fy 13-14 stakeholder budget briefing164.156.7.185/parecovery/documents/13-14_budget_briefing.pdf ·...
TRANSCRIPT
• 2013-2014 Executive Budget Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
OFFICE OF MENTAL HEALTH AND
SUBSTANCE ABUSE SERVICES
FY 13-14 Stakeholder Budget Briefing Presented by:
Dennis Marion
Acting Deputy Secretary
February 26, 2013
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
2013-14 State General Fund Expenditures
2013-2014 Executive Budget
The 2013-14 State General Fund budget is $28.4billion – a 2.4% increase
over the 2012-13 budget.
Total General Fund
Expenditures: $28.4 Billion
Spending on Medical
Assistance / Long-Term
Living, and other Human
Service programs amount
to almost 40% of the total
General Fund Expenditures
>
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
2013-2014 Executive Budget
OFFICE OF MENTAL HEALTH AND
SUBSTANCE ABUSE SERVICES
OMHSAS Primary Program Categories
Community Mental Health Services: $584.9 million Base Funds for Community Programs; PATH; Children’s programs
CHIPPs/SIPPs
BHSI- Mental Health
MH Block Grant/SSBG/Other Federal
State Hospitals: $390.2 million
DPW Administered BHSI/D&A & Act 152: $39.1 million
Medicaid: $2,930.0 million BH FFS
HealthChoices Behavioral Health
Special Pharmaceutical Benefits Program ( SPBP): $2.3 million
2013-2014 Executive Budget
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
2013-2014 Executive Budget
FY13-14 Requested OMHSAS Funding
Community
$584.9
15%
BHSI/D&A & Act 152
$39.1
1%
Hospitals
$390.2
10%
Health Choices
$2,866.4
73%
FFS
$63.4
1%
Special Pharmaceutical
Benefit Pkg
$2.3
0%
Total Funding = $3,946.3 million
BEHAVIORAL HEALTH
HEALTHCHOICES
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
2013-2014 Executive Budget
2013-2014 Executive Budget
As of January 1, 2013: 1.852 million people were enrolled in
HC BH.
FY 2013-14 Funding is projected to be $2.9 billion. Largest
Zone is the Southeast at $1.1billion.
Reinvestment Sharing remains capped at 3%.
Act 62 Autism – Estimated FY13-14 Savings = $7.3 million.
HealthChoices Highlights
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
STATE HOSPITALS
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
2013-2014 Executive Budget
2013-2014 Executive Budget
State Hospitals
OMHSAS has 6 state hospitals and 1 long term nursing care facility. These
facilities can accommodate approximately 1,600 patients.
FY13-14 complement is allocated at 3,660 positions.
FY13-14 funding requested for State Hospital Facilities amounts to $390.2
million, comprised of:
• Personnel: $ 309.6 million
• Operating: $ 79.3 million
• Fixed Assets: $ 1.3 million
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
2013-2014 Executive Budget
State Hospitals and CHIPPs and SIPPs
In FY1991-1992 (inception):
Allocated CHIPP Funding (FY91-92) = $6.5 million
Total Beds reduced = 170
In FY2012-2013:
Allocated CHIPP/SIPP Funding (FY12-13) = $244.2 million
Since Inception: (projected through 6/20/13)
Total funding of $3,234.2 million, will have been distributed for
community programs.
Total Beds reduced since inception= 3,134
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
2013-2014 Executive Budget
Reflects the Commonwealth’s decision to end the unnecessary
institutionalization of adults who have a serious and persistent mental illness.
All persons who are being served in a state hospital bed continue to be
assessed for need for active psychiatric treatment and the ability to be safely
supported in the community.
Community Support Planning identifies services needed and related
expenses.
COMMUNITY MENTAL
HEALTH SERVICES
2013-2014 Executive Budget
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
2013-2014 Executive Budget
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
HIGHLIGHTS HUMAN SERVICES BLOCK GRANT
Established in 2012 by Act 80. The Act authorizes up to 20 counties to
participate in the Block Grant in 2012. In FY12-13, 30 counties requested
consideration for the Block Grant, and 20 were able to participate.
In FY13-14, a proposed amendment to Act 80 will allow for the
expansion of the Block Grant to all counties that choose to “Opt-In” on a
voluntary basis.
2013-2014 Executive Budget
Allegheny Erie
Beaver Franklin
Berks Fulton
Bucks Greene
Butler Lancaster
Centre Lehigh
Chester Luzerne
Crawford Tioga
Dauphin Venango
Delaware Wayne
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
COUNTIES PARTICIPATING IN FY12/13
HUMAN SERVICES BLOCK GRANT
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
2013-2014 Executive Budget
2013-2014 Executive Budget
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
Mental Health 1st Aid
Assess needs, affirm positive stories, and develop 2-5 year plan
• Children, Adults, and Older Adults
Increased efforts to build “gatekeeper communities”
• Churches, Community Centers, Librarians, Parents, Families
Use social media, peers, parents, and other natural networks to
enhance awareness
Partnerships with counties, Planning Council and stakeholders to
facilitate local action plans.
Mental Health Matters
2013-2014 Executive Budget
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
Collaboration with cross systems partners
• DPW, CMVA, Army One Source, DDAP, DOH, and others
Priorities include:
• Suicide Prevention
• Increasing training for providers
• Improving behavioral health system to meet the needs of
population.
• Developing referral system
Service Members, Veterans, Families
Military Project
Tom Corbett, Governor Beverly Mackereth , Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS
2013-2014 Executive Budget
Strengthen partnerships with stakeholders.
Strengthen the existing foundation
Identify gaps and needs
Build upon “what works”
Prospective planning that supports the OMHSAS mission.
Build supportive communities for individuals and families
that are strength based and person centered.
Where Do We Go From Here…..
2013-2014 Executive Budget
Questions
Tom Corbett, Governor Beverly Mackereth, Acting Secretary Dennis Marion, Acting Deputy Secretary OMHSAS