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Department of Human Services Homepage: http://dhs.sd.gov/
FY2017 BUDGET RECOMMENDATION For Period of: July 1, 2016 to June 30, 2017
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Table of Contents Acronyms Slide 3
Department of Human Services Overview Slides 4 - 9
Secretariat Slide 10 - 11
Developmental Disabilities Slides 12 - 16
SD Developmental Center (SDDC) Slides 17 - 24
Rehabilitation Services Slides 25 - 29
Service to the Blind & Visually Impaired Slides 30 - 34
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DEPARTMENT OF HUMAN SERVICES BUDGET PRESENTATION ACRONYMS
ADLS – Assistive Daily Living Services CMS – Centers for Medicare and Medicaid Services COLA – Cost of Living Adjustment CSP – Community Support Provider CTS – Community Training Services DDD – Division of Developmental Disabilities DDS – Disability Determination Services DRS – Division of Rehabilitation Services DHS – Department of Human Services FMAP – Federal Medical Assistance Percentage HCBS – Home & Community Based Services ICF/IID – Intermediate Care Facility for Individuals with Intellectual Disabilities IL – Independent Living SBVI – Service to the Blind and Visually Impaired SDDC – South Dakota Developmental Center SDRC – South Dakota Rehabilitation Center for the Blind SSA – Social Security Administration SSDI – Social Security Disability Insurance SSI – Supplemental Security Income TRS – Telecommunication Relay Services VR – Vocational Rehabilitation
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Department of Human Services Mission Statement
DHS will enhance the quality of life of people with disabilities, in partnership with its stakeholders.
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SECRETARY Gloria
Pearson
SERVICE TO THE BLIND AND VISUALLY IMPAIRED
Gaye Mattke, Director
REHABILITATION SERVICES
Eric Weiss, Director
SD DEVELOPMENTAL CENTER / REDFIELD
Jan Banghart, Director
DEVELOPMENTAL DISABILITIES
Dan Lusk, Director
STATEWIDE INDEPENDENT LIVING COUNCIL
SD COUNCIL ON DEVELOPMENTAL DISABILITIES
FAMILY SUPPORT COUNCIL
BOARD OF SERVICE TO THE BLIND AND VISUALLY IMPAIRED
BOARD OF VOCATIONAL REHABILITATION
Budget and Finance Lloyd Johnson, Interim Director
Department of Human Services
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Department of Human Services Offices
Community Support Providers
SD Developmental Center - Redfield
Private Intermediate Care Facility for Individuals w/ Intellectual Disabilities
SD Rehabilitation Center for the Blind
Home Care Providers
Communication Services for the Deaf
Independent Living Centers
DHS Offices and Providers
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FY17 DHS Overview Total Projected People Served – 26,800
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South Dakota Developmental
Center 132
Rehabilitation Services 10,318
Developmental Disabilities
5,394
SSA Disability Determinations
9,200
Service to the Blind and Visually
Impaired 1,756
DEPARTMENT OF HUMAN SERVICES
FY17 Recommended Budget $198,596,769
FY16 Operating Budget $199,818,988
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General $78,673,794
Federal $105,515,529
Other $15,629,665 General
$78,606,606
Federal $110,329,625
Other $9,660,538
LRC Budget Brief page 2
FTE General Federal Other TotalFY16 Operating 545.4 $78,673,794 $105,515,529 $15,629,665 $199,818,988FY17 Recommended 545.4 $78,606,606 $110,329,625 $9,660,538 $198,596,769FY17 Increase 0.0 ($67,188) $4,814,096 ($5,969,127) ($1,222,219)
DEPARTMENT OF HUMAN SERVICES
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$1,636,653
$(3,571,271)
$1,675,792
$(42,697)
$7,382 $51,270 $120,549 $55,134
$(4,000,000)
$(3,000,000)
$(2,000,000)
$(1,000,000)
$-
$1,000,000
$2,000,000
2.7%ProviderInflation
Change inFMAP
Growth inHCBS Adults
SDDCUtilities
SDDC FoodService
ADLSConflict FreeCase Mgmt
Enhancementof ADLSSupports
ADLS RateEnhancement
General Fund Decrease - ($67,188)
Secretariat
Mission Statement
To provide vision and leadership to the department; and to ensure efficient and effective delivery of services through policy and financial management.
10 LRC Budget Brief page 12
Items Recommended: $4,096
Office of the Secretary FY17 Total Recommended Budget: $1,620,892
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FY16 Base $1,616,796
FY17 Recommended
Increase $4,096
FTE General Federal Other TotalProvider Inflation 0.0 4,096$ -$ -$ 4,096$ Total Increases/Decreases: 0.0 4,096$ -$ -$ 4,096$
Total FY17 Governor's Recommended Budget: 17.0 918,398$ 701,073$ 1,421$ 1,620,892$
LRC Budget Brief page 12
DIVISION OF DEVELOPMENTAL DISABILITIES
To ensure that people with developmental disabilities have equal opportunities and receive the services and supports they need to live and work in South Dakota communities.
Mission Statement
12 LRC Budget Brief page 13
Home and Community Based Services (HCBS)
CHOICES Medicaid Waiver Services: • Services are provided through the 19 Community Support Providers and include:
• Service coordination • Residential supports • Employment supports: Pre-vocational and Supported employment • Day Habilitation: Therapies and Community Involvement Activities • Nursing • Specialized medical services, equipment, and drugs
• Room and board is paid by the individual Family Support Medicaid Waiver Services: • Services are provided through the 19 Community Support Providers and include:
• Service coordination • Respite and companion care • Environmental accessibility and modifications • Specialized medical adaptive equipment and supplies
• Family Support services do not include room and board or residential services. The participant’s family must provide the residential support needed.
Division of Developmental Disabilities
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FY17 Growth in HCBS Adults
Division of Developmental Disabilities
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From SDDC 15.67 $437.86 $2,504,370 Other Admits 60.67 $93.62 $2,073,173
$4,577,543
Breakdown of Admissions
Home & Community Based ServicesIndividuals Totals
Discharges: (91) ($4,538,249)Admissions: 76 $4,577,543Kids Turning 21: 68 $3,768,205Absent Bed Days & Cost Share: NA ($57,192)Totals: 53 $3,750,307
LRC Budget Brief page 14
Items Recommended: ($1,771,867)
Division of Developmental Disabilities FY17 Total Recommended Budget: $143,301,343
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FY16 Base $145,073,210
FY17 Recommended
Increase $0
FTE General Federal Other TotalChange in FMAP 0.0 (2,855,570)$ 3,314,706$ (459,136)$ -$ DDD Provider Inflation 2.7% 0.0 1,513,109$ 2,017,582$ 228,468$ 3,759,159$ Growth in HCBS Adults (53) 0.0 1,721,016$ 2,029,291$ -$ 3,750,307$ Authority Reduction 0.0 -$ (3,540,295)$ (5,741,038)$ (9,281,333)$ Total Increases/Decreases: 0.0 378,555$ 3,821,284$ (5,971,706)$ (1,771,867)$
Total FY17 Governor's Recommended Budget: 20.5 60,592,595$ 77,021,014$ 5,687,734$ 143,301,343$
LRC Budget Brief page 13
FY17 Funding Sources
Federal Fund Sources
Division of Developmental Disabilities
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General $60,592,595
Federal $77,021,014
Other $5,687,734
Medicaid $76,293,581
DD Basic Support
$591,683
Respite Care $135,750
South Dakota Developmental Center
Mission Statement
To provide individualized treatment services and supports to people with developmental disabilities and challenging behaviors only when needed services are not available in a community setting.
17 LRC Budget Brief page 16
Services: • Primarily services include the diagnosis, treatment, or
rehabilitation of persons with intellectual disabilities or related conditions
• Provides, in a protected residential setting, ongoing evaluation, planning, 24-hour supervision, coordination, and integration of health or rehabilitative services to help each individual function at his greatest ability
• Specialized services include mental illness, substance abuse, and psychiatric services; also includes intensive treatment services for sex offenders
• This is an intensive program of training, treatment and health services. Admission occurs only when services are not available in the community
South Dakota Developmental Center
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South Dakota Developmental Center
19
0
20
40
60
80
100
120
140
160
180
200
FY2005 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015
SDDC POPULATION TRENDS
South Dakota Developmental Center
20
0
10
20
30
40
50
60
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Admissions and Discharges
Admissions Discharges
• Survey of SDDC campus to identify parcels of land that can be sold and replotting of current parcels of land was completed.
• Governor’s bill to allow sale of excess property at SDDC.
SDDC Footprint Reduction
South Dakota Developmental Center
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Demolition of Four Buildings: • Sunny View • Willhite • Dakota Hall • Root Cellar HB1015 An Act to Authorize DHS to Dismantle And Demolish Buildings.
Special Appropriation Request
South Dakota Developmental Center
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South Dakota Developmental Center FY17 Total Recommended Budget: $25,932,575
Items Recommended: ($70,690)
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FY16 Base $26,003,265 FY17
Recommended Increase
$0
FTE General Federal Other TotalChange in FMAP 0.0 (618,267)$ 618,267$ -$ -$ Adjustment in Utilities 0.0 (42,697)$ (50,344)$ -$ (93,041)$ Food Service Inflation 0.0 7,382$ 12,390$ 2,579$ 22,351$ FTE Reduction in Budget Authority (2.0) -$ -$ -$ -$ Total Increases/Decreases: (2.0) (653,582)$ 580,313$ 2,579$ (70,690)$
Total FY17 Governor's Recommended Budget: 377.6 11,499,131$ 13,638,720$ 794,724$ 25,932,575$
LRC Budget Brief page 16
South Dakota Developmental Center FY17 Funding Sources
Other Fund Sources
Federal Fund Sources
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Medicaid $13,435,092
School Breakfast/Lunch
$203,628
Prescription Drug Plan $665,516
SDDC Other $129,208
General $11,499,131
Federal $13,638,720
Other $794,724
Division of Rehabilitation Services
Mission Statement
To assist individuals with disabilities to obtain employment, economic self-sufficiency, personal independence and full inclusion into society.
25 LRC Budget Brief page 18
Primary Impairments Overview of Programs and Services • Vocational Rehabilitation (VR) • Independent Living • Disability Determination Services • Telecommunication Relay Services • Assistive Daily Living Services
Employment Initiatives • Ability For Hire • Collaboration with providers
Division of Rehabilitation Services
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Cognitive 41%
Sensory 4% Mental
Illness 31%
Physical 24%
Assistive Daily Living Services (ADLS)
Description: The Assistive Daily Living Services Program is a Medicaid waiver program that provides personal attendant care and other services to adults with quadriplegia to live independently in their own home. Services include: • Assistance with activities of daily living such as bathing and dressing • Case Management • Skilled Nursing • Specialized Medical Supplies and Emergency Response Devices
Budget Request: • Additional services to meet the needs of participants • Required changes to the provision of case management service • Personal Attendant and skilled nursing rates
Division of Rehabilitation Services
27 LRC Budget Brief page 18
Division of Rehabilitation Services FY17 Total Recommended Budget: $23,792,710
Items Recommended: $616,242
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FY16 Base $23,176,468
FY17 Recommended
Increase $616,242
FTE General Federal Other TotalChange in FMAP 0.0 (97,434)$ 97,434$ -$ -$ DRS Provider Inflation 2.7% 0.0 74,224$ 56,642$ -$ 130,866$ Conflict Free Case Mgmt 2.0 51,270$ 51,270$ -$ 102,540$ Enhancement of ADLS Srvs 0.0 120,549$ 142,143$ -$ 262,692$ ADLS PA and SN Rate Enhancement 0.0 55,134$ 65,010$ -$ 120,144$ Total Increases/Decreases: 2.0 203,743$ 412,499$ -$ 616,242$
Total FY17 Governor's Recommended Budget: 101.1 4,643,075$ 16,354,531$ 2,795,104$ 23,792,710$
LRC Budget Brief page 18
Division of Rehabilitation Services FY17 Funding Sources
Other Funds
Federal Funds
SSA Program Income
$1,217,451
Interpreter Registration
$8,000
TRS $1,569,653
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General $4,643,075
Federal $16,354,531
Other $2,795,104
Vocational Rehabilitation $8,695,590
Supported Employment
$294,000
Medicaid $2,432,405
Disability Determination
$4,166,536 Independent
Living $303,951
Assistive Technology $462,049
Division of Service to the Blind and Visually Impaired
Mission Statement
To provide individualized rehabilitation services that result in optimal employment and independent living outcomes for citizens who are blind or visually impaired.
30 LRC Budget Brief page 22
Vocational Rehabilitation Program (VR) Services to help individuals with significant vision loss to obtain or maintain
employment.
Division of Service to the Blind and Visually Impaired
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Job Placement 7%
Maintenance 10%
Physical Restoration
25%
Assistive Technology
24%
Post Secondary School
6%
Employment Skills 18%
Other 3%
Assessment 7%
Occupations of Individuals Successful Employment Outcomes
Division of Service to the Blind and Visually Impaired
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Sales 3%
Service 35%
Ag, Forestry, Fishing 4%
Admin Support 12%
Managerial 6%
Production/Construction 19%
Professional 21%
Items Recommended: $0 FY17 Total Recommended Budget: $3,949,249
Division of Service to the Blind and Visually Impaired
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FY16 Base $3,949,249
FY17 Recommended
Increase $0
FTE General Federal Other TotalTotal Increases/Decreases: 0.0 -$ -$ -$ -$
Total FY17 Governor's Recommended Budget: 29.2 953,407$ 2,614,287$ 381,555$ 3,949,249$
LRC Budget Brief page 22
FY17 Funding Sources Other Funds
Federal Funds
Division of Service to the Blind and Visually Impaired
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General $953,407
Federal $2,614,287
Other $381,555
Vocational Rehabilitation $2,305,007
Independent Living
$303,682
SSA Program Income
$175,150
SBVI Other $206,405
Thank you!
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