Health and Human Services MINUTES OF MEETING January 2, 2018 Meeting of the Health and Human Services Standing Committee of the Chemung County Legislature Minutes of a meeting of the Health and Human Services Committee of the Chemung County Legislature held in the Legislative Chambers, 5 th Floor, Hazlett Building, 203 Lake Street, Elmira, New York on Tuesday, January 2, 2018 Members and officials present: John Pastrick, Joseph Brennan, Kenneth Miller, Brian Hyland, Cornelius Milliken, III, Peggy Woodard, Martin Chalk, Aola Jackson, Paul Collins, Richard Madl, Donna Draxler, Rodney Strange, Michael Krusen, Michael Mucci, Steve Hoover, K. Bill Hopper, Mark Cicora, Robert Dieterle, Samantha Potter, Jennifer Stimson, Peter Buzzetti, Michael Youmans Legislators excused: David Manchester, L. Thomas Sweet, William Fairchild The meeting was called to order by the Chairman of the committee, Joseph Brennan. Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing agreement with Cornell Cooperative Extension on behalf of the Chemung County Department of Social Services. Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing agreement with the New York State Office of Children and Family Services on behalf of the Chemung County Department of Social Services. Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing agreements with various providers of day care services on behalf of the Chemung County Department of Social Services. Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing agreements for foster care services on behalf of the Chemung County Department of Social Services. Motion made by Kenneth Miller, seconded by Aola Jackson, and Passed with a vote of 4-0, authorizing agreement with Chemung-Schuyler-Steuben Workforce New York on behalf of the Chemung County Department of Social Services. Mr. Miller noted that $70,000 of the $225,000 agreement between Southern Tier Economic Growth (STEG) and the Chemung County Department of Social Services is to offset the local share of three (3) Community Service Worker ("Workers") positions. He asked where the Workers would be located. Ms. Stimson stated that the Workers will be stationed in each of three hubs located within the City of Elmira. The
hubs have been created in an effort to connect residents with services. Dr. Milliken asked if it was unusual for STEG to be involved with social service/community projects, and shared his concern regarding the future focus of STEG. He asked Mr. Krusen if he anticipates more programs of this type. Mr. Krusen stated that STEG is the administrative arm for the Empire State Poverty Reduction Initiative funds. All of the programming in the agreement between STEG and the Department of Social Services is 100% reimbursed by the state. Mr. Krusen remarked that putting economic development and community development together makes sense. Economic development cannot be successful if the poverty issue is not addressed. The overall goal is to drive the poverty rate down in the City of Elmira through neighborhood revitalization Mr. Krusen feels that rather detracting from STEG's primary goal of economic development, community development and neighborhood revitalization will help STEG achieve their goals. Motion made by Kenneth Miller, seconded by Aola Jackson, and Passed with a vote of 4-0, authorizing agreement with Southern Tier Economic Growth on behalf of the Chemung County Department of Social Services. Motion made by Kenneth Miller, seconded by Aola Jackson, and Passed with a vote of 4-0, authorizing various agreements for respite services on behalf of the Chemung County Departments of Social Services and Mental Hygiene. Motion made by Kenneth Miller, seconded by Aola Jackson, and Passed with a vote of 4-0, authorizing agreements for home health and personal care aides and homemaker services on behalf of the Chemung County Departments of Social Services, Health, and Aging and Long Term Care. Motion made by Kenneth Miller, seconded by Aola Jackson, and Passed with a vote of 4-0, authorizing agreement with S2AY Rural Health Network on behalf of the Chemung County Departments of Health and Social Services. Motion made by Kenneth Miller, seconded by Aola Jackson, and Passed with a vote of 4-0, amending Memorandum of Understanding between the Chemung County Department of Aging and Long Term Care and the Chemung County Department of Social Services. Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing cooperative program agreements with local municipalities and County governments on behalf of the Chemung County Health Department. Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing agreements with the New York State Department of Health on behalf of the Chemung County Health Department. Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing agreements with service providers to support public health programs on behalf of the Chemung County Health Department. Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing agreements with third party reimbursement and insurance plans covering services provided by the Chemung County Health Department and the Chemung County Nursing Facility. Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing agreements on behalf of the Chemung County Nursing Facility (Medicare Part D Pharmacy). Motion made by Kenneth Miller, seconded by Paul Collins, and Passed with a vote of 4-0, authorizing agreement with Time Warner/Spectrum on behalf of the Chemung County Nursing Facility. Motion made by Kenneth Miller, seconded by Paul Collins, and Passed with a vote of 4-0, supporting S.2754A, an act to amend the social services law, in relation to personal needs allowances. Motion made by Kenneth Miller, seconded by Paul Collins, and Passed with a vote of 4-0, authorizing
application for and acceptance of a grant from The Anderson Foundation, Inc. on behalf of the Chemung County Department of Youth and Recreational Services (Summer Cohesion). Motion made by Kenneth Miller, seconded by Paul Collins, and Passed with a vote of 4-0, authorizing application for and acceptance of a grant from the Hardinge Anderson Evans Foundation on behalf of the Chemung County Department of Youth and Recreational Services (Summer Cohesion). Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing application for and acceptance of a grant from the Hilliard Corporation on behalf of the Chemung County Department of Youth and Recreational Services (Summer Cohesion). Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing application for and acceptance of a grant from the Tripp Foundation on behalf of the Chemung County Department of Youth and Recreational Services (Summer Cohesion). Motion made by Paul Collins, seconded by Kenneth Miller, and Passed with a vote of 4-0, authorizing agreement with Southside Community Center on behalf of the Chemung County Department of Youth and Recreational Services. The meeting was adjourned on the motion by Mr. Miller, seconded by Mr. Collins. Motion carried.
CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER 425-447 PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York 14902-0588 PHONE NO: (607) 737-5405 FAX: (607) 737-5547 Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services Christine O Herron, Director of Administrative Services DATE: December 1, 2017 RE: Cornell Cooperative Extension Agreement On behalf of the Chemung County Department of Social Services, please consider this correspondence as our request to enter into an agreement with Cornell Cooperative Extension for the period of January 1, 2018 to December 31, 2018. Under this agreement, Cornell Cooperative Extension will offer training sessions to identified Community Mentors and Ambassadors in support of the Empire State Poverty Reduction Initiative (ESPRI). Participants will: Build leadership skills Explore and learn about community resources Participate and contribute in community projects Receive and build mentor and coaching skills This request is contingent upon the receipt of ESPRI funding in the amount of $5,000 and approval by the Chemung County Legislature. If you have any questions or additional information is needed, please contact Jennifer Stimson at 737-5309. Thank you. Item # 1
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreement with Cornell Cooperative Extension on behalf of the Chemung County Department of Social Services Resolution #: 01 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): No Prior Resolution Vendor/Provider Cornell Cooperative Extension Term 01/01/2018-12/31/2018 Total Amount $5,000 Prior Amount $0 Local Share $5,000 (Reimb by STEG) State Share Federal Share Project Budgeted? No Funds are in Account # 10-6010-0100-50408 CREATION: Date/Time: Department: 12/6/2017 8:41:56 AM Social Services APPROVALS: Date/Time: Approval: Department: 12/13/2017 10:42 AM Approved Budget and Research 12/14/2017 11:21 AM Approved County Executive 12/14/2017 11:24 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Cornell_Coop_Ext_Memo.doc Memo Cover Memo Item # 1
CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER 425-447 PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York 14902-0588 PHONE NO: (607) 737-5405 FAX: (607) 737-5547 Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Serivces TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services / Beth Stranges, Director of Economic Security Christine O Herron, Director of Administrative Services DATE: December 6, 2017 RE: 2018 Day Care Registration and Inspection (MOU 2307) Please consider this correspondence as the Chemung County Department of Social Services request to renew the Memorandum of Understanding with New York State Office of Children and Family Services (NYS OCFS) for the period of 1/1/2018 12/31/2018. In 2018, the Department of Social Services will receive an award of $246,212 in federal funds for provision of registration and inspection of day care providers in Chemung County. Chemung County will continue to subcontract with the Chemung County Child Care Council, Inc. to conduct day care registration and inspection services. If you have any questions, please contact Jennifer Stimson at 737-5309. Thank you. Item # 2
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreement with the New York State Office of Children and Family Services on behalf of the Chemung County Department of Social Services Resolution #: 02 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No. 17-015 Vendor/Provider New York State Office of Children and Family Services Term 01/01/2018-12/31/2018 Total Amount $246,212.00 Prior Amount $246,212.00 Local Share State Share Federal Share $246,212.00 Project Budgeted? Yes Funds are in Account # 10-6010-0100-50408 CREATION: Date/Time: Department: 12/6/2017 4:45:11 PM Social Services APPROVALS: Date/Time: Approval: Department: 12/13/2017 10:44 AM Approved Budget and Research 12/14/2017 11:21 AM Approved County Executive 12/14/2017 11:49 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Daycare_Reg_and_Insp_Memo_2018.doc Memo Cover Memo Item # 2
CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER 425-447 PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York 14902-0588 PHONE NO: (607) 737-5465 FAX: (607) 737-5547 Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services / Beth Stranges, Director of Economic Security Tina O Herron, Director of Administrative Services DATE: December 5, 2017 RE: 2018 VARIOUS DAY CARE PROVIDERS CONTRACT RENEWAL Please consider this correspondence as the Department of Social Services request to renew various provider contracts for provision of Day Care services in 2018. The LDSS is responsible to provide child care subsidy to low-income families and individuals on public assistance. Through a subcontract with the Chemung County Child Care Council, we are able to serve approximately 900 children with day care services and contract with over 65 providers. The various providers of Day Care budget will not exceed $3,553,217 in 2018. As compared to 2017, this is an increase of $185,532 driven by the NYS Child Care Block Grant allocation per 17- OCFS-LCM-11. Various Day Care providers will continue to be funded with a combination of federal, state, and local monies that include the NYS Child Care Block Grant, TANF FFFS, Title XX, and state preventive funds. To be eligible for day care, a family must have income at or below the income eligibility ceilings. The NYSCCBG defines eligibility at or below 200% of the Federal poverty level. However, in Chemung County, due to the need for childcare services, we are able to serve families with income at or below 175%. Families with income over the Federal poverty level are charged a parent fee based on income. Please contact Jennifer Stimson at 737-5309, if you have any questions. Thank you. Item # 3
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreements with various providers of day care services on behalf of the Chemung County Department of Social Services Resolution #: 03 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution #17-016 Vendor/Provider Various Providers of Day Care Term 01/01/2018-12/31/2018 Total Amount $3,553,217.00 Prior Amount $3,367,685.00 Local Share $532,983.00 State Share $284,257.00 Federal Share $2,735,977.00 Project Budgeted? Yes Funds are in Account # 10-6010-0100-50443.0102 CREATION: Date/Time: Department: 12/6/2017 10:29:01 AM Social Services APPROVALS: Date/Time: Approval: Department: 12/13/2017 10:53 AM Approved Budget and Research 12/14/2017 11:22 AM Approved County Executive 12/14/2017 2:02 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: VariousDayCare_Memo_2018.doc Memo Cover Memo Item # 3
CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER 425-447 PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York 14902-0588 PHONE NO: (607) 737-5465 FAX: (607) 737-5547 Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner / Kellie Lowman, Director of Children and Family Services Christine O Herron, Director of Administrative Services DATE: December 14, 2017 SUBJECT: 2018 VARIOUS PROVIDERS OF FOSTER CARE On behalf of the Chemung County Department of Social Services, please accept this correspondence as our request to renew Various Foster Care Provider agreements. In 2018, Various Providers of Foster Care expenses are expected not to exceed $3,640,000. Chemung County Foster Care is provided to children according to the State Plan and includes all activities and functions relative to the care of a child away from his or her home 24 hours per day. The child must be in a family foster home, a daily certified or approved foster family boarding home, a duly certified group home, agency boarding home, child care institution, health care facility, or a combination thereof. Claiming of Foster Care payments are driven by the eligibility category of the child, and include Title IV-E and TANF EAF Foster Care funding, as well as, State Foster Care Block Grants. Various Foster Care Provider agreements are projected to be reimbursement as 33% Federal, 34% State, and 33% Local. Please contact Jennifer Stimson at 737-5309, if you have any questions. Thank you. Item # 4
Chemung County Children and Family Services Analysis Rec Expend Accounts - 50443 Foster Care Budgeted Expenditures 2010 2011 2012 2013 2014 2015 2016 2017 2018 Change Comment(s) 50443 Recipient Expense - - 13,400 14,000 3,000 3,000 3,000 3,000 2,000 (1,000) 50443-1703 Independent Living 370,000 300,000 200,000 150,000 90,000 90,000 90,000 90,000 110,000 20,000 50443-2001 Preventive Services 90,000 400,000 400,000 400,000 400,000 350,000 350,000 250,000 362,000 (38,000) Anticipate increase in preventive expenses due to IVE requirements 50443-2002 Admin. Expense - - 2,500 2,000 2,000 2,000 2,000 2,000 100,000 98,000 Anticipate increase in admin expenses due to IVE requirements 50443-2003 Glove House Group Home 1,575,000 1,400,000 939,000 1,165,000 800,000 800,000 500,000 400,000 500,000 (300,000) Increase use of Glove House 50443-2004 Group Home Other 175,000 70,000 55,000 - - - - - 25,000 50443-2005 Family Foster Care 510,000 425,000 425,000 407,000 375,000 375,000 375,000 350,000 550,000 175,000 Shift in appropriating for Family FC, Institutions Out of County, Tuition, and Therapeutic Foster Home 50443-2006 Non Fam Foster Care - - - - - - - - - 50443-2007 Institutions Out of Cnty 2,570,000 1,750,000 1,100,000 1,600,000 1,200,000 1,200,000 1,200,000 2,092,000 1,425,000 225,000 Shift in appropriating for Family FC, Institutions Out of County, Tuition, and Therapeutic Foster Home 50443-2008 Tuition 1,090,000 905,000 500,000 795,000 400,000 400,000 400,000 700,000 400,000 - Shift in appropriating for Family FC, Institutions Out of County, Tuition, and Therapeutic Foster Home 50443-2009 RTF Tuition 35,000 50,000 45,000 126,000 40,000 40,000 40,000 10,000 20,000 (20,000) 50443-2012 Transportation 216,000 150,000 170,000 97,000 30,000 30,000 30,000 75,000 50,000 20,000 Anticipate less (claimable) transportation expenses due to IVE requirements. Will become admin or preventive. 50443-2013 Babysitting 100 100 100 - - - - - 0 50443-2015 Emergency Care 40,900 30,000 15,000 13,000 17,000 17,000 17,000 6,000 6,000 (11,000) 50443-2019 Clothing 57,000 55,000 55,000 32,000 32,000 32,000 32,000 32,000 25,000 (7,000) 50443-2020 Other 47,000 34,900 80,000 55,000 60,000 60,000 60,000 40,000 25,000 (35,000) Anticipate less (claimable) transportation expenses due to IVE requirements. Will become admin or preventive. 50443-2021 Therapeutic Foster Home 724,000 740,000 550,000 624,000 551,000 551,000 551,000 200,000 650,000 99,000 Shift in appropriating for Family FC, Institutions Out of County, Tuition, and Therapeutic Foster Home 7,500,000 6,310,000 4,550,000 5,480,000 4,000,000 3,950,000 3,650,000 4,250,000 4,250,000 Original Budget 7,500,000 6,310,000 4,550,000 5,480,000 4,000,000 3,950,000 3,650,000 4,250,000 4,250,000 Less: Independent Living 90,000 90,000 90,000 90,000 110,000 Less: Glove House Group Home 800,000 800,000 500,000 400,000 500,000 Total Various Foster Care 3,110,000 3,060,000 3,060,000 3,760,000 3,640,000 Item # 4
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreements for foster care services on behalf of the Chemung County Department of Social Services Resolution #: 04 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No. 17-2017 Vendor/Provider Various Providers of Foster Care Term 01/01/2018-12/31/2018 Total Amount $3,640,000 Prior Amount $3,760,000 Local Share 33% State Share 34% Federal Share 33% Project Budgeted? Yes Funds are in Account # 10-6010-0200-50443 CREATION: Date/Time: Department: 12/15/2017 9:35:28 AM Social Services APPROVALS: Date/Time: Approval: Department: 12/16/20179:19 AM Approved Budget and Research 12/18/201710:59 AM Approved County Executive 12/18/20172:29 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Foster_Care_Memo_2018.doc Memo Cover Memo Budget_Analysis_2018.xls FC Account Breakdown Backup Material Item # 4
CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER 425-447 PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York 14902-0588 PHONE NO: (607) 737-5405 FAX: (607) 737-5547 Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services Christine O Herron, Director of Administrative Services DATE: December 1, 2017 RE: Chemung-Schuyler-Steuben Workforce New York Agreement On behalf of the Chemung County Department of Social Services, please consider this correspondence as our request to enter into an agreement with Chemung-Schuyler-Steuben Workforce New York for the period of January 1, 2018 to March 31, 2019. Under this agreement, Chemung-Schuyler-Steuben Workforce New York will provide the following services: Hire one full-time Career Navigator for the Elmira Job Center Extend hours of operation at the Elmira Job Center Assist with community outreach Assist with Job Center orientation/usage Expand access to skill development and training The goal is to create a comprehensive wrap around support structure for individuals accessing identified skill development and/or training programs. The trainings offered will be aligned with occupations in demand that are identified by the ESPRI task force. This request is contingent upon the receipt of Empire State Poverty Reduction Initiative (ESPRI) funding in the amount of $180,000 and approval by the Chemung County Legislature. If you have any questions or additional information is needed, please contact Jennifer Stimson at 737-5309. Thank you. Item # 5
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreement Chemung-Schuyler-Steuben Workforce New York on behalf of the Chemung County Department of Social Services Resolution #: 05 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): No Prior Resolution Vendor/Provider Chemung-Schuyler-Steuben Workforce New York Term 01/01/2018-03/31/2019 Total Amount $180,000 Prior Amount $0 Local Share S180,000 (Reimb by STEG) State Share Federal Share Project Budgeted? No Funds are in Account # 10-6010-0100-50408 CREATION: Date/Time: Department: 12/5/2017 4:39:04 PM Mental Hygiene APPROVALS: Date/Time: Approval: Department: 12/13/2017 10:43 AM Approved Budget and Research 12/14/2017 11:21 AM Approved County Executive 12/14/2017 1:21 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: CSS_Workforce_NY_Memo.doc Memo Cover Memo Item # 5
CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER 425-447 PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York 14902-0588 PHONE NO: (607) 737-5405 FAX: (607) 737-5547 Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services Christine O Herron, Director of Administrative Services DATE: December 1, 2017 RE: Agreement with Southern Tier Economic Growth On behalf of the Chemung County Department of Social Services, please consider this correspondence as our request to enter into an agreement with Southern Tier Economic Growth for the period of January 1, 2018 to March 31, 2019. The purpose of this request is to document Southern Tier Economic Growth s (STEG) commitment to reimburse the Chemung County Department of Social Services $255,000, as follows; $70,000 to offset the local share of the three (3) Community Services Worker positions $180,000 for the MOA with Chemung-Schuyler-Steuben Workforce New York $5,0000 for the MOA with Cornell Cooperative Extension This request is contingent upon the receipt of Empire State Poverty Reduction Initiative funding. If you have any questions, please contact Jennifer Stimson at 737-5309. Thank you. Item # 6
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreement with Southern Tier Economic Growth on behalf of the Chemung County Department of Social Services Resolution #: 06 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): No Prior Resolution Vendor/Provider Southern Tier Economic Growth (STEG) Term 01/01/2018-03/31/2019 Total Amount $255,000 Prior Amount $0 Local Share $255,000 (STEG) State Share Federal Share Project Budgeted? No Funds are in Account # 10-6010-0100-50408 CREATION: Date/Time: Department: 12/6/2017 8:46:35 AM Social Services APPROVALS: Date/Time: Approval: Department: 12/13/2017 10:52 AM Approved Budget and Research 12/14/2017 11:22 AM Approved County Executive 12/14/2017 2:05 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: STEG_Memo.doc Memo Cover Memo Item # 6
CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER 425-447 PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York 14902-0588 PHONE NO: (607) 737-5465 FAX: (607) 737-5547 Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services / Brian Hart, Director of Community Services / Kellie Lowman, Director of Children and Family Services / Christy Harmer, Director of Children s Integrated Services Christine O Herron, Director of Administrative Services DATE: December 14, 2017 RE: 2018 VARIOUS PROVIDERS OF RESPITE SERVICES On behalf of the Chemung County Departments of Social Services and Mental Hygiene, please consider this correspondence as our request to renew various provider agreements for Respite services in 2018. The 2018 Respite budget is requested to remain $308,444. The primary providers of Respite include Glove House and Pathways. Providers will continue to provide respite services to youth who are at risk in regard to mental health, juvenile justice, or foster care involvement. Respite care is planned or emergency care provided to a child involved in the juvenile justice or child welfare system in order to provide temporary relief to families who are caring for a child. Respite programs provide planned and emergency short-term and time-limited breaks for families of children involved in the Juvenile Justice or Child Welfare System in order to support and maintain the primary care giving relationship. Respite also provides a positive experience for the person receiving care. Respite has been shown to help sustain family caregiver health and well-being, avoid or delay out-ofhome placements, and reduce the likelihood of abuse and neglect. If you have any questions, please contact Jennifer Stimson at 737-5309. Thank you. Item # 7
ATTACHMENT B SCHEDULE IV VARIOUS PROVIDERS OF RESPITE 01/01/2018-12/31/2018 ACCOUNT NO. PROGRAM BUDGET FEDERAL STATE LOCAL 10-6010-0200-50443.2014 Department of Social Services - CFS $150,000.00 $49,500.00 $48,000.00 $52,500.00 10-4310-4511-50408 Department of Mental Hygiene $24,930.00 $0.00 $24,930.00 $0.00 10-4310-4510-50408 Children's Integrated Services $133,514.00 $0.00 $82,778.68 $50,735.32 $308,444.00 $49,500.00 $155,708.68 $103,235.32 Item # 7
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing various agreements for respite services on behalf of the Chemung County Departments of Social Services and Mental Hygiene Resolution #: 07 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No. 17-137 Vendor/Provider Various Providers of Respite Term 01/01/2018-12/31/2018 Total Amount $308,444 Prior Amount $308,444 Local Share $103,235 State Share $155,709 Federal Share $49,500 Project Budgeted? Yes Funds are in Account # Various. Please see attached budget. CREATION: Date/Time: Department: 12/15/2017 8:34:09 AM Social Services APPROVALS: Date/Time: Approval: Department: 12/16/20179:20 AM Approved Budget and Research 12/18/201710:59 AM Approved County Executive 12/18/20172:05 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Various_Respite_Memo2018.doc Memo Various_Respite_Budget2018.xls Budget Cover Memo Backup Material Item # 7
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreements for home health and personal care aides and homemaker services on behalf of the Chemung County Departments of Social Services, Health and Aging and Long Term Care Resolution #: 08 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): The departments of Social Services, Health and Aging and Long Term Care utilize these contracts as part of the home centered programs provided to patients and clients under multiple healthcare programs funded by the state and federal governments and private insurance companies and individuals. Prior Resolution No. 17-017 Vendor/Provider Multiple Providers Term 1/1/2018-12/31/2018 Total Amount $440,000 Prior Amount $493,500 Local Share 20% State Share 59% Federal Share 13% Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/5/2017 2:04:14 PM Health Department APPROVALS: Date/Time: Approval: Department: 12/6/2017 11:22 AM Approved Budget and Research 12/11/2017 9:09 AM Approved County Executive 12/14/2017 10:49 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: No Attachments Available Item # 8
CHEMUNG COUNTY HEALTH DEPARTMENT REGIONAL RURAL HEALTH NETWORK COOPERATIVE SERVICES 2018 BUDGET ESTIMATE NB-NO BID ACCT 2018 B -BID NUMBER DEPARTMENT SERVICE BUDGET Q -QUOTE 10-4010 HEALTH DEPARTMENT REGIONAL RURAL HEALTH NETWORK PROGRAMS $ 17,000 NB 10-6010 DEPARTMENT OF SOCIAL SERVICES REGIONAL RURAL HEALTH NETWORK PROGRAMS $ 4,200 NB $ 21,200 Item # 9
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreement with S2AY Rural Health Network on behalf of the Chemung County Departments of Health and Social Services Resolution #: 09 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): S2AY Network provides coordinated problem resolution for regional county health departments and departments of social services in such programs early intervention administration, communicable disease reporting and disaster preparedness and encourages collaboration between all. Prior Resolution 17-012 Vendor/Provider S2AY Rural Health Network Term 1/1/2018-12/31/2018 Total Amount $21,200 Prior Amount $21,600 Local Share 5% State Share 85% Federal Share 15% Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/5/2017 2:15:22 PM Health Department APPROVALS: Date/Time: Approval: Department: 12/6/2017 11:21 AM Approved Budget and Research 12/11/2017 9:12 AM Approved County Executive 12/14/2017 10:46 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: 2018S2AYNetwork.xlsx 2018 S2AY Rural Health Network Cover Memo Item # 9
CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER 425-447 PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York 14902-0588 PHONE NO: (607) 737-5405 FAX: (607) 737-5547 Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services Christine O Herron, Director of Administrative Services DATE: November 29, 2017 RE: 2017 AGING & LONG TERM CARE MOU AMENDMENT On behalf of the Chemung County Department of Social Services, please consider this correspondence as our request to amend the 2017 Memorandum of Understanding with the Chemung County Department of Aging & Long Term Care. In 2017, the Memorandum of Understanding between the Department of Social Services and Department of Aging & Long Term Care for the provision of the CARE Unit is requested to increase by $90,527, for a total budget not to exceed $843,558. The CARE Unit will be reimbursed as a Medicaid Administration contract, subject to the Medicaid cap calculation. There is no local share associated with this request to increase. The Department of Aging & Long Term Care will deliver expanded information, assistance and intake services related to Medicaid long term care options and access for clients who have Medicaid, or are in the process of obtaining Medicaid, but who do not currently receive Medicaid homecare services, including: Home and community based long term care Facility based long term care Mainstream managed care, Managed Long Term Care, Conflict Free Eligibility and Enrollment Center Personal Care Level 1 homemaker/housekeeper services managed by our CARE Unit Item # 10
Consumer directed services (the consumer or their designee is responsible for hiring, training and supervising service providers) Medicaid Waivers (e.g., Nursing Home Transition & Diversion, Traumatic Brain Injury) Transitioning from one managed care plan to another Obtaining doctors orders Obtaining a UAS or PRI assessment If you have any questions, please contact Jennifer Stimson at 737-5309. Thank you. Item # 10
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution amending Memorandum of Understanding between the Chemung County Department of Aging and Long Term Care and the Chemung County Department of Social Services Resolution #: 10 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No. 17-077 Vendor/Provider Chemung County Department of Aging and Long Term Care Term 01/01/2017-12/31/2017 Total Amount $843,558 Prior Amount $753,031 Local Share 25% State Share 25% Federal Share 50% Project Budgeted? Yes Funds are in Account # 10-6010-0100-50408 CREATION: Date/Time: Department: 11/30/2017 10:32:30 AM Social Services APPROVALS: Date/Time: Approval: Department: 12/13/2017 10:47 AM Approved Budget and Research 12/14/2017 11:22 AM Approved County Executive 12/14/2017 2:01 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: CARE_Unit_Amend_Memo 17.doc Memo Cover Memo Item # 10
CHEMUNG COUNTY HEALTH DEPARTMENT INTERMUNICIPAL AGREEMENTS 2018 BUDGET ESTIMATE NB-NO BID 2018 B -BID ACCOUNT NUMBER CONTRACTOR PROGRAM SERVICE ESTIMATE Q -QUOTE 10-4010-4042-50461 CITY OF ELMIRA RABIES RABIES CLINIC & SPECIMEN CAPTURE $ 4,635 NB TERM: 1/1/2018-12/31/2018 EXPENSE REIMBURSED 100% BY NYS DOH RABIES CONTROL FUNDING 10-4010-4013-50438 COUNTY OF MONROE MEDICAL EXAMINER AUTOPSIES AND LAB FEES $ - NB TERM: 1/1/2018-12/31/2018 Fee for service provided in accordance with Monroe County Legislature approved fee schedule. Expense Amount $ 4,635 10-4010-4010-41601 COUNTY OF BROOME CANCER SERVICES CANCER SCREENING SERVICES $ 45,000 NB TERM: 4/1/2018-3/31/2019 10-4010-4010-41601 COUNTY OF SCHUYLER HIV/STD PREVENTION PATIENT TESTING AND COUNSELING $ 2,000 NB TERM: 1/1/2018-12/31/2018 10-4010-4010-44482 COUNTY OF SCHUYLER WIC WIC PROGRAM ADMINISTRATION $ - NB TERM: 10/1/2018-9/30/2019 CHEMUNG COUNTY WIC PROGRAM FUNDING INCLUDES SCHULYER COUNTY Revenue Amount $ 47,000 Item # 11
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing cooperative program agreements with local municipalities and County governments on behalf of the Chemung County Health Department Resolution #: 11 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Request authorization to enter into cooperative agreements with local municipalities and county governments in order to support the provision of public health services within Chemung County. Under these agreements the county health department will receive support for services of directly provide services as part of a sub-contract with another government entity. Prior Resolution No. 17-026 Vendor/Provider Multiple Term Mutliple terms Total Amount $4,635 exp/ $47,000 rev Prior Amount $4,500 exp/ $47,000 rev Local Share $0 State Share $4,635 Federal Share $0 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/5/2017 2:37:05 PM Health Department APPROVALS: Date/Time: Approval: Department: 12/6/2017 11:21 AM Approved Budget and Research 12/11/2017 9:12 AM Approved County Executive 12/14/2017 10:56 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: 2018Municipal.xlsx 2018 Municipal Agreements Exhibit Item # 11
CHEMUNG COUNTY HEALTH DEPARTMENT NYS DOH PROGRAMS 2018 BUDGET ESTIMATE ESTIMATED ESTIMATED DEPARTMENT CONTRACT# PROGRAM DESCRIPTION CONTRACT PERIOD 2018 TOTAL 4010 C028518 ATUPA 4/1/2018-3/31/2019 $ 38,000 4010 C028282 Immunization Action Plan 4/1/2018-3/31/2019 $ 45,000 4050 C029672 Advancing Tobacco Free Communities 7/1/2018-6/30/2019 $ 325,000 4010 C026499 Lead Poisoning Prevention 10/1/2018-9/30/2019 $ 45,000 4010 C030099 Water Enhancement Program 4/1/2018-3/31/2019 $ 105,000 4010 1589-11 (HRI) Public Health Preparedness 7/1/2018-6/30/2019 $ 80,000 4042 C027907 Rabies Prevention 4/1/2018-3/31/2019 $ 10,000 4082 C025737 Women, Infant and Children 10/1/2018-9/30/2019 $ 700,000 $ 1,348,000 Item # 12
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreements with the New York State Department of Health on behalf of the Chemung County Health Department Resolution #: 12 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): The New York State Department of Health has made funding available for the Chemung County Health Department to provide public health services to the residents of Chemung County. These contracts are additional funding opportunities beyond the base Public Health Aid available to the County targeted to specific programs such as communicable and chronic disease, nutrition and environmental health improvement. Prior Resolution No. 17-024 Vendor/Provider NYS DOH (multiple departments) Term Varies Total Amount $1,348,000 Prior Amount $1,396,750 Local Share 0% State Share 87% Federal Share 13% Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/5/2017 2:56:40 PM Health Department APPROVALS: Date/Time: Approval: Department: 12/6/2017 11:21 AM Approved Budget and Research 12/11/2017 9:12 AM Approved County Executive 12/14/2017 11:20 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: 2018NYSDOH.xlsx 2018 NYS DOH Cover Memo Item # 12
CHEMUNG COUNTY HEALTH DEPARTMENT CONTRACTED SERVICES 2018 BUDGET ESTIMATE 2018 ACCOUNT NUMBER CONTRACTOR PROGRAM SERVICE CONTRACT 10-4010-4010-50408 ALS Group USA ENVIRONMENTAL HEALTH WATER SAMPLE ANALYSIS - WEP/PH $ 2,500 10-4010-4010-50408 FOX, HARRIETTE CHRONIC DISEASE PREVENTION CANCER SERVICES COORDINATION $ 5,000 10-4010-4010-50408 HUMAN SERVICES DEVELOPMENT PUBLIC HEALTH PREPAREDNESS PROGRAM DEVELOPMENT $ 11,500 10-4010-4010-50408 HYATT PhD, JOYCE VARIOUS PROGRAMS PROGRAM DEVELOPMENT $ 5,000 10-4010-4010-50408 LENHARDT, MD PhD, TERENCE PUBLIC HEALTH MEDICAL DIRECTOR $ 17,500 10-4010-4010-50408 MICROBAC ENVIRONMENTAL HEALTH WATER SAMPLE ANALYSIS - WEP/PH $ 1,500 10-4010-4010-50434 ARNOT HEALTH SERVICES VARIOUS PROGRAMS VARIOUS SERVICES $ 7,500 10-4010-4013-50408 ARNOT HEALTH SERVICES CORONER'S PROGRAM PROGRAM SUPPORT/MORGUE $ 18,000 10-4010-4013-50408 SCHENONE D.O., ROGER CORONER'S PROGRAM PHYSICIAN CORONER $ 17,500 10-4010-4013-50408 MULTIPLE PROVIDERS CORONER'S PROGRAM DEATH INVESTIGATIONS $ 51,475 10-4010-4013-50438 OUR LADY OF LOURDES HOSPITAL CORONER'S PROGRAM MORGUE USE/FORENSIC LAB FEES $ 67,500 10-4010-4013-50438 TWIN TIER PATHOLOGY ASSOCIATES CORONER'S PROGRAM AUTOPSY FEES $ 65,625 10-4010-4013-50439 MULTIPLE PROVIDERS CORONER'S PROGRAM TRANSPORTATION $ 54,500 10-4010-4020-50408 MULTIPLE PROVIDERS HOME HEALTH AGENCY PATIENT THERAPY SERVICES (OT, PT, etc.) $ 517,000 10-4010-4020-50408 McKESSON HOME HEALTH AGENCY HHA MANAGEMENT SOFTWARE $ 55,000 10-4010-4020-50408 DSS RESEARCH HOME HEALTH AGENCY PATIENT QUALITY ASSURANCE $ 2,000 10-4010-4020-50408 PPS PLUS HOME HEALTH AGENCY OASIS REVIEW $ 6,000 10-4010-4042-50434 ARNOT HEALTH SERVICES RABIES PREVENTION HUMAN POST EXPOSE TREATMENT $ 6,000 10-4010-4042-50461 CHEMUNG COUNTY HUMANE SOCIETY RABIES PREVENTION RABIES CLINIC SERVICES $ 4,000 10-4010-4082-50408 MULTIPLE PROVIDERS WOMEN, INFANTS and CHILDREN WIC PEER COUNSELORS $ 43,541 10-4010-4082-50408 ONE CALL WOMEN, INFANTS and CHILDREN APPOINTMENT REMINDER SYSTEM $ 2,000 10-4010-4082-50408 WIC STRONG WOMEN, INFANTS and CHILDREN OUTREACH AND MARKETING SUPPORT $ 7,500 10-6017-7320-50434 ARNOT HEALTH SERVICES VARIOUS PROGRAMS VARIOUS SERVICES $ 25,000 $ 993,141 Item # 13
CHEMUNG COUNTY HEALTH DEPARTMENT CONTRACTED SERVICES 2018 BUDGET ESTIMATE 2018 ACCOUNT NUMBER CONTRACTOR PROGRAM SERVICE CONTRACT 10-4010-4010-50408 ALS Group USA ENVIRONMENTAL HEALTH WATER SAMPLE ANALYSIS - WEP/PH $ 2,500 10-4010-4010-50408 FOX, HARRIETTE CHRONIC DISEASE PREVENTION CANCER SERVICES COORDINATION $ 5,000 10-4010-4010-50408 HUMAN SERVICES DEVELOPMENT PUBLIC HEALTH PREPAREDNESS PROGRAM DEVELOPMENT $ 11,500 10-4010-4010-50408 HYATT PhD, JOYCE VARIOUS PROGRAMS PROGRAM DEVELOPMENT $ 5,000 10-4010-4010-50408 LENHARDT, MD PhD, TERENCE PUBLIC HEALTH MEDICAL DIRECTOR $ 17,500 10-4010-4010-50408 MICROBAC ENVIRONMENTAL HEALTH WATER SAMPLE ANALYSIS - WEP/PH $ 1,500 10-4010-4010-50434 ARNOT HEALTH SERVICES VARIOUS PROGRAMS VARIOUS SERVICES $ 25,500 10-4010-4013-50408 SCHENONE D.O., ROGER CORONER'S PROGRAM PHYSICIAN CORONER $ 17,500 10-4010-4013-50408 MULTIPLE PROVIDERS CORONER'S PROGRAM DEATH INVESTIGATIONS $ 51,475 10-4010-4013-50438 OUR LADY OF LOURDES HOSPITAL CORONER'S PROGRAM MORGUE USE/FORENSIC LAB FEES $ 67,500 10-4010-4013-50438 TWIN TIER PATHOLOGY ASSOCIATES CORONER'S PROGRAM AUTOPSY FEES $ 65,625 10-4010-4013-50439 MULTIPLE PROVIDERS CORONER'S PROGRAM TRANSPORTATION $ 54,500 10-4010-4020-50408 MULTIPLE PROVIDERS HOME HEALTH AGENCY PATIENT THERAPY SERVICES (OT, PT, etc.) $ 517,000 10-4010-4020-50408 McKESSON HOME HEALTH AGENCY HHA MANAGEMENT SOFTWARE $ 55,000 10-4010-4020-50408 DSS RESEARCH HOME HEALTH AGENCY PATIENT QUALITY ASSURANCE $ 2,000 10-4010-4020-50408 PPS PLUS HOME HEALTH AGENCY OASIS REVIEW $ 6,000 10-4010-4042-50461 CHEMUNG COUNTY HUMANE SOCIETY RABIES PREVENTION RABIES CLINIC SERVICES $ 4,000 10-4010-4082-50408 MULTIPLE PROVIDERS WOMEN, INFANTS and CHILDREN WIC PEER COUNSELORS $ 43,541 10-4010-4082-50408 ONE CALL WOMEN, INFANTS and CHILDREN APPOINTMENT REMINDER SYSTEM $ 2,000 10-4010-4082-50408 WIC STRONG WOMEN, INFANTS and CHILDREN OUTREACH AND MARKETING SUPPORT $ 7,500 10-6017-7320-50434 ARNOT HEALTH SERVICES VARIOUS PROGRAMS VARIOUS SERVICES $ 25,000 $ 987,141 Item # 13
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreements with service providers to support public health programs on behalf of the Chemung County Health Department Resolution #: 13 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): The Chemung County Health Department requires professional and technical services in order to provide public health programs to the residents of the County of Chemung. Prior Resolution No. 17-025 Vendor/Provider Multiple Term 1/1/2018-12/31/2018 Total Amount $993,141 Prior Amount $950,315 Local Share 34% State Share 20% Federal Share 30% Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/5/2017 4:11:22 PM Health Department APPROVALS: Date/Time: Approval: Department: 12/6/2017 11:18 AM Approved Budget and Research 12/11/2017 9:10 AM Approved County Executive 12/14/2017 10:55 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Public Health Programs 2018 Health_Contract_Listing_January_2018.xlsx Exhibit Item # 13
Michael C. Youmans Administrator CHEMUNG COUNTY NURSING FACILITY 103 Washington Street Elmira, New York 14901 (607) 737-2001 FAX (607) 734-3021 Joanne Seeley, RN Director of Nursing TO: FROM: Thomas J. Santulli, County Executive Michael C. Youmans, Nursing Facility Administrator DATE: December 15, 2017 SUBJECT: THIRD PARTY REIMBURSEMENT AGREEMENTS The purpose of this correspondence is to request Legislature authorization to continue or amend existing third party reimbursement agreements for the Health Center in calendar year 2018. A Legislature Route Slip has been submitted. The Nursing Facility and Health Department have many agreements with third party payers that reimburse for services provided to individuals who are covered by a particular plan. Due to the nature and longevity of these agreements, it is not practical to enter into a new agreement every five years, but it is necessary to revise the agreements from time to time for changes in reimbursement rates, to modify covered services or add certain amendments or addenda. Most of these agreements do not have a specific term or duration and have been in place for many years. After consultation with Attorney Keyser on how to best address the issue of agreement duration, it was concluded that an annual authorization resolution from the Legislature for all of the agreements would be an appropriate way to retain Legislature oversight over the agreements duration while reducing administrative burden of preparing new agreements periodically. Therefore, it is requested that a Resolution be adopted to continue or amend as needed the current third party reimbursement agreements that are listed below. The Resolution is requested to give authorization to the County Executive to sign agreement amendments for changes in rates, scope of services or addenda that may be required for legal or regulatory purposes. The Resolution should be specific to the agreements listed below, and any new agreements in the future would be submitted individually to the Legislature for approval. The following third party reimbursement agreements are in place in the Health Center: Blue Cross Blue Shield of Central New York Blue Cross Blue Shield of Northeastern Pennsylvania Excellus Health Plan, Inc. (Blue Cross Blue Shield) RMSCO Item # 14
POMCO VA Medical Center United Healthcare New York State Catholic Health Plan, Inc. d/b/a Fidelis Care New York Capital District Physicians Health Plan Medicare Advantage Plans (Various) Tricare Humana Independent Living Systems (icircle) Care First VNA Thank you for consideration of this request. Item # 14
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreements with third party reimbursement and insurance plans covering services provided by the Chemung County Health Department and the Chemung County Nursing Facility Resolution #: 14 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): The Health Center has a large number of third party reimbursement agreements with insurance companies, managed care organizations, and other entities for the purpose of establishing rates and terms for the provision of services to recipients by the Health Department and Nursing Facility. These plans are subject to rate changes and contract amendments on a periodic and frequent basis, and in order to expedite execution of agreement amendments, a standard authorizing resolution has been adopted by the Legislature to authorize the County Executive, subject to County Attorney review, to sign contract changes without the need for a separate Legislative resolution each time. Please see attached memo. Prior Resolution 17-022 Vendor/Provider Various Term 1/1/18-12/31/18 Total Amount Est $15,000,000 Prior Amount Est $15,000,000 Local Share 0 State Share 0 Federal Share 0 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/15/2017 2:50:56 PM Nursing Facility APPROVALS: Date/Time: Approval: Department: 12/16/20179:20 AM Approved Budget and Research 12/18/201710:59 AM Approved County Executive 12/18/20172:27 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Third Party Payer Memo Third_Party_Payer_Memo_for_Legisilature.doc Cover Memo Item # 14
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreements on behalf of the Chemung County Nursing Facility (Medicare Part D Pharmacy) Resolution #: 15 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): The Nursing Facility Pharmacy participates in numerous Medicare Part D pharmacy agreements, and these agreements are frequently revised and renewed plus new plan agreements arise often. These agreements make the Pharmacy a participating provider in the various plans that cover most of the residents in the Nursing Facility. Due to the high volume of these plans, and similarity of rates and provisions, it is requested that the County Executive be given authorization, subject to County Attorney review, to sign plans without need for a new Legislature resolution for each plan or each plan's revisions. The period of authorization would be January 1, 2018- December 31, 2018. Prior Resolution No. 17-021. Vendor/Provider Various Term 1/1/18-12/31/17 Total Amount Approx. $1,000,000 Prior Amount Approx. $1,000,000 Local Share 0% State Share 0% Federal Share 100% Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/15/2017 1:27:24 PM Nursing Facility APPROVALS: Date/Time: Approval: Department: 12/16/20179:20 AM Approved Budget and Research 12/18/201710:58 AM Approved County Executive 12/18/20172:24 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: No Attachments Available Item # 15
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreement with Time Warner Cable/Spectrum on behalf of the Chemung County Nursing Facility Resolution #: 16 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): The Health Center's 3 years' agreement with Time Warner Cable expires on 1/11/18 due to digital conversion by the vendor. Under this agreement, Time Warner Cable provides cable TV service to the Nursing Facility Residents and specific areas like day rooms, lobbies, and conference rooms. Digital phone service is also made available to residents on a personal cost basis. Basic cable services (channels 1-13) is provided by the facility at no charge in every resident room, and standard cable service (channels 1-75) is provided at a resident cost of $6.00 per month. The agreement renewal would be for another three year period to January 11, 2021. Prior Resolution No. 15-316 Vendor/Provider Time Warner Cable Term 1/12/18-1/11/21 Total Amount Aprox. 18,000/Annual Prior Amount Approx. 17,500/Annual Local Share 1,000 State Share 4,000 Federal Share 5,000 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/15/2017 1:58:25 PM Nursing Facility APPROVALS: Date/Time: Approval: Department: 12/16/20179:20 AM Approved Budget and Research 12/18/201710:59 AM Approved County Executive 12/18/20172:28 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: No Attachments Available Item # 16
S T A T E O F N E W Y O R K 2754--A 2017-2018 Regular Sessions I N S E N A T E January 17, 2017 Introduced by Sens. LAVALLE, BOYLE, CROCI, DeFRANCISCO, GALLIVAN, GOLD- EN, GRIFFO, LITTLE, SERINO -- read twice and ordered printed, and when printed to be committed to the Committee on Social Services -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the social services law, in relation to personal needs allowances THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. Subdivision 2-a of section 209 of the social services law, 2 as amended by chapter 450 of the laws of 1987, is amended to read as 3 follows: 4 2-a. Notwithstanding any inconsistent provision of subparagraph (ii) 5 of paragraph (d) of subdivision one of this section, an individual who 6 is receiving or is eligible to receive federal supplemental security 7 income payments and/or additional state payments and who is a resident 8 of a residential health care facility as defined by section twenty-eight 9 hundred one of the public health law, shall, in accordance with regu- 10 lations of the department, be entitled to a state payment for personal 11 needs in the amount of fifteen dollars a month, provided, however, that 12 on or after January first, nineteen hundred eighty-eight the state 13 payment for personal needs for such persons shall be in the amount of 14 [twenty-five] FORTY-FIVE dollars a month; PROVIDED FURTHER THAT SUCH 15 FORTY-FIVE DOLLAR AMOUNT BE SUBJECT TO AN ANNUAL ADJUSTMENT REFLECTING 16 THE LATEST CONSUMER PRICE INDEX (ALL ITEMS--U.S. CITY AVERAGE), 17 PUBLISHED BY THE UNITED STATES BUREAU OF LABOR STATISTICS, COMMENCING 18 JANUARY FIRST, TWO THOUSAND NINETEEN AND RECALCULATED EVERY JANUARY 19 FIRST THEREAFTER. Notwithstanding any inconsistent provision of subpar- 20 agraph (ii) of paragraph (d) of subdivision one of this section, on or 21 after January first, nineteen hundred eighty-eight, a resident of an 22 intermediate care facility operated or issued an operating certificate EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04642-03-7 Item # 17
S. 2754--A 2 1 by the office [of mental retardation and] FOR PEOPLE WITH developmental 2 disabilities or a patient of a hospital operated by the office of mental 3 health as defined in subdivision ten of section 1.03 of the mental 4 hygiene law who is receiving or is eligible to receive supplemental 5 security income payments and/or additional state payments shall receive 6 a state payment for personal needs in the amount of five dollars a 7 month. The department is authorized to promulgate necessary regulations 8 to provide for the time and manner for payment of such personal allow- 9 ance to such individuals. 10 S 2. Clause (ii) of subparagraph 10 of paragraph (a) of subdivision 2 11 of section 366 of the social services law, as amended by chapter 855 of 12 the laws of 1990, is amended to read as follows: 13 (ii) A person who neither receives nor is eligible to receive federal 14 supplemental security income payments and/or additional state payments 15 is entitled to a personal needs allowance as follows: 16 (A) for the personal expenses of a resident of a residential health 17 care facility, as defined by section twenty-eight hundred one of the 18 public health law, the amount of [fifty] SEVENTY-FIVE dollars per month, 19 PROVIDED HOWEVER, THAT SUCH AMOUNT BE SUBJECT TO AN ANNUAL ADJUSTMENT 20 REFLECTING THE LATEST CONSUMER PRICE INDEX (ALL ITEMS--U.S. CITY AVER- 21 AGE), PUBLISHED BY THE UNITED STATES BUREAU OF LABOR STATISTICS, 22 COMMENCING JANUARY FIRST, TWO THOUSAND NINETEEN AND RECALCULATED EVERY 23 JANUARY FIRST THEREAFTER; 24 (B) for the personal expenses of a resident of an intermediate care 25 facility operated or licensed by the office [of mental retardation and] 26 FOR PEOPLE WITH developmental disabilities or a patient of a hospital 27 operated by the office of mental health, as defined by subdivision ten 28 of section 1.03 of the mental hygiene law, the amount of thirty-five 29 dollars per month; 30 (C) FOR THE PERSONAL EXPENSES OF A RESIDENTIAL PROGRAM FOR VICTIMS OF 31 DOMESTIC VIOLENCE IN WHICH THREE MEALS PER DAY ARE PROVIDED, THE AMOUNT 32 OF SEVENTY-FIVE DOLLARS, PROVIDED HOWEVER THAT SUCH AMOUNT BE SUBJECT TO 33 AN ANNUAL ADJUSTMENT REFLECTING THE LATEST CONSUMER PRICE INDEX (ALL 34 ITEMS--U.S. CITY AVERAGE), PUBLISHED BY THE UNITED STATES BUREAU OF 35 LABOR STATISTICS, COMMENCING JANUARY FIRST, TWO THOUSAND NINETEEN AND 36 RECALCULATED EVERY JANUARY FIRST THEREAFTER. 37 S 3. This act shall take effect on the ninetieth day after it shall 38 have become a law. Item # 17
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution supporting S.2754A, an act to amend the social services law, in relation to personal needs allowances Resolution #: 17 Slip Type: SEQRA status OTHER Explain action needed or Position requested (justification): See attached Bill Message of support from the Nursing Facility Administrator: A resolution is requested in support of Chemung County Nursing Facility residents who are lobbying state politicians to increase their Medicaid Personal Needs Allowance (PNA). Medicaid residents of the Nursing Facility currently receive $50.00 per month to cover all of their personal needs (I.E. newspaper, hair cut, cell phone, etc.). This amount has not increased since 1981, while the cost of living has increased approximately 275 percent. Residents of the Nursing Facility recently met with state representatives Dr. Chris Friend and Senator Tom O'Mara to discuss this issue. Residents have also undertaken a letter writing campaign to local media and other nursing homes to call attention to this issue. CREATION: Date/Time: Department: 12/8/2017 2:54:32 PM Legislature Chairman APPROVALS: Date/Time: Approval: Department: 12/13/20174:08 PM Approved Budget and Research 12/14/201710:32 AM Approved County Executive 12/14/20171:27 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Bill S2754A NF_Personal_Allowance_Increase_S2754A.pdf Exhibit Item # 17
MEMO TO: FROM: Tom Santulli, County Executive / Jennifer Stimson, Commissioner of Human Services / Steve Hoover, Budget Director / County Legislature Robert L. Harris, Executive Director DATE: December 15, 2017 SUBJECT: 2018 Grant Request (The Anderson Foundation, Inc.) This Route Slip is being submitted to request permission to apply for and accept grant funding through The Anderson Foundation, Inc. This grant request is to help support the general operational expenses and enhance programming for the 2018 Summer Cohesion Program. The amount of grant funds requested is $4,950.00. This year the Summer Cohesion Program will operate from July 2, 2018 through August 10, 2018, and will be located at seven (7) elementary school sites throughout Chemung County. 2018 marks the 44 th year for the Summer Cohesion Program. This grant funding revenue has been budgeted in the 2018 Summer Cohesion budget. Please feel free to contact me at your earliest convenience with any questions you may have. Thank you in advance for your consideration in this matter. Item # 18
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing application for and acceptance of a grant from the The Anderson Foundation, Inc. on behalf of the Chemung County Department of Youth and Recreational Services (Summer Cohesion) Resolution #: 18 Slip Type: SEQRA status GRANT Explain action needed or Position requested (justification): Prior Resolution #: 17-068 Vendor/Provider The Anderson Foundation, Inc. Term 1 year Total Amount $4,950 Prior Amount $4,950 Local Share 0 State Share 0 Federal Share 0 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/15/2017 9:15:28 AM Youth Bureau and Recreational Svcs APPROVALS: Date/Time: Approval: Department: 12/15/20179:52 AM Approved Budget and Research 12/15/20173:10 PM Approved County Executive 12/18/20172:00 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: 2018_Grant_Request_ Cover memo (The_Anderson_Foundation Inc.).docx Cover Memo Item # 18
MEMO TO: FROM: Tom Santulli, County Executive / Jennifer Stimson, Commissioner of Human Services / Steve Hoover, Budget Director / County Legislature Robert L. Harris, Executive Director DATE: December 15, 2017 SUBJECT: 2018 Grant Request (Hardinge Anderson Evans Foundation) This Route Slip is being submitted to request permission to apply for and accept grant funding through The Hardinge Anderson Evans Foundation. This grant request is to help support the general operational expenses and enhance programming for the 2018 Summer Cohesion Program. The amount of grant funds requested is $2,500.00. This year the Summer Cohesion Program will operate from July 2, 2018 through August 10, 2018, and will be located at seven (7) elementary school sites throughout Chemung County. 2018 marks the 44 th year for the Summer Cohesion Program. This grant funding revenue has been budgeted in the 2018 Summer Cohesion budget. Please feel free to contact me at your earliest convenience with any questions you may have. Thank you in advance for your consideration in this matter. Item # 19
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing application for and acceptance of a grant from the Hardinge Anderson Evans Foundation on behalf of the Chemung County Department of Youth and Recreational Services (Summer Cohesion) Resolution #: 19 Slip Type: SEQRA status GRANT Explain action needed or Position requested (justification): Prior Resolution #: 17-069 Vendor/Provider Hardinge Anderson Evans Foundation Term 1 year Total Amount $2,500 Prior Amount $2,500 Local Share 0 State Share 0 Federal Share 0 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/15/2017 9:17:39 AM Youth Bureau and Recreational Svcs APPROVALS: Date/Time: Approval: Department: 12/15/20179:52 AM Approved Budget and Research 12/15/20173:10 PM Approved County Executive 12/18/20172:02 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: 2018_Grant_Request_ Cover memo (Hardinge_Anderson_Evans_Foundation).docx Cover Memo Item # 19
MEMO TO: FROM: Tom Santulli, County Executive / Jennifer Stimson, Commissioner of Human Services / Steve Hoover, Budget Director / County Legislature Robert L. Harris, Executive Director DATE: December 15, 2017 SUBJECT: 2018 Grant Request (The Hilliard Corporation) This Route Slip is being submitted to request permission to reapply for and accept grant funding through the Hilliard Corporation. This grant request is to help provide staff T-shirts that will display the Hilliard logo, for the 2018 program. The amount of grant funds requested is $1,000.00. This year the Summer Cohesion Program will operate from July 2, 2018 through August 10, 2018, and will be located at seven (7) elementary school sites throughout Chemung County. 2018 marks the 44 th year for the Summer Cohesion Program. This grant funding revenue has been budgeted in the 2018 Summer Cohesion budget. Please feel free to contact me at your earliest convenience with any questions you may have. Thank you in advance for your consideration in this matter. Item # 20
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing application for and acceptance of a grant from the Hilliard Corporation on behalf of the Chemung County Department of Youth and Recreational Services Resolution #: 20 Slip Type: SEQRA status GRANT Explain action needed or Position requested (justification): Prior Resolution #: 17-067 Vendor/Provider The Hillard Corporation Term 1 Year Total Amount $1,000 Prior Amount $1,000 Local Share 0 State Share 0 Federal Share 0 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/15/2017 9:09:28 AM Youth Bureau and Recreational Svcs APPROVALS: Date/Time: Approval: Department: 12/15/20179:52 AM Approved Budget and Research 12/15/20173:10 PM Approved County Executive 12/18/20172:02 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: 2018_Grant_Request_ (The_Hilliard_Corporation).docx Cover memo Cover Memo Item # 20
MEMO TO: FROM: Tom Santulli, County Executive / Jennifer Stimson, Commissioner of Human Services / Steve Hoover, Budget Director / County Legislature Robert L. Harris, Executive Director DATE: December 15, 2017 SUBJECT: 2018 Grant Request (Tripp Foundation) This Route Slip is being submitted to request permission to apply for and accept grant funding through the Tripp Foundation. This grant request is to help support the general operational expenses and enhance programming for the 2018 Summer Cohesion Program. The amount of grant funds requested is $1,000.00. This year the Summer Cohesion Program will operate from July 2, 2018 through August 10, 2018, and will be located at seven (7) elementary school sites throughout Chemung County. 2018 marks the 44 th year for the Summer Cohesion Program. This grant funding revenue has been budgeted in the 2018 Summer Cohesion budget. Please feel free to contact me at your earliest convenience with any questions you may have. Thank you in advance for your consideration in this matter. Item # 21
CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing application for and acceptance of a grant from the Tripp Foundation on behalf of the Chemung County Department of Youth and Recreational Services (Summer Cohesion) Resolution #: 21 Slip Type: SEQRA status GRANT Explain action needed or Position requested (justification): Prior Resolution #: 17-070 Vendor/Provider Tripp Foundation Term 1 year Total Amount $1,000 Prior Amount $1,000 Local Share 0 State Share 0 Federal Share 0 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 12/15/2017 9:12:50 AM Youth Bureau and Recreational Svcs APPROVALS: Date/Time: Approval: Department: 12/15/20179:51 AM Approved Budget and Research 12/15/20173:11 PM Approved County Executive 12/18/20172:02 PM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: 2018_Grant_Request_ (Tripp_Foundation).docx Cover Memo Cover Memo Item # 21
Chemung County Youth Bureau & Recreational Services Robert L. Harris, CPRP Executive Director 599 Harris Hill Road Elmira, NY 14903 607-737-2907 Fax: 607-737-0435 MEMO TO: Tom Santulli, County Executive / Jennifer Stimson, Commissioner of Human Services / Steve Hoover, Budget Director / County Legislature FROM: Robert L. Harris, Executive Director DATE: December 14, 2017 RE: 2018-2019 Southside Community Center Contract Renewal Request Previous Year Resolution #: 17-071 Ladies and Gentlemen: This Route Slip is to request permission to again enter into a contract with the Southside Community Center located at 215 Partridge Street in Elmira to continue to provide out of school time programming for approximately 400 elementary, middle and high school students each year. The Center has been in existence for over 40 years. The Southside Community Center is a drop in recreational youth center which currently provides free after-school supervision, snacks and dinner to approximately 400 youth, ages 5 to 18 years of age. Average daily attendance at the center is 90 youth. The main focus of the Center is to provide the tools to help youth use their time constructively. Youth are provided positive alternatives to the street environment during the after school hours of 2:00-6:00 p.m. Age appropriate programming focuses on decision making skills, conflict resolution, healthy lifestyles, youth empowerment, literacy programming, and community involvement. The 2018 total contract will amount to $56,000. This funding will be provided through Department of Social Services (NYS Community Optional Preventive Services Funding). Chemung County will provide one half of the required local share for this funding equaling $10,164 and the United Way of the Southern Tier will provide the other half of the local share to also equal $10,164, for a total local share of 36.3% amounting to $20,328. The 2018 Youth Bureau budget currently reflects the $56,000 budgeted for the Southside Community Center. Please feel free to contact me at your convenience with any questions. Thank you in advance for your consideration in this matter. Item # 22