeting performance target. SUMMARY The 2015 legislative session added funds dedicated exclusively to child protection for SFY 2016 and SFY 2017, prohibiting counties from supplanting existing county funding. The newly-approved funding was added to the calendar year allocation in the Vulnerable Children and Adult Act (Minn. Stat. § 256M.41) based on a formula considering each county’s child population, the number of screened in child maltreatment reports, and number of open child protection case management cases, but not less than $75,000 to any county. The Department of Human Services (DHS) issued Bulletin #15-68-09 on July 6

th, 2015, to establish parameters on use of these funds,

and DHS committed to reporting to the Legislature the number of new staff added statewide from the allocation. Dakota County received a base allocation of $1,139,200 in July 2015 for CY 2015. Dakota County received an additional $194,477 in March 2016 for CY 2015 by achieving a performance measure of completing 90 percent of monthly face-to-face visits by a caseworker with all children served in child protection case management. By Resolution No. 15-397 (July 28, 2015), Dakota County Board of Commissioners amended the budget to reflect the $1,139,200 received for new child protection staff and services, and approved the addition of 9.5 FTE in the 2015 calendar year to increase the capacity of the child protection program. Of this base allocation of $1,139,200, a total of $328,254 was budgeted for 2015 and $810,946 was deferred to CY 2016. Due to delays in hiring, $223,084 of the 2015 budgeted amount was carried over to 2016. Including the $194,477 performance funding, Dakota County has $1,228,507 in dedicated child protection funding remaining from 2015, in addition to the CY 2016 base allocation of $1,139,200. Since the legislative changes to Child Protection were implemented in 2015, Child Protection volume has increased significantly across the state, including in Dakota County. Dakota County saw greater numbers emerging late in the third quarter of 2015 and climbing steadily from that point. The table below shows the number of assessments conducted in a quarter compared to the same quarter in the prior year and compared to the average number of assessments for that quarter in the prior three years.

Assessments Prior year quarter Prior 3-yrs, averaged

Q3 2015 282 265 254 Q4 2015 396 317 315 Q1 2016 490 372 344 Q2 2016 478 362 337

Dakota County’s assessment volume for the first half of 2016, at 991 assessments, is a 31 percent increase over the 757 assessments in the first half of 2015. The increase in ongoing child protection case management is even more significant, close to 45 percent. RECOMMENDATION Staff recommends the County Board amend the 2016 Adopted Budget to reflect the $194,477 performance measure allocation received in March 2016 for 2015 performance. EXPLANATION OF FISCAL/FTE IMPACTS The 2016 Adopted Budget is amended to include the Child Protection Performance Allocation of $194,477 to fund additional program expense.

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15-397; 7/28/15 RESOLUTION WHEREAS, Dakota County received an allocation in July 2015 of $1,139,200 for child protection staff and services for 2015; and WHEREAS, these child protection funds were prohibited from supplanting existing county commitments to staff and services in child protection; and WHEREAS, $1,034,030 of Dakota County’s 2015 child protection allocation was deferred or carried over to 2016; and WHEREAS, Dakota County received an additional allocation of $194,477 for 2015 in response to meeting a performance measure, distributed in March 2016, bringing the total of unspent funds from the 2015 allocation to $1,228,507; and WHEREAS, Dakota County has received $1,139,200 for child protection staff and service for 2016; and WHEREAS, the intent of the new funding for child protection is to increase the capacity of the child protection to respond timely to allegations of child maltreatment, monitor child safety closely, and provide access for families and children to appropriate services that reduce the risk of future maltreatment; and WHEREAS, Dakota County has experienced significant and steady growth in child protection assessments and child protection case management in the last four quarters with limited staff capacity to address the added volume. NOW, THEREFORE, BE IT RESOLVED, That the 2016 Adopted Budget is hereby amended as follows: REVENUE VCA Child Protection Performance Funds (Fund Balance) $194,477 Total Revenue $194,477 EXPENSE Program Expense $194,477 Total Expense $194,477 NCC $0 County Manager’s Comments: Reviewed by (if required):

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7.2 - RBA.docx

OTA COUNTY COMMUNITY SERVICES COMMITTEE

Acknowledge National Association Of Counties Achievement Award For Collaborative Intensive Bridging

Services Program Meeting Date: 8/16/2016 Fiscal/FTE Impact: Item Type: Regular-Information None Other Division: Community Services Current budget Amendment requested Department: Social Services New FTE(s) requested Contact: Granger-Kopesky, Joan Board Goal: Thriving People Contact Phone: (952) 891-7458 Prepared by: Granger-Kopesky, Joan PURPOSE/ACTION REQUESTED Acknowledge receipt of a National Association of Counties Achievement Award and recognize the agencies that partnered in the Collaborative Intensive Bridging Service development and implementation, leading to better outcomes for youth and families. SUMMARY Community Intensive Bridging Services (CIBS) is a short-term, family-focused mental health service model for Dakota County children and their families. CIBS is a package of critical therapeutic interventions: intensive case management provided by County staff, systemic family and individual therapy in the family’s home and community, and a short-term (30 to 45 days) residential treatment placement. The goal is to address children’s significant emotional disturbance in a manner that improves their functioning, supports their families, and reduces the need for out-of-home placement. The CIBS approach starts a family with intensive systemic family therapy in their home for three to six weeks. It transitions to a short residential treatment placement to test the child’s ability to learn new skills to manage their mental health. Once the ability to learn new skills is seen and successfully supported, the youth transitions home to learn and use coping strategies and new behaviors in the setting where new skills are needed, supported by in-home therapy. The youth and family are treated by the same therapist before, during, and following the residential facility stay for about six months to ensure consistent, supported use of new skills. OUTCOMES Outcomes for program participants continue to be positive compared to treatment-as-usual. Dakota County established a comparison group at the start of the CIBS program, matching youth diagnoses and family functioning scores to ensure similarity between groups. Youth received CIBS or residential treatment-as-usual based on service capacity. The comparison group persisted for two years, by which time more service capacity had been developed and CIBS moved to be the initial service approach considered when residential treatment was recommended. The outcomes until 2012 from that comparison group continue to be the benchmark against which Dakota County monitors the CIBS program. The presentation shows charts comparing outcome data aggregated for the five years of operation through 2015 to the benchmark of the comparison group outcomes concluded in 2012. Briefly, only 15 of the 98 children in the CIBS group experienced a return to any type of out-of-home placement in the two years following their residential treatment stay, including a total of 19 placements for those 15 youth. The Non-CIBS comparison group had 22 of 30 children return to some form of out-of-home placement, including a total of 79 placements for those 22 children, so that not only were more children likely to be placed, but children typically experienced many placements over the two years post-discharge. Given the model for CIBS, it could be expected that duration of residential treatment was shorter for CIBS participants. For CIBS, the average treatment stay was 28.3 days with a range of zero to 87 days; for residential treatment-as-usual, the average treatment stay was 157 days with a range of 44 to 372 days. CIBS has been cost-effective for Dakota County and has attracted the attention of other counties and regions seeking to replicate the success. More importantly, CIBS has resulted in positive outcomes for children and families, helping to keep families intact and children supported in their usual environments while mastering the skills that will help them manage their mental health. RECOMMENDATION Information only; no action requested. EXPLANATION OF FISCAL/FTE IMPACTS None.

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RESOLUTION Information only; no action requested.

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7.3 - RBA.docx