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Dunn County Health and Human Services adopts 2026 fee schedule, notes $1.1M in DHS vouchers and approves budget adjustment
Summary
The Dunn County Health and Human Services Board on March 26 approved a new 2026 DHS fee schedule, reviewed nearly $1.1 million in February vouchers and authorized a budget adjustment moving Vital Strategies and opioid-settlement funds into DHS to cover substance use treatment gaps.
The Dunn County Health and Human Services Board approved a 2026 Department of Human Services (DHS) fee schedule and took several fiscal actions during its March 26 meeting.
The board voted to adopt the DHS 2026 fee schedule after a presentation by DHS staff and discussion about how rates are calculated. Miss Rudy moved to approve the schedule; Dr. Hall seconded and the motion passed with all members present voting in favor.
Paula, DHS, explained the rates reflect program-specific overhead and current staffing patterns, not an hourly wage. "This is what we are billing for the insurance and those types of things because those overhead costs go into that program cost," she said, describing why the same practitioner may have different posted rates in clinic versus the community support program. Board members pressed for clarity on how posted rates relate to insurer payments and ability-to-pay discounts; Dr. Hall noted insurers and Medicaid pay established service rates and counties recover other costs through separate mechanisms.
The fee schedule also includes a listed intoxicated driver program (IDP) assessment provided by Arbor Place. Paula said the board must annually approve the provider and the posted rate for the assessment; she cited a two-hour Arbor Place assessment listed at $380.
On finance items, the board reviewed DHS February vouchers totaling nearly $1.1 million and recorded the review by formal motion. Paula reported the DHS fund is projected about $101,953 favorable year-to-date, with additional revenue expected to arrive before final close.
The board also approved a budget adjustment moving Vital Strategies grant dollars into DHS and using opioid-settlement funding to fill a match requirement for related programming. The adjustment was discussed with the county manager and CFO and approved by the work group; Paula noted a $21,500 match figure in the paperwork presented to the board.
The meeting closed with routine procedural items and adjournment. The fee schedule approval, vouchers review and budget adjustment were the principal formal actions taken by the board on March 26.
