2014-10-21 Disability Board MinutesEDMONDS' DISABILITY BOARD
Meeting minutes
10/21/14
MEMBERS PRESENT:
Ken Jones, Chair
Joan Bloom, Council Member
Adrienne Fraley-Monillas, Council Member
STAFF PRESENT:
Mary Ann Hardie, HR Manager
Yvonne Chan, HR Analyst
CALL TO ORDER:
Chair Ken Jones called the Board meeting to order at 9:36 am. Board Member Gary
McComas was unable to attend the meeting.
APPROVAL OF MINUTES
Chair Ken Jones made a motion to approve the meeting minutes of July 22, 2014.
Council Member Joan Bloom seconded the motion. The motion carried.
DISCUSSION AND APPROVAL OF CLAIMS SUMMARY REPORT:
Ms. Hardie reviewed the Claims Summary of July 1, 2014 through September 30, 2014
as follows:
7/1/14 throuah 9/30/14
CLAIM
NO./
DATE
SERVICE RCW/PAST PRACTICE
COST
57
in home assisted living
Board approved policy 008.11
8,262.00
58
Prescription Co -pay
RCW 41.26.030 (22) (B) (iii) (A)
269.78
Medicare Premium Reimbursement
Board approved policy 005.06
1,258.80
payment of annual deductibles Board approved policy 001.02
31.04
59
Prescription Co -pay RCW 41.26.030 (22) (B) (iii) (A)
381.00
60A
payment of annual deductibles Board approved policy 001.02
58.82
60B
payment of annual deductibles Board approved policy 001.02
44.72
61
Prescription Co -pay RCW 41.26.030 (22) (B) (iii) (A)
389.73
Prescription Eye Glasses Board approved policy 003.02
150.00
payment of annual deductibles Board approved policy 001.02
43.50
62
Prescription Co -pay RCW 41.26.030 (22) (B) (iii) (A)
90.00
payment of annual deductibles Board approved policy 001.02
111.51
payment of co-insurance cost board approved policy-009.13
163.65
63
in home assisted living Board approved policy 008.11
8,511.75
64
Prescription Co -pay RCW 41.26.030 (22) (B) (iii) (A)
359.58
payment of annual deductibles Board approved policy 001.02
Hearing Aid Batteries Board approved policy 004.06
115.73
21.14
65
Prescription Co -pay RCW 41.26.030 (22) (B) (iii) (A)
79.69
Prescription Co -pay RCW 41.26.030 (22) (B) (iii) (A)
66
Dental Expenses Board approved policy 002.05
payment of annual deductibles Board approved policy 001.02
747.43
67
Prescription Co -pay RCW 41.26.030 (22) (B) (iii) (A)
Medicare Premium Reimbursement Board approved policy 005.06
payment of annual deductibles Board approved policy 001.02
payment of co-insurance cost board approved policy 009.13
2,112.05
68
in home assisted living board approved policy 008
7,391.25
69
Prescription Co -pay RCW 41.26.030 (22) (B) (iii) (A)
Medicare Premium Reimbursement board approved policy 005.06
Eye Glass expenses paid Board approved policy 003.02
656.39
payment of annual deductibles Board approved policy 001.02
[77io-
payment of annual deductibles Board approved policy 001.02
80.92
31,330.48
The total expense for the period 7/1/14 through 9/30/14 was $31,330.48 with a total of
15 claims for the period. The total Visiting Angels Nurse Care costs for the quarter were
$24,165.00.
Chair Jones made a motion to approve the claims summary report for the period 7/1/14
up to and including 9/30/2014 in the amount of $31,330.48 based on medical necessity.
Council Member Joan Bloom seconded the motion. The motion carried.
REVIEW AND APPROVAL OF LEOFF I RETIREE CLAIMS (REQUESTS FOR
REIMBURSEMENT)
Eye Exam- $80.00
There was discussion that followed by the Board about eye exam costs. After some
discussion, HR Manager Mary Ann Hardie suggested that she bring back a policy for
eye exams (based on the average cost of several surrounding City/County Board policy
limits) for the Board to review, edit and approval at the next meeting. Additionally, it was
requested that HR staff check into cost of providing eye care insurance through VSP
directly and bring the information to the next Board meeting in January.
Chair Jones made a motion to approve the request for reimbursement by the LEOFF 1
retiree of discussion in the amount of $80.00 based on medical necessity. mCouncil
Member Bloom seconded the motion. The motion carried.
Vaccinations - $245.98
A LEOFF 1 retiree claim for travel immunizations in the amount of $ 245.98 was
discussed. After some discussion as to the medical necessity, Council Member Bloom
moved to deny the claim for the LEOFF 1 member of discussion based on a lack of
medical necessity. Council Member Adrienne Fraley Monillas seconded the motion.
The motion to deny carried. HR staff will send notification to the LEOFF member of the
Board's decision as well as his ability to appeal to the Board (providing additional
information on medical necessity) if the LEOFF 1 member so desired.
2
REVIEW OF PRESCRIPTION CO -PAY POLICY
Ms. Hardie explained the spreadsheet provided to the Board reflecting the various
comparator city/county Board prescription co -pay policies. Discussion ensued by the
Board about the prescription reimbursement options. After some discussion, the Board
directed HR to craft a policy on prescription co -pay based on the comparator city/county
for the Board's review, editing and approval at the next meeting. The policy will address
travel exclusions and possibly other items that may not be covered.
DISCUSSION OF INFORMATION RE: NURSING HOME QUOTES/INFORMATION
FOR A LEOFF 1 RETIREE (FOLLOW UP FROM JULY 2014 MEETING DISCUSSION)
BY CHAIR JONES
Chair Jones presented information to the Board about costs of nursing home care that
he received from a memory care center near his home. Council Member Bloom
cautioned that any information we receive from sales staff at a care facility [that
specializes in a type of care that may not be necessary for the LEOFF 1 member of
discussion] will be given to attract business for the facility. Council Member Bloom then
suggested that someone could call nursing homes and get "daily rates". Those rates
would givethe Board a better comparison to the assisted living care rates that we are
currently paying for a LEOFF 1 member receiving in home (assisted living) nursing care.
There was some discussion that followed by the Board regarding the [revision of the
current] policy in order to ensure consistency and fairness.
The Board then discussed the purpose of Long Term Care policy and about the ease of
approving payments to LEOFF members as a policy would allow HR staff to pay
reimbursement claims directly rather than having to wait for approval by the Board at the
next Board meeting.
HR Manager Hardie then mentioned the continuing lack of applicants for our Citizen At
Large position and that she had spoken to Mayor Earling as requested by the Board to
see if he may have any community contacts to reach out to. MR. Hardie asked for
further direction/assistance from the Board members for the recruitment process.
Council Member Fraley-Monillas suggested that Ms. Hardie contact the South County
Senior Center Director, Farrell Fleming to see if he had contacts. Ms. Hardie stated that
HR staff would reach out to him and inform the Board at the next meeting if he had any
potential candidates.
The meeting adjourned at 10:45 am