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Health and Human Services Board - 3rd Monday — Agenda Packet

Portage County · Portage County · Health and Human Services Board · meeting of Aug 17, 2026 · Agenda packets

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PORTAGE COUNTY MEETING AGENDA HEALTH AND HUMAN SERVICES BOARD PORTAGE COUNTY ANNEX CONFERENCE ROOMS 1 & 2 1462 STRONGS AVENUE STEVENS POINT, WI 54481 Monday, August 17, 2026 4:30 PM REMOTE ATTENDANCE & COMMENT To attend this meeting by telephone : dial 1-872-242-7813 , after dialing the number you will then be asked to enter in a meeting number. Use the following meeting number: 852 911 687, then press # To attend this meeting by video: Join the meeting now Page 1 of 2 CALL TO ORDER Committee Members enter Per Diem and Mileage PRESENTATIONS 1. Presentation of IM Central Consortium Staffing Plan for Act 116 Funding - Nicole Rolain, IM Central Consortium Manager 2. Division of Community Programs Q2 2026 Statistics - Gretchen Hintz, Community Programs Manager REPORTS 3. Director's Report • Health and Human Services Staffing, Activities, and Operations 4. Special Meeting Attendance Reports (Portage County Ordinance 3.1.47 & 3.1.48) PUBLIC NOTICE Members of the public who wish to address the Committee on specific agenda items must register their request at this time, with such comments subject to the public comment ordinance and the reasonable control of the Committee Chair as set forth in Robert’s Rules of Order. APPROVAL OF MINUTES 5. August 3, 2026 DISCUSSION/POSSIBLE ACTION 6. Discussion/Possible Action Re: Coordinated Services Team (CST) Advisory Committee Standing Appointment 7. Discussion/Possible Action Re: Approval of Acceptance of Community Mental Health Services Block Grant Supplemental Award 8. Discussion/Possible Action Re: Approval of Budget Amendment/Transfer Request for the Community Mental Health Services Block Grant Supplemental Award 9. Discussion/Possible Action Re: Approval of New Position Request for an Economic Support Specialist - Lead NEXT MEETING DATE 10. September 21, 2026 CLOSED SESSION Page 1 of 28 Health and Human Services Board Meeting Agenda August 17, 2026 Page 2 of 2 11. Enter into Closed Session pursuant to Wis. Stats. Sec. 19.85(1)(F) to consider cases which involve social or personal histories of specific persons which, if discussed in public, would be likely to have a substantial adverse effect upon the person's reputation related to Permanency Planning meeting. OPEN SESSION 12. Reconvene to Open Session ADJOURNMENT Notice: Any person who has special needs and plans on attending this meeting in-person or remotely should contact the Facilities at 715- 346-1598 as soon as possible to ensure that reasonable accommodations can be made. Notice: Remote comment by the public during the meeting will be at the discretion of the Chair. Notice: A quorum of the Portage County Board of Supervisors, or any committee thereof, may be present at this meeting. Page 2 of 28 8/12/2026 1 2025 WI ACT 116 FundingIM Central Consortia Structure of IM Central ConsortiumIM Central Consortium counties and approximate caseload percentages are:•Langlade 10% •Marathon 50%•Oneida 15%•Portage 25%Customers access services primarily through call center for healthcare, childcare and food assistance 1 2 Page 3 of 28 8/12/2026 2 Specific FoodShare funding elements from OBBB•Reduction of Federal administrative funds for FoodShare from 50% to 25%.•States need to contribute to FoodShare benefits when error rates are not below 6% Response to funding concerns•Counties passed resolutions to urge the state to act•Wisconsin Counties Human Service Association (WCHSA) requested action•DHS staff who administer FoodShare in Milwaukee also called for action2025 Wisconsin Act 116 was passed in March of 20263 4 Page 4 of 28 8/12/2026 3 Brief of Section 10 Fiscal Changes1. Describes how the state will make up the 25% reduction in FoodShare administrative funds that was reduced from the federal share with the passing of OBBA2. Designates funds for FoodShare Employment and Training3. Details funding for DHS Quality Control positions that need be approved to continue beyond 4-years. 4. Identifies funding for the County Consortia Quality Control position funding.Linkto 2025 WI ACT 116Contract requirements for ACT 116 Funds(Amendment)Experienced staff perform pre-certification reviews for quality assurance. Minimum of 25% monthly of:FoodShare applications FoodShare re-certifications Specified scope of use for the funds aimed at reducing errors specifically for FoodShare casesEach Consortia to submit a FoodShare Quality Assurance Review plan to DHS for how we plan to utilize the funds and timeline for moving staff to these positions, within 30 days of contract amendment.Consortia may not supplant their existing level effort of funding IM with these funds. Cannot be used offset current levy contributions. 5 6 Page 5 of 28 8/12/2026 4 Funding allocations for County Consortium Quality Control positions IM Central’s ACT 116 plan•PHASE 1•Hire an additional QA lead to begin the pre-certification reviews asap•Posted consortium wide•Top Candidate identified from Portage County•Duties of position to expand (within scope) as more pre-certification reviewers are added (see next phases of plan)•Replace/rehire economic support specialist position vacated by experienced staff moving to this role7 8 Page 6 of 28 8/12/2026 5 IM Central’s ACT 116 plan•PHASE 2•Develop and post FSQA reviewer positions (lead level)•Post consortium wide•Anticipated for 2027 and to be incorporated with budgets•Due to staffing-•May not have capacity to move multiple experienced staff to these roles at once•Will be a ripple effect as we backfill vacated ESS positions•PHASE 3•Continue adding/filling FSQA review positions until funded is exhausted or FSQC accuracy rate is maintained above 95%The need for additional ACT 116 positions•Do not have staffing capacity to comply with contract amendment requirements with existing staffing levels•25% of FoodShare applications and re-certifications is approximately 425 pre-certification reviews per month•25% is not likely to be enough reviews to ensure we stay below a 6% error rate, potential financial penalties•Other considerations-DHS may require additional reviews depending upon local or statewide error rates; we would lack capacity to effectively respond if this would occur9 10 Page 7 of 28 Exhibit 1 – 2025 Wisconsin Act 116 Funding for SNAP Quality Assurance Reviews Funds Scope of Work 2025 Wisconsin Act 116 provides funds for Income Maintanenance (IM) agencies to review benefit calculations for SNAP cases before benefits are paid out in order to reduce our SNAP payment error rate with the goal of avoiding the new federal requirement to pay a portion of SNAP benefits as required under P.L. 119-21. The stated goal is to maintain a payment error rate under 6%. The funds provided through this addendum are all funds, do not require county match, and are to be used for the following purposes and with the expectations listed below: • Assign staff with experience in FoodShare eligibility to perform SNAP quality assurance reviews using the tool determined by DHS, currently the Pre-Certification Tool, to review a minimum of 25% of FoodShare application certifications and re-certifications each month prior to the issuance of benefits. • Consortia may determine how to disburse the funds within the counties in the consortia. This can be a combination of one or multiple counties supporting the additional positions for Consortia. • In addition to the reviews using the Pre-Certification tool, these quality assurance staff may also participate in additional quality control efforts on the local and state level. Some examples include but are not limited to participating in statewide efforts to understand and remedy error patterns and make systemic improvements, perform additional verifications, and provide consortia level support to SNAP quality assurance to improve worker decision making. • Each Consortia shall submit a FoodShare (SNAP) Quality Assurance Review plan for how they plan to utilize the funds provided through this addendum, including any changes to staffing patterns to account for the additional funding (for example: tenured staff will move into these positions and new staff will be hired for eligibility work), description of any partial positions including portions of supervisory positions covered by the funding, any transition of experienced staff into these roles and the need to hire frontline eligibility staff, how backup coverage will be handled, and which county/counties are planning to add staff and the numbers of new staff. The plan shall be submitted no later than 30 days from the date the agreement is signed. If portions of the plan evolve as the positions are added, the consortium shall submit an updated plan. • Consortia may not supplant their existing level of effort of funding Income Maintenance with these funds. The funds are intended to supplement, not replace the existing level of funding contributions by Consortia. Consortia must preserve documentation for future audits that evidence how funds were spent to supplement their level of effort. DHS reserves the right to re-obligate unspent funds between Consortia. Each IM Consortia will be given a proportion of the 2025 Wisconsin Act 116 funds based on the current funding formula used for the base contracts in the amounts listed in the table below: Consortium CY26 CY27 Docusign Envelope ID: F60209EC-6F52-8F9B-8069-3CD5F977EFDE Page 8 of 28 Quality Assurance Quality Assurance Bay Lake $747,559 $747,559 Capital $1,507,832.00 $1,507,832.00 Central $539,857.00 $539,857.00 East Central $1,012,674.00 $1,012,674.00 Great Rivers $1,017,575.00 $1,017,575.00 Moraine Lakes $993,020.00 $993,020.00 Northern $672,830.00 $672,830.00 Southern $825,786.00 $825,786.00 Western $629,161 $629,161 WKRP $874,506 $874,506 Docusign Envelope ID: F60209EC-6F52-8F9B-8069-3CD5F977EFDE Page 9 of 28 CENTRAL DOCUMENT PROCESSING UNIT P.O. BOX 5234, JANESVILLE, WI 53547-5234 WWW.ACCESS.WISCONSIN.GOV Updated 7.14.26 nlr Website: www.imcentralconsortium.org Phone: 1-888-445-1621 Fax: 1-855-293-1822 IM Central Staffing Plan for ACT 116 Funding This document outlines the IM Central consortium’s proposed staffing plan supported by ACT 116 funds. The goal of this plan is to meet the mandates within 2025 Wisconsin Act 116 and related federal law, most notably through additional quality assurance reviews of FoodShare/SNAP eligibility. Reviews are to be completed utilizing the Pre-Certification Review (PCR) tool in CARES and case quality reviews outside of the PCR tool that encompass a larger range of eligibility criteria. Implementation of all phases is dependent on sufficient staffing levels; excessive vacancies may delay or limit progress. Phase 1 – Recruitment of Second Quality Assurance (QA) Lead The consortium will recruit a second QA Lead position funded through ACT 116. This role will mirror the current consortium-funded QA Lead. Process • Post the QA Lead position consortium-wide and identify the top candidate. (posted through 7/20/26) • The employing county of the selected candidate will request creation of the ACT-116-funded QA Lead position. • That county will backfill the Economic Support Specialist (ESS) position vacated by the candidate. • The selected staff member will receive lead-worker compensation per their agency’s practices. Initial Duties • Primary focus on Pre-Certification Reviews (PCR) using the CARES tool. Page 10 of 28 CENTRAL DOCUMENT PROCESSING UNIT P.O. BOX 5234, JANESVILLE, WI 53547-5234 WWW.ACCESS.WISCONSIN.GOV Updated 7.14.26 nlr • As the PCR team expands, duties will broaden to mirror the existing QA Lead role. – Non-FoodShare reviews may continue with the original QA Lead due to ACT 116 scope limitations. • Provide training and support to PCR team members. • Conduct second-level reviews of PCR reviews as needed. Anticipated Start Date for position: Approximately October 1, 2026. Phase 2 – Creation of Pre-Certification Review (PCR) Team (Lead-level positions, up to 5 FTE – as funding provides) Process • Develop PCR job posting clearly aligned with ACT 116 funding scope and duties. • Recruit qualified staff consortium-wide as staffing levels allow. The recruitment will be run concurrently to phase 1 to identify staff for this role to move additional staff to PCR roles as soon as other staffing allows. • Utilize funding to prefill anticipated Economic Support Specialist vacancies created by moves to PCR roles to minimize gaps in staffing. Anticipated Start Date for position: Approximately January 1, 2027. Phase 3 – Ongoing Expansion Process • Phase 2 may repeat until: • ACT 116 funds are fully utilized, or • The consortium achieves and maintains a high accuracy rate (greater than 95%). Workload Monitoring The IM Central Consortium Manager will provide oversight for all Quality Assurance (QA) Leads and Pre-Certification Review (PCR) staff, ensuring balanced workload distribution, consistent review practices, and timely completion of assigned duties. In addition, all IM Central Directors will review staff workload and performance data on a quarterly basis at a minimum, using established consortium metrics to identify trends, ensure compliance with state and federal requirements, and guide staffing adjustments as needed. Page 11 of 28 CENTRAL DOCUMENT PROCESSING UNIT P.O. BOX 5234, JANESVILLE, WI 53547-5234 WWW.ACCESS.WISCONSIN.GOV Updated 7.14.26 nlr Plan Contacts: Nicole Rolain IM Consortium Manager 715-261-7566 Nicole.rolain@marathoncounty.gov Jenni Dalton IM Supervisor/Back up Consortium lead 715-261-7570 Jenni.dalton@marathoncounty.gov Page 12 of 28 2026 DIVISION OF COMMUNITY PROGRAMS SECOND QUARTER STATISTICAL REPORT THIS QUARTER LAST QUARTER Referrals Psychiatry Wait List (Current) 0 0 Counseling Wait List (Current) 22 18 Adult Protective Services/Guardianships/Financial Exploitation/Info Only 21/ 10/ 11/ 5 (47 total) 17/27 Program Participation Commitments 10 1 Settlement Agreements 6 6 Cases Dismissed 11 12 Crisis Intervention – Interventionist/Mental Health Outreach * 28 Psychological Services Unduplicated Client Count – Psychological Services Psychiatrists 273* 195 Clinician 19 22 Unduplicated Client Count – Intensive In-Home Therapy Families currently served 10 10 Wait List 8 8 No Shows No Shows (MD) 47 (*) 67 (25%) No Shows (Clinician) 1 (*) 3 (3%) Client Contacts Client Contact Sessions (MD) 282* (*) 129 (42%) Client Contact Sessions (Clinician) 18* (*) 122 (62%) Mobile Crisis/In-Home Crisis Contacts Total Crisis Contacts 252 264 Crisis/Mobile Crisis & Crisis Line Billable Contacts/Hours * 46 (39.75 HOURS) Crisis Diversion Crisis Diversions 12 9 Crisis Stabilization Diversion 4 3 25 39 28 18 35 48 16 19 27 0 10 20 30 40 50 60 2nd Qtr 2024 3rd Qtr 2024 4th Qtr 2024 1st Qtr 2025 2nd Qtr 2025 3rd Qtr 2025 4th Qtr 2025 1st Qtr 2026 2nd Qtr 2026 Emergency Detentions Emergency Detentions * Page 13 of 28 HIGH COST REPORT – INPATIENT MENTAL HEALTH ADMITS WITH PCHHSD CRISIS FACILITY SECOND QUARTER YEAR TO DATE 2026 # Days # Days Winnebago Mental Health Center 5 122 9 183 Mendota Health Care Center 0 0 0 0 Aspirus-Stevens Point Hospital 6 13 13 31 Norwood Health Care Center 2 14 5 34 North Central Health Care Center 6 31 11 49 Trempealeau County IMD 0 91 1 147 Miramont Behavioral Health 1 13 1 13 St. Elizabeth’s 0 0 1 2 Sacred Heart Hospital 0 0 0 0 Willow Creek Behavioral Health 0 0 0 0 Mercy Medical Center 0 0 0 0 ThedaCare Regional Medical Center 0 0 0 0 Non-Contracted Hospitals 2 43 2 43 TOTALS 22 327 43 502 HIGH COST REPORT – COMMUNITY BASED CARE FACILITIES FACILITY SECOND QUARTER YEAR TO DATE 2026 # Days # Days Deerpath Integrated Services 1 90 2 241 Trempealeau County CBRFs 1 90 1 180 Brotoloc Health Services 0 0 0 0 Lutheran Social Services 0 0 0 0 Non-Contracted CBRF/AFSs 1 12 1 12 TOTALS 3 192 3 433 AODA SERVICES SECOND QUARTER YEAR TO DATE 2026 Persons Served OWI Assessments 72 67 Persons Served Days Persons Served Days Residential AODA Treatment 0 0 0 0 Medical AODA Detox 0 0 0 0 TOTALS 0 0 0 0 * Indicates data from Electronic Health Record implemented on 4/13/26 that is still being developed Page 14 of 28 DIVISION INITIATIVES 1. Electronic Health Record Implementation – Streamline SmartCare 2. “Portage to Collaboration” change management project 3. Division of Quality Assurance (DQA) on-site Surveys a. Crisis b. Outpatient Clinic c. OWI-IDP d. CCS program DIVISION PROBLEMS/CONCERNS We continue to work through the shifting of staff into new positions and bringing on new staff throughout the division. We continue to work through the EHR implementation for all programs in Community Programs. GILFRY SERVICES MAKING A DIFFERENCE: From CCS Service Facilitator Angela: When I think of some CCS Success stories there are two consumers who immediately come to mind. The first is a woman who I met back in June of 2022. When I met her, she was residing in subsidized housing, working with Child Protective Services (CPS), and had a son with autism who was greatly struggling. The son would become physically violent towards his mother who, unfortunately, had a history of significant inter-partner violence herself. This was understandably quite triggering for the mother, who came to the CCS program with diagnoses of PTSD, anxiety disorder, and cannabis use disorder. Through hard work, amazing resilience, and some serious grit, she was able to accept the assistance of autism support for her son, successfully work with and graduate from the CPS unit, and face her own trauma through the help of in-home psychotherapy services through the CCS program. Upon successful discharge of the CCS program, she had moved into a mobile home and was gainfully employed and, surprisingly to her, safe and happy. Another consumer who I think about when I think of CCS Success Stories is a woman who I met in February of 2024. When I first met her, she was residing in a very unsafe situation, really struggled with boundaries and “blurting” her trauma at anyone who would listen. She cried frequently during our meetings together and seemed to heavily perseverate on what she felt were various injustices of the world. Through utilization of the CCS program services, this woman gained the confidence in herself to rise above her situation, work on her trauma extensively with her psychotherapy provider, and learn the skills needed to be, finally, at peace. I have a quote from her on my cubical that I like to look at from time to time from her that I believe sums up her progress very well. It reads, “I think I am doing well. The peace I have in my life…that was always my goal. I was so tired of chaos. Sometimes my days might be boring and dull…but they aren’t painful. And that’s a win.” These are two examples of CCS consumers who chose a voluntary program and engaged in services to build safe and successful lives. Their journeys show that meaningful progress doesn’t erase diagnoses or eliminate every challenge—they continue to live with mental health and substance use conditions. What has changed, and what truly defines their success, is the strength, stability, and confidence they have gained. With commitment, support, and the courage to face their experiences, they have built lives where safety, independence, and hope are now at the center. Their stories remind us that healing is possible, growth is attainable, and every step forward is a powerful testament to what individuals can achieve when compassion and persistence come together. Page 15 of 28 Special Needs Programs – Birth to Three Program 37 55 109 95 0 20 40 60 80 100 120 Quarter 1 Quarter 2 Quarter 3 Quarter 4 Children Referred & Children Served by B-3 Program # of Children Referred # of Families Served 25 24 19 15 2 4 0 5 10 15 20 25 30 Quarter 1 Quarter 2 Quarter 3 Quarter 4 Children Evaluated for B-3 Services # of Children Evaluated # of Children Who Qualified # of Families Who Declined Services 8 8 5 4 0 5 10 Quarter 1 Quarter 2 Quarter 3 Quarter 4 Enrolled Children with Cross Program Participation & Coordinated Services # of Enrolled Children Also Receiving Services Through Children's Long-Term Support Program (CLTS) # of Enrolled Children Placed in Out of Home Care 19 18 25 19 0 5 10 15 20 25 30 Quarter 1 Quarter 2 Quarter 3 Quarter 4 Children Transitioned Out of B-3 Program # of Children who achieved targeted developmental goals and were successfully discharged or transitioned to school services from Birth to 3 # of Children who were not evaluated or were evaluated and were not eligible Page 16 of 28 Special Needs Programs – Children’s Long-Term Support Program (CLTS) & Children’s Community Options Program (CCOP) 38 26 19 1113 16 0 5 10 15 20 25 30 35 40 Quarter 1 Quarter 2 Quarter 3 Quarter 4 CLTS & CCOP Eligibilty # Children Screened # Children Eligible # Children Enrolled 372 385 75 100 0 50 100 150 200 250 300 350 400 450 Quarter 1 Quarter 2 Quarter 3 Quarter 4 # of Enrolled Children Using CLTS & CCOP Funding CLTS Funding CCOP Funding 17 19 372 385 0 100 200 300 400 500 Quarter 1 Quarter 2 Quarter 3 Quarter 4# Children Referred & # Children Enrolled # Children Referred # Children Enrolled 27 26 27 27 25.5 26 26.5 27 27.5 Quarter 1 Quarter 2 Quarter 3 Quarter 4 CLTS Enrollment Timelines Average Days from Referral to Becoming Eligible (Target: 45 days) Average Days from Eligibilty to Enrollment (Target: 45 days) 88 82 75 80 85 90 Quarter 1 Quarter 2 Quarter 3 Quarter 4 Enrolled Children with Cross Program Participation & Coordinated Services # of Enrolled Children Also Receiving Services Through Children's Comprehensive Community Services (CCS) Page 17 of 28 Portage Co. CCS Consumer Trends- Qtr 2 2026 152 Children + 68 Adults 232 Consumers received CCS programming in 2026 Qtr 2. 3 154Children + 78 Adults 232 Consumers received CCS programming in 2026 Qtr 1. 8 2 14 9 1ST QTR '25 2ND QTR '26 11 consumers were enrolled in CCS in 2026 Qtr 2 compared to 22 in 2026 Qtr 1 adults children Consumers were served by CCS Program Assistants in their homes & community in 2026 Qtr 2 76 21 40 2ND QTR '26 40 children were referred for screening & 21 adults were referred for screeining in 2026 Qtr 2 . adults children Qtr 2 Notes CCS management has continued working through various opportunities with the new system and updating staff procedures to be efficient and consistant, as well and filling several vacancies this quarter. A decrease in the total number of enrolled consumers is noted for quarter 2, which could be attributed to the loss of 4 staff. Referrals remained about the same for this quarter. 9 7 22 1 2 GOALS ACHIEVED CONSUMER INITIATED DISCHARGE REFUSED CCS SERVICES ENTERED LTC FACILITY MOVED OUT OF COUNTY OTHER 23 Consumers were discharged from CCS in 2026 Qtr 2 due to: 2nd qtr '26 43 Contracted Providers provided psychosocial rehabilitative services at the end of 2026 Qtr 2 Page 18 of 28 PORTAGE COUNTY MEETING MINUTES HEALTH AND HUMAN SERVICES BOARD PORTAGE COUNTY ANNEX CONFERENCE ROOMS 1 & 2 1462 STRONGS AVENUE STEVENS POINT, WI 54481 Monday, August 3, 2026 4:30 PM REMOTE ATTENDANCE & COMMENT To attend this meeting by telephone : dial 1-872-242-7813 , after dialing the number you will then be asked to enter in a meeting number. Use the following meeting number: 253 027 837, then press # To attend this meeting by video: Join the meeting now Page 1 of 2 CALL TO ORDER Committee Members enter Per Diem and Mileage The Health and Human Services Board meeting was called to order at 04:30 PM Members Present: Greg Hakala, Jeanne Dodge, Suzanne Oehlke, Barry Jacowski, Robin Falk, Landon Elgersma, Bev Laska, Joseph Jarabek Attending In-Person: Greg Hakala, Jeanne Dodge, Suzanne Oehlke, Barry Jacowski, Robin Falk, Landon Elgersma, Bev Laska, Joseph Jarabek Attending Online: None Members Excused: None Members Absent: Amber Garner Staff Attending: Jessica Hake, Director; Gary Garske, Public Health Manager; Craig Sankey, Children and Family Services Manager; Gretchen Hintz, Community Programs Manager; Katie Gonzalez Martin, Office Supervisor; Ashley Chrisinger, WIC Supervisor; Bryar Drexler, Community Health Educator; Eric Olson, County Executive PRESENTATIONS 1. Women, Infants, and Children (WIC) Presentation - Ashley Chrisinger, WIC Supervisor Ashley Chrisinger presented on the WIC program. 2. Youth Risk Behavior Survey (YRBS) Presentation - Bryar Drexler, Community Health Educator Bryar Drexler presented on the Youth Risk Behavior Survey. 3. Division of Public Health Q2 2026 Statistics - Gary Garske, Public Health Manager Gary Garske presented the second quarter 2026 statistics for the Division of Public Health. REPORTS 4. Director's Report • Health and Human Services Staffing, Operations, and Activities Director Hake provided the Director's Report. 5. Special Meeting Attendance Reports (Portage County Ordinance 3.1.47 & 3.1.48) Greg Hakala reported on the CAP Services meeting on July 29, 2026. PUBLIC NOTICE Page 19 of 28 Health and Human Services Board Meeting Minutes August 3, 2026 Page 2 of 2 Members of the public who wish to address the Committee on specific agenda items must register their request at this time, with such comments subject to the public comment ordinance and the reasonable control of the Committee Chair as set forth in Robert’s Rules of Order. APPROVAL OF MINUTES 6. July 20, 2026 A motion was made by Landon Elgersma, seconded by Barry Jacowski, to Approve the Health and Human Services Board Committee meeting minutes from July 20, 2026. Motion to Approve carried by voice vote, with no negative votes. DISCUSSION/POSSIBLE ACTION 7. Discussion/Possible Action Re: Approval of Acceptance for Traffic Safety Grant - Child Passenger Safety Seats A motion was made by Jeanne Dodge, seconded by Landon Elgersma, to Approve the acceptance for the Traffic Safety Grant - Child Passenger Safety Seats. Motion to Approve carried by voice vote, with no negative votes. 8. Discussion/Possible Action Re: Approval of Budget Amendment/Transfer Request for Traffic Safety Grant - Child Passenger Safety Seats A motion was made by Barry Jacowski, seconded by Jeanne Dodge, to Approve the Budget Amendment/Transfer Request for the Traffic Safety Grant - Child Passenger Safety Seats. Motion to Approve carried by voice vote, with no negative votes. NEXT MEETING DATE 9. August 17, 2026 CLOSED SESSION 10. Enter into Closed Session pursuant to Wis. Stats. Sec. 19.85(1)(F) to consider cases which involve social or personal histories of specific persons which, if discussed in public, would be likely to have a substantial adverse effect upon the person's reputation related to Permanency Planning meeting. Meeting did not enter into Closed Session. OPEN SESSION 11. Reconvene to Open Session ADJOURNMENT Meeting adjourned at 06:04 PM Page 20 of 28 PORTAGE COUNTY, WISCONSIN Grant Application Information Form Grantor Agency (Federal or State Agency - Grant Type) County Department Fiscal Year: ________ Grantor Type: Grant Name Application Amount $ ☒ Federal ☒ State ☒ Local ☒ Other Date of Application Notice of Award Date Pass Through Agency (Agency Name or Direct Program) Match Requirement ____% Amount $ ☒ Yes ☒ No ☒ Cash ☒ In-Kind Purpose of the Grant: How will grant funds be used? Brief explanation or provide a simple budget. Person preparing grant proposal Person reviewing grant proposal Please answer the following questions regarding the grant application: Yes No Does the grant require subcontracts: Does the grant require staffing: ☒ Existing Position(s) ☒ New Position(s) Does the grant require work from other county departments: Has the grant been reviewed by the department finance liaison: Does the grant comply with county purchasing policy: Does the grant comply with county ethics policy: Has the grant been approved by the Finance Director: Has the grant been approved by the County Executive: Certification of Summary The foregoing information has been reviewed and is hereby certified as accurate and correct. Department Director Date * Please submit the application portion of this form to grants@co.portage.wi.gov when completed. * Please update this form as changes or updates to your grant are made. Once your application has been approved, update the remaining forms and re-submit to the grants email. Page 21 of 28 PORTAGE COUNTY, WISCONSIN Grant Award Information Form Grant Name Grant Number ALN (Assistance Listing No.) ALN Program Title State ID No. State Program Title Date of Award O rigin al Award Am ount Pass -Through Agency ID No. Munis Project No. Performance Start Date Performance End Date GEARS/SPARC No. Munis Org/Object Grant included in County Budget? ☒ Yes ☒ No *If No, fill out Budget Amendment & Transfer Form County Policy: The County will only charge costs for allowed activities to each federal grant. All costs charged to federal grants will conform to applicable cost principles and/or will be allowable costs under grant provisions. Person approving grant expenditures Person reviewing grant costs for allowability Person preparing grant claims for internal review (Finance Grants III) Person approving grant claims for submission (Finance Liaison) Specific Grant Limitations or Exclusions (list if applicable) Grant Modification/Amendment – 1 Grant Modification Number Date of Revision Revised Award Amount Performance Start Date Performance End Date Grant included in County Budget? ☒ Yes ☒ No *If No, fill out Budget Amendment & Transfer Form Grant Modification/Amendment – 2 Grant Modification Number Date of Revision Revised Award Amount Performance Start Date Performance End Date Grant included in County Budget? ☒ Yes ☒ No *If No, fill out Budget Amendment & Transfer Form Grant Modification/Amendment – 3 Grant Modification Number Date of Revision Revised Award Amount Performance Start Date Performance End Date Grant included in County Budget? ☒ Yes ☒ No *If No, fill out Budget Amendment & Transfer Form Page 22 of 28 PORTAGE COUNTY, WISCONSIN Grant Compliance Requirement Form Grant Name: ALN Number: GEARS/SPARC Number: Enter in the "Documentation Required" Column; one of the following: Applies County-wide; see County-wide procedures YC Applies Dept.-wide; see Dept.-wide procedures YD Applies - requires documentation of dept. procedures and risk assessment controls - (Must attach documentation) Y Not applicable per OMB A-133 Matrix N/A No activity or insignificant activity None Type of Compliance Requirement Documentation Required Comments A. Activities Allowed or Unallowed B. Allowable Costs/Cost Principles C. Cash Management D. Reserved E. Eligibility F. Equipment and Real Property Management G. Period of Performance H. Procurement and Suspension and Debarment I. Program Income J. Reserved K. Reporting L. Subrecipient Monitoring M. Special Tests and Provisions For Finance Use Only DATA Role Assigned: Process Role Assigned: Project Master: Budget Entered: Committee Approvals: Page 23 of 28 County of Portage Finance Department Budget Amendment/Transfer Request Form Policy #: TBD Effective: September 21, 2025 Department: PCHHS-Division of Community Programs Fiscal Year: 2026 Submitted By: Gretchen Hintz Date Submitted: 8/7/2026 Type: Check one Description: Community Mental Health Services Block Grant Supplemental Award County Board Date: 9/15/26 ☐ ☐ ☐ ☐ ☐ ☒ ☐ ☐ ☐ Transfer within appropriation – account to account (Department Director) Transfer due to technical correction – tracking or accounting purposes (Finance Director) Transfer up to 10% of original appropriation (Finance Committee) Transfer over 10% of original appropriation (County Board) Transfer between two or more departments (County Board) Increase in appropriation with grant revenue – new grant or increased funding (County Board) Increase in appropriation with contingency funds (County Board) Increase in appropriation with offsetting revenue or existing fund balance (County Board) Increase in appropriation with General Fund (County Board) Justification for Budget Amendment/Transfer: Fiscal Impact: $75,980.00 We were awarded Community Mental Health Block Grant Supplemental funds in the amount of $75,980.00 to be spent towards activities and supports associated with community mental health services for adults with serious mental illness (SMI) or children with severe emotional disorders (SED). Attachments Grant Information Form Department Head Jessica Hake AUTHORIZATION Finance Staff Recommendation Approval documented in EERP System County Executive Approval documented in EERP System Governing Committee Action: Approval documented in EERP System Meeting Date:8/17/26 Finance Committee Action: Approval documented in EERP System Meeting Date: 9/14/2026 Financial Action Increase Decrease Fund Name/Account Description Account Number Requested Amount ☒ ☐ State Grants-Health 22413030-43550 $32,000.00 ☒ ☐ Jail MH Operational Materials 22413030-53400 $2,000.00 ☒ ☐ Jail SW Salary 22413030-51100 $30,000.00 ☒ ☐ State Grants-Health 22413050-43550 $6,000.00 ☒ ☐ Birth to 3 Interpreter Services 22413050-52516 $6,000.00 ☒ ☐ State Grants-Health 22413020-43550 $6,000.00 Page 24 of 28 ☒ ☐ Crisis Interpreter Services 22413020-52516 $6,000.00 ☒ ☐ State Grants-Health 22413080-43550 $20,000.00 ☒ ☐ Portage House MH Operational Materials 22413080-53400 $8,000.00 ☒ ☐ Portage House Office Equipment 22413080-53105 $12,000.00 ☒ ☐ State Grants-Health 22413040-43550 $11,980.00 ☒ ☐ Dr. Opaneye contracted services 22413040-52910 $11,980.00 Finance Director Initials Page 25 of 28 Brief Narrative of Justification of New Economic Support Specialist - Lead Position The 2025 Wisconsin Act 116 aims to keep Wisconsin’s FoodShare error rate under 6% as federally required by improving program accuracy, reducing both county-generated administrative errors and participant-related inadvertent errors. The focus is to keep Wisconsin in compliance with federal standards, stabilize funding, and reduce the risk of federal penalties. Under 2025 Wisconsin Act 116, the Central Income Maintenance (IM) Consortium (within which Portage County Economic Support operates) must complete pre-issuance Quality Assurance (QA) reviews on at least 25% of all FoodShare applications and recertifications—approximately 425 reviews per month. Without dedicated staff, the consortium cannot meet these state-mandated volumes while maintaining timely and accurate eligibility determinations. IM Central is comprised of Langlade, Marathon, Oneida and Portage counties. Currently, the consortia is operating with a 22% workforce shortage, making it impossible to absorb the added QA workload without new positions. In addition, Act 116 funds must supplement—not replace—current staffing, and all personnel costs are fully covered, requiring no county levy contribution. The hiring of the new QA Lead was conducted through a consortium-wide recruitment effort. The candidate selected for the role is a Portage County employee, which means this Act 116–funded QA Lead position will be housed in Portage County consistent with DHS guidance that funds flow to the county employing the staff. Portage County represents 25% of the consortium’s workload, and staffing locally is essential to meeting the QA review mandate, maintaining compliance, and supporting statewide efforts to keep SNAP error rates below federal thresholds. Approval of this position will ensure Portage County fulfills its required role in the consortium, protects the state from financial penalties, and strengthens FoodShare accuracy and service delivery for residents within the consortium. Page 26 of 28 Page 1 of 2 Updated 6/14/2024 COUNTY OF PORTAGE HUMAN RESOURCES REQUEST FOR NEW/ADDITIONAL POSITION Instructions: Complete fillable form with all information available for request for a new position or additional hours to an existing position and submit to Human Resources. Requests must be received by August 1st each year to be considered for budget purposes. Requests outside of budget process will be out of sequence and require Governing Committee, Human Resources Committee, Finance Committee, and County Board approval. Department: Date: Position Title: If Existing Title, Pay Grade: Projected Step to be Hired: If New Title, Requested Pay Grade: Projected Step to be Hired: Position FTE: Position Type (Select one): (use percentage or hours per week) Permanent Budget Year: ____ Seasonal If Out of Sequence New Position Limited Term Employment Request – Effective Date: On-Call or Casual Below is a checklist of all items that must be included with this form: Costing of Position Including Salary & Fringe Benefit Total and Funding Sources (bottom of form) Brief Narrative of Justification for Position Job Description for the Requested Position Governing Committee Recommendation Approve Deny Date _____/_____/_____ Human Resources Requisition to Fill Vacant Position Form PD Questionnaire, only needed if a New Position Title or Duties Position Funding Type (Select one): Grant Funded Request Tax Levy Request Combination Levy/Grant Request Total Cost of Position Salary & Fringe Benefit Total (calculated on the Salary Worksheet Template for Year) $ Operating Supplies $ Equipment – Desk, PC, Monitors, Phone, Etc. Annual Costing Default Amounts: $5,000 - Desk, chair, and floor mat, if needed $ 180 – Phone $ XX – Annual IT Fee, starting year $ 350 – Annual State System IT Fee, starting year $ - Other: $ Total Cost of New/Addition Position $ Health and Human Services 8/5/2026 Economic Support Specialist - Lead 22NE 6 1.0 2026 10/1/2026 X 8 17 2026 X 92,259 3,180 95,439 laptop, mouse/keyboard combo, and headset 3,000 Page 27 of 28 Page 2 of 2 Updated 6/14/2024 Sources of Funding Grant – $ Grant – $ Grant – $ Levy – $ Total Revenues – $ Human Resources Comments (limit XX Characters) : 2025 Wisconsin Act 116 95,439 Page 28 of 28

Source: Portage County website. First collected Oct 1, 2026.