community living supports in the state of michigan
TRANSCRIPT
Community Living Supports Benchmark Data Within State of MichiganFEBRUARY 2015
JAMES COLAIANNE - CMHPSM
Statewide Annual CLS Spending
$228,831,822$254,920,855
$277,877,920
$307,941,604$326,739,616
$355,349,484
$405,881,462
$432,328,616
$0
$50,000,000
$100,000,000
$150,000,000
$200,000,000
$250,000,000
$300,000,000
$350,000,000
$400,000,000
$450,000,000
$500,000,000
CLS Spending
2006 2007 2008 2009 2010 2011 2012 2013
Statewide CLS Cost & Other Service Cost
$228,831,822 $254,920,855 $277,877,920 $307,941,604 $326,739,616 $355,349,484 $405,881,462 $432,328,616
$1,593,387,312 $1,640,373,150 $1,695,718,738 $1,727,962,594 $1,720,057,135 $1,736,210,476 $1,782,420,485
$1,883,549,580
$0
$500,000,000
$1,000,000,000
$1,500,000,000
$2,000,000,000
$2,500,000,000
2006 2007 2008 2009 2010 2011 2012 2013
CLS Cost All Other Services
Statewide CLS Cost & All Other Services
13% 13% 14% 15% 16% 17% 19% 19%
87% 87% 86% 85% 84% 83% 81% 81%
0%
20%
40%
60%
80%
100%
120%
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
CLS Cost All Other Services
Total Unique CLS Cases by PIHP Region
Region 1, 1254
Region 2, 2457
Region 3, 4328
Region 4, 3017
Region 5, 5632
Region 6, 1445
Region 7, 3839
Region 8, 3327
Region 9, 2924
Region 10, 1915
0
1000
2000
3000
4000
5000
6000
2006 2007 2008 2009 2010 2011 2012 2013
Statewide Average CLS Rates
$26.30
$39.84
$47.04
$36.49
$54.91
$61.86
$67.91
$75.67
$4.68 $4.86 $4.06 $4.55 $5.96 $4.20 $6.27 $6.58
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
H0043 H2015
Statewide Average CLS Rates
$26.30
$39.84
$47.04
$36.49
$54.91
$61.86
$67.91
$75.67
$4.68 $4.86 $4.06 $4.55 $5.96 $4.20 $6.27 $6.58
$0.00
$17.17$10.25
$7.13
$37.75$40.25
$19.75
$33.25
$3.44 $3.17 $1.63 $2.33 $2.58 $1.33 $2.67 $2.75
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
H0043 H2015 Region 6 H0043 Region 6 H2015
Average Normalized Units Per Case
0
500
1,000
1,500
2,000
2,500
3,000
3,500
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
Statewide Lenawee Livingston Monroe Washtenaw
Average H2015 Units Per Case FY06-13Washtenaw, 8,927
Livingston, 7,357 Monroe, 6,403
Lenawee, 6,393
CMH AVERAGE, 2,719
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Average H0043 Units Per Case FY06-13
CMH AVERAGE, 155.4
Monroe, 145.5
Washtenaw, 106.2
Lenawee, 2.1 Livingston, 0.00.0
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Average Normalized CLS Units Per Case FY06-13
Washtenaw, 2,219.1
Livingston, 1,839.2
Monroe, 1,619.9
Lenawee, 1,596.6 CMH Average, 1,208.8
0.0500.0
1,000.01,500.02,000.02,500.03,000.03,500.04,000.04,500.05,000.0
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Normalized Units Per Case
Average Cost Per Case
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
Statewide $14,537 $13,728 $11,982 $12,329 $13,882 $12,596 $13,531 $13,050
Region Six $20,566 $23,432 $19,739 $14,039 $20,506 $21,965 $23,076 $23,360
Lenawee $29,737 $26,111 $14,522 $9,028 $15,568 $16,617 $18,355 $18,268
Livingston $16,862 $20,385 $22,207 $13,540 $20,329 $23,217 $23,930 $24,547
Monroe $9,745 $21,427 $20,046 $15,432 $19,624 $20,065 $21,740 $20,522
Washtenaw $25,921 $25,805 $22,182 $18,155 $26,502 $27,961 $28,278 $30,101
Average Cost Per Case FY06-13
$13,204
$20,835
$18,526
$20,627
$18,575
$25,613
Statewide Region 6 Lenawee Livingston Monroe Washtenaw
Cost Per Case Statewide Rank(1-Highest Cost to 46-Lowest)
CMH Rank Cost Per Case 2006 2007 2008 2009 2010 2011 2012 2013
Washtenaw 5 4 5 7 4 2 3 2
Monroe 27 7 8 11 8 7 8 8
Lenawee 4 3 13 22 13 12 11 9
Livingston 11 10 4 14 5 4 6 5
CLS as Average % of Service Cost (FY06-13)
Monroe, 29.6%
Livingston, 25.1%
Washtenaw, 21.9% CMH AVERAGE, 15.3%
Lenawee, 12.4%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
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19 1815 15
12 11 10
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27 2831 31
34 35 36
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
Only H0043 Only H2015 Both H0043 & H2015
Statewide CLS CPT Code Usage
Statewide % of Cases Using Codes
13% 16% 17% 14% 15% 14% 16% 16%
87% 84% 83% 86% 85% 86% 84% 84%
0%
20%
40%
60%
80%
100%
120%
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
H0043 H2015
Annual Cost Per Capita (CLS Cost Per Total Census Population)
$13.16 $13.14 $13.73$17.26 $18.64 $18.39
$20.50 $21.32$20.66$22.68
$20.37$23.24
$25.99$28.86
$33.28
$37.48$30.35
$43.58$41.31
$44.33
$48.61 $47.27
$52.82
$54.69
$20.89$22.42 $22.19
$29.96
$31.20
$36.43
$50.65
$60.77
$22.94
$25.25 $27.46
$30.36
$33.17$35.81
$39.74
$41.44
$0.00
$10.00
$20.00
$30.00
$40.00
$50.00
$60.00
$70.00
2006 2007 2008 2009 2010 2011 2012 2013
Lenawee Livingston Monroe Washtenaw Average CMH Cost
Statewide Cases Using CPT Codes
2,401 2,9743,740 3,670 3,620 3,815
4,750 4,946
15,716 16,013
18,873
21,69820,808
23,77024,846 25,192
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
H0043 H2015
% of Total Served Receiving CLS
Lenawee, 5.7%
Livingston, 11.2%
Monroe, 2013, 15.0%
Washtenaw, 13.4%
CMH Average, 2013, 14.7%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
2006 2007 2008 2009 2010 2011 2012 2013
Lenawee Livingston Monroe Washtenaw CMH Average
CMHPSM Unique Consumer Forecast
111 111 113 1212015 PROJ, 122
2016 PROJ, 125180 187214 226
2015 PROJ, 243 2016 PROJ, 260308 324
359389
2015 PROJ, 415 2016 PROJ, 443
435
546
639
710 2015 PROJ, 812
2016 PROJ, 904
0
100
200
300
400
500
600
700
800
900
1000
2011 2012 2013 2014 2015 PROJ 2016 PROJ
Lenawee
Livingston
Monroe
WCHO
REGIONAL CLS COST PROJECTION (NO RATE INCREASE)
$1,810,820 $1,978,444 $2,018,792 $2,171,729
$2,275,715 $2,388,022 $2,500,330 $3,990,151
$4,848,732 $5,791,322 $6,499,920 $7,400,505 $8,247,695
$9,094,884
$6,847,151 $7,257,838 $7,856,368
$8,590,816 $9,095,425
$9,678,378 $10,261,330 $11,762,292
$15,305,855
$19,562,736 $22,539,014
$26,439,236 $30,097,941
$33,756,645
$-
$5,000,000
$10,000,000
$15,000,000
$20,000,000
$25,000,000
$30,000,000
$35,000,000
$40,000,000
2011 2012 2013 2014 2015 2016 2017
Lenawee Livingston Monroe WCHO
LENAWEE CLS COST PROJECTION WITH 1% RATE INCREASE (AVERAGE $.02-.04/H2015 Unit $3.90/H2015 Unit )
$1,810,820 $1,978,444 $2,018,792
$2,171,729 $2,275,715
$2,388,022 $2,500,330
2015, $2,298,472
2016, $2,430,290 2017, $2,564,520
$-
$500,000
$1,000,000
$1,500,000
$2,000,000
$2,500,000
$3,000,000
2011 2012 2013 2014 2015 2016 2017
Lenawee Lenawee +1%
LIVINGSTON CLS COST PROJECTION WITH 1% RATE INCREASE (AVERAGE $.02-.04/H2015 Unit $3.90/H2015 Unit )
$3,990,151
$4,848,732
$5,791,322 $6,499,920
$7,400,505
$8,247,695
$9,094,884 2015, $7,474,510
2016, $8,389,968 2017, $9,316,511
$-
$1,000,000
$2,000,000
$3,000,000
$4,000,000
$5,000,000
$6,000,000
$7,000,000
$8,000,000
$9,000,000
$10,000,000
2011 2012 2013 2014 2015 2016 2017
Livingston Livingston +1%
MONROE CLS COST PROJECTION WITH 1% RATE INCREASE (AVERAGE $.02-.04/H2015 Unit $3.90/H2015 Unit )
$6,847,151 $7,257,838
$7,856,368 $8,590,816
$9,095,425 $9,678,378
$10,261,330
2015, $9,186,379
2016, $9,848,652
2017, $10,521,465
$-
$2,000,000
$4,000,000
$6,000,000
$8,000,000
$10,000,000
$12,000,000
2011 2012 2013 2014 2015 2016 2017
Monroe Monroe +1%
WCHO CLS COST PROJECTION WITH 1% RATE INCREASE (AVERAGE $.02-.04/H2015 Unit $3.90/H2015 Unit )
$11,762,292
$15,305,855
$19,562,736 $22,539,014
$26,439,236
$30,097,941
$33,756,645 2015, $26,703,628
2016, $30,612,549
2017, $34,565,332
$-
$5,000,000
$10,000,000
$15,000,000
$20,000,000
$25,000,000
$30,000,000
$35,000,000
$40,000,000
2011 2012 2013 2014 2015 2016 2017
WCHO WCHO +1%
LENAWEE CLS COST PROJECTION WITH 3.5% RATE INCREASE (AVERAGE $.12-.15/H2015 Unit $4.00/H2015 Unit )
$1,810,820 $1,978,444 $2,018,792
$2,171,729 $2,275,715
$2,388,022 $2,500,330
2015, $2,355,365 2016, $2,537,553
2017, $2,729,489
$-
$500,000
$1,000,000
$1,500,000
$2,000,000
$2,500,000
$3,000,000
2011 2012 2013 2014 2015 2016 2017
Lenawee Lenawee +3.5%
LIVINGSTON CLS COST PROJECTION WITH 3.5% RATE INCREASE (AVERAGE $.12-.15/H2015 Unit $4.00/H2015 Unit )
$3,990,151 $4,848,732
$5,791,322 $6,499,920
$7,400,505 $8,247,695
$9,094,884 2015, $7,659,523
2016, $8,750,831 2017, $9,885,475
$-
$2,000,000
$4,000,000
$6,000,000
$8,000,000
$10,000,000
$12,000,000
2011 2012 2013 2014 2015 2016 2017
Livingston Livingston +3.5%
MONROE CLS COST PROJECTION WITH 3.5% RATE INCREASE (AVERAGE $.12-.15/H2015 Unit $4.00/H2015 Unit )
$6,847,151 $7,257,838
$7,856,368 $8,590,816
$9,095,425 $9,678,378
$10,261,330
2015, $9,413,765
2016, $10,280,706 2017, $11,189,842
$-
$2,000,000
$4,000,000
$6,000,000
$8,000,000
$10,000,000
$12,000,000
2011 2012 2013 2014 2015 2016 2017
Monroe Monroe +3.5%
WCHO CLS COST PROJECTION WITH 3.5% RATE INCREASE (AVERAGE $.12-.15/H2015 Unit $4.00/H2015 Unit )
$11,762,292
$15,305,855
$19,562,736 $22,539,014
$26,439,236
$30,097,941
$33,756,645 2015, $27,364,609
2016, $31,917,578
2017, $36,640,633
$-
$5,000,000
$10,000,000
$15,000,000
$20,000,000
$25,000,000
$30,000,000
$35,000,000
$40,000,000
2011 2012 2013 2014 2015 2016 2017
WCHO WCHO +3.5%