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2015-07-28 Disability Board MinutesOF EDP 0 �d MEMBERS PRESENT: Ken Jones, Chair Gary McComas, Board Member Joan Bloom, Council Member STAFF PRESENT: Mary Ann Hardie, HR Manager Yvonne Chan, HR Analyst EDMONDS' DISABILITY BOARD Meeting minutes 7/28/15 CALL TO ORDER: Chair Jones called the Board meeting to order at 9:35 am. Adrienne Fraley-Monillas, Council Member was unable to attend. APPROVAL OF MINUTES Chair Jones made a motion to approve the meeting minutes of April 27, 2015. Board Member McComas seconded the motion. The motion carried. DISCUSSION AND APPROVAL OF CLAIMS SUMMARY REPORT: Ms. Hardie and Ms. Chan reviewed the Claims Summary of April 1, 2015 through June 30, 2015 as follows: SUMMARY OF CURRENT COSTS: 4/1/2015 through 6/30/2015 SERVICE TOTAL NUMBER OF CLAIMS COST Prescription Co -Pays 10 $3,837.67 In Home Assisted Living Care 3 24,313.50 Purchase of Eye Glasses 0 0.00 Medicare Premium Reimbursement 3 3,776.40 Dental Reimbursement 1 147.00 Payment of Annual deductibles & co-insurance 5 973.94 Hearing Aids (batteries) 3 1,932.05 Eye Exam and Refraction 1 94.00 Out -of -Pocket Expense 5 2,483.31 Medical Equipment/Medically Necessary Services 0 0.00 TOTALS: 37 $37,557.87 The total expense for the period 5/1/15 through 6/30/15 was $37,557.87 with a total of 37 claims for the period. The total Visiting Angels Nurse Care costs for the quarter were $24,313.50. Chair Jones made a motion to approve the claims summary report for the period 4/1/15 up to and including 6/30/2015 in the amount of $37,557.87 based on medical necessity. Board Member McComas seconded the motion. The motion carried. REVIEW AND APPROVAL OF LEOFF I RETIREE CLAIMS (REQUESTS FOR REIMBURSEMENT) The following two requests for reimbursement were approved for payment by a motion made by Chair Jones and seconded by Council Member Bloom. The motion carried: Eye — Refraction $32.00 This request for reimbursement was approved for payment. Immunization - $129.99 This request for reimbursement was approved for payment. BOARD POLICY REVIEW 005-06 - MEDICARE PREMIUM REIMBURSEMENTS — The policy was confirmed as written. Boardmember McComas made the motion to approve as is and Councilmember Bloom seconded. The motion carried. 007-08 - Reimbursement for Routine and Preventive Service Costs or costs associated with Annual Physical Examinations - The board asked staff to confirm whether or not physicals are covered under medicare. After we consider the information found the Board will reconsider this policy. 009-13 — Payment of Annual Co -Insurance (up to $1000) - The policy was confirmed as written. Board Member McComas made a motion to approve the policy as is and Council Member Bloom seconded. The motion carried. 001-06 — Payment of Annual Deductibles - The policy was confirmed as written. Board Member McComas made a motion to approve the policy as is and Council Member Bloom seconded. The motion carried. 002-05 — Dental Expenses — The policy was confirmed with a revision of benefit from $150.00 per year to $350 per year for any dental cleaning service charges or $175 per each dental cleaning service charge per calendar year. Chair Jones moved to approve the policy with the changes. Council Member Bloom seconded. The motion carried. 003-02 — Purchase of Eye Glasses or Contact Lenses — The policy was confirmed with a revision of the annual benefit from 150.00 per year changed to a total of up to $300.00 every two years (24 months). Board Member McComas moved to approve the policy with the changes. Council Member Bloom seconded. The motion carried. Staff was asked to check costs for refraction. 004-06 — Hearing Aids — This policy has extensive changes as follows: • Preapproval from the Board is required for the purchase of any hearing aids. The reimbursement cost for the purchase of hearing aids will be based on the current rates charged by Costco. The purchase of hearing aid insurance and/or a warranty at time of purchase is also required and will be reimbursed by the Board. Additionally, if any member does not have a Costco membership and a membership is required to purchase the hearing aids (which have been approved for purchase by the Board), the Board will provide a reimbursement for the cost of the annual membership for the LEOFF 1 retiree. • HR staff has the authority to process Board pre -approved hearing aid purchase requests for reimbursement with the appropriate supporting documentation from a licensed physician and/or hearing specialist up to the current rate charged by Costco for hearing aids. Chair Jones moved to approve the policy with the changes. Board Member McComas seconded. The motion carried. 008.11 — formerly: In Home Care assisted Living, Nursing Home Care and/or Adult Family Home Care — revised to: LONG TERM CARE REIMBURSEMENT POLICY (IN HOME CARE AND/OR ASSISTED LIVING CARE, NURSING HOME CARE and/or ADULT FAMILY HOME CARE) The policy has changes as follows: A benefit is provided by the City of Edmonds Disability Board for the reimbursement/payment of long term care (LTC) costs. LTC includes in home and/or assisted living care, nursing home care and/or adult family home care costs. Pre -approval, whenever feasibly possible, is required by the Board. The Disability Board requires written notification if the LEOFF 1 member enters a long-term care facility or if the member changes facilities. Other minor changes — please see policy. Board member McComas moved to approve the policy with revisions. Council Member Bloom seconded. The motion carried Council Member Bloom mentioned that she would like to have Council Member Fraley- Monillas review the policies especially the Long Term Care revised policy. The meeting adjourned at 10:48 am.