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HomeMy WebLinkAboutHuman Services Board - Agenda - 10/26/2023K:\Agendas and Minutes\DHS Board\Agendas\2023 DHS Board Agendas\Meeting Notice 10 26 2023.docx 1 FROM: Elizabeth Skulan, Director DATE: October 18, 2023 RE: MEETING NOTICE The Bayfield County Department of Human Services Board will hold the monthly meeting on Thursday, October 26, 2023, at 4:00 p.m. An in person and remote meeting will originate from the Emergency Operations Center (EOC) of the Bayfield County Courthouse Annex, Washburn, Wisconsin. Remote participation is available via Microsoft Teams or by phone using the information below. Microsoft Teams meeting Join on your computer, mobile app or room device To join on your computer or mobile app, please ‘Control, Click’ the link below or left click and choose ‘Open Hyperlink” to connect. Click here to join the meeting Meeting ID: 236 166 615 731 Passcode: 7PvZQC Download Teams | Join on the web Or call in (audio only) +1 715-318-2087,,942588016# United States, Eau Claire Phone Conference ID: 942 588 016# Find a local number | Reset PIN Learn More | Meeting options Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1(c). Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891 - 0100 Telephone (715) 373 - (715 Fax 6144 - )373 - 6130 Email: baycodhs@bayfieldcounty.wi.gov K:\Agendas and Minutes\DHS Board\Agendas\2023 DHS Board Agendas\Meeting Notice 10 26 2023.docx 2 Any person wishing to attend who, because of a disability, requires special accommodation, should contact the Department of Human Services at 715-373-6144, at least 24 hours before the scheduled meeting time, so appropriate arrangements can be made. The agenda: Approval of the September 28, 2023, Meeting Minutes; Program Presentation; 2024 Budget Update; Proposed Meeting Dates 2024; 2023 DHS Budget Amendment; Authorize Use of DOT Trust Funds; Appointment to the Family Service and Behavioral Health Advisory Committee; Department Section Reports; Monthly Financial and Training Reports; Informational Items; and other business that may come before the Board. c: County Board Chair County Board of Supervisors Post (bulletin boards and website) e-mailed: DES Ashland Health Department DCS, Rhinelander New Day Shelter Greater Wisconsin Agency on Aging Resources, Inc. Daily Press 1 Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 Telephone (715) 373-6144 Fax (715-)373-6130 Email: baycodhs@bayfieldcounty.wi.gov BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES BOARD MEETING James Crandall (Chair) Marty Milanowski Mary Dougherty Jeremy Oswald (Vice Chair) Madelaine Rekemeyer Susan Rosa Lona Schmidt Stephanie Defoe-Haskins Patrick Irvine RE: October 26, 2023, Department of Human Services Board Meeting Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1(c). Dear Committee Members: Please be advised that the monthly meeting of the Bayfield County Department of Human Services Board will be held on Thursday, October 26, 2023, at 4:00 p.m. in the Emergency Operations Center (EOC) of the Bayfield County Courthouse Annex Remote participation is available via Microsoft Teams, a link, phone number, and conference ID are included below. Microsoft Teams meeting Join on your computer, mobile app or room device Click here to join the meeting Meeting ID: 236 166 615 731 Passcode: 7PvZQC Download Teams | Join on the web Or call in (audio only) +1 715-318-2087,,942588016# United States, Eau Claire Phone Conference ID: 942 588 016# Find a local number | Reset PIN Any person wishing to attend who, because of a disability, requires special accommodations, should contact the Department of Human Services at 715 -373-6144 at least 24 hours before the scheduled meeting time, so appropriate arrangement can be made. 2 The agenda for this meeting is as follows: AGENDA 1. Call to Order 2. Welcome and Introductions 3. Opportunity for Public Comment (Limit to 3 minutes please) 4. Discussion and Possible Action - Review of the September 28, 2023, Meeting Minutes 5. Program Presentation –Community Support Program Contract and Provider Update, Northland Counseling, Robin Thompson, Director 6. Monthly Section Reports A. Support Services – Stephanie Eder B. Aging & Disability Services – Carrie Linder C. Family Services – Mary Anich D. Economic Support Services –Jeanine Spuhler E. Behavioral Health and Community Services – Tom Croteau 7. Monthly Reports A. Financials B. Training 8. 2024 Budget Update – Summary of change to the 2024 DHS Final Budget. The final change to the 2024 budget was a net decrease of $24,377 due to the changes to wage and fringe. The cost of health insurance premiums increased by 17%. To offset a portion of the additional expense, the proposed cost of living increase (COLA) decreased by .5%. There was no additional county levy provided to pay for the difference, which was a net increase of $24,377. To balance the budget, state mental health institutional costs were decreased. These are mandated services. The County Administrator has been made aware of how the budget was balanced. 9. 2024 DHS Proposed Meeting Dates – Review of the updated list, the update includes the July/August meeting date. 3 10. Discussion and Possible Action – 2023 DHS Budget Amendment – Review, discussion, and action to recommend a 2023 Budget Amendment to the County Board. The adjustment will increase the Department’s spending authority to account for: a change in accounting required by the auditors for third party and additional expenses due to increased enrollment purchases in the Childrens Long-Term Support (CLTS) program; additional expenses in the Comprehensive Community Support Program due to increased enrollment; and to allow the DHS to access the Department’s risk reserve to pay for mandatory services if necessary. 11. Discussion and Possible Action – Authorize Use of $15,000 of the DOT Trust Fund – Bay Area Rural Transit Manager Patrick Daoust recently requested Bayfield County contribute funds toward the local share of a replacement van for the Door2Door Project (e- mail attached). The recommendation made to the Transportation Coordination Council (TCC) was to pay an amount toward the local share that represents more than the 20% needed to replace the vehicle with one the same size as the current van, but less than the 20% local share needed for the vehicle ordered prior to the request for funds. The data of vehicle usage since the project’s inception indicates there have been less than a handful of instances when transport requests either filled or exceeded the capacity of the van BART has been using. There were no instances where there was a need to transport two wheelchairs at the same time. Per Daoust, there will be very little savings recognized annually (fuel, repair, and maintenance) by using an electric van. The TCC approved the recommendation as presented and recommended its approval by the DHS Board. The DOT has reviewed and approved the request. Patrick Daoust has indicated BART will provide the balance of local share using their capital fund. 12. Discussion and Possible Action – Review application and recommendation to reappoint Dale Johson to the Family Services and Behavioral Health Advisory Committee retroactive to June 2023 for a three-year term. Dales’s appointment has been reviewed and recommended by the committee. 13. Other (Informational Items) A. Transcribed voice mail message from the recipient of a new furnace through the Wisconsin Low Income Home Energy Assistance Program (LIHEAP) B. Email from Greater Wisconsin Area on Aging staff Pam VanKampen regarding Aging Coordinator Carolyn Novak’s assistance at the Region 4 training. 2. Future Meetings A. November/December – December 5, 2023 (Meeting starts at 3:30 with a holiday potluck) B. January 25, 2024 C. February 22, 2024 4 3. Motion or Chair’s Announcement to Adjourn Thank you and have a safe trip home! Sincerely, Elizabeth A. Skulan Elizabeth A. Skulan, Director c: Mr. Mark Abeles Allison, County Administrator Bayfield County Board of Supervisors Bayfield County Department of Human Services Board Bayfield County Department of Human Services Managers Lynn Divine, Bayfield County Clerk Email to: Other Interested Parties Requesting BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual September 28, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-09-28_BCDHS_Board_meeting_minutes -DRAFT.docx 1 Board Members Present: Jeremy Oswald, James Crandall, Patrick Irvine, Marty Milanowski, Mary Dougherty (arrived at 4:04 p.m.), Sue Rosa* (*attended virtually) Not Present: Lona Schmidt, Stephanie Haskins-Defoe, Madelaine Rekemeyer Others Present: Elizabeth Skulan, Jeanine Spuhler, Stephanie Eder, Sarah Traaholt, Carrie Linder Call to Order and Introductions Crandall called the meeting to order at 4:03 p.m. Introductions were not necessary. Opportunity for Public Comment (Limit 3 minutes please.) No Public Comment Discussion and Possible Action – Review and approval of the August 17, 2023, meeting minutes. Motion by Milanowski, seconded by Irvine to approve the August 17, 2023, meeting minutes. Motion passed. Program Presentation – Update on Unwinding Efforts in Economic Support Services, Economic Support Manger Services Section Manager Jeanine Spuhler Spuhler reviewed the information related to the Public Assistance Benefits unwinding in the Northern Income Maintenance Consortium (NIMC). Information was presented for NIMC and for each individual county in the consortium. Spuhler responded to questions. Spuhler explained NIMC is made up of twelve counties and sixty-two workers. Fifty workers take calls on the call center. Twelve workers don’t regularly take calls. They process intake/renewals and work on benefit recovery. Six workers are in Bayfield County. One Bayfield County worker is still in training. Two Bayfield County workers also process energy assistance applications. NIMC is fortunate to have been assigned two state hired limited-term employees who assist with the extra workflow from unwinding. Spuhler noted workloads continue to increase during unwinding. Callers are more emotional, and calls are more challenging for workers. The transition has been difficult for participants and NIMC workers alike, particularly as some workers and participants have never had to follow pre-pandemic procedures and guidelines. Spuhler reported February was the last month that emergency benefits were received for FoodShare. FoodShare benefits have been reduced statewide by nearly half. There are many program changes affecting and reducing participation and enrollment. DRAFT: Subject to change at the next BCDHS meeting BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual September 28, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-09-28_BCDHS_Board_meeting_minutes -DRAFT.docx 2 There has been a positive change to the childcare rules. Childcare benefits will now be available for parents attending school. Childcare participation counts are limited in Bayfield County due to lack of providers. NIMC staff must process applications and renewals on a timely basis. This is a performance measure. Healthcare applications must be processed within thirty days. NIMC is currently 95% timely, which exceeds the state requirements. There has been a decrease in enrollment for healthcare. This is due to various factors, many related to unwinding. The state is issuing and mailing warning letters to participants who are in danger of losing their healthcare coverage. NIMC will see an added increase in referrals when the Federal Marketplace opens. Spuhler stated that overall unwinding is going as well as can be expected. She noted the NIMC workers are tough, caring, and resilient. Monthly Section Reports Support Services – Stephanie Eder • Eder reported the employee health insurance premium increase for 2024 was estimated at 10%, 7% less than actual, which is 17%. Adjustments to the DHS budget will be needed to accommodate the extra expense. Eder is working with the County Finance Director on final numbers for the 2024 DHS budget. • Eder attended a demonstration this week facilitated by Information Technology (IT) for a proposed intranet. An intranet is a private network used by an organization. Its primary purpose is to help employees securely communicate with each other and store information. The site can be accessed by Bayfield County employees from any location. IT is seeking suggestions from departments as they develop this resource. • Finance and accounting staff attended a Tyler Enterprise demonstration. This accounting software product could replace the County’s current accounting software, New World. Human Services is also seeking a replacement for the Department’s accounting software, WISSIS, which is no longer supported. DHS has accounting needs the county’s system is unable to meet, which has made it difficult to find a replacement. Eder noted that DHS financial staff will also be attending another financial software demonstration from another provider next week. • Eder noted that the newest Support Services staff member, Angie Lazorik, is a great addition to the team. Angie fits in very well. Behavioral Health & Community Programs – Elizabeth Skulan for Tom Croteau • Croteau provided training on the American Society of Addiction Medicine (ASAM) substance use disorder assessment model specific to the new electronic health record. Chris Beirl and Vanessa Sowl are independently completing assessments in the new system. Stephanie Tutor hopes to have her Substance Abuse Counselor in Training (SAC-IT) in the next few months as well. All her paperwork has been submitted to Department of Safety and Professional Services (DSPS). BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual September 28, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-09-28_BCDHS_Board_meeting_minutes -DRAFT.docx 3 • Implementation of the new electronic health record (HER) software, Echo Vantage, continues to be a challenge. The regional CCS team has been working with the software provider and other counties using the software to problem solve. • Croteau noted CCS remains very busy. Staff schedules are reaching maximum capacity. Croteau said staff are eagerly awaiting the county’s approval to hire new staff to help alleviate stress and prevent burnout. • Two clinical providers within Northland Counseling are in the process of purchasing the business from Carol Lund’s estate. As a result, the services should remain unchanged. This is good news for the community, who will not lose the service and for the county, who will retain the provider. • Croteau met with law enforcement, DHS staff, Corporation Counsel, Memorial Medical Center (MMC) staff, and Behavioral Health Unit staff on September 25, 2023, at MMC to discuss the process for emergency detentions. The time was well spent, and the group will meet next spring to follow up. • Behavioral Health Case Managers, Jamie Allen and Hailey BeBeau attended the state Crisis Conference in Wisconsin Dells last week. • Croteau is attending the State’s Behavioral Health Training Partnership Administrator’s meeting and Ethics and Boundaries training tomorrow at Steven’s Point. Aging & Disability (A&D) Services – Carrie Linder • Linder and Marianne Johnson are providing coverage for the Senior Nutrition and Transportation Programs while Carolyn Novak and Michele Reiswig are on vacation. • The Barnes Congregate site has reopened. Novak and Linder have been working to ensure everything is in place for the new congregate meal coordinator. • Linder reports that she is monitoring enrollment in the disability benefits specialist program. Sawyer County provided notice last month that their Disability Benefit Specialist (DBS) accepted a new position and Sawyer County was no longer interested in employing the DBS position. The position will be posted in Price County. In the meantime, Linder is working with Sawyer County, the state, and the Bayfield County DBS Jamie Mackin during the transition. Mackin’s caseload prohibits him from working with the cases throughout the five-county region. However, Linder noted there is a plan in place until the new DBS is hired. • Linder attended an ADRC staff supervisors meeting. All counties indicated the volume of calls to the ADRC have increased due to the unwinding. • Linder reported Lindi Olson is processing three functional screens and appointments for new referrals are taking approximately two weeks. • DHS policy requires calls to be returned within one business day. Linder reported it is proving increasingly difficult to return calls within that timeframe. • Linder reported the ADRC allocation statewide for 2024 is higher. However, the allocation may or may not be different for the ADRC-N. A group at the state level is working on a new formula to equalize the generations of ADRC. ADRC-N is a third generation ADRC, so is very poorly funded compared to earlier generations. More information should be available in October. • The next Transportation Coordination Committee (TCC) meeting will be held Monday, October 2, 2023. Several items need to be reviewed for 2024. An update to the five-year regional transportation plan is due this fall. Northwest Regional Planning Commission will take the lead on developing the plan. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual September 28, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-09-28_BCDHS_Board_meeting_minutes -DRAFT.docx 4 Family Services – Elizabeth Skulan for Mary Anich • The Child Abuse Response Effort (CARE) team meetings have been reinstated. CARE is a standardized process developed jointly by Human Services, law enforcement, Indian Child Welfare, and the District Attorney’s office for interviewing children who may have been victims of abuse or neglect. The group hopes to expand the pool of forensic interviewers in Bayfield County to include more law enforcement and Red Cliff Indian Child Welfare program staff. • Anich reported there have been numerous calls after hours to on-call staff in the past few weeks. Most of the calls have not been child welfare related. Staff are often asked to troubleshoot mental health, substance abuse, homeless situations, adult protective services/dementia issues, and heating and fuel emergencies in colder months. Staff do their best to offer suggestions. However, staff are only on-call for child protective services. They are not trained or mandated to respond to crises in other areas. As a result, most of these calls must wait until the next business day for outreach from other parts of the agency or for a connection to a community agency. Heating and fuel related crisis calls are routed to the Economic Support Supervisor. • Staff have had several challenging cases lately. Collaboration with law enforcement, the schools, DA’s office, public defender’s office, behavioral health programming, Child Indian Welfare programs from both Red Cliff and Bad River, and families has been very positive. • Anich reported a youth who was moved to a residential placement in April has returned to Lincoln Hills. Unfortunately, this youth will likely age out of the system from Lincoln Hills in early 2024. Unfortunately, there were no other placement options for this youth either in Wisconsin or nationally. • Anich reported that with cold and flu season, several staff have struggled with mild illness. • Anich is on vacation until October 11, 2023. Ashland County DHHS is providing supervision to on-call staff. Thanks to Jerry Esala, Ashland County Child Welfare supervisor, and Bayfield County Administration for supporting this unique partnership! Economic Support Services – Jeanine Spuhler • Maggie Morrison joined the Economic Support team on July 24, 2023. Morrison has completed new worker training and is currently job shadowing. Economic Support has extensive training that workers must complete prior to working independently on the call center. Morrison is doing well in her new position and is a good fit for the team. • Spuhler stated NIMC continues to struggle with staffing issues. Three consortium staff recently left NIMC to work from home full-time for other consortia. • Spuhler also noted NIMC is losing Income Maintenance workers to larger consortia that offer more money for performing the same job while allowing them to work completely from home. Spuhler is concerned about the trend. • One staff member was out of the office for the month of September on leave. • The Wisconsin Home Energy Assistance Program (WHEAP) 2023-2024 season begins October 1, 2023. Appointments are already booked into mid-October. Emergency situations for BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual September 28, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-09-28_BCDHS_Board_meeting_minutes -DRAFT.docx 5 households that include children under six or the elderly must be responded to within eighteen hours. Bayfield County generally responds immediately. Monthly Reports Monthly Financial and Training reports were reviewed and retained. 2024 Budget Update The DHS 2024 Budget was increased by $1,000,000 per the instructions by Baker Tilley, the County’s auditor for the Children’s Long-Term Services (CLTS), the result of a change in accounting practice. An update of the 2024 DHS Budget Narrative with changes was included in the board packet. The budget and narrative do not include adjustments to wage and fringe due to changes that were made once Departments had submitted their budget. Discussion and Possible Action – Memorandum of Understanding with Red Cliff Indian Child Welfare Development Documents that support day to day operations, such as provider contracts and Memorandums of Understanding (MOU) with partner agencies, are not generally presented to the Human Services Board for approval due to its status as a policy making board. However, the Red Cliff Tribe requested this MOU be formally approved. It will also be recommended by Indian Child Welfare and their legal counsel for approval by the Red Cliff Tribal Council. The document has been reviewed by corporation counsel who had no objections to having it approved by the DHS Board. Motion by Milanowski, seconded by Oswald to approve the Memorandum of Understanding with Red Cliff Indian Child Welfare. Motion passed. Recruitment for Citizen Member for the Comprehensive Community Services (CCS) Local and Regional Coordination Committees – There is a vacancy on the local and regional Bayfield County CCS Coordination Committees. The individual should be a community member interested in services that are provided to individuals across the age span with mental health issues and/or substance use disorders. Skulan noted that meetings are quarterly, run concurrently, and are held during the workday. Skulan also noted there is a vacancy on the Family Services/Behavioral Health & Community Programs Advisory Committee. 2024 DHS Proposed Meeting Dates A list of proposed meeting dates was included in the board packet. To meet the deadlines the County establishes for the 2025 budget, the July and August meetings will be combined. The date for the BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual September 28, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-09-28_BCDHS_Board_meeting_minutes -DRAFT.docx 6 meeting, which will be scheduled in August, is not included in the proposed list of dates. Once the date Departments must submit the 2025 budget is known, the date will be determined. To reduce the number of meetings and encourage a quorum around the holidays, the November and December meetings are also combined. Review and Discuss in the Red: Digging deeper into the Eau Claire County Sheriff’s Office investigation into DHS. Skulan summarized the article regarding allegations of misappropriation of funds in the Eau Claire County Human Services Department. She also reviewed the outcome of the forensic audit completed after the results of the investigation were made public. No charges were filed, no criminal intent was found, and no employee was subject to disciplinary procedures because of the incident. The investigation stemmed from a simple but very large accounting error made when the Department was projecting a deficit for fiscal 2019. Skulan noted that news stories are often sensationalized and do not necessarily provide all the information or both sides of the story. Skulan noted that though there were no criminal charges filed, and no case could be made for criminal intent, there will most likely be repercussions to all Human Services Departments around the State in the coming years as audits are conducted. Bayfield County has checks and balances in place, but additional changes to policies and procedure may be recommended in the future to strengthen practice. Other (Informational Items) A. Email from Economic Support Supervisor Denise Jeffers, Wood County, with positive feedback regarding Katy Hansen, Bayfield County Economic Support Specialist B. Thank you note from a recipient of Wisconsin Low Income Home Energy Assistance program (LIHEAP) Future Meetings • October 26, 2023 • November/December - December 5, 2023 (Meeting starts at 3:30 with a holiday potluck) • January 25, 2024 Crandall Adjourned the meeting at 5:25 p.m. Submitted by Sarah Traaholt, Clerk III Bayfield County Department of Human Services Committee Meeting Dates 2024 Committee meetings are generally held on the fourth Thursday of each month. However, there will be two exceptions. Two combined monthly meetings are scheduled in 2024. A combined meeting will be held for the months of July and August, on August 15, 2024, in order to meet the County’s deadline for the 2025 Budget. A combined meeting will also be held for November and December. This meeting will be held on December 3, 2024, the first Tuesday in December. Committee meetings are usually held in the Emergency Operations Center (EOC) of the Bayfield County Annex – located on Sixth Street across from the Bayfield County Courthouse. The June meeting will include a public hearing for the 2025 DHS Budget and an opportunity for the public to comment on Bayfield County’s policies and procedures for Equal Opportunity in Employment, Service Delivery and Language Access. This meeting will be held in the County Boardroom of the Bayfield County Courthouse. Committee meetings begin at 4 p.m. Occasionally a meeting will be cancelled due to a lack of agenda items. Any unanticipated exceptions to the regular schedule will be posted on the Bayfield County website and will be highlighted in the meeting notice and agenda. January 25, 2024 February 22, 2024 March 21, 2024 April 25, 2024 May 23, 2024 June 26, 2024, and public hearing on proposed 2025 DHS Budget (County Board Room) August 15, 2024 (July/August meeting due to County Budget Deadline) September 26, 2024 October 24, 2024 December 3, 2024 (November/December meeting, begins with a potluck at 3:30) No. 2023-02 Department of Human Services 2023 Budget Adjustments WHEREAS, adjustments to and transfers within the Department of Human Services 2023 budget are necessary to satisfy state statutes and accounting principles and to balance the Department’s budget; and WHEREAS, the following budget adjustments increase the Department’s spending authority due to: required changes in accounting procedures required by the County’s auditor to account for purchases contracted by Bayfield County but paid by the state’s third-party administrator for the Children’s Long-Term Support (CLTS) Program and an unusually high number of incidents requiring mental health services and emergency detentions in 2023; and WHEREAS, most of the additional expenses are offset by corresponding revenues; and WHEREAS, DHS may need to access its Risk Reserve up to $100,000 to cover expenses projected expenses in 2023, leaving a balance to the Risk Reserve of approximately $535;000 NOW, THEREFORE, BE IT RESOLVED, that the Bayfield County Department of Human Services Board assembled this 26th day of October 2023, does hereby approve the following 2023 budget line adjustments and recommends them to the full County Board for consideration. Account Number Description Adjustments Revenue Adjustments 235-50-43560-998 HS, St / Fed Revenue, CLTS TPA Revenue 1,294,074.00 235-50-43560-107 BHP, St / Fed Revenue, CCS, EDS 250,000.00 235-50-49301 Transfer from Risk Reserve 100,000.00 Total 1,644,074.00 Expenditure Adjustments 235-55-54320-50290 AD, CLTS, Contractual Services 1,294,074.00 235-47-54311-50299 BHP, CCS, Direct Services 250,000.00 235-47-54310-50299 BHP, MH, Direct Services, MH Institution 234,450.00 235-55-54320-50299 AD, Family Care Payback (134,450.00) Total 1,644,074.00 ____________________________ James Crandall, DHS Board Chair Resolution