BROWN COUNTY HEALTH & HUMAN SERVICES 111 N. Jefferson Street P.O. Box 22188 Green Bay, WI 54305-3600 Erik Pritzl, Executive Director

Human Services Board Members:

Tom Lund; County Board Supervisor & Board Chair Susan Hyland; Citizen Board Member Aaron Linssen; County Board Supervisor Laura McCoy; Citizen Board Member Alex Tran; County Board Supervisor Kathryn Dykes; Citizen Board Member Paula Laundrie; Citizen Board Member & Vice Chair VACANT; Citizen Board Member Craig Huxford; Citizen Board Member

MEETING OF THE HUMAN SERVICES BOARD

Thursday, March 12, 2020 5:15 PM

SOPHIE BEAUMONT BUILDING

111 N JEFFERSON STREET; BOARDROOM A GREEN BAY, WI 54301

AGENDA 1. Call Meeting to Order 2. Approve/Modify Agenda 3. Approve Minutes of February 13, 2020 Human Services Board Meeting 4. Executive Director’s Report 5. CTC Administrator Report including NPC Monthly Report* 6. Re-appointment of Pam Page to the Psychiatric/Medical Staff Committee 7. Financial Report for Community Treatment Center and Community Services 8. Statistical Reports a. Monthly CTC Data – Bay Haven Crisis Diversion/Nicolet Psychiatric Center* b. Child Protection Services – Child Abuse/Neglect Report c. Monthly Contract Update* 9. Request for New Non-Contracted Provider & New Provider Contract* 10. Recognition of Board Members – Vice-Chair Paula Laundrie, Supervisor Aaron Linssen, and

Supervisor Alex Tran 11. Adjourn Business Meeting *Attached as written reports. Notices: Notice is hereby given that action by the Human Services Board may be taken on any of the items, which are described or listed in this agenda. Please take notice that additional members of the Board of Supervisors may attend this meeting of the Human Services Board, resulting in a majority or quorum of the Board of Supervisors. This may constitute a meeting of the Board of Supervisors for purposes of discussion and information gathering relative to this agenda. Any person wishing to attend the Human Services Board meeting who, because of a disability, requires special accommodations, should contact the Health & Human Services Department at (920) 448-6006 by 4:30 p.m. on the day before the meeting so arrangements can be made.

BROWN COUNTY HEALTH & HUMAN SERVICES Brown County Community Treatment Center 3150 Gershwin Drive Green Bay, WI 54305-2188

Samantha Behling, Interim Hospital & Nursing Home Administrator

Phone (920) 391-4701 Fax (920) 391-4872

NPC Monthly Report- February 2019

Hospital Re-Certification Survey- As mentioned in the previous month’s report, Nicolet Psychiatric Center is anticipating a Statement of Deficiencies from the Federal and State Re-certification Survey conducted in late January 2020. Formal deficiencies have not yet been received by the facility. Collaboration will continue to plan improvements in preparation for the hospital’s Plan of Correction. Crisis Center Addition Planning and Medical Clearance- The Medical Clearance Workgroup has established a draft policy and procedure with a goal of ensuring medical stability prior to inpatient psychiatric hospitalization. The workgroup plans to present information to a local EM1 Committee in March which includes individuals from local medical hospitals, psychiatric hospitals, law enforcement agencies and various other crisis system players. The workgroup has been focusing on State of Wisconsin Psychiatric Association, Medical College of Emergency Physicians and State Task Force guidance for effective and efficient crisis systems. Details specific to piloting the program prior to the new building addition are still being discussed. Other Business- Sharon Weddel, DON has been hired as Director of Nursing, Nursing Home. A “Day at the Capitol” in Madison was attended to inform legislators of effects of Medicaid underfunding, including vast numbers of nursing home closures and rapidly increasing vacancies in caregiver jobs, resulting a workforce crisis. The numbers of people aging continues to climb. Leading Age Wisconsin Statistics: Average Caregiver Vacancy Rate 23.5%, 42% of facilities have more than ¼ positions vacant) There is extreme competition for workers and the workforce is challenging. Brown County Community Treatment Center is not an exception to the crisis and experiences the negative effects of the workforce dilemma. For these reasons, the CTC will continue to assess controllable factors in effort to attract and retain Brown County healthcare employees. Respectfully submitted by: Samantha Behling, Hospital and Nursing Home Administrator

Results from a survey of long-term care providers in 2016 and 2018 exposed a caregiver workforce crisis. Data from the 2020 survey of 924 providers, together with information from other sources revealed:

nAn increase in caregiver vacancies from 19% in 20181 to 23.5% in 2020nA continued downward trend in the number of persons on the Wisconsin nurse aide registry2

nCaregiver vacancy rates in excess of 30% for adult family homes, a vital part of the long-term care continuumnOne in three providers are limiting admissions due to caregiver vacanciesnSince 2018, inflation has increased by 4%3 while median wages for direct care workers have been limited to

only 2.3% growthnThe average occupancy of long-term and residential care providers could increase from 78% to 93% if there

were enough caregivers to fill available positionsnLong-term care providers continue to be challenged with a lack of applicants for caregiving positions

Clearly the caregiver workforce crisis continues to be one of the most significant challenges facing providers of long-term and residential care services. Public and private efforts to deal with the workforce needs have helped but more needs to be done - especially as the state faces growth in the number of older persons, people with intellectual and physical disabilities, and individuals diagnosed with dementia.

Wisconsin Center for Assisted LivingWisconsin Health Care Association

A 2020 Report

The Long-Term Care Workforce Crisis:

Caregiving staff positions are unfilled ...why?

Caregiving staff positions are unfilled ...why?

1in 4Caregiving staff positions are unfilled ...why?

80

80

100

The Need for Long-Term Care is Growing Over the next 20 years, the percentage of people age 85 and older will climb, as will the number of persons diagnosed with dementia. A sizable number of these two groups are likely to need long-term care services. In addition, more than 33,880 persons with intellectual/developmental disabilities and physical disabilities require some level of care or support4.

Scope of the CrisisA 2016 and 2018 survey of long-term and residential care providers established the existence of a workforce crisis. The 2020 survey confirms the workforce crisis remains a significant challenge.

n23.5% average caregiver vacancy rate (14.5% in 20165 and 19% in 20181)

n42% of providers (30% in 20181) are facing a caregiver vacancy rate in excess of 25%

n1 in 3 providers (1 in 5 in 20181) are experiencing caregiver vacancy rates 30% and higher

n20,655 vacant caregiver positions in Wisconsin long-term and residential care facilities, up from 16,500 in 20181

nAdult Family Homes are experiencing caregiver vacancy rates in excess of 30%nNursing homes are experiencing registered nurse and licensed practical nurse vacancy rates of nearly 22%

PROJECTION OF WI POPULATION WITH DEMENTIA

The number of Wisconsin residents diagnosed with dementia is projected to increase 88% by 2040

242,000

2020 2025 2030 2035 2040

Source: Wisconsin Department of Heatlh Services

154,000

216,000184,000

129,000

PROJECTED WI POPULATION AGE 85+

The percentage of people in Wisconsin age 85 and older is projected to increase 112% in the next 20 years.

2020 2025 2030 2035 2040

145,745134,130

173,110224,245

283,600

Source: Wisconsin Department of Heatlh Services

Caregiving staff positions are unfilled ...why?

Caregiving staff positions are unfilled ...why?

1in 4Caregiving staff positions are unfilled ...why?

80

80

100

Nearly 50% of respondents felt they were unable to compete with non-healthcare employers

1 in 2 said they couldn’t increase wages because of inadequate Medicaid and Family Care reimbursement

More than 1 in 3 providers report not getting even a single application for available caregiver positions

70% said there were no qualified applicants for caregiver openings

State and federal CNA training regulations fail to recognize the severity of the caregiver workforce crisis, creating additional barriers for people to enter the caregiving profession

Provider Comments:n Other employers in our area are able to offer much better wages, vacation time, and other benefits we cannot afford.nMany applicants go through orientation and then do not show up for shifts.n No one responds to hiring advertisements.n Employees on BadgerCare limit the number of hours they work, otherwise they will lose their insurance.

Why Is There A Crisis in LTC?The Wisconsin Department of Workforce Development projects the annual growth in personal care and service occupations at 17.68%6.

And yet, caregivers continue to leave long-term care nAn estimated 9,700 caregivers left for jobs outside of

healthcare in the past yearn64% of providers reported staff left caregiving

positions for work in non-healthcare settingsnSince 2012, there are 17,736 fewer nursing assistants

on the Wisconsin Nurse Aide Registry, a decline of more than 25%7

nIn 2019 there were 5,586 fewer nursing assistants listed on the Nurse Aide Registry than in 2018; more than double the previous year’s decline

Competition for workers is intense and the workforce is changingnWisconsin’s low 3.3% unemployment rate8 has ramped

up competition for workersnProviders reported median wages of $13.00 per hour

for non-healthcare employers hiring unskilled entry level workers, an 8.3% increase from 20181

nDuring that same period, providers were only able to increase direct care worker wages by 2.3% due to insufficient Medicaid and Family Care reimbursement

nLicensed nurses, a vital part of the long-term care workforce, are aging:

oMore than 1 in 3 registered nurses working in nursing homes and extended care settings are age 55 and older9

o43.5% of licensed practical nurses working in these settings are age 55 and older10

Providers Are Trying to Copen1 in 3 providers limited admissions in the past year because

of staffing vacancies compared with 1 in 4 in 2018, and 1 in 5 in 2016

nSurvey respondents reported working with fewer staff than they would prefer

nSome providers limit benefits due to insufficient Medicaid and/or Family Care reimbursement. More than 70% do not offer health insurance to part-time employees

Active Nurse Aides on the WI Registry

DECEMBER2012

DECEMBER2013

DECEMBER2015

DECEMBER2016

DECEMBER2017

DECEMBER2018

DECEMBER2019

DECEMBER2014

Wisconsin Department of Health Services, Office of Caregiver Quality

69,24867,787

65,51763,575

61,64459,550

57,098

51,512

DECEMBER2013

Strategies to keep facility Staffed

STAFFED PICK UPHOURS

DOUBLE/EXTENDEDSHIFTS

OVERTIME POOL/AGENCYSTAFF

89%81%

68%

31%

The research continues to show:nThe staffing crisis remains a significant challenge:

One-third of providers are experiencing vacancy rates of 30% and higher, compared with one-fifth in 20181

nProviders are still struggling to compete for workers: The median wage for entry level non-healthcare workers is $2.00 per hour higher than for direct care workers

nCaregiver burnout is a real concern: Caregivers are working extra shifts and overtime to cover open shifts

nNearly two-thirds of caregivers who left long-term care went to work in non-healthcare settingsnNearly half the time, providers receive no applications for caregiver positions and, when they do, more

than 70% lack the necessary qualifications

Long-term care workers are vital:nCaregiving is not something everyone can do, and those who can are extraordinary peoplenLong-term and residential care residents depend on caregivers to keep them safe and provide the

care, service, and support they need to thrivenCaregivers strive to treat residents living in long-term care and residential care facilities with dignity and respectnCaregivers deserve a fair wage and benefits for the important work they do

What must be done to assure there are enough caregivers?nThe Wisconsin Legislature and Governor approved the

2019-2021 Biennial Budget which included a continuation of the Direct Care Workforce Funding initiative as well as a Medicaid Fee for Service rate increase for long-term and residential care providers. It was a step in the right direction, but the ongoing crisis requires continued legislative action.

nRenew the WisCaregiver Careers program and extend the effort to residential care providers.

nEnhance access to the caregiver profession by adjusting Wisconsin’s CNA hourly training requirements to match the federal standard of 75 hours, a standard also adopted by Minnesota, Michigan, and Iowa.

nContinue to encourage and support youth, adults returning to the job market, and members of the immigrant community to pursue careers in long-term and residential care.

nPromote long-term and residential caregiving as meaningful and rewarding professions.nRecognize and celebrate the work of caregivers.

For more information about The Long-Term Care Workforce Crisis: A 2018 Report, contact:nDisability Service Provider Network: Jeff Kaphengst, (608) 661-2915, jkaphengst@dspn.orgnLeadingAge Wisconsin: John Sauer, (608) 255-7060, jsauer@leadingagewi.orgnWisconsin Assisted Living Association: Mike Pochowski, (608) 442-0377, mpochowski@ewala.orgnWisconsin Health Care Association / Wisconsin Center for Assisted Living: John Vander Meer,

(608) 257-0125, john@whcawical.org

GlossaryAssisted living: Adult family homes, community based residential facilities, residential care apartment complexes, and supportive living apartmentsCaregivers: Registered nurses, licensed practical nurses, certified nursing assistants, persons with CBRF certification, resident assistants, and other direct and personal care workersDirect care workers: Personal caregivers not including certified nursing assistantsLong-term and residential care providers: Includes assisted living plus nursing homesPersonal caregivers: Certified nursing assistants, persons with CBRF certification, resident assistants, and other direct and personal care workers

Footnotes1 Disability Service Provider Network, LeadingAge Wisconsin, Wisconsin Health Care Association / Wisconsin Center for Assisted Living, Wisconsin Assisted Living Association, 2018 Workforce Survey2 Wisconsin Department of Health Services, Division of Quality Assurance, Office of Caregiver Quality, 20193 US Inflation Calculator, www.usinflationcalculator.com/inflation/current-inflation-rates4 Family Care, Family Care Partnership, and Pace Enrollment Data, www.dis.wisconsin.gov/publications/p02370-19oct.pdf 5 LeadingAge Wisconsin, Residential Services Association of Wisconsin, Wisconsin Health Care Association/Wisconsin Center for Assisted Living, Wisconsin Assisted Living Association, 2016 Workforce Survey6 Wisconsin Department of Workforce Development, Occupation Employment Projections, 20207 Department of Health Services, Office of Caregiver Quality8 U.S. Bureau of Labor Statistics, January 20209 Wisconsin Center for Nursing: Wisconsin 2018 RN Workforce Survey10 Wisconsin Center for Nursing: Wisconsin 2017 LPN Workforce Survey

FEBRUARY YTD 2020 YTD 2019 FEBRUARY YTD 2020 YTD 2019ADMISSIONS

Voluntary - Mental Illness 28 53 47AVERAGE DAILY CENSUS 8.5 9.6 7.2

Emergency Detention - Mental Illness 0 0 0

Return from Conditional Release 0 0 0INPATIENT SERVICE DAYS 247 573 422

Court Order - Prelim Mental Illness 0 0 0Court Order - Final Hearing 0 0 0 BED OCCUPANCY 57% 64% 48%Other - EPP 0 0 0TOTAL 28 53 47 DISCHARGES 34 57 48

READMIT WITHIN 30 DAYS DISCHARGE DAYS 344 838 793Readmit within 30 days 5 8 4

AVERAGE LENGTH OF STAY 10 15 17

IN/OUT 0 3 5

ADMISSIONS BY COUNTYAVERAGE LOS BY COUNTY

Brown 24 49 40 Brown 12 14.5 19Door 2 2 2 Door 13 6.5 14Kewaunee 0 0 1 Kewaunee 0 0 1Oconto 1 1 1 Oconto 7 3.5 1Marinette 0 0 0 Marinette 0 0 0Shawano 0 0 2 Shawano 0 0 6Waupaca 0 0 0 Waupaca 0 0 0Menominee 0 0 0 Menominee 0 0 0Outagamie 0 0 0 Outagamie 0 41.5 0Manitowoc 0 0 1 Manitowoc 0 0 1Winnebago 0 0 0 Winnebago 0 0 0Other 1 1 0 Other 1 0.5 1TOTAL 28 53 47 TOTAL 10 16 17

BROWN COUNTY COMMUNITY TREATMENT CENTERFEBRUARY 2020 BAY HAVEN STATISTICS

FEBRUARY YTD 2020 YTD 2019 FEBRUARY YTD 2020 YTD 2019ADMISSIONS

Voluntary - Mental Illness 16 33 32AVERAGE DAILY CENSUS 11.9 12.8 13.5

Emergency Detention - Mental Illness 46 70 62

Return from Conditional Release 6 16 11INPATIENT SERVICE DAYS 345 768 795

Court Order - Prelim Mental Illness 0 0 0Court Order - Final Hearing 0 1 2 BED OCCUPANCY 74% 80% 84%Other 0 0 0TOTAL 68 120 107 DISCHARGES 73 126 104

READMIT WITHIN 30 DAYS DISCHARGE DAYS 388 805 605Readmit within 30 days 9 11 8

AVERAGE LENGTH OF STAY 5 6 6

IN/OUT 2 4 7

ADMISSIONS BY COUNTYAVERAGE LOS BY COUNTY

Brown 56 102 95 Brown 6 7 8Door 1 2 1 Door 17 21 10Kewaunee 0 0 0 Kewaunee 0 0 0Oconto 0 2 2 Oconto 0 3 3Marinette 0 0 0 Marinette 0 0 0Shawano 1 2 2 Shawano 3 2 4Waupaca 1 1 0 Waupaca 1 0.5 0Menominee 0 0 1 Menominee 0 0 1Outagamie 2 2 3 Outagamie 6 10 11Manitowoc 1 3 0 Manitowoc 4 5 0Winnebago 0 0 0 Winnebago 0 0 0Other 6 6 3 Other 4 2 2TOTAL 68 120 107 TOTAL 5 6.5 6

BROWN COUNTY COMMUNITY TREATMENT CENTERFEBRUARY 2020 NICOLET PSYCHIATRIC CENTER STATISTICS

HEALTH AND HUMAN SERVICES2020 PROVIDER CONTRACT LIST - 3/5/2020

Provider Service(s) Description Target Client Updated Not-

to-Exceed Amount

101 Mobility Medical/therapeutic supplies and equipment and home modifications Children $35,000Acceptional Minds Living skills for autistic and/or behaviorally-challenged children and their families Children $500,000

A & J Vans Vehicle modifications for families with disabled children Families of disabled children

$65,000

Adams L AFH 3-4 bed traditional adult family home MH/AODA $61,500ADL Monitoring Solutions UA observed collection and transport for veterans treatment court AODA adults $15,000Advocates for HTL Treatment foster care placing agency, group social/learning skills, respite care, CCS

ServicesHigh behavioral needs

children$945,000

Affinity Health Inpatient detox services MH/AODA $25,000Almost Family Supportive home care, children's respite PD with MH issues;

children with diabilities$25,000

ACE Teaching Daily living skills training Children with long- term care needs

$60,000

Anna's House Assisted Living CBRF (assisted living) MH/AODA $100,000ASPIRO Birth to 3 services, respite, prevocational training, adult day programming Children with disabilities $925,000

Assisted Living by Hillcrest CBRF (assisted living) for APS use At-risk adults $75,000Bellin Health Occupational Health Solutions Drug screenings and transporting inpatient clients to court Adult parents $10,000

Bellin Psychiatric Center Inpatient psychiatric and detox services MH/AODA $250,000Berry House (Robert E. Berry House) CBRF (assisted living) that takes individuals with backgrounds in violent crimes MH $115,000

Better Days Mentoring Youth mentoring services, daily living skills, CCS services Youth $750,000Boll Adult Care Concepts Corporate adult famiy home (assisted living) with CCS services for high needs behavioral

healthMH/AODA $300,000

Brotoloc Health Care System CBRF and corporate adult family homes (assisted living) PD with MH issues $500,000Caravel Autism Health Social learning groups for children with social communication challenges Children with long- term

care needs$30,000

Care for All Ages (CFAA) CBRF (assisted living), child day care (day care used sparingly) PD with MH issues $60,000Catholic Charities of the Diocese of GB Teen Parenting program, fiscal agent services, domestic violence group Teens $160,000CP Center Respite and daily living skills Children with long- term

care needs$65,000

Childrens Service Society Treatment foster care placing agency Children $10,000Chileda Institute Children high-needs residential care center (RCC) High behavioral needs

children$175,000

Cisler Construction Home remodeling/modifications Families of long-term care children

$50,000

Clarity Care CBRF (assisted living), home health care PD with MH issues $10,000

1

HEALTH AND HUMAN SERVICES2020 PROVIDER CONTRACT LIST - 3/5/2020

Provider Service(s) Description Target Client Updated Not-

to-Exceed Amount

Clinicare - Milwaukee Academy Youth (all female) high-needs residential care center (RCC); serve sex-trafficing victims High behavioral needs children

$145,000

Communication Pathways Social learning groups for children with social communication challenges Children with long- term care needs

$60,000

Compass Development CBRF (assisted living) PD with MH issues $70,000Cordoba Residence 1-2 bed corporate adult family home (AKA 'Community Care Home') specializing in 1:1

careMH needing 1:1 care $210,000

Curative Connections Supportive home care, specialized transportation, prevocational training, daily living skills, CCS services

MH/AODA andLTC children

$390,000

Curo Care Corporate adult family homes (assisted living) PD with MH issues $200,000Deer Path Assisted Living CBRF, corporte adult family homes (assisted living) MH/AODA $145,000Dodge County (Clearview Behavioral Health) Brain injury rehabilitation center Adults w/traumatic brain

injury$285,000

Dynamic Family Solutions Family counseling/treatment programs, CCS services Families of juvenile offenders

$20,000

Encompass Child Care Child day care Children $50,000Engberg AFH 1-2 bed traditional adult family home MH $22,000Exceptional Equestrians Hippotherapy and therapeutic riding to clients with special needs Children with long- term

care needs$65,000

Expressive Therapies Music therapy for children Children with long- term care needs

$20,000

Family Services of Northeast Wisconsin CBRF (assisted living), CRISIS Center services, counseling, CCS services MH/AODA, children $3,315,000Family Training Program Parenting/family skills training CPS parents, parents of

juvenile offenders$290,000

Family Works Programs Treatment foster care placing agency Children $25,000Foundations Health and Wholeness Treatment foster care placing agency and CCS Services Children and adults $150,000Friendship House Group home for juvenile offenders Juvenile offenders $100,000The Gathering Place CCS peer support services MH/AODA $32,000Generations Community Services CCS services Children $100,000Golden House Domestic abuse services Adults in need $63,086Gonzalez AFH 3-4 bed traditional adult family home PD with MH issues $24,000Goodwill Industries Prevocational services PD with MH issues $2,500Green Bay Area Builders Home remodeling/modifications Families of long-term care

children$50,000

Green Bay Transit Commission - NO CONTRACT Bus passes for transportation to/from school, meetings with parents, etc. CPS case children and adults

N/A

Greenfield Rehabilitation Agency Birth to 3 services Children with disabilities $410,000

Helping Hands Caregivers Supportive home care, children's respite PD with MH issues; children with diabilities

$25,000

2

HEALTH AND HUMAN SERVICES2020 PROVIDER CONTRACT LIST - 3/5/2020

Provider Service(s) Description Target Client Updated Not-

to-Exceed Amount

Home Instead Senior Care Supportive home care PD with MH issues $8,000Homes for Independent Living CBRF (assisted living) MH $200,000Hopeful Haven Treatment foster care placing agency Children $65,000HME Home Medical Medical and therapeutic supplies and equipment Children $35,000Improved Living Services Corporate adult family homes (assisted living), CCS services MH $65,000Independent Mobility Plus Medical and therapeutic supplies and equipment Children $35,000Infinity Care Inc. CBRF (assisted living), home health care PD with MH issues $95,000Innovative Services Corporate adult family home (assisted living), CCS services, daily living skills, supportive

home careHigh-needs MH $1,765,000

Jackie Nitschke Center AODA residential and intensive outpatient services AODA adults and youth $175,000

Jacobs Fence Fence building and repair Families of long-term care children

$90,000

KCC Fiscal Agent Services Payor of client-hired personal care workers $985,000KUEHG - Kindercare Child day care Children $85,000Kismet Advocacy Mentoring, living skills for autistic and/or behaviorally-challenged children and their

familiesChildren with long- term

care needs$925,000

Kimbrough, Ellen AFH 1-2 bed traditional adult family home MH $30,000Lad Lake Youth high-needs residential care center (RCC) High behavioral needs

children$150,000

Lutheran Social Services CBRF (assisted living) with CCS services MH/AODA $1,105,000Lutheran Social Services (Homme Home) Youth (all male) high-needs residential care center (RCC) High behavioral needs

children$500,000

Macht Village Programs (MVP) Respite care, counseling, daily living skills, treatment foster care child placing agency High behavioral needs children

$700,000

Matthews Senior Living CBRF (assisted living) PD with MH issues $55,000McCormick Memorial Home CBRF (assisted living) MH/AODA $76,500Milestones Behavioral Pediatrics Social learning groups for children with social communication challenges Children with long- term

care needs$20,000

MobilityWorks Vehicle modifications for families with disabled children Families of disabled children

$20,000

Moon Beach Camp Summer camp for children with autism Children with long-term care needs

$20,000

Mooring Programs (Apricity) AODA residential services AODA adults $120,000My Brother's Keeper Male Mentoring Program Juvenile males $10,000Mystic Meadows Corporate AFH (assisted living) MH/AODA $320,000NEW Community Shelter Homeless sheltering services MH $40,000Northwest Passage Children high-needs residential care center (RCC) High behavioral needs

children$125,000

Nova Counseling Services AODA residential services AODA adults $50,000Nurses PRN Home Care Skilled nursing services Children $45,000

3

HEALTH AND HUMAN SERVICES2020 PROVIDER CONTRACT LIST - 3/5/2020

Provider Service(s) Description Target Client Updated Not-

to-Exceed Amount

ODTC - Genesee Lake School Residential care center (RCC) for lower functioning teens Developmentally delayed youth

$175,000

Options Counseling Services (Koinonia) AODA residential services AODA adults $35,000Options for Independent Living CCS peer support services, home modification assessments MH/AODA $10,000Options Treatment Program AODA treatment AODA youth and adults $20,000

Paragon Industries Daily respite care Children with long-term care needs

$285,000

Parmentier AFH 3-4 bed traditional adult family home MH $44,500Pathways Treatment AODA residential treatment for dual diagnosis clients AODA/MH (dual diagnosis) $375,000

Pillar and Vine Treatment foster care placing agency Children $25,000Prevea Health WorkMed Drug screenings CPS parents, AODA, JJ

youth$90,000

Productive Living Systems Corporate adult family homes, CBRF (assisted living), supportive apartment program MH/AODA $250,000

Productive Living Systems (Pnuma LLC) CBRF (assisted living) PD with MH issues $120,000Psychological Consultants of Green Bay Psychological assessments to determine competency Elderly, DD $25,000Ravenwood Behavioral Health Nursing home for high-needs MH clients High-needs MH $100,000Rawhide Residential care center (RCC) for juvenile offenders Juvenile offenders $400,000REDI Transports (Formerly WI Lock and Load) Provides secure transportation to/from GB to other state facilities MH, JJ $65,000

Rehabilitation House Transitional CBRF (assisted living) for co-occurring AODA/MH MH/AODA $60,000REM Wisconsin Corporate adult family home, CBRF (assisted living) MH, PD with MH issues $200,000

Saint A Treatment foster care placing agency Children $42,000Social Thinkers Social learning groups for children with social communication challenges Children with long-term

care needs$22,500

Smith Receiving Home Receiving home for emergency placements Children in need N/ASpectrum Behavioral Health CCS services Children $120,000St. Charles Youth & Family Services Treatment foster care placing agency Children $30,000St. Vincent Hospital Birth to 3 services, home delivered meals Children with disabilities $215,000

Tellurian Residential detox AODA $55,000Tim Halbrook Builders Home remodeling/modifications Families of long-term care

children$50,000

Tomorrow's Children Children high-needs residential care center (RCC) High behavioral needs children

$100,000

Treatment Providers (Dr. Fatoki) Medication Assisted Treatment (MAT) for opiod abuse treatment AODA $60,000Trempealeau County Health Care County-run adult family homes, CBRF (assisted living), and institute for mental disease Very high-needs MH $1,000,000

4

HEALTH AND HUMAN SERVICES2020 PROVIDER CONTRACT LIST - 3/5/2020

Provider Service(s) Description Target Client Updated Not-

to-Exceed Amount

United Translators Interpreter/translation services Non-english speaking $10,000VanLanen Receiving Home Receiving home for emergency placements Children in need N/AVilla Hope CBRF (assisted living), supportive apartment program MH/AODA $1,400,000Walking and Wheeling Medical/therapeutic supplies and equipment and home modifications Children $50,000Willow Creek Behavioral Health (SBH) Inpatient psychiatric and detox services MH/AODA $200,000Wisconsin Family Ties Family support and advocacy services Parents of MH/juvenile

offenders$26,000

5

Brown County Health and Human Services New Non-Contracted and Contracted Providers

March 5, 2020

REQUEST FOR NON-CONTRACTED PROVIDER

PROVIDER SERVICE DESCRIPTION NOT-TO-EXCEED

AMOUNT DATE

Individual Respite for CPS children $10,000 2/10/20 Down Syndrome Association of WI Daily living skills for CLTS children $10,000 2/24/20 Individual Respite for CPS children $10,000 2/24/20 Individual Respite for CPS children $10,000 2/24/20

REQUEST FOR NEW PROVIDER CONTRACT

PROVIDER SERVICE DESCRIPTION TARGET CLIENTS

NOT-TO-EXCEED

CONTRACT AMOUNT

DATE