2014-05-06 Disability Board MinutesEDMONDS' DISABILITY BOARD
Meeting minutes
5/6/14
MEMBERS PRESENT:
Ken Jones, Chair
Joan Bloom, Council Member
Adrienne Fraley-Monillas, Council Member
STAFF PRESENT:
Carrie Hite, Reporting Director for HR
Mary Ann Hardie, HR Manager
Yvonne Chan, HR Analyst
CALL TO ORDER:
Chair Ken Jones called the Board meeting to order at 8:35 am.
APPROVAL OF MINUTES
Chair Ken Jones made a motion to approve the meeting minutes of October 22, 2013.
Councilmember Joan Bloom seconded the motion. The motion carried.
DISCUSS AND APPROVE CLAIMS SUMMARY REPORT:
Ms. Hardie reviewed the Claims Summary of January 1, 2014 to March 31, 2014 as
follows:
SUMMARY OF CURRENT COSTS: 1/1/14 through 3/31/14
SERVICE
TOTAL NUMBER OF
CLAIMS
COST
Prescription Co -Pays
15
$7,792.74
In Home Assisted Living Care
3
23,004.00
Purchase of Eye Glasses
2
182.79
Medicare Premium
Reimbursement
17
20,302.60
Dental Reimbursement
3
265.00
Payment of Annual deductibles &
co-insurance
19
8,886.05
Hearing Aids (batteries)
1
16.45
Routine & Preventative Costs or
costs associated with Annual
Physical Exams
0
Eye Exam and Refraction
1
6.80
Out -of -Pocket Expense
1
86.33
Medical Equipment/Medically
Necessary Services
0
TOTALS:
62
$60,542.76
The total expense for the period 1/1/2014 through 3/31/2014 was $60,542.76 with a total
of 62 claims for the period. The total Visiting Angels Nurse Care costs for the quarter
were $23,004.00.
Council Member Bloom made a motion to approve the claims summary report for the
period 1/1/2014 up to and including 3/31/2014 in the amount of $62.542.76 based on
medical necessity. Chair Ken Jones seconded the motion. The motion carried.
There was some discussion that followed by the Board about the Board policy for in -
home assisted living assistance. Councilmember Adrienne Fraley-Monillas inquired as
to whether or not it made sense to obtain an updated doctor's note from the current
LEOFF 1 member using in -home assisted living care and obtaining three quotes from
local area assisted living care facilities or providers. Councilmember Bloom mentioned
our policy requirements of three nursing home quotes and that we should hold LEOFF 1
members responsible for providing three quotes.
The Board requested that the one LEOFF 1 member using assisted living care provide
an update note from the attending physician to the Board. There was further discussion
by the Board about adding to the assisted living care and the members finding out an
average cost of three nursing homes in our area. Ms. Hardie stated she would contact
the LEOFF 1 member of discussion and have them provide an updated doctor's
note/assisted living care quotes for Board's review at the next meeting in July.
Chair Ken Jones is attending the WSLEA 2014 Conference and will ask around to see
what others are paying for the same kind of services.
CITIZEN -AT -LARGE OPENING -PROCESS
The Board would like to reach out to retired physicians Dr. Jaffey, Dr. Bettis and Dr.
Hickman to see if any of them are interested in sitting on the board.
REQUESTS FOR REIMBURSEMENT
• Medical services (eye exam) - $92.67
• Medical services (eye exam) - $310.25
• Medical services (eye exam) - $87.54
• Medical services (rehabilitative/nursing home care costs) - $547.79
Chair Jones moved that the Board approve all the above medical expenditures for
LEOFF 1 retirees based on medical necessity. Council Member Fraley-Monillas
seconded the motion. The motion carried.
ANNUAL REVIEW OF CURRENT CITY OF EDMONDS' DISABILITY BOARD
POLICIES
Councilmember Bloom said that we need to consider caps on the in -home assisted living
payments in our policy. She asked Ken to check with other cities to see if they had
1) Daily caps
2) Monthly caps
3) Lifetime caps
Councilmember Fraley-Monillas mentioned that we will probably see additional users of
in -home assisted living needs, our costs will increase and we need to plan for the these
changes in the future.
The meeting adjourned at 9:30 am