request by funding source specify funding sources as …

54,327,825 54,323,572 54,905,7521. General 73.24% 73.24% 73.45%

22. Federal

23. Medicaid

2. Budget Contingency Fund

3. Education Enhancement Fund

4. Health Care Expendable Fund

5. Tobacco Control Fund

6. Capital Expense Fund

7. Working Cash Stabilization Reserve Fund

8. BP Settlement Fund

9. Gulf Coast Restoration Fund

10. Back To Business Mississippi Grant Fund

11. MS COVID-19 Relief Payment Fund

12. DFA CARES Act COVID-19 Fund

13. MS Tourism Recovery Fund

14. MS Nonprofit Museums Recovery Fund

15. Equity in Distance Learning Fund

16. Postsecondary Education COVID-19 Relief Grant Fund

17. Independent Schools’ COVID-19 Assistance Grant Fund

18. MS Pandemic Response Broadband Availability Grant Program Fund

19. MS Emergency Management Agency COVID-19 Fund

20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund

21. COVID-19 Broadband Provider Grant Program Fund

24. Medicare

25. Other

26. Patient/Client Fees

7,454,447

3,980,228

7,454,447

962,057

Total Salaries 74,179,004

10.05%

5.37%

10.05%

1.30%

68.79%

7,119,224

3,980,228

7,759,658

992,585

74,175,267

7,119,224

3,980,228

7,759,658

992,585

74,757,447

Other Special (Specify)9.60%

5.37%

10.46%

1.34%

69.84%

1.33%

10.38%

5.32%

9.52%

State Support Special (Specify)

69.70%

1. General

22. Federal

23. Medicaid

















18. MS Pandemic Response Broadband Availability Grant Program Fund19. MS Emergency Management Agency COVID-19 Fund



24. Medicare

25. Other


18,291

Total Travel 18,291

100.00%

0.02%

18,200

18,200

18,200

18,200

Other Special (Specify)

100.00%

0.02%

100.00%


0.02%

2-1

REQUEST BY FUNDING SOURCE

State of MississippiForm MBR-1-01 (2015)

Specify Funding SourcesAs Shown Below

FY 2020 Actual

Amount

% of Line Item

% of Total

Budget

FY 2021EstimatedAmount

% of Line Item

% of Total

Budget

FY 2022RequestedAmount

% of Line Item

% of Total

Budget

Name of Agency : Mental Health - Mississippi State Hospital

1. General

22. Federal

23. Medicaid



4. Health Care Expendable Fund 1,436,161 10.63% 110,639 0.85% 110,639 0.85%















20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund21. COVID-19 Broadband Provider Grant Program Fund

24. Medicare

25. Other


12,078,797

Total Contractual 13,514,958

89.37%

12.53%

459,000

12,520,375

13,090,014

12,979,375

13,090,014

Other Special (Specify) 3.51%

95.65%

12.23%

99.15%


12.30%

38,6801. General 0.54%

22. Federal

23. Medicaid



4. Health Care Expendable Fund 1,725,722 31.62% 3,051,244 43.12% 3,051,244 42.89%


















24. Medicare

25. Other


3,731,227

Total Commodities 5,456,949

68.38%

5.06%

492,263

3,531,902

7,075,409

1,407,049

585,492

2,031,624

7,114,089


49.92%

6.65%

28.56%

8.23%

19.78%


6.65%

2-2

REQUEST BY FUNDING SOURCEPage 2



FY 2020 Actual

Amount

% of Line Item

% of Total

Budget


% of Line Item

% of Total

Budget


% of Line Item

% of Total

Budget


1. General

22. Federal

23. Medicaid



















20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund21. COVID-19 Broadband Provider Grant Program Fund

24. Medicare

25. Other

26. Patient/Client Fees 74,982

Total Capital Other Than Equipment 74,982

100.00%

0.07%

74,982

74,982

74,982

74,982


100.00%

0.07%

100.00%


0.07%

1. General

22. Federal

23. Medicaid





















24. Medicare

25. Other

26. Patient/Client Fees 602,241

Total Capital Equipment 602,241

100.00%

0.56%

524,644

524,644

524,644

524,644


100.00%

0.49%

100.00%


0.49%

2-3




FY 2020 Actual

Amount

% of Line Item

% of Total

Budget


% of Line Item

% of Total

Budget


% of Line Item

% of Total

Budget


1. General

22. Federal

23. Medicaid




















24. Medicare

25. Other


30,848

Total Vehicles 30,848

100.00%

0.03%

45,900

45,900

45,900

45,900


100.00%

0.04%

100.00%


0.04%

1. General

22. Federal

23. Medicaid





















24. Medicare

25. Other


Total Wireless Communication Devs.



2-4




FY 2020 Actual

Amount

% of Line Item

% of Total

Budget


% of Line Item

% of Total

Budget


% of Line Item

% of Total

Budget


8,728,675 6,122,585 6,122,5851. General 62.52% 53.63% 53.63%

22. Federal

23. Medicaid




















24. Medicare

25. Other


5,232,917

Total Subsidies 13,961,592

37.48%

12.95%

5,293,654

11,416,239

5,293,654

11,416,239

Other Special (Specify)46.37%

10.67%

46.37%


10.73%

63,056,500 60,446,157 61,067,0171. General 58.47% 56.80% 57.05%

22. Federal

23. Medicaid



4. Health Care Expendable Fund 3,161,883 2.93% 3,161,883 2.97% 3,161,883 2.95%


















24. Medicare

25. Other


28,497,388

3,980,228

7,503,586

1,639,280

TOTAL 107,838,865

26.43%

3.69%

6.96%

1.52%

100.00%

951,263

28,465,155

3,980,228

7,823,758

1,592,211

106,420,655

26,799,302

3,980,228

8,409,250

3,623,835

107,041,515


26.75%

3.74%

7.35%

1.50%

100.00%

3.39%

7.86%

3.72%

25.04%


100.00%

2-5




FY 2020 Actual

Amount

% of Line Item

% of Total

Budget


% of Line Item

% of Total

Budget


% of Line Item

% of Total

Budget


S. STATE SUPPORT SPECIAL FUNDS

(1)Actual

Revenues

(2)EstimatedRevenues

(3)RequestedRevenues

Source (Fund Number) Detailed Description of Source FY 2020 FY 2021 FY 2022

Budget Contingency Fund BCF - Budget Contingency

Education Enhancement Fund EEF - Education Enhancement Fund

Health Care Expendable Fund (6239900000)

HCEF - Health Care Expendable Fund 3,161,883 3,161,883 3,161,883

Tobacco Control Fund TCF - Tobacco Control Fund

Capital Expense Fund CEF - Capital Expense Fund

Working Cash Stabilization Reserve Fund

WCSRF - Working Cash Stabilization Reserve Fund

BP Settlement Fund BPSF - BP Settlement Fund

Gulf Coast Restoration Fund GCRF - Gulf Coast Restoration Fund

Back To Business Mississippi Grant Fund

BTBMGF - Back To Business Mississippi Grant Fund

MS COVID-19 Relief Payment Fund MCRPF - MS COVID-19 Relief Payment Fund

DFA CARES Act COVID-19 Fund DCACF - DFA CARES Act COVID-19 Fund

MS Tourism Recovery Fund MTRF - MS Tourism Recovery Fund

MS Nonprofit Museums Recovery Fund

MNMRF - MS Nonprofit Museums Recovery Fund

Equity in Distance Learning Fund EIDLF - Equity in Distance Learning Fund

Postsecondary Education COVID-19 Relief Grant Fund

PECMRGF - Postsecondary Education COVID-19 Relief Grant Fund

Independent Schools’ COVID-19 Assistance Grant Fund

ISCAGF - Independent Schools’ COVID-19 Assistance Grant Fund

MS Pandemic Response Broadband Availability Grant Program Fund

MPRBAGPF - MS Pandemic Response Broadband Availability Grant Program Fund

MS Emergency Management Agency COVID-19 Fund

MEMACF - MS Emergency Management Agency COVID-19 Fund

MS Electric Cooperatives Broadband COVID-19 Grant Program Fund

MECBCGPF - MS Electric Cooperatives Broadband COVID-19 Grant Program Fund

COVID-19 Broadband Provider Grant Program Fund

CBPGPF - COVID-19 Broadband Provider Grant Program Fund

State Support Special Fund TOTAL 3,161,883 3,161,883 3,161,883

STATE SUPPORT SPECIAL FUND LAPSE

B. OTHER SPECIAL FUNDS (NON-FED'L)

(1)Actual

Revenues



Source (Fund Number) Detailed Description of Source FY 2020 FY 2021 FY 2022

Cash Balance-Unencumbered 12,623,582 14,737,186 15,688,449

Medicaid (3337400000) Division of Medicaid 22,427,956 22,059,367 22,059,367

Medicaid DSH/UPL (3337400000) Division of Medicaid 5,016,376 4,739,935 4,739,935

A. FEDERAL FUNDS * PercentageMatch

Requirement

(1)Actual

Revenues



Source (Fund Number) Detailed Description of Source FY 2021 FY 2022 FY 2020 FY 2021 FY 2022

Cash Balance-Unencumbered

HHS Stimulus - Cares Act () 0.00 0.00 943,592

IDEA () 0.00 0.00 7,671

Federal Fund TOTAL 951,263

3-1

SPECIAL FUNDS DETAIL

Name of Agency

Mental Health - Mississippi State Hospital (374-00)

State of MississippiForm MBR-1-02

Medicare (3337400000) Medicare 3,829,446 3,829,446 3,829,446

Medicare EHR (3337400000) Medicare 150,782 150,782 150,782

Other (3337400000) Other 8,685,691 8,409,250 8,409,250

Patient/Client Fees (3337400000) From Patients/Clients 3,623,835 3,623,835 3,623,835

Other Special Fund TOTAL 56,357,668 57,549,801 58,501,064

59,519,551SECTIONS S + A + B TOTAL 61,662,947 61,662,947

C. TREASURY FUND/BANKACCOUNTS *

Fund/Account

(1)Reconciled

Balance

(2)

Balance

(3)

BalanceName of Fund/Account Number Name of Bank (If Applicable) as of 6/30/20 as of 6/30/21 as of 6/30/22

* MS STATE HOSPITAL CAFETERIA PLAN

8836600000 BANK PLUS 78,432 78,000 78,000

* MS STATE HOSPITAL DORMITORY DEPOSIT

8836100000 BANK PLUS 1,900 2,000 2,000

'MS STATE HOSPITAL JNH RESIDENT TRUST FUND

8836200000 BANK PLUS 339,010 339,000 339,000

'MS STATE HOSPITAL PATIENT TRUST FUND

8836300000 BANK PLUS 207,261 207,000 207,000

+MS STATE HOSPITAL CONTINGENT FUND

8836000000 BANK PLUS 369,873 370,000 370,000

+MS STATE HOSPITAL SOCIAL SECURITY CLEARING ACCOUNT

8836700000 BANK PLUS

'SPECIALIZED TREATMENT FACILITY CLIENT FUND

8837000000 HANCOCK BANK 7,352 7,300 7,300

MS STATE HOSPITAL PETTY CASH 8836500000 BANK PLUS 1,514 1,500 1,500

SPECIALIZED TREATMENT FACILITY CASH COLLECTION

8836900000 HANCOCK BANK 319,720 319,000 319,000

+MS STATE HOSPITAL UTILITIES ACCOUNT

8836800000 BANK PLUS 6,187 6,100 6,100

* Any non-federal funds that have restricted uses must be identified and narrative of restrictions attached.

3-2

SPECIAL FUNDS DETAIL

Name of Agency



STATE SUPPORT SPECIAL FUNDS

Health Care Expendable Funds are used by MSH for the care and treatment of patients and are accounted for in a separate treasury fund (#623990000).

FEDERAL FUNDS

Mississippi State Hospital received Stimulus funds through the Cares Act. These funds are one-time monies.

OTHER SPECIAL FUNDS

MEDICAID

Medicaid receipts consist of the standard Medicaid payments received for patient care activities by Jaquith Nursing Home, Whitfield Medical Surgical Hospital, Oak Circle Center (Child and Adolescent Acute Psychiatric) and Specialized Treatment Facility. The amount of Medicaid receipts from the nursing home is primarily dependent on the level of Medicaid allowable costs as confirmed by the nursing home's annual Medicaid Cost Report and the number of residents who are certified to receive Medicaid assistance; Specialized Treatment Facility is reimbursed in like manner. The level of Medicaid revenues for the service units of Mississippi State Hospital is determined by the individual patient's needs and their Medicaid status. Included in Medicaid revenue is MSH's DSH and MHAP payments. Medicaid Disproportionate Share (DSH) is revenue derived from a payment system which compensates hospitals who provide care to a "disproportionate share" of indigent patients. Closely associated with DSH is a second payment called "MS Hospital Access Payment" which compensates hospitals for treating a large share of Medicaid and indigent patients at rates that are less than those paid by Medicare. Beginning in FY 2020, 10% of MSH's MHAP payment will be moving into the QIPP pool; this could affect amount MSH receives related to this program.

MEDICARE

Medicare Receipts are collections from applicable services that are covered by Medicare. The Whitfield Medical Surgical Hospital and Inpatient Services Male and Female receiving units are all certified to participate in Medicare.

OTHER

Other funds include patient fees from benefit payments, grants from the Department of Mental Health Central Office, and educational grant funds.

PATIENT/CLIENT FEES

Patient/Client fees includes monies paid to MSH by patients and/or residents to reimburse MSH for the cost of his/her treatment. Fees charged are based on the patients ability to pay and MSH's sliding fee scale approved by the Board of Mental Health.

4-1

NARRATIVE OF SPECIAL FUNDS DETAIL AND TREASURY FUND/BANK ACCOUNTS

Name of Agency


TREASURY FUND / BANK

` Custodial/Trust funds for patients/residents; restrictive use

+ Used as a clearing account; restrictive use

* Employee funds; restrictive use

4-2

NARRATIVE OF SPECIAL FUNDS DETAIL AND TREASURY FUND/BANK ACCOUNTS

Name of Agency


FY 2020 Actual

(1) (2) (3) (4) (5)

General State Support Special Federal Other Special Total

Salaries,Wages & Fringe 54,327,825 19,851,179 74,179,004

Travel 18,291 18,291

Contractual Services 1,436,161 12,078,797 13,514,958

Commodities 1,725,722 3,731,227 5,456,949

Other Than Equipment 74,982 74,982

Equipment 602,241 602,241

Vehicles 30,848 30,848

Wireless Communication Devices

Subsidies, Loans & Grants 8,728,675 5,232,917 13,961,592

Total 63,056,500 3,161,883 41,620,482 107,838,865

No. of Positions (FTE) 809.00 522.00 1,331.00

FY 2021 Estimated

(6) (7) (8) (9) (10)



Travel 18,200 18,200

Contractual Services 110,639 459,000 12,520,375 13,090,014

Commodities 3,051,244 492,263 3,531,902 7,075,409


Equipment 524,644 524,644

Vehicles 45,900 45,900



Total 60,446,157 3,161,883 951,263 41,861,352 106,420,655


FY 2022 Increase/Decrease for Continuation

(11) (12) (13) (14) (15)


Salaries,Wages & Fringe

Travel

Contractual Services (459,000) 459,000

Commodities (492,263) 492,263

Other Than Equipment

Equipment

Vehicles


Subsidies, Loans & Grants

Total (951,263) 951,263

No. of Positions (FTE)

Note: FY2022 Total Request = FY2021 Estimated + FY2022 Incr(Decr) for Continuation + FY2022 Expansion/Reduction of Existing Activities + FY2022 New Activities.

5-1

State of Mississippi

Form MBR-1-03

Name of Agency


CONTINUATION AND EXPANDED TOTAL REQUEST

Program

SUMMARY OF ALL PROGRAMS

FY 2022 Expansion/Reduction of Existing Activities

(16) (17) (18) (19) (20)



Travel

Contractual Services

Commodities


Equipment

Vehicles



Total


FY 2022 New Activities (*)

(21) (22) (23) (24) (25)


Salaries,Wages & Fringe 582,180 582,180

Travel


Commodities 38,680 38,680


Equipment

Vehicles



Total 620,860 620,860

No. of Positions (FTE) 9.00 9.00

FY 2022 Total Request

(26) (27) (28) (29) (30)



Travel 18,200 18,200

Contractual Services 110,639 12,979,375 13,090,014

Commodities 38,680 3,051,244 4,024,165 7,114,089


Equipment 524,644 524,644

Vehicles 45,900 45,900



Total 61,067,017 3,161,883 42,812,615 107,041,515



5-2


Form MBR-1-03

Name of Agency


CONTINUATION AND EXPANDED TOTAL REQUEST

Program

SUMMARY OF ALL PROGRAMS

PROGRAM GENERAL ST. SUPP. SPECIAL FEDERAL OTHER SPECIAL TOTAL

1. MI - Institutional Care 55,650,263 3,051,244 38,281,811 96,983,318

2. MI - Support Services 1,208,923 1,263,612 2,472,535

3. Specialized Treatment Facility 4,207,831 110,639 3,267,192 7,585,662

Summary of All Programs 61,067,017 3,161,883 42,812,615 107,041,515

6-1

Name of Agency


SUMMARY OF PROGRAMSFORM MBR-1-03sum

FUNDING REQUESTED FISCAL YEAR 2022

Program 1 of 3

Mental Health - Mississippi State Hospital (374-00) MI - Institutional Care

Name of Agency Program

FY 2020 Actual

(1) (2) (3) (4) (5)



Travel 10,064 10,064

Contractual Services 1,385,061 10,995,638 12,380,699

Commodities 1,666,183 3,289,593 4,955,776


Equipment 540,317 540,317

Vehicles 30,848 30,848



Total 57,907,640 3,051,244 37,917,626 98,876,510


FY 2021 Estimated

(6) (7) (8) (9) (10)



Travel 9,105 9,105

Contractual Services 459,000 10,940,937 11,399,937

Commodities 3,051,244 492,263 3,011,399 6,554,906


Equipment 433,252 433,252

Vehicles 45,900 45,900



Total 55,029,403 3,051,244 951,263 37,330,548 96,362,458



(11) (12) (13) (14) (15)



Travel

Contractual Services (459,000) 459,000

Commodities (492,263) 492,263


Equipment

Vehicles



Total (951,263) 951,263



7-1


Form MBR-1-03CONTINUATION AND EXPANDED REQUEST

Program 1 of 3

Mental Health - Mississippi State Hospital (374-00) MI - Institutional Care



(16) (17) (18) (19) (20)



Travel


Commodities


Equipment

Vehicles



Total



(21) (22) (23) (24) (25)


Salaries,Wages & Fringe 582,180 582,180

Travel




Equipment

Vehicles



Total 620,860 620,860

No. of Positions (FTE) 9.00 9.00


(26) (27) (28) (29) (30)



Travel 9,105 9,105

Contractual Services 11,399,937 11,399,937

Commodities 38,680 3,051,244 3,503,662 6,593,586


Equipment 433,252 433,252

Vehicles 45,900 45,900



Total 55,650,263 3,051,244 38,281,811 96,983,318



7-2



Program 2 of 3

Mental Health - Mississippi State Hospital (374-00) MI - Support Services


FY 2020 Actual

(1) (2) (3) (4) (5)


Salaries,Wages & Fringe 1,232,400 410,816 1,643,216

Travel 4,490 4,490

Contractual Services 707,236 707,236



Equipment

Vehicles


Subsidies, Loans & Grants 59,151 59,151

Total 1,232,400 1,208,900 2,441,300

No. of Positions (FTE) 27.00 14.00 41.00

FY 2021 Estimated

(6) (7) (8) (9) (10)



Travel 4,091 4,091




Equipment

Vehicles



Total 1,208,923 1,263,612 2,472,535



(11) (12) (13) (14) (15)



Travel


Commodities


Equipment

Vehicles



Total



7-3



Program 2 of 3

Mental Health - Mississippi State Hospital (374-00) MI - Support Services



(16) (17) (18) (19) (20)



Travel


Commodities


Equipment

Vehicles



Total



(21) (22) (23) (24) (25)



Travel


Commodities


Equipment

Vehicles



Total



(26) (27) (28) (29) (30)



Travel 4,091 4,091




Equipment

Vehicles



Total 1,208,923 1,263,612 2,472,535



7-4



Program 3 of 3

Mental Health - Mississippi State Hospital (374-00) Specialized Treatment Facility


FY 2020 Actual

(1) (2) (3) (4) (5)



Travel 3,737 3,737

Contractual Services 51,100 375,923 427,023

Commodities 59,539 414,427 473,966


Equipment 61,924 61,924

Vehicles


Subsidies, Loans & Grants 82,086 204,123 286,209

Total 3,916,460 110,639 2,493,956 6,521,055


FY 2021 Estimated

(6) (7) (8) (9) (10)



Travel 5,004 5,004




Equipment 91,392 91,392

Vehicles



Total 4,207,831 110,639 3,267,192 7,585,662



(11) (12) (13) (14) (15)



Travel


Commodities


Equipment

Vehicles



Total



7-5



Program 3 of 3

Mental Health - Mississippi State Hospital (374-00) Specialized Treatment Facility



(16) (17) (18) (19) (20)



Travel


Commodities


Equipment

Vehicles



Total



(21) (22) (23) (24) (25)



Travel


Commodities


Equipment

Vehicles



Total



(26) (27) (28) (29) (30)



Travel 5,004 5,004




Equipment 91,392 91,392

Vehicles



Total 4,207,831 110,639 3,267,192 7,585,662



7-6



Mental Health - Mississippi State HospitalName of Agency

1 - MI - Institutional CareProgram Name

A B C D E F G

EXPENDITURESFY 2021

AppropriatedEscalations By

DFANon-Recurring

ItemsStimulus Funds * Residency

ProgramTotal Funding

ChangeFY 2022 Total

RequestSALARIES 66,898,833 582,180 582,180 67,481,013

GENERAL 48,988,904 582,180 582,180 49,571,084ST. SUP. SPECIALFEDERALOTHER 17,909,929 17,909,929

TRAVEL 9,105 9,105GENERALST. SUP.SPECIALFEDERALOTHER 9,105 9,105

CONTRACTUAL 11,399,937 11,399,937GENERALST. SUP. SPECIALFEDERAL 459,000 (459,000) (459,000)OTHER 10,940,937 459,000 459,000 11,399,937

COMMODITIES 6,554,906 38,680 38,680 6,593,586GENERAL 38,680 38,680 38,680ST. SUP. SPECIAL 3,051,244 3,051,244FEDERAL 492,263 (492,263) (492,263)OTHER 3,011,399 492,263 492,263 3,503,662

CAPTITAL-OTE 74,982 74,982GENERALST. SUP. SPECIALFEDERALOTHER 74,982 74,982

EQUIPMENT 433,252 433,252GENERALST. SUP. SPECIALFEDERALOTHER 433,252 433,252

VEHICLES 45,900 45,900GENERALST. SUP. SPECIALFEDERALOTHER 45,900 45,900

WIRELESS DEVGENERALST. SUP. SPECIALFEDERALOTHER

SUBSIDIES 10,945,543 10,945,543GENERAL 6,040,499 6,040,499ST. SUP. SPECIALFEDERALOTHER 4,905,044 4,905,044

TOTAL 96,362,458 620,860 620,860 96,983,318

FUNDINGGENERAL FUNDS 55,029,403 620,860 620,860 55,650,263ST. SUP .SPCL FUNDS 3,051,244 3,051,244

FEDERAL FUNDS 951,263 (951,263) (951,263)

OTHER SP. FUNDS 37,330,548 951,263 951,263 38,281,811TOTAL 96,362,458 620,860 620,860 96,983,318

POSITIONS

GENERAL FTE 706.00 9.00 9.00 715.00

ST. SUP. SPCL. FTE

FEDERAL FTE

OTHER SP. FTE 489.00 489.00

TOTAL 1,195.00 9.00 9.00 1,204.00

PRIORITY LEVEL :1 1

8-1

PROGRAM DECISION UNITSForm MBR-1-03AState of Mississippi


2 - MI - Support ServicesProgram Name

A B C D E

EXPENDITURESFY 2021


DFANon-Recurring

ItemsTotal Funding

ChangeFY 2022 Total

RequestSALARIES 1,619,739 1,619,739

GENERAL 1,208,923 1,208,923ST. SUP. SPECIALFEDERALOTHER 410,816 410,816


CONTRACTUAL 727,656 727,656GENERALST. SUP. SPECIALFEDERALOTHER 727,656 727,656

COMMODITIES 71,503 71,503GENERALST. SUP. SPECIALFEDERALOTHER 71,503 71,503

CAPTITAL-OTEGENERALST. SUP. SPECIALFEDERALOTHER

EQUIPMENTGENERALST. SUP. SPECIALFEDERALOTHER

VEHICLESGENERALST. SUP. SPECIALFEDERALOTHER


SUBSIDIES 49,546 49,546GENERALST. SUP. SPECIALFEDERALOTHER 49,546 49,546

TOTAL 2,472,535 2,472,535

FUNDINGGENERAL FUNDS 1,208,923 1,208,923ST. SUP .SPCL FUNDS

FEDERAL FUNDS

OTHER SP. FUNDS 1,263,612 1,263,612TOTAL 2,472,535 2,472,535

POSITIONS

GENERAL FTE 27.00 27.00

ST. SUP. SPCL. FTE

FEDERAL FTE

OTHER SP. FTE 14.00 14.00

TOTAL 41.00 41.00

PRIORITY LEVEL :

8-2



3 - Specialized Treatment FacilityProgram Name

A B C D E

EXPENDITURESFY 2021


DFANon-Recurring

ItemsTotal Funding

ChangeFY 2022 Total

RequestSALARIES 5,656,695 5,656,695

GENERAL 4,125,745 4,125,745ST. SUP. SPECIALFEDERALOTHER 1,530,950 1,530,950


CONTRACTUAL 962,421 962,421GENERALST. SUP. SPECIAL 110,639 110,639FEDERALOTHER 851,782 851,782

COMMODITIES 449,000 449,000GENERALST. SUP. SPECIALFEDERALOTHER 449,000 449,000

CAPTITAL-OTEGENERALST. SUP. SPECIALFEDERALOTHER

EQUIPMENT 91,392 91,392GENERALST. SUP. SPECIALFEDERALOTHER 91,392 91,392

VEHICLESGENERALST. SUP. SPECIALFEDERALOTHER


SUBSIDIES 421,150 421,150GENERAL 82,086 82,086ST. SUP. SPECIALFEDERALOTHER 339,064 339,064

TOTAL 7,585,662 7,585,662

FUNDINGGENERAL FUNDS 4,207,831 4,207,831ST. SUP .SPCL FUNDS 110,639 110,639

FEDERAL FUNDS

OTHER SP. FUNDS 3,267,192 3,267,192TOTAL 7,585,662 7,585,662

POSITIONS

GENERAL FTE 69.00 69.00

ST. SUP. SPCL. FTE

FEDERAL FTE

OTHER SP. FTE 14.00 14.00

TOTAL 83.00 83.00

PRIORITY LEVEL :

8-3


Mental Health - Mississippi State Hospital 1 - MI - Institutional Care

Name of Agency Program Name

I. Program Description:The Institutional Care Program provides a comprehensive range of inpatient psychiatric services designed to serve the needs of children, adolescents and adults who reside in any of the ten community mental health regions assigned to Mississippi State Hospital’s catchment area. Mississippi State Hospital (MSH) runs an acute child/adolescent psychiatric unit designed to provide diagnostic evaluations and short-term treatment for juveniles with emotional, social, psychological and academics impairments. In addition to these services, MSH operates a chemical dependency unit for female adults, male adults and adolescents. The hospital also operates acute and continued care psychiatric units, a medical surgical hospital, and a certified nursing facility. Mississippi State Hospital functions as the statewide service facility for forensic services. Furthermore, there are many units at Mississippi State Hospital that serve as training facilities for professionals interested in the provision of services to the mentally ill.

Patients admitted to Mississippi State Hospital's Institutional Care Program may receive the following services: medical evaluation and treatment, psychiatric evaluation and treatment, psychological evaluation and treatment, social services, dietary, educational, recreational, physical therapy, music therapy, job training, vocational rehabilitation, occupational therapy, residential living, and pastoral care. Mississippi State Hospital is licensed by the State Department of Health, fully accredited by the Joint Commission and certified by the Centers for Medicare and Medicaid Services.

II. Program Objective:The objective of the Institutional Care Program is to operate a health care complex that provides a comprehensive range of high quality services to meet the needs of individuals with serious mental illnesses or who require nursing home care. While providing such care, it is important for Mississippi State Hospital to meet the standards set by regulatory, licensing, and accrediting agencies or organizations. In recent years, there has also been extensive work toward serving patients in less restrictive settings than Mississippi State Hospital. In accomplishing this objective, it has resulted in the hospital's population being the more difficult (behaviorally and medically) patients for which to care and serve.

III. Current program activities as supported by the funding in Columns 6-15 (FY 2021 & FY 2022Increase/Decrease for continuations) of MBR-1-03 and designated Budget Unit Decisions columns of MBR-1-03-A:

(D) Stimulus Funds:

MSH received Stimulus Funds through the Cares Act. Per DFA, these funds were to be classified as a Federal Grant. These one-time monies will not be available in FY 2022, therefore, the federal funds that appear in the 2021 appropriated figures must be reduced and other special funds increased by the amount received in order to continue operation at level funding.

IV. Additional program activities that will result from increased funding requested in Columns 16-25 (MBR-1-03) and specified Budget Decision Unit Columns (MBR-1-03-A):

(E) * Residency Program:

MSH is establishing a Psychiatry Residency Program. The program is designed to train psychiatrists who will aid in alleviating the shortage of psychiatrists in our state. The program will enroll up to six (6) residents in FY22. The goal is to expand the program to a maximum of 24 residents over the next six years. As a result, MSH is requesting funding for salaries and commodities.

9-1

(To Accompany Form MBR-1-03)Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994

Form MBR-1-03NA PROGRAM NARRATIVE

Mental Health - Mississippi State Hospital 2 - MI - Support Services


I. Program Description:The Support Services program of Mississippi State Hospital provides a comprehensive range of services designed to serve the needs of the individuals and the employees. This program coordinates MSH’s efforts to meet the objectives of the Department of Mental Health and to report to administrative agencies (DFA, SPB, etc.) within state government. Organizational units assigned to this program component include Fiscal Services, Internal Auditor, Facility Director, Assistant Directors, Public Relations and Human Resources.

Support Services program consists of support services staff from Mississippi State Hospital and Specialized Treatment Facility.

II. Program Objective:The objective of the Support Services program is to provide for the personnel management, fiscal management and the adherence to standards for the maintenance of all licensure associated with the operation of Mississippi State Hospital.

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Mental Health - Mississippi State Hospital 3 - Specialized Treatment Facility


I. Program Description:The Specialized Treatment Facility (STF) MI-Institutional Care Program provides psychiatric residential treatment services for up to 48 adolescent Mississippians who are diagnosed with a mental disorder and present a need for residential care. Adolescents are referred for treatment who meet involuntary commitment criteria. The STF program operates as a medical model and may serve adolescent offenders with mental illness. STF offers priority admissions to those adolescents who are involved in the judicial system.

The STF maintains licensure and accreditation as a Psychiatric Residential Treatment Facility for adolescents whom reside within the 82 counties of Mississippi. The Specialized Treatment Facility is a Psychiatric Residential Treatment Facility licensed by the Mississippi Department of Health and the Mississippi Division of Medicaid, accredited as a Behavioral Healthcare Facility by the Joint Commission, and accredited as a Non-Public School by the Mississippi Department of Education.

Medical (medication, physical, dental, speech) treatment is provided by a full-time psychiatric nurse practitioner, part-time contracted child adolescent psychiatrist, a contracted back-up child adolescent psychiatrist, two contracted 24- hour on-call family practitioner physicians, full-time registered nurses, a community based dentist, as well as contracted speech therapist, pharmacy, and licensed dietician.

Mental health treatment is provided through evidence based and best-practice treatment. Service models include: 1)The Mandt System, 2) Trauma Focused-Cognitive Behavior Therapy (TF-CBT), 3) Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS), and 4) The Integrated Dual Disorder Treatment (IDDT)(alcohol and drug treatment and prevention).

Educational services are provided on-site by the Specialized Treatment Facility operated accredited school for middle school, high school, GED, and college students.

II. Program Objective:The Specialized Treatment Facility MI-Institutional Care Program objective is to provide psychiatric residential treatment to adolescents who are experiencing behavioral problems in their homes, schools, and communities. Most often times, the root cause of these behavioral problems is due to the need for mental health treatment. The Institutional Care Program carries out objectives through departments of Dietary, Education, Recreation, Nursing, Residential Living, Information Systems, Housekeeping, Security, Resource Management, Psychology and Social Services.

9-3



Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional CareName of Agency PROGRAM NAME

New Program/Activity Name: Residency Program

Amount of Funding Requested: $620,860

Description: MSH is establishing a Psychiatry Residency Program. The program is designed to train psychiatrists who will aid in alleviating the shortage of psychiatrists in our state. The program will enroll up to six (6) residents in FY22. The goal is to expand the program to a maximum of 24 residents over the next six years. As a result, MSH is requesting funding for salaries and commodities.

1) Program/Activity Premise

a) Is this request for a New Program or a New Activity in an existing Program? (specify which)

This request is for a New Program not affiliated with other programs of the agency.

b) Provide the new program/activity contact person's Name and Email.

Gene Amason, [email protected]

c) What public problem is this new program/activity seeking to address?

The program is designed to train psychiatric residents to become psychiatrists who can help alleviate the shortage of mental health physicians in the state.

d) Briefly stated, how will this program/activity address the public problem identified in Question 1.c? (You will provide a more detailed description of the new program/activity in Element 3 "Program/Activity Description".)

In its infancy, this program will host 6 psychiatric residents. At its capacity, the program will serve 24 psychiatric residents. Throughout the program, the residents will be trained to be the best psychiatrists they can be by instilling professional values, using innovative teaching approaches and promoting a culture of autodidactic lifelong learning. The program is dedicated to the provision of quality care and ensuring that this quality will be left in very capable hands for generations to come.

e) What other state entities are involved in addressing this problem, and how does your proposed program/activity differ from the other programs/activities already in place to address this problem?

While the University of Mississippi Medical Center currently boasts a university-based residency program, the program at Mississippi State Hospital (MSH) will be a community-based program designed to specifically boost physician numbers in public psychiatric settings where psychiatrists are especially needed. The MSH program will also be designed to focus on retaining residents in Mississippi in order to address the shortage of mental health physicians in the state.

f) Does this proposed program/activity effort link to a statewide goal or benchmark identified in "Building a Better Mississippi: The Statewide Strategic Plan for Performance and Budgetary Success?" (yes or no)

Yes

g) If the answer to Question 1.f is “yes,” specify the statewide goal(s) or benchmark(s) to which the proposed program/activity links; if the answer is "no", answer this item with "Not Applicable."

The Higher Education section of the Strategic Plan addresses the need for this program. Specifically, page seventeen discusses retention of graduates in high-need disciplines. This program would accomplish the goal of seeking to increase the percent of medical doctor graduates in Mississippi for residency.

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Elements of Quality Program DesignForm MBR-1-03QPD

For the Evaluation of Requests to Fund New Programs or New Activity in an Existing Program(To Accompany Form MBR-1-03A)


h) Explain where this program/activity fits into your agency's strategic plan; i.e., specify the agency goal, objective, and strategy that the proposed program/activity seeks to address.

Goal 3 of the Department of Mental Health’s Strategic Plan is to provide quality services in safe settings and utilize information/data management to enhance decision making and service delivery. Objective 3.5 of this goal is to provide a comprehensive approach to address workforce recruitment and retention at DMH’s programs. Strategy 3.5.4 specifically states that to accomplish this DMH will establish a psychiatric residency program at Mississippi State Hospital that increases psychiatrists available to practice in state hospitals and mental health service providers.

2) Needs Assessment

a) What is the statewide extent of the problem identified in Question 1.c, stated in numerical and geographic terms?

According to the Office of Mississippi Physician Workforce, Mississippi has the lowest per-capita primary care physician supply in the nation. Mississippi has 65.9 active physicians per 100,000 population, whereas the national average is 90.8 physicians per 100,000 population. Furthermore, the 2019 State Physician Workforce Data Book shows that Mississippi is ranked 7th in percent of retention of medical graduates when both medical school and residency is performed in the state. That’s a 77% retention rate. The same study goes on to say that the addition of one new physician in a community or municipality can produce an economic impact of $1-2 million. Mississippi currently ranks 49 in psychiatrists per capita.

b) Stated in numerical and geographic terms, what portion of the total need identified in Question 2.a does this program/activity seek to address?

Through the development of a psychiatric residency program at Mississippi State Hospital, we aim to maintain, and hopefully increase, the retention rate of Mississippi educated and trained psychiatrists. Within four years, the program will graduate six residents. Using the 77% retention rate, four residents would remain in the state who would contribute an estimated $4,000,000 in economic growth according to the study referenced above.

3) Program/Activity Description

a) Question 7.a asks "What specific outcomes do you expect to achieve with this program/activity?" What specific tasks will be carried out to achieve each of the outcomes for this program/activity listed in the answer to Question 7.a?

Mississippi State Hospital hopes to increase the number psychiatrists in the state. Historical data indicates that less than 50% of psychiatrists stay and practice where they trained following residency. Through the relationships built during residency training, we are hopeful that recruitment to the local workforce will be commonplace. Once the training positions are filled, the program will immediately boost the psychiatrist workforce in Mississippi by 14%.

b) Over the time period for which you are requesting funding: i) How many of each of the tasks identified in Question 3.a do you intend to provide and in which geographic locations? And, ii) How many individuals do you intend to serve?

Mississippi State Hospital hopes to attract residents from all across the United States. While the home of the residency program will be at Mississippi State Hospital, there are plans for the residents to gain experience from care settings across the Jackson metro area. In its infancy, the program will serve 6 residents. At capacity, the program will serve 24 residents.

c) Once the program/activity is fully operational: i) What is the estimated ongoing annual cost of operating the program/activity? And, ii) What is the estimated cost per unit of activity?

The estimated cost per year will increase across the first five years of operation. In year 1 where Mississippi State Hospital hosts no residents, the gross start-up expenditures of the program will be an estimated $620,860. In year 2, the first residents will be welcomed into the program; the estimated gross expenditures for that year is $1,059,550. At its peak, we estimate the program will have gross expenditures of $3,120,194. Gross cost per resident will range from $137,618 (at capacity) to $176,592 (in infancy).

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d) List each expected benefit of this program/activity per unit provided. If known, include each benefit's monetized value, as well as a detailed explanation of the calculations and assumptions used to monetize the value of each benefit.

The program would produce six new physicians per year. Throughout the program, the residents will be encouraged to practice in the State of MS; statics show that efforts to retain are fruitful with a 77% retention rate according to the 2019 State Physician Workforce Data Book. Using that logic, the psychiatric residency program would produce at least four (possibly five) physicians to add the workforce in Mississippi each year (beginning at the end of year 4). The same study shows that the addition of these four physicians would generate an estimated $4,000,000 per year.

e) What is the expected benefit-to-cost ratio for this program/activity; i.e., total monetized benefits divided by total costs?

Assuming estimated cost projections are correct and assuming four physicians per year are retained, the benefit-to-cost ratio is 1.28. Therefore, the project is expected to deliver a positive return in terms of dollars and physicians added to the workforce.

4) Research and Evidence Filter

a) As defined in MISS. CODE ANN. Section 27-103-159 (1972), specify whether this program/activity is evidence based, research based, a promising practice, or none of the above.

The program currently falls under the description of a promising practice.

b) Explain, or provide online links to, the relevant research supporting your answer to Question 4.a, And include a short summary of the research you explain/link to in your response. Your summary should include references to specific pages of your online links, where applicable.

Given that the Office of Mississippi Physician Workforce was only created in 2012, data collection is in the early stage. Although the data is limited, it does appear that the needle is moving in the anticipated direction. MSH plans to work closely with OMPW in collecting data and providing outcome measures. https://www.ompw.org/OMPW/home.html

c) If there is no existing research supporting this program/activity, describe in detail how you will evaluate your pilot program/activity with sufficient rigor to add to the research base of evidence-based or research-based programs/activities defined in MISS. CODE ANN. Section 27-103-159 (1972). If you provided an online link to research to support this program/activity, answer this question with "Not Applicable."

MSH plans to work closely with the OMPW in collecting data and providing outcome measures.

5) Implementation Plan

a) Describe all start-up tasks needed to implement the program/activity and the cost associated with each task, or the existing resources that you will use to carry out the task.

OMPW provided initial consultation for successful completion of the ACGME sponsoring institution and psychiatry program application at no cost. MSH will require several improvements to provide adequate facilities for residency training. An office of Graduate Medical Education and Psychiatry Residency Training will be created. This will require space for record keeping and offices. Software will be required to assist with tracking resident progress and milestone completion in concordance with ACGME requirements. Residents will require adequate work space, a lounge, and areas suitable for overnight call. Other expenditure will be allocated to office supplies, lab coats, pagers, and hardware related to the educational mission. In addition, marketing funds will be required to attract residents to the program.

b) Provide a timeline showing when each start-up task will take place and the date when you expect the program/activity to be fully operational.

The start-up tasks will begin as soon as funding is received and approved by DMH. We plan to be ready to accept up to 6 psychiatry trainees on July 1, 2021.

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6) Fidelity Plan

a) Explain your plan for ensuring that your program/activity will be implemented with fidelity to the program/activity design. Your plan should include a checklist of the program/activity components identified in the supporting research literature that are necessary to achieve reported effect sizes.

The MSH Psychiatry Residency Program plans to be accredited by the Accreditation Council For Graduate Medical Education. As such, the program will comply with ACGME standards. Resident advancement will specifically be addressed utilizing the milestones specifically set forth by the ACGME for psychiatry. https://www.acgme.org/Portals/0/PDFs/Milestones/PsychiatryMilestones2.0.pdf?ver=2020-03-10-152105-537

b) If there is no existing research base for this program/activity, explain the key components critical to the success of your pilot program/activity and how you will ensure that these components are implemented in accordance with program/activity design.

The Clinical Competency Committee, a component of the Graduate Medical Education Committee, in concordance with the Program Evaluation Committee will monitor all aspects of resident matriculation and ensure that ACGME standards are met.

7) Measurement and Evaluation

a) What specific outcomes do you expect to achieve with this program/activity? Each outcome must be stated in measurable terms that include each of the five elements specified: 1) Targeted outcome; 2) How the outcome is calculated; 3) Direction of desired change (increase, decrease, maintain); 4) Targeted % change; 5) Date targeted to achieve desired change. (Refer to "Instructions for Preparing 5-Year Strategic Plans" for examples.)

The MSH Psychiatry Residency Program intends to increase the psychiatrist workforce in Mississippi. This outcome will be measured directly by observing the number of graduating residents retained initially by Mississippi and 3 years out of residency. Prospective data will measure the total workforce number in concert with the OMPW. If filled, the program will increase the psychiatrist workforce by 3% on July 1, 2021. The increase will move to 14% in 2024. Following the graduation of the first class, Mississippi stands to retain at least 50% of the newly board eligible psychiatrists. A conservative estimate would be a 16% bump in the number of psychiatrists in 2025, 18% increase in 2026, and 19% increase from today’s number of 171 by the year 2027. This estimate brings the total anticipated number of practicing psychiatrists from 171 to 204. This increase would be the result of our program alone and does not account for increases which may also come from UMMC.

b) In order to establish a performance baseline, for each outcome measure reported in the answer to Question 7.a, report the most recent data available at the time of your request and the reporting period for the data.

There are currently 171 practicing psychiatrists in Mississippi according to data from the OMPW. According to the American Academy of Medical Colleges, more than 75% of residents who received both their undergraduate and graduate medical education in Mississippi remain in Mississippi to practice. There has been a cap on residency training positions since 1997. Meanwhile, the interest in psychiatry and expansion of graduate medical class sizes has continued to increase. The hypothesis includes that retention of psychiatrists would be improved through the addition of more residency training positions. This information can be found on the OMPW website.

c) For each outcome measure reported in the answer to Question 7.a, explain how you arrived at the expected rate of change by the target date.

We added the total compliment of the residency program at full capacity (24) and estimated retention of 50% of graduating residents annually for the first 3 years.

d) How often will you measure and evaluate this program/activity?

The ACGME will perform site visits routinely to ensure the program is meeting the educational accreditation criteria. MSH will work closely with the OMPW to track the success our program has on expanding the physician workforce in Mississippi.

10-4




e) What specific performance measures will you report to the Legislature for this program? At a minimum, you should include measures of program outputs, outcomes, and efficiencies.

MSH will be prepared to provide annual updates to the Legislature regarding ACGME accreditation status, MATCH rates, matriculation data, and Mississippi psychiatrist retention numbers.

10-5




PROGRAM OUTPUTS: (This is the measure of the process necessary to carry on the goals and objectives of this program. This is the volume produced, i.e., how many people served, how many documents generated.)

FY 2020 APPRO

FY 2020 ACTUAL

FY 2021 ESTIMATED

FY 2022 PROJECTED

1 % of individuals readmitted between 0-59 days after discharge 5.39 4.30 4.00 4.00

2 Number served adult acute psychiatric 1,000.00 849.00 601.00 849.00

3 Number served continued treatment 90.00 85.00 85.00 85.00

4 Number served chemical dependency 533.00 415.00 280.00 415.00

5 Number served nursing homes 240.00 271.00 226.00 226.00

6 Number served children/adolescent 260.00 142.00 91.00 122.00

7 Number served forensics 130.00 104.00 96.00 96.00

PROGRAM EFFICIENCIES: (This is the measure of the cost, unit cost or productivity associated with a given outcome or output. This measure indicates linkage between services and funding, i.e., cost per investigation, cost per student or number of days to complete investigation.)

FY 2020 APPRO

FY 2020 ACTUAL

FY 2021 ESTIMATED

FY 2022 PROJECTED

1 Cost per person per day - acute psychiatric 470.00 545.69 669.71 516.53

2 Cost per person per day - continued treatment 498.00 494.84 538.36 515.99

3 Cost per person per day - child adolescent 747.00 1,062.86 1,414.55 1,072.07

4 Cost per person per day - chemical dependency 409.00 461.15 637.33 421.94

5 Cost per person per day - forensic 484.45 515.65 566.08 501.56

6 Cost per person per day - nursing home 382.61 411.54 465.17 423.96

7 Cost per patient day - Specalized Treatment Facility 516.00 577.72 577.00 577.00

PROGRAM OUTCOMES: (This is the measure of the quality or effectiveness of the services provided by this program. This measure provides an assessment of the actual impact or public benefit of your agency's actions. This is the results produced, i.e., increased customer satisfaction by x% within a 12-month period, reduce the number of traffic fatalities due to drunk drivers within a 12-month period.

FY 2020 APPRO

FY 2020 ACTUAL

FY 2021 ESTIMATED

FY 2022 PROJECTED

1 Maintain readmission rates within national trends (%) 5.39 4.30 4.00 4.00

2 Increase youth successfully transitioned from the Specialized Treatment Facility to communities with supportive wrap-around aftercare (% of youth)

80.00 93.90 94.00 94.00

11-1

PROGRAM PERFORMANCE MEASURESForm MBR-1-03PI

Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994

Mental Health - Mississippi State Hospital (374-00) 2 - MI - Support ServicesName of Agency PROGRAM NAME

PROGRAM OUTPUTS: (This is the measure of the process necessary to carry on the goals and objectives of this program. This is the volume produced, i.e., how many people served, how many documents generated.)

FY 2020 APPRO

FY 2020 ACTUAL

FY 2021 ESTIMATED

FY 2022 PROJECTED

1 Support as a percent of total budget at MSH 0.00 0.00 0.00 0.00

PROGRAM OUTCOMES: (This is the measure of the quality or effectiveness of the services provided by this program. This measure provides an assessment of the actual impact or public benefit of your agency's actions. This is the results produced, i.e., increased customer satisfaction by x% within a 12-month period, reduce the number of traffic fatalities due to drunk drivers within a 12-month period.

FY 2020 APPRO

FY 2020 ACTUAL

FY 2021 ESTIMATED

FY 2022 PROJECTED

1 Support as an overall percent of total budget 0.00 0.00 0.00 0.00

11-2

PROGRAM PERFORMANCE MEASURESForm MBR-1-03PI

Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994

Program Name: (1) MI - Institutional Care

General 55,029,403 (1,813,385) 53,216,018 (3.30%)

State Support Special 3,051,244 3,051,244

Federal 951,263 951,263

Other Special 37,330,548 37,330,548

TOTAL 96,362,458 (1,813,385) 94,549,073

Narrative Explanation:

Program Name: (2) MI - Support Services

General 1,208,923 1,208,923

State Support Special

Federal

Other Special 1,263,612 1,263,612

TOTAL 2,472,535 2,472,535


Program Name: (3) Specialized Treatment Facility

General 4,207,831 4,207,831

State Support Special 110,639 110,639

Federal

Other Special 3,267,192 3,267,192

TOTAL 7,585,662 7,585,662


Program Name: (99) Summary of All Programs

General 60,446,157 (1,813,385) 58,632,772 (3.00%)

State Support Special 3,161,883 3,161,883

Federal 951,263 951,263

Other Special 41,861,352 41,861,352

TOTAL 106,420,655 (1,813,385) 104,607,270

12-1


PROGRAM 3% GENERAL FUND REDUCTION AND NARRATIVE EXPLANATIONForm MBR1-03PC

Fiscal Year 2021 Funding

Total Funds Reduced Amount Reduced Funding Amount

FY 2021 GF PERCENT REDUCED

C. Board Members City, Town, Residence Appointed By Date Appointed Length of Term

1. John Montgomery, DO Ocean Springs, MS Byrant 07/01/2014 7 years

2. Robert Landrum Ellisville, MS Bryant 07/01/2014 7 years

3. James Herzog, Ph.D. Oxford, MS Bryant 07/01/2015 7 years

4. Sampat Shivangi, MD Ridgeland, MS Bryant 07/01/2016 7 years

5. Stewart Rutledge Oxford, MS Bryant 07/01/2017 7 years

6. Courtney Phillips Indianola, MS Bryant 07/01/2018 7 years

7. Manda Griffin, LSW, FNP, RT, Ph.D.

Houlka, MS Bryant 07/01/2018 7 years

8. Alyssa Killebrew, Ph.D Madison, MS Bryant 07/01/2019 7 years

9. Teresa Mosley Clinton, MS Bryant 07/01/2020 3/4 years

A. Explain Rate and manner in which board members are reimbursed:

Each board member is entitled to $40.00 per day and all actual and necessary expenses, including mileage, incurred in the discharge of their duties.

B. Estimated number of meetings FY 2021:

Twelve (12) regular meetings are planned during FY2020 and FY2021.

Identify Statutory Authority (Code Section or Executive Order Number)*

Mississippi Code Section 41-4-3

*If Executive Order, please attach copy.

13-1


Name of Agency


MISSISSIPPI BOARD OF MENTAL HEALTH MEMBERS

A. Tuition, Rewards & Awards (61050xxx-61080xxx)

61060000 EMPLOYEE TRAINING 23,168 23,168 23,168

61070000 TRAVEL RELATED REGISTRATION 13,294 13,294 13,294

Total 36,462 36,462 36,462

B. Transportation & Utilities (61100xxx-61200xxx)

61100000 TRANSPORTATION OF GOODS 24,758 24,758 24,758

61110000 POSTAL SERVICES 3,392 3,392 3,392

61200000 UTILITIES 1,346,307 1,346,307 1,346,307

Total 1,374,457 1,374,457 1,374,457

C. Public Information (61300xxx-6131xxxx)

61300000 ADVERTISING AND PUBLIC INFORMATION 3,836 3,836 3,836

Total 3,836 3,836 3,836

D. Rents (61400xxx-61490xxx)

61400000 BUILDING AND FLOOR SPACE RENTAL 3,088 3,088 3,088

61420000 EQUIPMENT RENTAL 344,058 344,058 344,058

61490000 OTHER RENTALS 987 987 987

Total 348,133 348,133 348,133

E. Repairs & Service (61500xxx)

61500000 REPAIR AND MAINTENANCE SERVICES 790,683 754,218 754,218

Total 790,683 754,218 754,218

F. Fees, Professional & Other Services (6161xxxx-61699xxx)

61600000 INTER-AGENCY FEES 127,096 143,561 143,561

61610000 CONTRACT WORKER PAYROLL - EFT 3,105,046 3,105,046 3,105,046

61625000 CONTRACT WORKER PAYROLL MATCHING AMOUNTS - EFT

322,449 322,449 322,449

61626000 CONTRACT WORKER PR REFUNDS OF DEDUCTIONS - SPAHRS

22 22 22

61652000 CONSTRUCTION CONTRACTOR SERVICES 310 310 310

61660000 ACCOUNTING AND FINANCIAL SERVICES 63,888 63,888 63,888

61665000 INVESTMENT MANAGERS AND ACTUARY SERVICES 7,615 7,615 7,615

61670000 LEGAL AND RELATED SERVICES 61,296 61,296 61,296

61680000 MEDICAL SERVICES 2,500,967 2,500,967 2,500,967

61690000 FEES AND SERVICES - PROFESSIONAL FEES CHARGED

3,113,196 2,709,807 2,709,807

Total 9,301,885 8,914,961 8,914,961

14-1


Form MBR-1-B

Name of Agency


SCHEDULE BCONTRACTUAL SERVICES

MINOR OBJECT OF EXPENDITURE

(1)Actual Expenses

FY EndingJune 30, 2020

(2)Estimated Expenses


(3)Requested for


Funding Summary:

General Funds

G. Other Contractual Services (61700xxx-61790xxx, 61900xxx)

61700000 INSURANCE FEES AND SERVICES 203,735 203,735 203,735

61705000 BANKING AND CREDIT CARD FEES 337 337 337

61710000 MEMBERSHIP DUES 47,578 46,023 46,023

61715000 TRADE AND TECHNICAL SUBSCRIPTIONS 25 25 25

61735000 SALVAGE, DEMOLITION AND REMOVAL SERVICE 50,367 50,367 50,367

61740000 ENVIRONMENTAL SERVICES 4,263 4,263 4,263

61760000 TRANSPORTATION OF CLIENTS 313 313 313

61900000 PROCUREMENT CARD - CONTRACTUAL PURCHASES 2,410 2,410 2,410

Total 309,028 307,473 307,473

H. Information Technology (61800xxx-61890xxx)

61800000 BASIC TELEPHONE MONTHLY - OUTSIDE VENDOR 874 874 874

61806000 DATA LINE AND NETWORK CHARGES - OUTSIDE VENDOR

20,596 20,596 20,596

61818000 CELLULAR USAGE TIME - OUTSIDE VENDOR 171 171 171

61821000 WIRELESS DATA TRANSMISSION - NOT CELL -OUTSIDE VENDOR

2,897 2,897 2,897

61824000 SATELLITE VOICE TRANSMISSION SERVICES - OUTSIDE VENDOR

9,430 9,430 9,430

61830000 IT PROFESSIONAL FEES - OUTSIDE VENDOR 117,959 117,959 117,959

61833000 IS TRAINING AND EDUCATION - OUTSIDE VENDOR 4,048 4,048 4,048

61836000 OUTSOURCED IT SOLUTIONS - OUTSIDE VENDOR 187,648 187,648 187,648

61839000 SOFTWARE ACQ, INSTALLATION & MAINT - OUT VENDOR

250,158 250,158 250,158

61848000 MAINTENANCE & REPAIR OF IT EQUIPMENT-OUTSIDE VEND

109,586 109,586 109,586

61850000 PAYMENTS TO ITS 108,270 108,270 108,270

Total 811,637 811,637 811,637

I. Other (61910xxx-61990xxx)

61910000 PETTY CASH EXPENSE - CONTRACTUAL 7,590 7,590 7,590

61960000 PRIOR YEAR EXPENSE - CONTRACTUAL 58,229 58,229 58,229

61965000 PRIOR YEAR EXPENSE - CONTRACTUAL - 1099 473,018 473,018 473,018

Total 538,837 538,837 538,837

Grand Total

(Enter on Line 1-B of Form MBR-1) 13,514,958 13,090,014 13,090,014

14-2


Form MBR-1-B

Name of Agency




(1)Actual Expenses




(3)Requested for


State Support Special Funds 1,436,161 110,639 110,639

Federal Funds 459,000

Other Special Funds 12,078,797 12,520,375 12,979,375

Total Funds 13,514,958 13,090,014 13,090,014

14-3


Form MBR-1-B

Name of Agency




(1)Actual Expenses




(3)Requested for


A. Maintenance & Constr. Materials & Supplies (62000xxx, 62015xxx)

62015000 BUILDING AND CONSTRUCTION MATERIALS AND SUPPLIES

95,889 220,049 220,049

Total 95,889 220,049 220,049

B. Printing & Office Supplies & Materials (62010xxx, 62085xxx, 62100xxx, 62125xxx, 62400xxx)

62010000 BOOKS, PERIODICALS, MAPS & INSTRUCTIONAL MATERIAL

36,920 56,920 56,920

62085000 OFFICE SUPPLIES AND MATERIALS 141,832 196,832 196,832

62100000 PRINTING SUPPLIES 17,289 17,289 17,289

62400000 FURNITURE AND EQUIPMENT 190,719 190,719 190,719

Total 386,760 461,760 461,760

C. Equipment Repair Parts, Supplies & Acces. (6205xxxx, 62072xxx, 62110xxx, 62115xxx, 62120xxx, 62130xxx)

62050000 FUEL 90,913 130,913 130,913

62072000 SHOP SUPPLIES 7,835 25,835 25,835

62110000 PARTS & ACCESS - HEATING, COOLING, PLUMBING, ELEC

101,088 301,088 301,088

62115000 PARTS & ACCESS - OFFICE, IT, AND OTHER EQUIP 66,863 166,863 166,863

62120000 PARTS & ACCESS - VEHICLES, BUSES, PLANES, ETC 21,517 71,517 71,517

62130000 TIRES AND TUBES 14,552 34,552 34,552

Total 302,768 730,768 730,768

D. Professional & Sci. Supplies and Materials (62025xxx, 62030xxx, 62070xxx, 62095xxx, 62105xxx, 6212xxxx)

62025000 EDUCATIONAL SUPPLIES 12,548 20,548 59,228

62070000 LAB AND MEDICAL SUPPLIES 3,640,590 4,240,590 4,240,590

62095000 PHOTOGRAPHIC SUPPLIES AND PROCESSING 71 71 71

Total 3,653,209 4,261,209 4,299,889

E. Other Supplies & Materials (62005xxx, 62015xxx, 62020xxx, 62035xxx, 62040xxx, 62045xxx, 62060xxx, 62065xxx, 62075xxx-62080xxx, 62090xxx, 62115xxx, 62135xxx, 62140xxx, 62405xxx, 62415xxx, 62500xxx-62999xxx)

62005000 AMMUNITION 818 1,618 1,618

62020000 DECALS AND SIGNS - OTHER THAN CONSTRUCTION 2,298 4,798 4,798

62040000 FOOD FOR BUSINESS MEETINGS 1,290 1,290 1,290

62045000 FOOD FOR PERSONS 230,019 265,019 265,019

62060000 JANITORIAL AND CLEANING SUPPLIES 321,108 421,108 421,108

62065000 KITCHEN, CAFETERIA, AND DINING SUPPLIES 70,809 95,809 95,809

62075000 LAWN, FARM AND GARDEN SUPPLIES 10,913 10,913 10,913

62078000 OTHER MISCELLANEOUS SUPPLIES 26,781 26,781 26,781

62080000 LINENS AND BEDDING 49,578 109,578 109,578

62090000 PERSONAL HYGIENE AND GROOMING SUPPLIES 31,099 61,099 61,099

15-1


Form MBR-1-C

Name of Agency


SCHEDULE CCOMMODITIES


(1)Actual Expenses




(3)Requested for


62135000 UNIFORMS AND APPAREL 24,415 44,415 44,415

62140000 WINDOW TREATMENTS AND CARPET 2,757 12,757 12,757

62405000 VEHICLE EQUIPMENT 2,700 2,700 2,700

62415000 COMPUTERS AND COMPUTER EQUIPMENT 21,134 121,134 121,134

62900000 PROCUREMENT CARD - COMMODITY PURCHASES 178,621 178,621 178,621

62910000 PETTY CASH EXPENSES - COMMODITIES 997 997 997

62960000 PRIOR YEAR EXPENSE - COMMODITIES 42,986 42,986 42,986

Total 1,018,323 1,401,623 1,401,623

Grand Total

(Enter on Line 1-C of Form MBR-1) 5,456,949 7,075,409 7,114,089

Funding Summary:

General Funds 38,680

State Support Special Funds 1,725,722 3,051,244 3,051,244

Federal Funds 492,263


Total Funds 5,456,949 7,075,409 7,114,089

15-2


Form MBR-1-C

Name of Agency


SCHEDULE CCOMMODITIES


(1)Actual Expenses




(3)Requested for


B. Buildings & Improvements (63100xxx)

63100000 CAPITAL OUTLAY - OTHER 74,982 74,982 74,982

Total 74,982 74,982 74,982

Grand Total

(Enter on Line 1-D-1 of Form MBR-1) 74,982 74,982 74,982

Funding Summary:

General Funds

State Support Special Funds

Federal Funds

Other Special Funds 74,982 74,982 74,982

Total Funds 74,982 74,982 74,982

15-116-1


Form MBR-1-D-1

Name of Agency


SCHEDULE D-1CAPITAL OUTLAY

OTHER THAN EQUIPMENT


(1)Actual Expenses




(3)Requested for


C. Office Machines, Furniture, Fixtures, Equip. (63200xxx)

70" 10 Point TV 1 13,579

ASV DSX900411 BIPAP 1 3,000

Broda Recliner Chair 1 2,214

Centrifuge 1 3,133

Clinton CE-FXR-16 DVR 1 1,995

Garbage Disposal 1 3,565 3 10,500

Heavy Duty Wheelchair 1 1,092

Hospital Bed 3 4,680 8 12,480

Ice Machine 6 21,335 2 6,000 5 15,000

Hoyer Patient Lift 1 3,328 2 6,500

Ice Machine with Bin 1 1,972

Lawn Mower 4 38,497 4 41,000

Medication Cart 2 4,550

Ligature Resistant Sofa 2 3,569 4 4,682 4 4,682

Patient Monitor 4 6,780 4 6,780

Portable X-Ray Unit 1 3,800

Record Cart 1 1,375 1 1,375

Refrigerator 5 22,109 2 5,000 4 20,000

Statim G4 2000 Sterilizer 1 4,918

STIHL Backpack Blower 2 704

Training Manikin 3 2,663

Treatment Cart 2 4,460 2 4,460

TV 2 737

Undercounter Dishwasher 2 11,258 3 16,887

Vital Sign Monitor GT900 2 2,990 4 6,000

Ligature Beds 154 164,652

Mosquito Sprayer 1 4,000

Shredder 1 2,700

Panacea Soft Touch 3500 Low Bed 5 7,800

Stacking Chair - Dining Room 20 3,400

Bariatric Arm Chair 20 4,838

Ligature Lounge Chair 1 780

Burnisher 1 16,000

17-1


Form MBR-1-D-2

Name of Agency


SCHEDULE D-2CAPITAL OUTLAY EQUIPMENT

EQUIPMENT BY ITEM

Act. FY Ending June 30, 2020 Est. FY Ending June 30, 2021 Req. FY Ending June 30, 2022

No. of Units Total Cost No. of

Units Total Cost No. of Units Total Cost

Dish Machine 1 2,100

Freezer 1 2,400 2 4,800

Food Slicer 1 3,500

Steam Table 1 5,000

Total 168,303 232,852 150,464

D. IS Equipment (DP & Telecommunications) (63200xxx)

24 Port Switch 1 6,022 5 30,000

48 Port Switch 9200L 2 14,642 10 42,242 8 33,794

BPR 40 Two-Way Radio 2 500

Canon DR-G2140 Scanner 1 5,575

Cisco 9400 Series Switch 4 161,355 4 161,355

Computer 72 60,160 174 109,712 130 87,918

IT Hardware 4 5,592 10 17,955 30 56,871

IT Hardware Intouch 9100 Time Clock 129 153,650

Lenovo Yogo 20R5 Tablet 4 4,400

LG Tablet 20 6,383

Microsoft Surface Pro 1 1,078

NAS Server 1 1,300

Printer 13 5,515 10 4,242

RCA RDR 2500 Radio 29 4,839

Thermal Label Printer 1 361

Thermal Printer 1 2,566

Wireless Controller 1 2,847

Indoor AP 60 29,036

Surveillance System 1 90,000

Total 433,938 291,792 374,180

Grand Total

(Enter on Line 1-D-2 of Form MBR-1) 602,241 524,644 524,644

Funding Summary:

General Funds


Federal Funds


Total Funds 602,241 524,644 524,644

17-2


Form MBR-1-D-2

Name of Agency


SCHEDULE D-2CAPITAL OUTLAY EQUIPMENT

EQUIPMENT BY ITEM




Funding Summary:

General Funds


Federal Funds


Total Funds 30,848 45,900 45,900

A. Passenger & Work Vehicles (63300xxx)

6330010 LIGHT/MEDIUM DUTY TRUCKS 43 1 30,848

63300100 VANS 57 2 45,900 2 45,900

63300100 CARS 6

63300100 HEAVY DUTY TRUCKS 9

Total (A) 115 1 30,848 2 45,900 2 45,900

30,848

GRAND TOTAL

(Enter on Line 1-D-3 of Form MBR-1) 45,900 45,900

18-1


Form MBR-1-D-3

Name of Agency


SCHEDULE D-3PASSENGER/WORK VEHICLES





Vehicle Inventory June 30,

2020

Funding Summary:

General Funds


Federal Funds

Other Special Funds

Total Funds

Grand Total

(Enter on Line 1-D-4 of Form MBR-1)

19-1


Form MBR-1-D-4

Name of Agency


SCHEDULE D-4WIRELESS COMMUNICATION DEVICES



No. of Devices Actual Cost No. of

Devices Estimated Cost No. of Devices Requested Cost

Device Inventory June 30,

2020

Funding Summary:

General Funds 8,728,675 6,122,585 6,122,585


Federal Funds


Total Funds 13,961,592 11,416,239 11,416,239

E. Other (67000xxx-67019xxx, 67021xxx-67199xxx, 67998xxx, 68500xxx-68860xxx, 70045xxx-70080xxx, 80000xxx-80500xxx)

67199000 MISCELLANEOUS REFUNDS 25,393 25,393 25,393

68515000 TRANSFERS TO OTHER FUNDS 13,936,199 11,390,846 11,390,846

Total 13,961,592 11,416,239 11,416,239

Grand Total

(Enter on Line 1-E of Form MBR-1) 13,961,592 11,416,239 11,416,239

20-1

State of MississippiForm MBR-1-E

Name of Agency


SCHEDULE ESUBSIDIES, LOANS & GRANTS


(1)Actual Expenses




(3)Requested for


The Fiscal Year 2022 budget request for Mississippi State Hospital has been prepared in accordance with the Department Finance and Administration and Legislative Budget Office Budget Preparation Instructions for Fiscal Year 2022, dated July 10, 2020. Section 3, Narrative Justification for Fiscal Year 2022, references categorical substantiation for increases and decreases in agency expenditures over Fiscal Year 2021.

The Fiscal Year 2022 Budget Request of Mississippi State Hospital is in the amount of $107,041,515 which represents a $620,860 increase to the Fiscal Year 2021 appropriation.Major Object of Expenditures

A.1 PERSONNEL SERVICES: SALARIES, WAGES, AND FRINGE BENEFITS (BASE)

Requested expenditures are submitted for the FY 2022 Budget in accordance with the Fiscal management Board and Legislative Budget Office preparation instructions. The cost projections include agency personnel authorized under FY 2021 legislative appropriation. In the FY 2021 appropriation, Mississippi State Hospital was appropriated 1,635 positions which include 1,570 permanent full-time and 65 time-limited full-time positions. The overall request of $74,757,447 represents an increase of $582,180 in General Funds from the FY 2021 estimate for the new Residency Program.

Total funding requested to support Salaries, Wages and Fringe for FY 2022 is $74,757,447. It is proposed that this request be funded by $54,905,752 in General Funds, $7,119,224 in Medicaid funding, $3,980,228 in Medicare funding, $7,759,658 in Other funding and $992,585 in Patient/Client fees funding.

Spending for additional compensation in the amount of $6,916,554 is budgeted for as follows:A. New Positions $ 523,710B. Vacant Positions $3,254,939C. Reclassifications $1,065,780D. Educational Benchmarks $ 19,624E. FLSA Overtime $2,032,148F. Stand By Pay $ 20,353

It is requested that the FY 2022 appropriation be granted with "lump sum" authority, just as the FY 2021 appropriation because this provides the agency a level of flexibility, which is invaluable in meeting the challenges of the current economic climate.

A.2 TRAVEL

The sum of $18,200 is respectfully requested to support travel needs in FY 2022. This amount represents no increase over that authorized in FY 2021. It is proposed that this request will be funded with $18,200 of Other funds.

B. CONTRACTUAL SERVICES

$13,090,014 is requested for the funding of Contractual Services FY 2022. The total FY 2022 funding request reflects no increase over the FY 2021 appropriation. It is respectfully proposed that this request be funded with $110,639 in Health Care Expendable funding and $12,979,375 in Medicaid funding.

Funds in this category are used for employee training, postage, gas, electricity, water and sewage, advertising and rental of equipment. Expenses associated with professional contract employees, as well as fees for professional services are paid from this category also. Funds in this category are utilized to repair and maintain buildings on the agency’s campuses. Seventy of the more than 100 buildings on campus were constructed between 1926 and 1935. As the program’s physical plant ages, federal and state regulations governing the provision of services to persons with mental illness place tremendous stress on the physical environment as it relates to safety, preventative maintenance and repair programs, and the general overall appearance of the program’s building and grounds.

C. COMMODITIES

The sum of $7,114,089 is respectfully requested to support continuation of services provided by the combined programs of Mississippi State Hospital and the Specialized Treatment Facility. The total FY 2022 funding request for Commodities reflects a

21-1

2022 BUDGET REQUEST

NARRATIVE

Name of Agency


small increase in expenditures over that provided for in FY 2021 because of the new Residency Program. It is proposed that these expenditures be funded with $38,680 in General Funds, $3,051,244 in Health Care Expendable funding, $1,407,049 in Medicaid funding, $585,492 in Other funding, and $2,031,624 in Patient/Client Fees funding.

Funding requested for Commodities is utilized for maintenance and care of the buildings, furniture and equipment, supplies for the persons served, personal needs such as food, clothing, medicine, educational supplies and materials, general operations maintenance, janitorial supplies and office supplies. Funds in this category are used to repair and maintain buildings on the agency’s campuses. A large portion of the square footage assigned to the agency was constructed on the Mississippi State Hospital campus prior to 1940. As the program’s physical plant ages, federal and state regulations governing the provision of services to persons with mental illness place tremendous stress on the physical environment as it relates to safety, preventative maintenance and repair programs, and the general overall appearance of the program’s building and grounds.

D. CAPITAL OUTLAY

D-1. CAPITAL OUTLAY – OTHER THAN EQUIPMENT (Schedule D-1)

Total funding requested to support Capital Outlay – Other than Equipment for FY 2022 is $74,982. It is respectfully proposed that this request be funded with $74,982 of Patient/Client Fees funding. This amount reflects no increase in expenditures over that provided for in FY 2021.

Funding requested for Capital Outlay – Other than Equipment is utilized for betterments for the buildings on the agency’s campuses.

D-2. CAPITAL OUTLAY – EQUIPMENT (Schedule D-2)

The Mississippi State Hospital FY 2022 Budget Request for Capital Outlay – Equipment totals $524,644. The total FY 2022 request for Capital Outlay – Equipment reflects no increase of the FY 2021 appropriation. It is respectfully proposed that this request is funded with $524,644 of Patient/Client Fees funding.

This funding has traditionally replaced equipment that has reached the end of its useful life expectancy and replacement is required.

D-3. PASSENGER/WORK VEHICLES (Schedule D-3)

The sum of $45,900 is respectfully requested for Passenger/Work Vehicles in the FY 2022 Budget Request. This amount reflects no increase over that requested in FY 2021. It is proposed that these expenditures be funded with $45,900 of Other funding.

This funding has traditionally replaced passenger/work vehicles that have reached the end of their useful life expectancy and replacement is required. The amount requested will replace two vans. One is assigned to the Maintenance division and the second is assigned to Information Management.

D-4. WIRELESS COMMUNICATION DEVICES (Schedule D-4)

No funding is requested in this category.

E. SUBSIDIES, LOANS AND GRANTS

The Subsidies, Loans and Grants request of the Mississippi State Hospital is in the amount of $11,416,239. This amount represents no increase of the FY 2021 appropriation. It is respectfully proposed that this request is funded with $6,122,585 of General Funds and $5,293,654 of Medicaid funding.

Funding provided in the Subsidies, Loans and Grants category support expenditures including, but are not limited to, Transfers to Other Funds for Medicaid Match, Cost Allocation, and Bed Taxes.

21-2

2022 BUDGET REQUEST

NARRATIVE

Name of Agency


MADDUX ROBERT FINLEY JR

NEW ORLEANS LA LOUISIANA PSYCHIATRIC MEDICAL ASSOCIATION/MISSISSIPPI PSYCHIATRIC ASSOCIATION SPRING MEETING

990 3374

MCBETH LAPORSHIA ANTIONETTE

NEW ORLEANS LA AMERICAN PSYCHIATRIC NURSES ASSOCIATION ANNUAL CONFERENCE

729 3374

PERRY VIRGINIA D NEW ORLEANS LA AMERICAN PSYCHIATRIC NURSES ASSOCIATION ANNUAL CONFERENCE

500 3374

RECORE THOMAS VINCENT

NEW ORLEANS LA LOUISIANA PSYCHIATRIC MEDICAL ASSOCIATION/MISSISSIPPI PSYCHIATRIC ASSOCIATION SPRING MEETING

715 3374

SHAW MIKE NEW ORLEANS LA ASSOCIATION OF NURSES IN AIDS CARE CONFERENCE

680 3374

$ 3,614Total Out of State Cost

22-1

Name of Agency


OUT-OF-STATE TRAVEL

FISCAL YEAR 2022

Note: All expenditures recorded on this form must be totaled and said total must agree with the out-of-state travel amount indicated for FY 2020 on Form Mbr-1, line 1.A.2.b.

Employee's Name Destination Purpose Travel Cost Funding Source

61600000 INTER-AGENCY FEES

Department of Finance and Administration/MMRS

Comp. Rate: $127096 per year 127,096 143,561 143,561 3337400000

Total 61600000 INTER-AGENCY FEES 127,096 143,561 143,561

61610000 CONTRACT WORKER PAYROLL - EFT

ALDRIDGE CHELSEA/Patient Care

Comp. Rate: $37 per hour 6,281 6,281 6,281 3337400000

ALLEN JESSICA/Patient Care


AMOS LIZZIETTA/Patient Care

Comp. Rate: $12 per hour Y 198 198 198 3337400000

ANDERSON LARRY/Information Management

Comp. Rate: $20 per hour Y 20,910 20,910 20,910 3337400000

ANDERSON TEENA/Patient Care


ATKINS TARVIN/Patient Care


ATKINSON MONTORIA/Patient Care


AUBERT RICHARD/Physician


BAILEY ANITA/Patient Care


BALLARD KHAMARI/Patient Care


BANES PENCY/Patient Care


BELL RUTHIE/Patient Care


BENSON ANITRA/Patient Care


BLUE CECIL/Patient Care

Comp. Rate: $12 per hour 429 429 429 3337400000

BOLDEN LARISSA/Patient Care


BOWERS ROBERT/Maintenance


BRADFORD AURELIA/Patient Care


BRENT VERA/Patient Care


BRIDGES RODGERICK/Patient Care


BROKMAN SUMMER/Patient Care

23-1

Name of Agency


FEES, PROFESSIONAL AND OTHER SERVICES

TYPE OF FEE AND NAME OF VENDORRetired

w/ PERS

(1)Actual Expenses




(3)Requested Expenses


Fund Source


BROOKS ASHLEY/Patient Care


BROWN BAILEY/Police


BROWN BRITNEY/Patient Care


BROWN MELISSA/Patient Care


BROWN MELVIN/Patient Care


BROWN PRECIOUS/Patient Care


BROWN WILLIE/Patient Care


BROWN-WILSON PATRICE/Patient Care


BRUNELLE REGINA/Patient Care


BUCKNER KESHIA/Patient Care


BULLIE RENSSELAER/Patient Care


BULLOCK RICKY/Patient Care


BURKETT DAVID/Patient Care


BURKS ANTOINE/Patient Care


BYRD MATTHEW/Patient Care


CAMPBELL CHRISANN/Patient Care


CARSON FREDERICA/Patient Care


CARSON FREDETRIA/Patient Care


COMEAUX REBEKAH/Patient Care


COMMISKEY STEPHEN/Physician


CONNELLY LAUREN/Patient Care


CRAFT AMANDA/Patient Care


CROSBY DELISA/Patient Care

23-2

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source


DAKHLALLA SALAAHODDIN/Patient Care


DALLAS LAQUANIA/Patient Care


DAY OCTAVIA/Patient Care


DIEZ JENNIFER/Lab Director


DRAIN ASHALEY/Patient Care


DUNN TALYN/Patient Care


DUNSON ALBERTA/Patient Care


DURHAM ADLENE/Patient Care


EMMANUEL VIVIAN/Patient Care


EVANS CYNTHIA/Patient Care


FISHER LEE/Patient Care


FLETCHER-LEWIS MONTINA/Patient Care


FLOWERS ELLA/Patient Care


FLOYD JOHN/Physician


FOREMAN VERSHENDA/Patient Care


FURBY DORIS/Patient Care


FYKE DEBORAH/Payroll


GEE KENNETH/Police


GIBSON MARY/Patient Care


GILL NATALIE/Patient Care


GIVENS LORI/Patient Care


GORDON ANDREA/Patient Care


GORDON GERALD/Patient Care

23-3

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source


GRANDBERRY MARY/Patient Care


GRANGER DEMETERIUS/Patient Care


GRAY WANDA/Patient Care


GREER EULA/Librarian


GRIFFITH NANETTE/Patient Care


GRINSTEAD LAKEISHA/Patient Care


HALL EBONI/Patient Care


HARRIS SANDRA/Patient Care


HAYES KIMBERLY/Patient Care


HEATH MILTORIA/Patient Care


HERRIN VINCENT/Physician


HEWITT CHENILLE/Patient Care


HILL ERIKA/Patient Care


HINSON WILLIAM/Patient Care


HOLDER BRENDA/Patient Care


HORHN SANDRA/Patient Care


HORN BETHANI/Patient Care


HUDSON ANGELA/Patient Care


HUTCHINS COURTNEY/Patient Care


HUTCHINS LAVINIA/Patient Care


JACKSON JACQUELYN/Patient Care


JACKSON JANICE/Patient Care


23-4

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

JACKSON TAMIA/Patient Care


JAMES EVMANDA/Patient Care


JAMES YOLANDA/Patient Care


JENKINS DEAMBERLEE/Patient Care


JENKINS JOSEPH/Patient Care


JOHNSON ANTONIO/Patient Care


JOINER MARY/Patient Care


JONES RASHETTA/Patient Care


KEEN CHRISTOPHER/Patient Care


KELLER GARY/Patient Care


KENDRICK HOLLIS/Patient Care


KENNEDY JOHN/Physician


KENT TRINDA/Patient Care


KINDREX ROBERT/Maintenance


KING SHARRON/Patient Care


KIRK ASHISLEN/Patient Care


KUTNER RICHARD/Physician


LADNER CORY/Patient Care


LADNER MARK/Physician


LANG BETTY/Patient Care


LEBLANC STEPHEN/Physician


LEE MACKINZIE/Patient Care


LEE PERCY/Patient Care


23-5

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

LEE ROSETTA/Patient Care


LEFLORE ANETRA/Patient Care


LENARD JOEY/Patient Care


LEWIS LASHUNDA/Patient Care


LUCKEY NORMAN/Police


MAGEE LASHANTEE/Patient Care


MALONE WILLIAM/Patient Care


MARTIN JAMES/Patient Care


MARTIN ZIPORA/Patient Care


MAXWELL MARY/Patient Care


MAXWELL WILBURN/Physician


MCBEATH ALEXIS/Patient Care


MCBRIDE-HALL SHARON/Patient Care


MCDONALD DESMOND/Patient Care


MCDONALD L'CHARLES/Patient Care


MCDOWELL RACHEL/Patient Care


MCGEE BRENYETTA/Patient Care


MCINNIS BRAGGIO/Patient Care


MCNEECE TERESA/Personnel


MOCK BRANDI/Patient Care


MOHA ROBIN/Patient Care


MONTGOMERY DEWERY/Patient Care


MOORE JASON/Patient Care


23-6

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

MOORE KIMBERLY/Patient Care


MOORE LATERRICA/Patient Care


MOORE MONIQUE/Patient Care


MORGAN JARRETT/Physician


MORRIS MELBA/Billing and Coding


MYERS MARCUS/Patient Care


NEWELL RAYMOND/Police


NICKS-LYLE GWENDOLYN/Patient Care


PAGE SHERMAIN/Patient Care


PARKER LAKYSHA/Patient Care


PATE JONAE/Patient Care


PERKINS FRANK/Patient Care


PHILLIPS REGINA/Patient Care


PHILSON KENDRICK/Patient Care


POWELL KEVAN/Patient Care


PUCKETT STEPHANIE/Patient Care


QUALLS KEMYATTA/Patient Care


RAMSAY CATHY/Patient Care


RATCLIFFE LATRICIA/Patient Care


RAWLS BREAUNA/Patient Care


REED DEMETRIA/Patient Care


ROBINSON BRITTANY/Patient Care


ROBINSON SHAYLA/Patient Care


23-7

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

ROPER ROKOYIA/Patient Care


SANDERS TAMIKA/Patient Care


SELLS BRENDA/Patient Care


SHEARER KATHERINE/Patient Care


SISTRUNK CURTIS/Maintenance


SKINNER DENORRIS/Patient Care


SLAUGHTER TONYA/Accounting


SMITH DANA/Patient Care


SMITH GARY/Physician


SMITH R/Physician


SMITH SUZANNE/Patient Care


SMITH WANDA/Patient Care


SNELL ANGELIQUE/Patient Care


SPANN JAMES/Police


SPEARS COURTNEY/Patient Care


STEEL BRITNEY/Patient Care


STOCKMEYER CORY/Patient Care


STONE RONALD/Patient Care


STRONG CLIFTON/Patient Care


STURGIS DANISHA/Patient Care


STYLES CAREY/Patient Care


TANNER CYNTHEIA/Medical Records


TAYLOR JARED/Physician

23-8

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source


TAYLOR JASON/Physician


THOMAS DENTASIA/Patient Care


THOMAS MYCHELL/Patient Care


THOMAS TONIA/Patient Care


THOMPSON DOROTHY/Transcriptionist


THORNHILL SONYA/Medical Records


THORNTON JOE/Patient Care


VAUGHN TANNER/Medical Records


WALKER NATASHA/Patient Care


WARD CARMEN/Patient Care


WARNER PATRICIA/Patient Care


WATSON MICHAEL/Police


WEIR HANNAH/Patient Care


WILBURN CARISA/Patient Care


WILLIAMS ELAINE/Patient Care


WILLIAMS LATASHA/Patient Care


WILLIAMS TIESHA/Patient Care


WILLIAMS TYRONE/Patient Care


WILLIS ARIEL/Patient Care


WOO MACK/Physician


WRIGHT KAITLYNN/Patient Care


YOSTE GEOFFREY/Patient Care


YOUNG KEWANZA/Patient Care

23-9

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source


YOUNG LORENZO/Patient Care


Total 61610000 CONTRACT WORKER PAYROLL - EFT 3,105,046 3,105,046 3,105,046

61625000 CONTRACT WORKER PAYROLL MATCHING AMOUNTS - EFT

ALDRIDGE CHELSEA/Patient Care


ALLEN JESSICA/Patient Care


AMOS LIZZIETTA/Patient Care


ANDERSON LARRY/Information Management


ANDERSON TEENA/Patient Care


ATKINS TARVIN/Patient Care


ATKINSON MONTORIA/Patient Care


AUBERT RICHARD/Physician


BAILEY ANITA/Patient Care


BALLARD KHAMARI/Patient Care


BANES PENCY/Patient Care


BELL RUTHIE/Patient Care


BENSON ANITRA/Patient Care


BLUE CECIL/Patient Care


BOLDEN LARISSA/Patient Care


BOWERS ROBERT/Maintenance


BRADFORD AURELIA/Patient Care


BRENT VERA/Patient Care


BRIDGES RODGERICK/Patient Care


BROKMAN SUMMER/Patient Care

23-10

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source


BROOKS ASHLEY/Patient Care


BROWN BAILEY/Police


BROWN BRITNEY/Patient Care


BROWN MELISSA/Patient Care


BROWN MELVIN/Patient Care


BROWN PRECIOUS/Patient Care


BROWN WILLIE/Patient Care


BROWN-WILSON PATRICE/Patient Care


BRUNELLE REGINA/Patient Care


BUCKNER KESHIA/Patient Care


BULLIE RENSSELAER/Patient Care


BULLOCK RICKY/Patient Care


BURKETT DAVID/Patient Care


BURKS ANTOINE/Patient Care


BYRD MATTHEW/Patient Care


CAMPBELL CHRISANN/Patient Care


CARSON FREDERICA/Patient Care


CARSON FREDETRIA/Patient Care


COMEAUX REBEKAH/Patient Care


COMMISKEY STEPHEN/Physician


CONNELLY LAUREN/Patient Care


CRAFT AMANDA/Patient Care


CROSBY DELISA/Patient Care

23-11

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source


DAKHLALLA SALAAHODDIN/Patient Care


DALLAS LAQUANIA/Patient Care


DAY OCTAVIA/Patient Care


DIEZ JENNIFER/Lab Director


DRAIN ASHALEY/Patient Care


DUNN TALYN/Patient Care


DUNSON ALBERTA/Patient Care


DURHAM ADLENE/Patient Care


EMMANUEL VIVIAN/Patient Care


EVANS CYNTHIA/Patient Care


FISHER LEE/Patient Care


FLETCHER-LEWIS MONTINA/Patient Care


FLOWERS ELLA/Patient Care


FLOYD JOHN/Physician


FOREMAN VERSHENDA/Patient Care


FURBY DORIS/Patient Care


FYKE DEBORAH/Payroll


GEE KENNETH/Police


GIBSON MARY/Patient Care




GIVENS LORI/Patient Care


GORDON ANDREA/Patient Care


GORDON GERALD/Patient Care

23-12

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source


GRANDBERRY MARY/Patient Care


GRANGER DEMETERIUS/Patient Care


GRAY WANDA/Patient Care


GREER EULA/Librarian


GRIFFITH NANETTE/Patient Care


GRINSTEAD LAKEISHA/Patient Care


HALL EBONI/Patient Care


HARRIS SANDRA/Patient Care


HAYES KIMBERLY/Patient Care


HEATH MILTORIA/Patient Care


HERRIN VINCENT/Physician


HEWITT CHENILLE/Patient Care


HILL ERIKA/Patient Care


HINSON WILLIAM/Patient Care


HOLDER BRENDA/Patient Care


HORHN SANDRA/Patient Care


HORN BETHANI/Patient Care


HUDSON ANGELA/Patient Care


HUTCHINS COURTNEY/Patient Care


HUTCHINS LAVINIA/Patient Care


JACKSON JACQUELYN/Patient Care


JACKSON JANICE/Patient Care


23-13

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

JACKSON TAMIA/Patient Care


JAMES EVMANDA/Patient Care


JAMES YOLANDA/Patient Care


JENKINS DEAMBERLEE/Patient Care


JENKINS JOSEPH/Patient Care


JOHNSON ANTONIO/Patient Care


JOINER MARY/Patient Care


JONES RASHETTA/Patient Care


KEEN CHRISTOPHER/Patient Care


KELLER GARY/Patient Care


KENDRICK HOLLIS/Patient Care


KENNEDY JOHN/Physician


KENT TRINDA/Patient Care


KINDREX ROBERT/Maintenance


KING SHARRON/Patient Care


KIRK ASHISLEN/Patient Care


KUTNER RICHARD/Physician


LADNER CORY/Patient Care


LADNER MARK/Physician


LANG BETTY/Patient Care


LEBLANC STEPHEN/Physician


LEE MACKINZIE/Patient Care


LEE PERCY/Patient Care


23-14

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

LEE ROSETTA/Patient Care


LEFLORE ANETRA/Patient Care


LENARD JOEY/Patient Care


LEWIS LASHUNDA/Patient Care


LUCKEY NORMAN/Police


MAGEE LASHANTEE/Patient Care


MALONE WILLIAM/Patient Care


MARTIN JAMES/Patient Care


MARTIN ZIPORA/Patient Care


MAXWELL MARY/Patient Care


MAXWELL WILBURN/Physician


MCBEATH ALEXIS/Patient Care


MCBRIDE-HALL SHARON/Patient Care


MCDONALD DESMOND/Patient Care


MCDONALD L'CHARLES/Patient Care


MCDOWELL RACHEL/Patient Care


MCGEE BRENYETTA/Patient Care


MCINNIS BRAGGIO/Patient Care


MCNEECE TERESA/Personnel


MOCK BRANDI/Patient Care


MOHA ROBIN/Patient Care


MONTGOMERY DEWERY/Patient Care


MOORE JASON/Patient Care


23-15

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

MOORE KIMBERLY/Patient Care


MOORE LATERRICA/Patient Care


MOORE MONIQUE/Patient Care


MORGAN JARRETT/Physician


MORRIS MELBA/Billing and Coding


MYERS MARCUS/Patient Care


NEWELL RAYMOND/Police


NICKS-LYLE GWENDOLYN/Patient Care


PAGE SHERMAIN/Patient Care


PARKER LAKYSHA/Patient Care


PATE JONAE/Patient Care


PERKINS FRANK/Patient Care


PHILLIPS REGINA/Patient Care


PHILSON KENDRICK/Patient Care


POWELL KEVAN/Patient Care


PUCKETT STEPHANIE/Patient Care


QUALLS KEMYATTA/Patient Care


RAMSAY CATHY/Patient Care


RATCLIFFE LATRICIA/Patient Care


RAWLS BREAUNA/Patient Care


REED DEMETRIA/Patient Care


ROBINSON BRITTANY/Patient Care


ROBINSON SHAYLA/Patient Care


23-16

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

ROPER ROKOYIA/Patient Care


SANDERS TAMIKA/Patient Care


SELLS BRENDA/Patient Care


SHEARER KATHERINE/Patient Care


SISTRUNK CURTIS/Maintenance


SKINNER DENORRIS/Patient Care


SLAUGHTER TONYA/Accounting


SMITH DANA/Patient Care


SMITH GARY/Physician


SMITH R/Physician


SMITH SUZANNE/Patient Care


SMITH WANDA/Patient Care


SNELL ANGELIQUE/Patient Care


SPANN JAMES/Police


SPEARS COURTNEY/Patient Care


STEEL BRITNEY/Patient Care


STOCKMEYER CORY/Patient Care


STONE RONALD/Patient Care


STRONG CLIFTON/Patient Care


STURGIS DANISHA/Patient Care


STYLES CAREY/Patient Care


TANNER CYNTHEIA/Medical Records


TAYLOR JARED/Physician

23-17

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source


TAYLOR JASON/Physician


THOMAS DENTASIA/Patient Care


THOMAS MYCHELL/Patient Care


THOMAS TONIA/Patient Care


THOMPSON DOROTHY/Transcriptionist


THORNHILL SONYA/Medical Records


THORNTON JOE/Patient Care


VAUGHN TANNER/Medical Records


WALKER NATASHA/Patient Care


WARD CARMEN/Patient Care


WARNER PATRICIA/Patient Care


WATSON MICHAEL/Police


WEIR HANNAH/Patient Care


WILBURN CARISA/Patient Care


WILLIAMS ELAINE/Patient Care


WILLIAMS LATASHA/Patient Care


WILLIAMS TIESHA/Patient Care


WILLIAMS TYRONE/Patient Care


WILLIS ARIEL/Patient Care


WOO MACK/Physician


WRIGHT KAITLYNN/Patient Care


YOSTE GEOFFREY/Patient Care


YOUNG KEWANZA/Patient Care

23-18

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source


YOUNG LORENZO/Patient Care


Total 61625000 CONTRACT WORKER PAYROLL MATCHING AMOUNTS - EFT 322,449 322,449 322,449

61626000 CONTRACT WORKER PR REFUNDS OF DEDUCTIONS - SPAHRS



Total 61626000 CONTRACT WORKER PR REFUNDS OF DEDUCTIONS - SPAHRS 22 22 22

61652000 CONSTRUCTION CONTRACTOR SERVICES

Bob's Pool Service Inc/Remove/Replace Valves on Pool

Comp. Rate: $310 avg cost 310 310 310 3337400000

Total 61652000 CONSTRUCTION CONTRACTOR SERVICES 310 310 310

61660000 ACCOUNTING AND FINANCIAL SERVICES

Horne LLP Dept #40263/Cost Report Preparation

Comp. Rate: $5202 per month 62,425 62,425 62,425 3337400000

V Wilson Consulting LLC/


Total 61660000 ACCOUNTING AND FINANCIAL SERVICES 63,888 63,888 63,888

61665000 INVESTMENT MANAGERS AND ACTUARY SERVICES

Arthur J Gallagher Risk Management Services Inc/Patient Trust BondComp. Rate: $4940 per year 4,940 4,940 4,940 3337400000

Old Republic Surety Co Inc/Police Officer Bonds

Comp. Rate: $75 per year 75 75 75 3337400000

Southern Insurance Group/Police Officer Bond Renewals


Total 61665000 INVESTMENT MANAGERS AND ACTUARY SERVICES 7,615 7,615 7,615

61670000 LEGAL AND RELATED SERVICES

BUISSON MARGARET C/Transcription Services


DEBRA M NESTER/Transcript of Motion Hearing


FORREST CTY CHANCERY CLERK/Filing fee for ConservatorshipComp. Rate: $147 per year 147 147 147 333740000

MERCEDES TRANSCRIPTION, INC./Transcription Services


RAMONA ROBERTS/Transcription Services

23-19

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

Comp. Rate: $125 average cost 125 125 125 333740000

Total 61670000 LEGAL AND RELATED SERVICES 61,296 61,296 61,296

61680000 MEDICAL SERVICES

20/20 VISION CARE INC/Patient Medical Care


ADVANCED FOOT CLINIC PLLC FARZAD FARYABI DPM/Patient Medical CareComp. Rate: $1221 per year 1,221 1,221 1,221 3337400000

ANESTHESIA CONSULTANTS PA/Patient Medical Care


APP OF MISSISSIPPI, LLC/Patient Medical Care


BENCHMARK MEDICAL STAFFING/Medical Technologist


BOND PHARMACY INC DBA ADVANCE INFUSION/Patient Medical CareComp. Rate: $3278 per year 3,278 3,278 3,278 3337400000

BRANDON HMA INC MERIT HEALTH RANKIN/Patient Medical CareComp. Rate: 10915 per month 130,979 130,979 130,979 3337400000

BUCKNER PROSTHETIC & ORTHO LAB/Patient Medical Care


CHARLES E MCMASTERS INC/Patient Medical Care


COASTAL ENT/HEAD & NECK SURG/Patient Medical Care


CROSSGATES HMA MEDICAL GRP LLC/Patient Medical Care


CROSSGATES MEDICAL GROUP LLC/Patient Medical Care


CROWELL WEYMOTH T MD/Lab Director


DATEX-OHMEDA INC/Anesthesian Machine Maintenance


DIMITRIADES MANAGEMENT/Physician


DR BRYAN VYVERBERG, MD, PLLC/Physician


ERIN QUAVE/Dietician Services


HARRY DOWDY PA DR HARRY DOWDY/Physician Consultant for WMSHComp. Rate: $2302 per month 27,624 27,624 27,624 3337400000

HUBCARE PATHOLOGY PA/Patient Medical Care


INFINITI HEALTHCARE SERVICES/Agency Nursing Services

Comp. Rate: $90506 per month 1,086,068 1,086,068 1,086,068 3337400000

23-20

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

JACKSON HMA LLC DBA MERIT HEALTH CENTRAL/Patient Medical CareComp. Rate: $2985 per year 2,985 2,985 2,985 3337400000

JACKSON RADIOLOGY ASSOC PA/Patient Medical Care


KONICA MINOLTA MEDICAL IMAGING USA INC/Patient Medical CareComp. Rate: $806 per month 9,675 9,675 9,675 3337400000

LAKELAND SURGICAL CLINIC/Patient Medical Care


LANDAUER INC/Radiation Dosimetry Service


LONG BEACH PRECISION VISION, LLC PRECISION VISION/Patient Medical CareComp. Rate: $65 per year 65 65 65 3337400000

LOTT WILLIAM CRISS PHD/Forensic Phychological Services


MEDICAL ASSOCIATES OF VICKSBURG, PL/Patient Medical CareComp. Rate: $1525 per year 1,525 1,525 1,525 3337400000

MEMPHIS PATHOLOGY LABORATORY AMERICAN ESOTERIC LABORATORIES/Reference Laboratory Testing ServiComp. Rate: $7130 per month 85,555 85,555 85,555 3337400000

MID SOUTH REHAB OUTPAT CLINIC/Agency PT and OT Therapy ServicesComp. Rate: $7341 per month 88,090 88,090 88,090 3337400000

MISSISSIPPI BAPTIST HEALTH SYS/Reference Laboratory Testing ServicesComp. Rate: $1327 per month 15,918 15,918 15,918 3337400000

MOHAMMAD ATHAR/Patient Medical Care


MS HMA HOSPITALIST LLC/Patient Medical Care


MS HMA HOSPITALISTS LLC/Patient Medical Care


PAFFORD EMERGENCY MEDICAL SERVICES INC/Patient Medical CareComp. Rate: $2073 per year 2,073 2,073 2,073 3337400000

PRECISION HEALTHCARE STAFFING/Agency Nursing Services


PRECISION ULTRASOUND IMAGING/Ultrasound Services


PRIMARY CARE MED CTR OF GULFPORT/Patient Medical CareComp. Rate: $40 per year 40 40 40 3337400000

RADIATION ONCOLOGY OF MS PA/Patient Medical Care


RAJESH PATEL MD PLLC CENTRAL PULMONARY CLINIC/Patient Medical CareComp. Rate: $525 per year 525 525 525 3337400000

RALPH WAYNE SMITH MD/Ulitlization Review Physician


RIVER OAKS HMA PHYSICIANS MANAGEMENT LLC/Patient Medical CareComp. Rate: $1027 per year 1,027 1,027 1,027 3337400000

RIVER OAKS HOSPITAL LLC RIVER OAKS HOSPITAL/Patient Medical CareComp. Rate: $1369 per month 16,431 16,431 16,431 3337400000

23-21

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

SOUTHERN HEALTHCARE AGENCY INC/X-Ray Technician


ST DOMINIC MEDICAL ASSOCS LLC/Patient Medical Care


STATE OF MS-UMMC UNIV PHYSICIANS/Patient Medical Care


STERICYCLE INC/Medical Waste Disposal


STEVEN SCHEPENS MEDICAL LLC/Medical Consultant


STORER ROBERT M DBA PSYCHOLOGICAL SERVICES/Forensic Phychological ServicesComp. Rate: $11467 per month 137,600 137,600 137,600 3337400000

TECH MED SUPPLY INC/Patient Medical Care


TRUSTCARE HEALTH LLC/COVID Testing


UMB BANK NA CARD SERVICES/Certifications


UMC-UNIVERSITY PHYSICIANS/Patient Medical Care


UNIV OF MS MEDICAL CENTER UNIVERSITY PHYSICIANS/EKG ConsultationsComp. Rate: $630 per month 7,560 7,560 7,560 3337400000

UNIV PSYCHIATRIC ASSOC LLP/Child Psychiatrist Services


WAVELAND DENTAL CENTER PLLC/Patient Medical Care


WORLD WIDE DICTATION SERVICES OF NEW YORK INC/Agency Nursing ServicesComp. Rate: $123 per year 123 123 123 3337400000

Total 61680000 MEDICAL SERVICES 2,500,967 2,500,967 2,500,967

61690000 FEES AND SERVICES - PROFESSIONAL FEES CHARGED

ACE DATA STORAGE INC/Document Shredding Services


ADS SYSTEMS LLC/Fire Extinguisher Assessment


ADVANCED ENVIRONMENTAL CONSULTANTS INC/Microbiologica AssessmentComp. Rate: $4790 per year 4,790 4,790 4,790 333740000

AMAZON WEB SERVICES, INC. AMAZON WEB SERVICES/Cloud StorageComp. Rate: $459 per month 5,511 5,511 5,511 333740000

AUTO TRIM DESIGNS, INC AUTO TRIM DESIGNS/Police GraphicsComp. Rate: $427 per year 427 427 427 333740000

B & E COMMUNICATIONS INC/Mileage


BELINDA STEWART ARCHITECTS PA/Pre-Design Charges


23-22

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

BILLIARD SALES LLC/Trip Charges


BOILER SAFETY FUND MS STATE DEPT OF HEALTH/Inspect Boilers/Water HeatersComp. Rate: $3510 per year 3,510 3,510 3,510 333740000

BUSINESS COMMUNICATIONS INC/Professional Services for TelehealthComp. Rate: $963 per year 963 963 963 333740000

CASEY A. ENGLISH TINY TAILS PETTING ZOO LLC/Traveling EventComp. Rate: $300 per year 300 300 300 333740000

CHEM AQUA INC/Water Treatment Program


CLIA LABRATORY PROGRAM/Laboratory Certificate Fee


CME/Employee Drug Screens


COMCAST/Cable Services


DARLING INGREDIENTS INC/Service Fee Trap Ext


DAVID JONATHAN CLAYTON DBA CLAYTON POLYGRAPH SERVICES LLC/PolygraphsComp. Rate: $400 per year 400 400 400 333740000

DIANNA GALE YOUNG/Polygraphs


DIRECTV INC/Cable Services


DORON DEVELOPMENT CORP INC/Replace Ductwork


E Z WHEELS INC/Pick up and Delivery


EATON CORPORATION/Battery Inspection


ECOLAB PEST ELIMINATION/Pest Control Services


ELIOR, INC CURA HOSPITALITY, LLC/Patient Meals

Comp. Rate: $278210 per month 3,338,518 3,206,870 3,206,870 333740000

ERIN QUAVE/Dietician


FIRE DOOR SOLUTIONS LLC/Fire Door Inspection


FORERUNNER TECHNOLOGIES INC/Labor/Time for Configuration of 911 NotificationsComp. Rate: $75 per year 75 333740000

G AND L SERVICING, LLC./Cleaning Cooling Towers and TestingComp. Rate: $3615 per year 3,615 2,100 2,100 333740000

GRINER DRILLING SERVICE INC P O DRAWER 825/Troubleshoot and Repair Water WellComp. Rate: $1009 per year 1,009 1,009 1,009 333740000

HALL'S WRECKER SERVICE INC/Tow Services


23-23

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

HARRISON CTY UTILITY AUTHORITY/Grease Trap Permit RenewalComp. Rate: $120 per year 120 120 120 333740000

HEALTHCARE SECURITY CONSULTANTS, IN/Security AssessmentComp. Rate: $1760 per month 21,125 21,125 21,125 333740000

HR DIRECT/Smart App Renewal


IRON MOUNTAIN INC IRON MTN INFORMATION MGMT LLC/Jan - June 30 Container ShredderComp. Rate: $480 per year 480 480 480 333740000

JACKSON LIFESIGNS INC P O BOX 501/Interpreting Services


JACKSON SAFE & LOCK CO/Service Call


JAMEL SEKOE WHITE/Interpreting Services


JOHNSON CONTROLS/Performance measurement and verification


JOINT COMMISSION RESOURCES/Survey Readiness Program


JOURNAL ENTRIES/CORRECTIONS

Comp. Rate: $197783 per entry (1,384,481) (1,384,481) (1,384,481) 333740000

KEVIN COLE COLE CUTS BARBER SHOP/Hair Care for ResidentsComp. Rate: $2095 per year 2,095 2,095 2,095 333740000

KILLEN CONTRACTORS INC/Labor for fixing broken poles and resotration of servicesComp. Rate: $618 per month 7,413 7,413 7,413 333740000

LAKENYA SPANN/Cosmetology Services


LANE-TEDDER & ASSOCIATES INC/Re-work 600 pair copper slice replaceComp. Rate: $2335 per year 2,335 2,335 2,335 333740000

MARQUIS POWELL POWELL ENTERPRISE CONSULTANTS/Motivational SpeakerComp. Rate: $4807 per year 4,807 4,807 4,807 333740000

MED ONE CAPITAL FUNDING, LLC MED ONE CAPITAL/Late FeesComp. Rate: $89 per year 89 333740000

MED ONE CAPITAL FUNDING, LLC/Late Fees

Comp. Rate: $44 per year 44 333740000

MED ONE CAPITAL FUNDING/Late Fees


MED SCREENS/Employee Drug Screens


MS RURAL WATER ASSOCIATION INC/Consumer Confidence ReportComp. Rate: $95 per year 95 95 95 333740000

NCS INC - PEARSON/Annual License Renewal


OFFICE DEPOT - CINCINNATI/Surcharge


OWENS & MINOR DISTRIBUTION INC DBA OWENS & MINOR/Medical SuppliesComp. Rate: $25 per year 25 25 25 333740000

23-24

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

PAYNE-MORRIS CARRIE JOYCE/Speech Therapist


PHOENIX TEXTILE CORPORATION/ECT Repairs


PILEUM CORP DEPT 05-081/AD Sync tool move/AD upgrade


PREMIERE SHREDDING INC/Shred Paperwork Container


QUADAX, INC./Monthly Claims Service Fee


REG XIII COMM FOR MH/MR DBA THE COUNSELING CENTER/EAP ServicesComp. Rate: $367 per year 367 367 367 333740000

REPUBLIC SERVICES INC DBA REPUBLIC SERVICES OF GA/Waste ServicesComp. Rate: $2370 per month 28,439 28,439 28,439 333740000

RYDER TRANSPORTATION SERVICES/Mileage


SCARBOROUGH SUSAN M SHEAR ILLUSIONS/Cosmetology ServicesComp. Rate: $3060 per year 3,060 3,060 3,060 333740000

SEFCO ELECTRIC SUPPLY/Late Fees


SMITH BRIAN UNITED BIOMEDICAL/Biomedical Services


SOUTHERN CHLORINATOR/Fuel Surcharge


SOUTHERN FIRE SPRINKLER INC/Inspection of Fire Sprinkler SystemComp. Rate: $450 per year 450 450 450 333740000

STERICYCLE INC/Medical Waste Disposal


SUNBELT RENTALS INC/Portable AC Rental


SYSTRONIC TIME SYSTEMS/Labor, Travel and Mileage


T L WALLACE CONST CO INC/Leak and Cathodic


TAPPER SECURITY INC/Security


TERMINIX PROCESSING CENTER/Pest Control Services


THE JOINT COMMISSION/Patient Care


THE MANDT SYSTEM INC THE MANDT SYSTEM/Re-CertificationComp. Rate: $4740 per year 4,740 4,740 4,740 333740000

THE SEVEN CHALLENGES LLC DBA VIVA PRESS/Fidelity FeeComp. Rate: $417 per month 5,000 5,000 5,000 333740000

TPG CONSTRUCTION & MASONRY/Installation of Bathroom Partition WallsComp. Rate: $4500 per year 4,500 4,500 4,500 333740000

23-25

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

UMB BANK NA CARD SERVICES/Certifications


UTILITY ANALYSTS INC/Utility Rate Cost Evaluation


VALLEY SERVICES INC/Patient Meals


V-ELECTRIC INC./Install Disconnect/E-Stop Button on Boiler


VITAL RECORDS CONTROL/Storage and Retrieval of Records


VITAL RECORDS HOLDINGS LLC VRC CO LLC DBA VITAL RECORDS CONTRO/Storage and Retrieval of RecordsComp. Rate: $1134 per month 13,612 13,612 13,612 333740000

WORLD WIDE DICTATION SERVICES OF NEW YORK INC/Dictation ServicesComp. Rate: $740 per year 740 740 740 333740000

Total 61690000 FEES AND SERVICES - PROFESSIONAL FEES CHARGED 3,113,196 2,709,807 2,709,807

GRAND TOTAL 9,301,885 8,914,961 8,914,961

23-26

Name of Agency




w/ PERS

(1)Actual Expenses






Fund Source

Passenger Vehicles

63300100 VANS

2022 DODGE CARAVAN MAINTENANCE MAINTENANCE Replacement 22,950

2022 DODGE CARAVAN INFORMATION MANAGEMENT IM Replacement 22,950

TOTAL 45,900

TOTAL VEHICLE REQUEST 45,900

24-1

Name of Agency


VEHICLE PURCHASE DETAILS

Year Model Person(s) Assigned To Vehicle Purpose/UseReplacement

Or New?FY2022

Req. Cost

P TAURUS 2002 FORD MAINTENANCE MAINTENANCE G-23459 80,304 4,461

P CROWN VICTORIA 2011 FORD POLICE POLICE G-65035 122,339 13,593

P CROWN VICTORIA 2011 FORD POLICE POLICE G-65037 136,324 15,147

P IMPALA 2014 CHEVROLET STF STF G-67102 27,253 4,542

P CHARGER (POLICE) 2014 DODGE POLICE POLICE G-74456 7,197 1,200

P IMPALA (POLICE) 2014 CHEVROLET POLICE POLICE G-74455 99,203 16,534

P CUTAWAY VAN 1993 GMC RECREATIONAL SERVICES RECREATION S-14368 133,219 4,934

P RALLY WAGON 1993 GMC INFORMATION TECH IM S-13979 224,000 8,296 Y

P CUTAWAY VAN 1996 FORD MAINTENANCE MAINTENANCE S-16358 165,255 6,886

PVAN (AMBULANCE) 2001 FORD TRANSPORTATION TRANSPORTATION G-19613 157,757 8,303

P ECONOLINE VAN 2005 FORD TRANSPORTATION TRANSPORTATION G-50491 50,619 3,375

P CARAVAN 2007 DODGE TRANSPORTATION TRANSPORTATION G-41090 66,631 5,125

P CUTAWAY VAN 2008 FORD TRANSPORTATION TRANSPORTATION G-47001 131,801 10,983


P ECONOLINE VAN 2008 FORD TRANSPORTATION TRANSPORTATION G-46592 99,390 8,283

P EXPRESS VAN 2008 CHEVROLET TRANSPORTATION TRANSPORTATION G-47700 176,239 14,687 Y

P EXPRESS VAN 2008 CHEVROLET TRANSPORTATION TRANSPORTATION G-47699 120,494 10,041

PSAVANA CUTAWAY 2008 GMC TRANSPORTATION TRANSPORTATION G-61178 111,307 9,276

P UPLANDER 2008 CHEVROLET TRANSPORTATION TRANSPORTATION G-04624 165,290 13,774

PECONOLINE WAGON 2009 FORD STF STF G-51597 8,692 790

PECONOLINE WAGON 2009 FORD STF STF G-51596 9,961 906






Vehicle Type: (P)assenger/(W)ork25-1

Name of Agency


VEHICLE INVENTORYAS OF JUNE 30, 2020

Vehicle Type Vehicle Description Model

Year Model Person(s) Assigned To Purpose/Use Tag Number Mileage on6-30-2020

Average Miles per Year

Replacement Proposed

FY2021 FY2022


P CARAVAN 2017 DODGE STF STF G-67993 52,002 17,334




P CARAVAN 2006 DODGE ADMINISTRATION ADMINISTRATION G-74041 150,988 10,785

P CARAVAN 2006 DODGE ADMINISTRATION ADMINISTRATION G-74038 148,561 10,612

P AMBULANCE 2016 CHEVROLET TRANSPORTATION TRANSPORTATION G-76360 63,779 15,945


P TRANSIT VAN 2017 FORD TRANSPORTATION TRANSPORTATION G-78172 21,051 7,017

P TRANSIT VAN 2017 FORD TRANSPORTATION Transportation G-78170 22,031 7,344

P TRANSIT VAN 2017 FORD TRANSPORTATION Transportation G-78171 17,682 5,894

P CARGO VAN 2017 FORD TRANSPORTATION Transportation G-78173 11,428 3,809

P CARAVAN 2017 DODGE TRANSPORTATION Transportation G-77609 6,917 2,306


P ECONOLINE 2017 FORD TRANSPORTATION Transportation G-78471 8,816 2,939



P VAN 15 PASSENGER 2017 CHEVROLET TRANSPORTATION Transportation G-78168 18,921 6,307

P EXPRESS VAN 2014 CHEVROLET TRANSPORTATION Transportation G-67685 47,411 7,902

P EXPRESS VAN 2014 CHEVROLET TRANSPORTATION Transportation G-67684 48,425 8,071


W CUTAWAY VAN 1993 FORDENVIRONMENTAL SERVICES LAUNDRY S-14217 71,868 2,662

W CUTAWAY VAN 1997 FORDENVIRONMENTAL SERVICES LAUNDRY G-01942 169,635 7,375

WECONOLINE WAGON 2002 FORD MAINTENANCE MAINTENANCE G-43508 75,505 4,195

W CARAVAN 2003 DODGE MAINTENANCE MAINTENANCE G-26249 88,142 5,185


Name of Agency







FY2021 FY2022

W SAVANA 2003 GMCENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES G-24393 143,247 8,426

WECONOLINE WAGON 2004 FORD MAINTENANCE PAINT SHOP G-30657 165,007 10,313

W VENTURE 2004 CHEVROLET MAINTENANCE MAINTENANCE G-27843 113,907 7,119

W CARAVAN 2005 DODGE MAINTENANCE MAINTENANCE G-32840 85,673 5,712

W ECONOLINE VAN 2005 FORD INFORMATION TECH IM G-31937 98,940 6,596



WSAVANA CUTAWAY 2008 GMC WAREHOUSE WAREHOUSE G-60125 125,191 10,433

W CARAVAN 2007 DODGE MAINTENANCE PARTS RUNNER G-73098 183,214 14,093 Y

W UPLANDER 2008 CHEVROLET MAINTENANCE MAINTENANCE G-74039 130,651 10,888

W CARAVAN 2006 DODGE WAREHOUSE WAREHOUSE G-74040 146,497 10,464

W F-150 1998 FORD MAINTENANCE MAINTENANCE G-51697 153,850 6,993

W S10 1989 CHEVROLET MAINTENANCE ELECTRIC SHOP S-10924 178,399 5,755

W TRUCK 1991 CHEVROLET MAINTENANCE PAINT S-11654 192,661 6,643

W TRUCK 1991 CHEVROLET MAINTENANCE WATER S-11651 159,587 5,503

W F-150 1998 FORD MAINTENANCE ELECTRIC SHOP G-07286 77,868 3,539

W RANGER 1998 FORD MAINTENANCE PAINT G-06899 77,483 3,522

W RAM TRUCK 1999 DODGEENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES G-51698 244,612 11,648 Y

W RANGER 2000 FORD MAINTENANCE ELECTRIC SHOP G-15193 94,444 4,722

W RANGER 2000 FORD POLICE FIRE CHIEF G-15192 91,328 4,566

W RAM TRUCK 2001 DODGE MAINTENANCE CARPENTER SHOP G-15189 45,050 2,371

W RAM TRUCK 2001 DODGE MAINTENANCE MAINTENANCE G-15191 107,933 5,681

W RAM TRUCK 2001 DODGE MAINTENANCE HVAC C-15188 81,119 4,269

W RAM TRUCK 2001 DODGEENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES G-15190 98,394 5,179

W RANGER 2002 FORD MAINTENANCE CARPENTER SHOP G-23457 107,534 5,974


Name of Agency







FY2021 FY2022

W RANGER 2002 FORD MAINTENANCE PAINT SHOP G-23456 54,305 3,017

W RANGER 2002 FORD MAINTENANCE CARPENTER SHOP G-23458 29,872 1,660

W SILVERADO 2002 CHEVROLET MAINTENANCE MAINTENANCE G-20778 99,744 5,541

W RANGER 2005 FORD MAINTENANCE MAINTENANCE G-31938 119,112 7,941

W TRUCK 1977 CHEVROLET MAINTENANCE MAINTENANCE S-2110 196,769 4,576

W RAM TRUCK 1999 DODGEENVIRONMENTAL SERVICES PEST CONTROL G-48216 171,443 8,164


W RAM TRUCK 2001 DODGE MAINTENANCE HVAC G-58494 158,201 8,326

W RAM TRUCK 2001 DODGEENVIRONMENTAL SERVICES GARBAGE G-51692 197,531 10,396

W SIERRA 2002 GMC MAINTENANCE PLUMBING SHOP G-51696 163,117 9,062

W SIERRA 2003 GMC MAINTENANCE HVAC G-51691 238,899 14,053

W SIERRA 2003 GMC MAINTENANCE CARPENTER SHOP G-51695 172,264 10,133

W SIERRA 2003 GMC MAINTENANCE WAREHOUSE G-51694 184,516 10,854

W SIERRA 2006 GMC MAINTENANCE GROUNDS G-58493 215,921 15,423

W F-150 (POLICE) 2016 FORD POLICE POLICE G-73619 40,550 10,138



W RANGER 2001 FORD MAINTENANCE ELECTRIC SHOP G-73099 112,048 5,897

W F-150 2007 FORD MAINTENANCE ELECTRIC SHOP G-73615 125,341 9,642

W F-150 2007 FORD MAINTENANCE PLUMBING SHOP G-73615 99,403 7,646

W F-150 2007 FORD MAINTENANCE CARPENTER SHOP G-73612 120,272 9,252


W F-150 2007 FORD MAINTENANCE PLUMBING SHOP G-73613 145,667 11,205

W F-150 2007 FORD MAINTENANCE CARPENTER SHOP G-73615 153,367 11,797




Name of Agency







FY2021 FY2022




P BUS 2004INTERNATIONAL TRANSPORTATION TRANSPORTATION G-27144 48,550 3,034

P STARCRAFT BUS 2017 FORD TRANSPORTATION TRANSPORTATION G-78610 24,032 8,011

W C6500 (C7D) 1983 GMC MAINTENANCE MAINTENANCE S-6963 7,490 202

W C6500 1985 CHEVROLET POLICE COMPOUND IN SHED S-2142 12,997 371

W C6500 (C7D) 1990 GMC MAINTENANCE GROUNDS G-01058 127,113 4,237

W DUMP TRUCK 1996 FORD MAINTENANCE GROUNDS G-48051 117,870 4,911

W BUCKET TRUCK 2007INTERNATIONA MAINTENANCE MAINTENANCE G-04090 5,345 411

W DRW SUPER 2008 FORD MAINTENANCE MAINTENANCE G-64585 85,310 7,109

W POLE TRUCK 1967 CHEVY MAINTENANCE MAINTENANCE S-3016 77,699 1,466


Name of Agency







FY2021 FY2022

Vehicle Pool Member List

Pest Services – ES Robert Hill

Police and Fire Staff Andrew Pitts

Norman Luckey (Jeff)

George Mullins

William Kornegay

Autery Dunbar

Derrick Berry

Marcell Burns

Nathan Craft

Roy Nichols

Gary Roberts

Kendrick McCoy

Jenny Pittman

Tommy Steen

Morgan Womack

Norman Luckey

Michael Watson

Samyone Odoms

Raymond Newell

James Spann

Kenneth Gee

Darryle Burton

Laundry- ES Patricia Mahaffey

Carolyn Pack

Mona Michelle Taylor

Alvin Thorton

Billy Mallard

Earnest Brooks

Fredrick Williams

Kentaveus Woodard

Hospital Administration- James Chastain

Donna Boykin

Amanda Matson

Marilyn Martin

Transportation- Marvin Armstrong

Barry Barnes

Venus Carr

Bobby Dawson

Eddie Ephform

Vernice Evans

Diva Coleman

Marcus Dixon

Daniellye Turner

Keysha Mason

Jacqueline Moffett

Franklin Moore

Michael Washington

Suzette Johnson

Carly Quinn

Larry Gray

Jeanette Minor

Information Mgm/Voice Services

Brandon Byrne

Chad Cessna

Joseph Layton

Chad Rommerdale

J. Christopher Thomas

Kevin Frazier

Justin Thornton

Tim McLaurin

Adarrius Skinner

Kevin Bullard

Paint Shop – Maint Anthony Miggins

Steven Scott

Harold Mack

William Beggiani

Electric Shop – Maint Forrest Chase

Thomas Symon

Derick Wolfe

HVAC Shop – Maint Brent Craft

Stanley Nobles

Stephen Strong

Jason Thornton

Andrew Sistrunk

Automotive Shop – Maint Jimmy Green

Grounds – Maint Dominque Davis

Anthony Lockhart

Alan Means

Gregory Smith

Drew Long

Steven Morgan

James Pressey

Plumbing Shop – Maint

Barrett Nall

James Quinn

Kenneth Lacy

Adm/Office Staff – Maint Craig Martin

Angela Tanner

Paul Case

Tammie Newsome

Robert Bowers

Robert K Kindrex

Nightman – Maint. On call guy

Carpenter Shop – Maint Michael Holiday

Phillip Thomas

Chase Middleton

Jose J Castro Vargas

Locksmith Shop – Maint Riley Savell

Evening & Night Adm. Kenneth Collier

Daniel Myers

Shirice Reed

Daniel Ratliff

Carolyn Dart

HR/Personnel Bobby Blanks

Swayze Cheatham

Diana Hunter

Tarshall Wilson

Robin Hobbs

Dolly Hawkins

Staff Education Donna Chapman

Louise Coleman

Kewan Ewing

Shircell Massey

Sophia Jefferson

Randell Baker

Sheila Hicks

Lakeside School Titella Ervin

Melissa Hearn

Ken Hamilton

CTS Treatment Mall Donnia Rozell-Bowles

Jeanifer Watkins

David Hubbard

Cassandra Myles

Calvin Ellis

Melita Breeden

Horticulture Shawn Cagle

Pharmacy Lisa Thames-Payton

Betty Kendrick

Carlice Watkins

Donald Johnson

Michelle Blakely

Angela Boles

Shelia Cantrell

Stella Odogwu

Vicki Veazy

Polly Jackson

Housekeeping Marie Bingham

John Crain

Sharron Mills

Jennie Miner

Broderick Mack

Tiffany Jefferson

Jermane Taylor

William Hinson

Catina Singleton

Vera Knight

Mary Maxwell

Precious Brown

Kendrick Philson

Deamberlee Jenkins

Andrea Gordon

Warehouse/Property Tyran Robinson

Trevor Jarman

George Green

Stephanie Williams

H. L. Lockhart

Broderick Mosely

Angela Smith Carter

Vince Gibbs

Shantae Ransom

Jerlean McCoy

Arlishea Dyson

Rehabilitation Services Tralecia Rollins

Shaunelius Davis

Dwayne Green

Christopher Allen

Stacey Davis

Angie Ware

Brad Elmore

Jacarran Crump

Janice McDonald

Courtney Taylor

Robbie Rhodes

Ester Jiles

Kenitra Walker

Jestyne McGee

Dominique Sutton

Shonnett Wilson

Kevin Moore

Deborah Bland

Cintarrio Palmer

Priority # 1

Program # 1: MI - Institutional Care

Residency Program

Salaries 582,180

Commodities 38,680

Totals 620,860

General Funds 620,860

Stimulus Funds

Federal Funds (951,263)

Other Special Funds 951,263

27-1

Name of AgencyMental Health - Mississippi State Hospital (374-00)

PRIORITY OF DECISION UNITSFISCAL YEAR 2022

Program Decision Unit Object Amount

28-1

Name of Agency


CAPITAL LEASES

VENDOR/ITEM LEASED

Original Date of Lease

Original No. of

Months of Lease

No. of Months

Remaining on 6-30-20

Last Payment

DateInterest

Rate

Amount of Each Payment

Principal Interest Total

Total of Payments To Be Made

Estimated FY 2021 Requested FY 2022

Principal Interest Total Principal Interest Total

Actual FY 2020

Major ObjectFY2021 General Fund Reduction

EFFECT ON FY2021 STATE SUPPORT SPECIAL FUNDS

EFFECT ON FY2021 FEDERAL

FUNDS

EFFECT ON FY2021 OTHER SPECIAL

FUNDSTOTAL 3%

REDUCTIONS

SALARIES, WAGES, FRINGE (1,813,385) (1,813,385)

TRAVEL

CONTRACTUAL

COMMODITIES

OTHER THAN EQUIPMENT

EQUIPMENT

VEHICLES

WIRELESS COMM. DEVS.

SUBSIDIES, LOANS, ETC

TOTALS (1,813,385) (1,813,385)

29-1

Form MBR-1-03PB

Name of Agency


Summary of 3% General Fund Program Reduction to FY 2021 Appropriated Funding by Major Object

Agency Revenue Source Report - FY2020 DataAs Required by HB 831, 2015 Legislative SessionAnd SB 2387, 2016 Legislative Session

Agency Name Mississippi State Hospital

Budget Year 2022

State Support Sources Amount Received General Funds 63,056,500$

State Support Special Funds: Amount Received Education Enhancement Funds Health Care Expendable Funds 3,161,883$ Tobacco Control Funds Capital Expense Funds Budget Contingency Funds Working Cash Stabilization Reserve Funds BP Settlement Fund Gulf Coast Restoration Fund SSSF new 1 SSSF new 2 SSSF new 3 SSSF new 4 SSSF new 5

List all Federal Funds at its most specific level, such as an office or division, include name of grant, grantor, not the federal department.Federal Funds Amount Received Action or results promised in order to receive funds HHS Stimulus Funds 951,263$ Stimulus Funds received through the Cares Act Federal Fund #2Description of any Maintenance of Effort agreements entered into with any N/Afederal agency or subdivision thereof

Special Funds Amount Received Medicaid 28,465,155$ Medicare 3,980,228$ Patient/Client Fees 1,592,211$ Other 7,823,758$

Revenue from Tax, Fine or Fee Assessed Private Pay Patient Fees Amount Assessed

Amount CollectedAuthority to Collect §41-4-7

Method of Determining Assessment

Based on cost of adequate paitent care and length of stay required fo rdiagnosis, as well as patient's ability to pay.

Method of CollectionPrivate pay billing following the month of services are rendered.

Amt. & Purpose for which ExpendedAmount Purpose

3,426,545$

To reimburse Mississippi State Hospital fo rservices rendered in the treatment of and stay of patients not covered by a third party provider.

Amount Transferred to General Fund -$ Authority for Transfer to General Fund N/A Amount Transferred to Another Entity -$ Authority for Transfer to Other Entity N/A Name of Other Entity N/A Fiscal Year-Ending Balance -$

Revenue from Tax, Fine or Fee Assessed Medical Record Photocopies Amount Assessed 779$

Amount Collected 779$ Authority to Collect

Method of Determining AssessmentBased on medical record requests from third parties and volume of requests.

Method of Collection At the time medical record copies are requestedAmt. & Purpose for which ExpendedAmount Purpose

779$ To reimburse MSH for the actual cost of searching, reviewing, duplicating and method of delivery.

Amount Transferred to General FundAuthority for Transfer to General FundAmount Transferred to Another EntityAuthority for Transfer to Other EntityName of Other Entity Fiscal Year-Ending Balance

Revenue from Tax, Fine or Fee Assessed P. O. Box Rental Amount Assessed 1,600$

Amount Collected 1,600$ Authority to Collect 39 U.S. Code §404

Method of Determining AssessmentBased on requests made by general public for post office boxes and by volume

Method of Collection At the time of post office box rentalAmt. & Purpose for which ExpendedAmount Purpose

1,600$ To cover the cost of maintaining and developing postal services to meet the need of Mississippi State Hospital

Amount Transferred to General Fund -$ Authority for Transfer to General Fund N/AAmount Transferred to Another Entity -$ Authority for Transfer to Other Entity N/AName of Other Entity N/AFiscal Year-Ending Balance -$

Revenue from Tax, Fine or Fee Assessed Employee Physical Fee Amount Assessed 893$ Copy Entire Section to Add New Item Amount Collected 893$

Authority to Collect §41-4-7

Method of Determining AssessmentBased on employee turnover, new hires, and volumne of requests for employee physicals

Method of Collection $ 893 Amt. & Purpose for which ExpendedAmount Purpose

893$ To reimburse Mississippi State Hospital for services rendered in performing employee physicals

Amount Transferred to General Fund - Authority for Transfer to General Fund N/AAmount Transferred to Another Entity - Authority for Transfer to Other Entity N/AName of Other Entity N/AFiscal Year-Ending Balance -

request by funding source specify funding sources as …

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