2015-01-27 Disability Board MinutesEDMONDS' DISABILITY BOARD
Meeting minutes
1 /27/15
MEMBERS PRESENT:
Ken Jones, Chair
Gary McComas, Board Member
Joan Bloom, Council Member
Adrienne Fraley-Monillas, Council Member
STAFF PRESENT:
Yvonne Chan, HR Analyst
CALL TO ORDER:
Chair Jones called the Board meeting to order at 9:30 am.
APPROVAL OF MINUTES
Council Member Fraley-Monillas made a motion to approve the meeting minutes of
October 21, 2014. Council Member Bloom seconded the motion. The motion carried.
DISCUSSION AND APPROVAL OF CLAIMS SUMMARY REPORT:
Ms. Chan reviewed the Claims Summary of October 1, 2014 through December 31,
2014 as follows:
CLAIM
SERVICE
RCW/PAST PRACTICE
COST
NO./DATE
71
In home assisted living
board approved policy 008
8,073.00
72
Payment of co -ins cost
board approved policy 009.13
84.11
Eye Exam
boardapproved at 10-21-14
80.00
73
meeting
74
Prescription Co -pays
RCW 41.26.030 22 B(iii) A
429.95
Prescription Co -pays
RCW 41.26.030 (22) (B) (iii) (A)
75
Dental Expense
Board approved policy 002.05
566.73
Payment of annual deductibles
Board approved policy 001.02
Payment of co -ins cost
board approved policy 009.13
Prescription Co -pays
RCW 41.26.030 (22) (B) (iii) (A)
76
Prescription Eye Glass expense
Board approved policy 003.02
1,025.08
Payment of co -ins cost
board approved policy 009.13
Payment of annual deductibles
Board approved policy 001.02
77
Prescription Co -pays
RCW 41.26.030 22 B(iii) A
268.39
78
Prescription Co -pays
RCW 41.26.030 (22) (B) (iii) (A)
124.97
Payment of annual deductibles
Board approved policy 001.02
Prescription Co -pays
79 Medicare Premium
Reimbursement
RCW 41.26.030 (22) (B) (iii) (A)
Board approved policy 005.06
10,922.28
Dental Expense
Board approved policy 002.05
In home assisted living
board approved policy 008
Payment of annual deductibles
Board approved policy 001.02
80
Dental Expense
Board approved policy 002.05
83.00
Prescription Co -pays
RCW 41.26.030 (22) (B) (iii) (A)
81
Prescription Eye Glass expense
Board approved policy 003.02
491.47
Payment of annual deductibles
Board approved policy 001.02
Payment of co -ins cost
board approved policy 009.13
82
Payment of co -ins cost
board approved policy 009.13
332.77
Payment of annual deductibles
Board approved policy 001.02
83
In home assisted living
board approved policy 008
7,830.00
84 Payment of co -ins cost
board approved policy 009.13
38.06
85
Prescription Co -pays
RCW 41.26.030 22 B(iii) A
364.83
Medicare Premium
Board approved policy 005.06
Reimbursement
86
Dental Expense
Board approved policy 002.05
770.94
Payment of annual deductibles
Board approved policy 001.02
Payment of co -ins cost
board approved policy 009.13
Prescription Co -pays
RCW 41.26.030 (22) (B) (iii) (A)
87
Payment for medically necessary
RCW 41.26
632.23
services
88
Prescription Co -pays
RCW 41.26.030 22 B(iii) A
183.79
32,301.60
The total expense for the period 10/1/14 through 12/31/14 was $32,301.60 with a total of
18 claims for the period. The total Visiting Angels Nurse Care costs for the quarter were
$23,989.50.
Chair Jones made a motion to approve the claims summary report for the period 10/1/14
up to and including 12/31/2014 in the amount of $32,301.60 based on medical necessity.
Council Member Fraley-Monillas seconded the motion. The motion carried.
REVIEW AND APPROVAL OF LEOFF I RETIREE CLAIMS (REQUESTS FOR
REIMBURSEMENT)
Eye Exam- $119.55
There was discussion by the Board about eye exams and the number of these types of
claims coming through. After some discussion, Council Member Fraley Monillas made a
motion to approve the request for reimbursement by the LEOFF 1 retiree of discussion in
the amount of $84.55 based on medical necessity. Chair Jones seconded the motion.
The motion carried.
Discussion about Vision Service Plan rates
Various options mentioned by Ms. Chan. The rate sheets are attached to the minutes.
Discussion by the Board about whether Medicare pays for the exams followed.
Portable Low Vision Magnifier - $219.98
VisioBook Video Magnifier - $3,087.00
There was additional further discussion by the Board about the portable low vision
magnifier and the ViosioBook video magnifier that were presented for reimbursement by
the board. The Board members asked Ms. Chan to write a letter to the LEOFF member
requesting recommendation or approval by doctor or doctors for the items of request and
the mention that they would be advised for someone with the member's condition.
Vaccinations - $245.98
There was discussion that followed by the Board this reimbursement through Costco and
that Costco offered the Hep A shots. In the letter submitted to the Board (along with the
request for reimbursement), the LEOFF member explained why he acted quickly to get
the shots he needed and why the doctor's office recommended that he get Hep A/B
shots. The shots offered eventually by Costco would not have been sufficient for his
medical condition. The member maintains that the shots should be covered under the
Board policy 007-08 — Reimbursement for Routine and Preventive Service Costs or
costs associated with Annual Physical Exams (up to $300).
REVIEW OF PRESCRIPTION CO -PAY POLICY
The Board asked that the draft policy be sent to members for review along with the RCW
covering prescriptions for LEOFF members.
DISCUSSION OF INFORMATION RE: NURSING HOME QUOTES/INFORMATION
FOR A LEOFF 1 RETIREE
This discussion was tabled for further discussion at a future meeting.
OTHER
2015 Washington State LEOFF Education Association Conference
The Board approved payment for Chair Jones to attend the conference from May 5 — 8,
2015 in Chelan, Washington. Chair Jones will bring back information from the
conference to share with the Board at the next Board meeting.
The meeting adjourned at 10:54 am.