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HomeMy WebLinkAbout2025.02.18 LEOFF Agenda AGENDA CITY OF PASCO LEOFF DISABILITY BOARD DATE: Tuesday, February 18th, 2025 TIME: 6:30 PM PLACE: Conference Room #1 City Hall CALLED TO ORDER: ____________ 1. Declaration of quorum: Roll call Serrano Yes No Milne Yes No Nelson Yes No Bower Yes No Andres Yes No Excused Members: Guests: Sara Matzen, HR Director Staff: Daniela Segura, Board Clerk 2. Approval of Minutes: APPROVAL OF MINUTES: ____________________ moved to approve January 21st, 2025, minutes. ____________________ seconded the motion. Discussion. The motion carried. 3. Clerk’s Report/Correspondence: • 4. Old Business: • Medicare Part B Premiums – o A spreadsheet with reimbursement amounts for those that submitted documentation has been provided for review by the board. (Attachment A) o Corrected reimbursement that was tabled from the previous meeting. (Attachment B) o The clerk will begin sending out reminder letters for those that have not submitted their documentation, if any. • For the first quarter of 2025 the board Clerk would like to begin the review of the LEOFF Board’s rules and outline areas that need to be updated. o There are 9 sections of the rules, so the plan will be to tackle sections 1 and 2 for the first quarter. We will then reconvene at the March meeting to decide how we will divide the rest of the sections for review. ▪ If an electronic copy of the rules and procedures are needed, the Clerk can email them to those requesting them. MOTION: Second: Carried: 5. New Business: • New In-Home Care Request. (Attachment C & D) o They are requesting a CAN for basic care in the home of the member. The cost estimate is below: ▪ Cost Estimate: The estimated cost of providing home health care services. • Aide Care $35 Hour X 30 Hours a Week = $1,050 Weekly • Skilled Nursing Care $140 Hour X 2 Hours Week = $280 Weekly • Total Care Weekly = $1330 Weekly ▪ The recommendation would be to offer the same as the previous in-home care participant with a 6 month prognosis check in. • Current In-Home Care Member Requesting to move to Assisted Living. o On 1/2/25 an email was received by the Clerk from Zandy Nunez, the social worker for the member, requesting a list of documents needed to initiate the request. o On 1/3/25 that was provided to the social worker, but no documentation has been submitted. ▪ Cost of facility stay. • Is the facility a Medicare eligible facility? • Will the room and board be an additional cost? ▪ Change in prognosis report - indicating the need to move from in-home care to a facility. • We do not need medical records. o 1/19/25: From the daughter of the member: “We found an assistant living for my Dad. The monthly cost is $8000.” o The member’s daughter has not submitted documentation of the assisted living facility that the member will be moving into. At this time, we are waiting for the information requested from the social worker and information on the assisted living facility to make a determination on reimbursement. o Prognosis of member. (Attachment E) MOTION: Second: Carried: 6. Applications for Reimbursement: Closed meeting during quasi-judicial process • Member #1 $273.87 Hospital Visit (insurance non-payment; ok to pay) • Member #2 $450.00 Physical Assessment (ok to pay) • Member #3 $2,314.00 In-home care (1/13-1/19/25; ok to pay, within monthly threshold) • Various Members $35,769.30 2025 Medicare Part B Reimbursements • Various Members $3,957.60 2024 Medicare Part B Reimbursement - Corrected MOTION: Second: Carried: 7. Other Business: Next Meeting: Monday, March 17th, at 6:30 PM in conference room #1 of City Hall. ▪ Adjournment. TIME: ______________