Health & Human Services Meeting — Agenda Packet

1 Health & Human Services Committee Human Services Board Regular Meeting Tuesday, August 4, 2026, 8:00 AM Administration Center — Room A-200 121 W. Main Street, Port Washington, WI The public can access the meeting by viewing the live stream on the County website, Agendas & Minutes page and select the meeting agenda date. The public can submit comments here: Public Comment Form Public Comment Policy & Instructions For Submitting Public Comments Online AGENDA 1. Call to Order 2. Proper Notice 3. Public Comments, Correspondence, Communications 4. Approval of Minutes July 7, 2026 5. Lasata Senior Living Campus a. Discussion Items 1. CBRF Update b. Management/Financial/Informational Reports 6. Veterans Service Office a. Management/Financial/Informational Reports 7. Public Health a. Management/Financial/Informational Reports 8. Human Services a. Action Items 1. Resolution: Amending Chapter 3 of the Ozaukee County Policy and Procedure Manual - Economic Support Specialist 2. Ordinance: Amending Section 2.51(4) of the Ozaukee County Code of Ordinances - Human Services Fees b. Discussion Items 1. Partial Hospitalization Program c. Management/Financial/Informational Reports 9. Next Meeting Date September 1, 2026 10. Adjournment Page 1 of 28 2 A quorum of members of committees or the full County Board of Ozaukee County may be in attendance at this meeting for the purposes related to committee or board duties, however, no formal action will be taken by these committees or the board at this meeting. Persons with disabilities requiring accommodations for attendance at this meeting should contact the County Clerk’s Office at 262-284-8110, 24 hours in advance of the meeting. Page 2 of 28 Item: Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Brenda Reedy, Deputy County Clerk Meeting Date: August 4, 2026 Department/Office: County Clerk Item Name: July 7, 2026 Summary: Approve July 7, 2026 minutes. Recommended Action: Approve the July 7, 2026 minutes as submitted. Attachments: 1. HHS Minutes July 7, 2026 Page 3 of 28 HEALTH & HUMAN SERVICES COMMITTEE HUMAN SERVICES BOARD MEETING MINUTES REGULAR MEETING JULY 7, 2026 Draft Minutes Pending Committee Approval 1. Call to Order A regular meeting of the Health & Human Services Committee and Human Services Board was held in room A- 200 at the Administration Center. Present Supervisor Patrick Foy, Supervisor Jennifer Mackinnon, Supervisor Bruce Paape, Supervisor Melissa Custer, Board Member Chuck Sigurdson, Board Member Kristen Berns, Board Member Steven Kulick Absent None Excused Supervisor Monis Khan Staff present: County Administrator Dzwinel, Public Health Director Buechler, Human Services Director Falkner, Behavorial Health Manager Plahna, Functional Family Therapist Buckmaster, Veterans Service Officer Johnson, Lasata Senior Living Campus Administrator Smith, Human Resources Director McDonell (8:15 A.M.) and Deputy County Clerk Reedy. Others present: Dan Benson - Ozaukee Press and Christina Luick - News Graphic. 2. Proper Notice Chairperson Foy called the meeting to order at 8:00 AM. The clerk noticed the meeting as required. 3. Public Comments, Correspondence, Communications There were none. 4. Approval of Minutes June 2. 2026 Motion: Motion to approve the June 2, 2026 minutes as submitted. Result: Passed Moved by: Bruce Paape Seconded by: Jennifer Mackinnon Ayes: Patrick Foy, Jennifer Mackinnon, Bruce Paape, Melissa Custer, Chuck Sigurdson, Kristen Berns, Steven Kulick Page 4 of 28 Nays: None Abstain: None 5. Lasata Senior Living Campus a. Discussion Items 1. CBRF Update Update on the progress of the CBRF, including review of the change orders. b. Management/Financial/Informational Reports Update on financial reports, census and staffing. 6. Veterans Service Office a. Management/Financial/Informational Reports Mr. Johnson distributed his financial report and discussed the significance of the taxi service, and how it continues to grow. 7. Public Health a. Management/Financial/Informational Reports Update on financial reports and licensing. 8. Human Services a. Discussion Items 1. Step Up Program Presentation-Ashley Buckmaster Discussed the Step-Up Program, which is a group curriculum for adolescents who have been violent toward their parents or family members. The curriculum uses a cognitive-behavioral, skill-based approach partnered with restorative practice to help youth stop and prevent the use of violence and abuse in the family. 2. Partial Hospitalization Program Update The Partial Hospitalization Program development project and all major milestones are currently on track. The license application has been submitted and is currently under state review. Discussed staffing, staff training and facility setup. b. Management/Financial/Informational Reports Update on financial reports and revenues. 9. Next Meeting Date August 4, 2026 10. Adjournment Motion made by Supervisor Paape, seconded by Supervisor Mackinnon to adjourn. Motion carried. Meeting adjourned at 8:59 AM. Page 5 of 28 Item: 5.b. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Chris Kuemmerlein, Campus Business Manager Meeting Date: August 4, 2026 Department/Office: Lasata Item Name: Management/Financial/Informational Reports Summary: Campus Reports Recommended Action: None Attachments: 1. Campus Reports July 2026 Page 6 of 28 Lasata Care Center July 2026 Monthly Report Barton Smith JULY Census Payor Mix Days Current Month Actual AVG YTD actual AVG Budget Medicare/MC 16 18 20 Private 24 23 40 Medicaid 34 32 25 Total 74 73 85 Organization and Operations Focus Focus on building up LTC base- most have been coming from our IL/RCAC. Rehab Unit continues to be very busy/full- - somewhat atypical for summer months. Staffing/employee Open Positions- no leadership open. Agency usage- trending up as we have had multiple retirements or pending retirements of long term fulltime nurses. Regulatory Updates CBRF licensure- attorney at Reinhart is trying to get an expedited review.. No DHS activity in July (1 visit in June). Campus Projects and initiatives: CBRF updates/changes- all electric went live last week of July. Plant ops issues with pipes continue- multiple buildings. Lots of resident activities- concert in courtyard, car show, HS Band concert, Oz County Fair etc… Campus Financials: See attached. Payor Mix Current Month Actual YTD actual Budget Medicare/MC 22% 25% 23% Private 32% 32% 47% Medicaid 46% 43% 29% Page 7 of 28 LASATA HEIGHTS MONTHLY REPORT JULY 2026 Kristen Sonnenberg, Director of Senior Apartments Census: • Census – As of the end of JULY 58 units will be occupied o Move ins:  7/1 #108 and #317  8/1 #209  8/1 #318 o Move outs:  7/20 #318 Available apartments: All vacant apartments have signed lease agreements Tours: • There were 7 tours thus far in JULY. Waiting List: Waiting List- 27 applicants on the waiting lists (some of which are on more than one floorplan waiting list): o A- 4 applicants o B- 7 applicants o C- 16 applicants o D- 15 applicants Miscellaneous Page 8 of 28 Lasata Crossings Monthly Report - As of July 22, 2026 Census • As of today, the census is 60 o 53 tenants are paying privately o 7 tenants are utilizing Family Care Admissions/Discharges • There are three (3) open apartments, one 2-bedroom, one 1-bedroom and one studio apartment. This does not include Apartments #115 and #116, which will remain empty as they are both scheduled to be remodeled when the pass-through is created for the CBRF being built. • The 1-bedroom will be filled August 1st by a current Lasata Heights tenant. The studio will be filled by July 27th by a current Family Care Crossings tenant. There is a possibility of the two-bedroom being filled by a current Lasata Care Center Rehab resident. This will then leave one open 1-bedroom apartment when the family care tenant moves into the studio. • There was one admission in July. • One of the apartments was vacated by a tenant who passed away on July 4th. Tours Conducted • There were five (5) tours conducted so far in July. Open Staff Positions o There are no open positions. The Cook position is filled, and the employees’ first day is July 27, 2026. Waiting List • 15 individuals are on the Family Care Studio Apartment waiting list. • 30 individuals are on the waiting list for one- and two-bedroom apartments. • 4 individuals are on the inactive list. The demolition and remodeling of the Crossings Kitchen is continuing. A temporary wall has been built, which has reduced our dining room space by approximately one quarter. It has created tighter quarters for the tenants, but overall, everyone has been handling the changes well. Page 9 of 28 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Public Charges for Services $1,180,000 $7,188,113 $15, 575,784 $8,387,671 46.15% Interest Revenue $39 $144 - ($144) 0.00% Other Revenue $12,804 $66,014 $158,850 $92,836 41.56% Total Revenues $1,192,843 $7,254,271 $15,734,634 $8,480 ,363 46.10% Expenditures Salaries $600,358 $3,446,121 $8,351,411 $4,905,290 41.26 % Fringe Benefits $191,461 $1,244,800 $2,691,774 $1,446,9 74 46.24% Travel/Training $483 $1,433 $2,500 $1,067 57.32% Supplies $31,356 $297,968 $560,715 $262,747 53.14% Purchased Services $198,182 $1,276,177 $1,690,702 $414, 525 75.48% Interdepartment Charges $81,527 $490,430 $984,077 $493, 647 49.84% Depreciation $26,001 $156,005 $762,739 $606,734 20.45% Debt Service - $51,800 $98,300 $46,500 52.70% Other Expenses $61,309 $361,307 $592,411 $231,104 60.99% Total Operating Expenditures $1,190,677 $7,326,041 $15 ,734,629 $8,408,588 46.56% Capital Outlay Equipment & Furniture - $6,302 $95,000 $88,698 6.63% Buildings & Land - $10,673 - ($10,673) 0.00% Contra - - ($95,000) ($95,000) 0.00% Total Capital Outlay - $16,975 - ($16,975) 0.00% Total Expenditures $1,190,677 $7,343,016 $15,734,629 $8 ,391,613 46.67% Net Increase (Decrease) $2,166 ($88,745) $5 $88,750 - 1774900 .00% E q u i t y: Ozaukee County Committee Report Enterprise Fund Lasata Care Center For the Six Months Ending Tuesday, June 30, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET CommRpt2026 2026 Oversight Comm Recommended PnL Amen ded Bdgt 7/20/2026 Page 10 of 28 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Public Charges for Services $108,373 $668,825 $1,320,0 20 $651,195 50.67% Other Revenue $74 $414 $2,000 $1,586 20.70% Total Revenues $108,447 $669,239 $1,322,020 $652,781 50. 62% Expenditures Salaries $20,167 $116,168 $263,557 $147,389 44.08% Fringe Benefits $10,302 $68,763 $135,205 $66,442 50.86% Travel/Training - - $1,000 $1,000 0.00% Supplies $26,287 $51,770 $107,375 $55,605 48.21% Purchased Services $15,317 $89,368 $176,269 $86,901 50.7 0% Interdepartment Charges $4,392 $26,974 $54,608 $27,634 4 9.40% Depreciation $28,900 $173,400 $346,800 $173,400 50.00% Other Expenses $2,930 $25,029 $61,287 $36,258 40.84% Total Operating Expenditures $108,295 $551,472 $1,146, 101 $594,629 48.12% Capital Outlay Buildings & Land - - $20,000 $20,000 0.00% Contra - - ($20,000) ($20,000) 0.00% Total Expenditures $108,295 $551,472 $1,146,101 $594,62 9 48.12% Net Increase (Decrease) $152 $117,767 $175,919 $58,152 6 6.94% E q u i t y: Ozaukee County Committee Report Enterprise Fund Lasata Heights For the Six Months Ending Tuesday, June 30, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET CommRpt2026 2026 Oversight Comm Recommended PnL Amen ded Bdgt 7/20/2026 Page 11 of 28 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Public Charges for Services $307,486 $1,810,122 $3,927 ,535 $2,117,413 46.09% Other Revenue $320 $1,812 $50,615 $48,803 3.58% Total Revenues $307,806 $1,811,934 $3,978,150 $2,166,21 6 45.55% Expenditures Salaries $104,818 $608,488 $1,310,305 $701,817 46.44% Fringe Benefits $33,092 $214,447 $421,240 $206,793 50.91 % Travel/Training - - $1,000 $1,000 0.00% Supplies $14,370 $83,849 $216,800 $132,951 38.68% Purchased Services $28,328 $189,235 $430,900 $241,665 43 .92% Interdepartment Charges $15,215 $91,906 $185,774 $93,86 8 49.47% Depreciation $32,354 $194,123 $388,246 $194,123 50.00% Debt Service - $41,038 $70,909 $29,871 57.87% Other Expenses $7,266 $45,205 $119,553 $74,348 37.81% Total Operating Expenditures $235,443 $1,468,291 $3,14 4,727 $1,676,436 46.69% Capital Outlay Equipment & Furniture - $39,212 $25,000 ($14,212) 156.85 % Buildings & Land - - $25,000 $25,000 0.00% Contra - - ($50,000) ($50,000) 0.00% Total Capital Outlay - $39,212 - ($39,212) 0.00% Total Expenditures $235,443 $1,507,503 $3,144,727 $1,63 7,224 47.94% Other Finance Uses - - $100,000 $100,000 0.00% Net Other Financing Sources/Uses - - $100,000 $100,000 0.00% Net Increase (Decrease) $72,363 $304,431 $733,423 $428, 992 41.51% E q u i t y: Ozaukee County Committee Report Enterprise Fund Lasata RCAC For the Six Months Ending Tuesday, June 30, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET CommRpt2026 2026 Oversight Comm Recommended PnL Amen ded Bdgt 7/20/2026 Page 12 of 28 Item: 6.a. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Kevin JOHNSON, Veterans Services Director Meeting Date: August 4, 2026 Department/Office: Veterans Services Item Name: Management/Financial/Informational Reports Summary: Veterans Service Report Recommended Action: None Attachments: 1. 2026 Ozaukee County Committee Report. PnL Actual to Amended Budget.JUN Page 13 of 28 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Intergovernmental Revenues $18,800 $27,512 $46,802 $19,290 58.78% Public Charges for Services $340 $1,640 $1,500 ($140) 109.33% Interest Revenue - $364 $300 ($64) 121.33% Total Revenues $19,140 $29,516 $48,602 $19,086 60.73% Expenditures Salaries $15,681 $87,455 $184,912 $97,457 47.30% Fringe Benefits $5,787 $37,419 $68,065 $30,646 54.98% Travel/Training $1,971 $11,269 $10,452 ($817) 107.82% Supplies - $992 $2,100 $1,108 47.24% Purchased Services - $1,163 $1,791 $628 64.94% Interdepartment Charges - $3,833 $10,224 $6,391 37.49% Grants - - $5,001 $5,001 0.00% Other Expenses $15 $2,697 $7,501 $4,804 35.96% Total Operating Expenditures $23,454 $144,828 $290,046 $145,218 49.93% Capital Outlay Total Expenditures $23,454 $144,828 $290,046 $145,218 49.93% Net Increase (Decrease) ($4,314) ($115,312) ($241,444) ($126,132) 47.76% E q u i t y: Ozaukee County Committee Report General Fund Veterans Services For the Six Months Ending Tuesday, June 30, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET CommRpt2026 2026 Oversight Comm Recommended PnL Amended Bdgt 7/6/2026 Page 14 of 28 Item: 7.a. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Kimberly Buechler, Public Health Director/Health Officer Meeting Date: August 4, 2026 Department/Office: Public Health Item Name: Management/Financial/Informational Reports Summary: Public Health 2026 financials through June Recommended Action: None Attachments: 1. 204 Financials Page 15 of 28 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Taxes $43,392 $260,351 $520,702 $260,351 50.00% Intergovernmental Revenues $73,382 $242,672 $1,257,144 $1,014,472 19.30% Public Charges for Services $2,900 $9,132 $33,001 $23,869 27.67% Intergovernmental Charges $21,077 $448,306 $909,302 $460,996 49.30% Interdepartmental Charges $1,280 $8,992 $15,364 $6,372 58.53% Licenses & Permits $392,237 $535,421 $565,000 $29,579 94.76% Other Revenue $522 $2,070 $83,073 $81,003 2.49% Total Revenues $534,790 $1,506,944 $3,383,586 $1,876,642 44.54% Expenditures Salaries $156,792 $938,770 $2,172,297 $1,233,527 43.22% Fringe Benefits $67,598 $451,553 $860,403 $408,850 52.48% Travel/Training $1,686 $10,256 $48,171 $37,915 21.29% Supplies $18,675 $32,713 $83,007 $50,294 39.41% Purchased Services $10,482 $91,002 $142,851 $51,849 63.70% Interdepartment Charges $40 $2,226 $5,702 $3,476 39.04% Other Expenses $2,673 $30,344 $71,151 $40,807 42.65% Total Operating Expenditures $257,946 $1,556,864 $3,383,582 $1,826,718 46.01% Capital Outlay Total Expenditures $257,946 $1,556,864 $3,383,582 $1,826,718 46.01% Net Increase (Decrease) $276,844 ($49,920) $4 $49,924 - 1248000 .00% E q u i t y: Ozaukee County Committee Report Special Revenue Fund Public Health For the Six Months Ending Tuesday, June 30, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET CommRpt2026 2026 Oversight Comm Recommended PnL Amended Bdgt 7/21/2026 Page 16 of 28 Item: 8.a.1. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Kimberly Falkner, DHS Director Meeting Date: August 4, 2026 Department/Office: Human Services Item Name: Resolution: Amending Chapter 3 of the Ozaukee County Policy and Procedure Manual - Economic Support Specialist Summary: Background: The HR1 (One Big Beautiful Bill Act) on July 4, 2025, enacted reductions in funding to the Federal Food and Nutrition Program (SNAP) which serves as a safety net for individuals with food insecurity. Ozaukee County has approximately 1900 Foodshare cases currently. HR1 includes inclusion of financial penalties mandating states pay food benefit costs equaling between 5%-15% of its total Foodshare benefit amounts when they have payment benefit errors over 6%. (Under issuance or over issuance of benefits) The penalty for Wisconsin is estimated of up to 203 million dollars depending upon the percentage of errors. Analysis: In October 2025, we identified the need for expanded quality assurance and transitioned staff responsibilities to be inclusive of Foodshare focused quality assurance. The legislature has since enacted ACT 116 to fund resources for (2-year) supporting counties in funding full-time quality assurance activities with the goal of reducing and preventing FoodShare benefit errors. Ozaukee County is receiving funding along with its partner counties in the Moraine Lakes Consortium partnership. This funding will support our existing quality assurance efforts including additional staff time to review cases, training, and development. To support this effort we are requesting (2) part- time positions that will back-fill for staff who are responding to case reviews, training, and re-training as well as remediation to reduce or prevent errors and bill the capacity of the program in an ongoing way. Fiscal Impact: The creation of two (2) part-time positions, each averaging approximately twenty (20) hours per week, with actual hours scheduled flexibly based on the operational needs of the Call Center and Quality Assurance functions. These positions shall be funded through state funding, with total annual personnel costs not to exceed the allocated state funding, which is allocated to be no less than $88,379. Recommended Action: Approve the resolution amending Chapter 3 of the Ozaukee County Policy and Procedure Manual pertaining to the Human Services Economic Support Specialist positions. Attachments: 1. Res Ch 3 Econ Sup Specialist Page 17 of 28 Resolution No. Amending Chapter 3 of the Ozaukee County Policy and Procedure Manual – Economic Support Specialist RESOLVED, by the Ozaukee County Board of Supervisors, that Chapter 3 of the Ozaukee County Policy and Procedure Manual be amended to read: Current Job Title Department Division FLSA Grade Head Count FTE Economic Support Specialist Human Services Economic Support Non- Exempt 9 5.0 7.0 5.0 6.0 FURTHER RESOLVED, that these changes shall take effect September 2, 2026; and FURTHER RESOLVED, that Chapter 3 of the Policy and Procedure Manual be amended to reflect the personnel change and department totals to be adjusted accordingly. Dated at Port Washington, Wisconsin, this 2nd day of September 2026. Summary: Amending Chapter 3 of the Ozaukee County Policy and Procedure Manual pertaining to the Economic Support Specialist positions. Vote: Majority Finance Committee Page 18 of 28 Item: 8.a.2. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Kimberly Falkner, DHS Director Meeting Date: August 4, 2026 Department/Office: Human Services Item Name: Ordinance: Amending Section 2.51(4) of the Ozaukee County Code of Ordinances - Human Services Fees Summary: Amending Section 2.51 (4) of the Ozaukee County Code of Ordinances - Human Services Department User Fees BACKGROUND INFORMATION: The Department of Human Services hired a Medical Director who began employment on July 20, 2026. As a result of the addition of these medical services, a fee schedule has been developed to establish charges for services provided by the Medical Director. The Department of Human Services fee schedule requires approval by the County Board. "Fees for services provided by the county department under s. 51.42 Stats., shall be established and approved annually by a county board of supervisors." User fees for the Medical Doctor’s services within the Human Services Department include the following: 15-29 min new pt $90.00 30-44 min new pt $125.00 45-59 min new pt $175.00 60-74 min new pt $230.00 10-19 min est pt $80.00 20-29 min est pt $110.00 30-39 min est pt $140.00 40-54 min est pt $190.00 Med injection $25.00 30 min Psychotherapy add on $120.00 45 min Psychotherapy add on $150.00 60 min Psychotherapy add on $180.00 User Fees for the Human Services Department are established and managed by Division, as they are different depending on the service. FISCAL IMPACT: The collection of User Fees is incorporated in the 2026 budget. FUNDING SOURCE: Individuals/families are responsible for the fees outlined in the document. Recommended Action: Approve the ordinance establishing changes in the fee schedule for the remainder of 2026. Attachments: Page 19 of 28 1. Ordinance HS User Fees Proposal 2026 Page 20 of 28 Ordinance No. 26- Amending Section 2.51 (4) of the Ozaukee County Code of Ordinances - Human Services Department User Fees An Ordinance amending Section 2.51 of the Ozaukee County Code of Ordinances pertaining to Human Servies Fees. The County Board of Supervisors of the County of Ozaukee does ordain that Section 2.51 (4) of the Ozaukee County Code of Ordinances be amended as follows: 2.51 HUMAN SERVICES FEES (20-3), (21-6), (22-6), (23-5), (24-11) (4) Behavioral Health Division User Fees: (a) Advanced Practice Nurse Prescriber (APNP) Diagnostic Assessment (60 mins): $180 (b) Advanced Practice Nurse Prescriber (APNP) Diagnostic Assessment (30 mins): $95 (c) Advanced Practice Nurse Prescriber (APNP) Follow up visit: Up to $155 (d) Advanced Practice Nurse Prescriber (APNP) Psychotherapy Add-on: Up to $155 (e) Advanced Practice Nurse Prescriber (APNP) Phone only E/M services: Up to $110 (f) Clinical Social Worker/LPC/CSAC Diagnostic Assessment (60 mins): $125 (g) Clinical Social Worker/LPC/CSAC Individual Therapy (16-37 mins): $60 (h) Clinical Social Worker/LPC/CSAC Individual Therapy (38-52 mins): $80 (i) Clinical Social Worker/LPC/CSAC Individual Therapy (53+ mins): $115 (j) Clinical Social Worker/LPC/CSAC Family Therapy: $100 (k) Clinical Social Worker/LPC/CSAC Group Therapy per session: $45 (l) On Site Urinalysis: $25 (m) Medication Injection: $25 (n) Medical Doctor/New Patient (15-29 mins): $90.00 (o) Medical Doctor/New Patient (30-44 mins): $125.00 (p) Medical Doctor/New Patient (45-59 mins): $175.00 (q) Medical Doctor/New Patient (60-74 mins): $230.00 (r) Medical Doctor/Est Patient (10-19 mins): $80.00 (s) Medical Doctor/Est Patient (20-29 mins): $110.00 (t) Medical Doctor/Est Patient (30-39 mins): $140.00 Page 21 of 28 (u) Medical Doctor/Est Patient (40-54 mins): $190.00 (v) Medical Doctor/Med injection: $25.00 (w) Medical Doctor Psychotherapy add on (30 mins): $120.00 (x) Medical Doctor Psychotherapy add on (45 mins): $150.00 (y) Medical Doctor Psychotherapy add on (60 mins): $180.00 Dated at Port Washington, Wisconsin, the 2nd day of September 2026. SUMMARY: Amending Section 2.51 of the Ozaukee County Code of Ordinances pertaining to Human Services Fees for 2026 VOTE REQUIRED: majority Page 22 of 28 Item: 8.b.1. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Kimberly Falkner, DHS Director Meeting Date: August 4, 2026 Department/Office: Human Services Item Name: Partial Hospitalization Program Summary: Proram Project Update Recommended Action: Attachments: 1. PROJECT UPDATE TO THE HUMAN SERVICES COMMITTEE August 2026 Page 23 of 28 PROJECT UPDATE TO THE HUMAN SERVICES COMMITTEE Partial Hospitalization Program (PHP) Development August 2026 Overview The Partial Hospitalization Program (PHP) development project officially began in March 2026, and all major milestones are currently on track. The program is being built as an added DHS 75.52 service line under our existing DHS 75 clinic, with the goal of launching a structured program that enhances the County’s behavioral health continuum. 1. Licensing & Regulatory Progress • The DHS 75.52 license application has been submitted and is currently under state review. • Licensing fee payment is pending; an additional background check needs to be requested by the licensing board. Behavioral Health Manager Emily Plahna is in the process of completing this with Lee Schlenvogt as the contact. • Timelines for review and issuance remain dependent on the State. We anticipate remaining aligned with the projected operational timeline once the license is issued. 2. Medical Director Transition • The Medical Director began July 21, 2026. He has been meeting with staff and community partners. He is being introduced to the HHS committee. Potential formal introduced to the board on August 5th. • Insurance options are in place • We need committee and board approval for service rates. 3. Staffing Plan & Sequencing Hiring continues to follow the staged approach aligned with program licensure: Job descriptions were graded and positions are ready to be hired for. • Case Manager – To be recruited and hired or transitioned into the role post licensure. • Occupational Therapist – To be recruited and hired or transitioned into the role post-licensure. • Clinic Lead – To be recruited and hired or transitioned into the role activation post licensure. All timelines remain consistent with the projected ramp-up plan presented to the human services committee and county board earlier in the year. 4. Facility Setup • A conference room table is still needed for PHP group space; one may be available internally. Otherwise, one will be purchased. Page 24 of 28 PROJECT UPDATE TO THE HUMAN SERVICES COMMITTEE Partial Hospitalization Program (PHP) Development • Optional decorative items will enhance the therapeutic environment. • No additional structural changes are required. • Group Room is complete • Office moves to accommodate staff changes have occurred. • Painting of the hallway 4th floor hallway is in process. 5. Credentialing & Billing Readiness • Insurance credentialing for the Medical Director is in place. • His previous Wisconsin credentialing has helped expedite the process. There were some tax id related issues which was associated to past employment that has been resolved. Credentialing remains on schedule and aligns with the billing readiness timeline. 6. Staff Training & Workflow Preparation Training will focus on operational workflows, including: • Admissions procedures • Insurance authorization processes • Documentation workflows • Coordination with existing clinic operations • Electronic Health Record use Clinical modalities do not require outside training due to internal expertise. 7. Timeline & Launch Targets Budget used to date~ Under $. The project remains fully aligned with the planned schedule: • March–June (Months 1–3): Investment period; no fiscal costs, no revenue. The application for licensing was submitted. This could not be done until a Medical Director was hired. Onboarding of the medical director has occurred, the facility preparation is involving office moves and meeting area preparation, initial credentialing of the doctor has begun as far as it can be at this time. • July–September (Months 4–6): Investment period; staffing costs only, no revenue. Position descriptions are written and will be reviewed and graded. Waiting on state approval for licensing to move forward. It does not make sense to hire for the positions Clinical Lead, Case Manager, and Occupational Therapist until the licensing has been approved by the state. Once we receive acceptance and the positions are graded, we will post for the positions and begin the hiring process. Page 25 of 28 PROJECT UPDATE TO THE HUMAN SERVICES COMMITTEE Partial Hospitalization Program (PHP) Development • October–December: (Months 7-9): Start billing; enrollments. Begin revenue generating Target soft launch and a conservative full program opening, pending state licensure timing. Marketing and outreach efforts have already begun in the community. We met with the Ozaukee County non-profit directors, the district attorney, CJCC partners, law enforcement, and hospital partners. Marketing will continue to occur while licensing is pending and when we open. Meet and greets are being scheduled for the medical director to meet community partners. Brochures will begin to be drafted and eventually printed. Media is being informed of updates through HHS committee updates. 8. Summary & Next Steps We began this initiative in March and are progressing according to plan. The team is maintaining momentum across licensing, staffing, clinical development, and facility readiness. The most significant remaining dependency is the state’s licensure timeline and credentials timeline, which is outside of County staff control but not currently expected to delay the projected soft launch window. Page 26 of 28 Item: 8.c. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Brad Mueller, DHS Budge Manager Meeting Date: August 4, 2026 Department/Office: Human Services Item Name: Management/Financial/Informational Reports Summary: July 2026 HS Financial Reports Recommended Action: None Attachments: 1. HSAgingADRCCommRptJuly26 Page 27 of 28 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Taxes - $2,945,997 $5,891, 995 $2,945,998 50.00% Intergovernmental Revenues $139,485 $4,351,875 $8, 949,442 $4,597,56 7 48.63% Public Charges for Services $14,125 $1,687,523 $3,515,935 $1,828,41 2 48.00% Interdepartmental Charges - - $9,546 $9,546 0.00% Other Revenue $964 $26,566 $27,129 $563 97.92% Total Revenues $154,574 $9, 011,961 $18,394,047 $9,382,086 48.99% Expenditures Salaries $565,571 $3,844,656 $7,130,006 $3,285,350 53.92% Fringe Benefits $146,129 $1,556, 071 $2,746,122 $1,190,051 56.66% Travel/Training - $60,366 $134,550 $74,184 44.87% Supplies $6,485 $228,904 $289,889 $60,985 78.96% Purchased Services $226,938 $2, 657,042 $6,558,389 $3,901,347 40.51% Interdepartment Charges $1,24 0 $275,446 $540,344 $264,898 50.98% Grants $9,600 $76,800 $213,750 $136,950 35.93% Other Expenses $6,224 $631,997 $766,869 $134,872 82.41% Total Operating Expenditures $962,187 $9,331,282 $18,379,919 $9,048 ,637 50.77% Capital Outlay Total Expenditures $962,187 $9,331,282 $18,379,919 $9,048,637 50.77% Net Increase (Decrease) ($807, 613) ($319,321) $14,128 $333,449 - 2260.20 % E q u i t y: Ozaukee County Committee Report Human Services with ADRC and Aging Service For the Seven Months Ending Friday, July 31, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET HS_CommRpt2026 2026 Oversight Co mm Recommended PnL Amended Bdgt 7 /21/2026 Page 28 of 28