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Detox director asks for staff increases as revenue stabilizes; board discusses federal residency rule for peer support
Summary
The detox program requested additional staff (0.6 LADC, 0.6 peer‑support FTE and a full‑time trainer/scheduler) to handle growth and reduce reliance on variable‑hour staff; staff noted a residency requirement impacting peer‑support hiring and billing delays due to staffing changes.
At the July 28 meeting the county’s withdrawal management director presented a detailed budget and three new staffing requests: an additional 0.6 FTE Licensed Alcohol and Drug Counselor (LADC), a 0.6 peer support specialist and a full‑time trainer/scheduler to handle electronic records, scheduling and monthly CPR training. Director Troy said program revenue primarily comes from a contract with Southeast Human Services, a veterans contract, social services and billing under PMAP for withdrawal management.
Troy said PMAP billing yields a $400 daily rate and a $75 bed fee from the state for withdrawal management clients, and he flagged accounts receivable delays while a billing staff person was on maternity leave. He also described a federal/state residency rule that requires at least 51% Minnesota residency for peer support hires, limiting the applicant pool in this border community.
Commissioners asked whether the requested FTE would reduce reliance on variable‑hour staff and queried utility and other line‑item assumptions. The director replied that variable‑hour positions are retained in the budget as needed and that some internal reallocations and grant outcomes could offset requests. The board did not take an immediate separate vote on these staffing requests during the meeting; they will be considered in the budget review process.
