1 department of human services fiscal year 2015 budget request agency budget briefing march 26, 2014...
TRANSCRIPT
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Department of Human Services
Fiscal Year 2015 Budget Request
Agency Budget Briefing
March 26, 2014
Pat Quinn, Governor
Michelle R.B. Saddler, Secretary
Robert Brock, Budget Director
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DHS Agency Budget RequestFiscal Year 2015
General Revenue Fund – Dollars in billions
FY12 Actual Expenditures: $3.415B
FY13 Actual Expenditures: $3.498B
FY14 Estimated Spending: $3.179B
FY15 Appropriation Request: $3.681B
$3.681$3.498$3.415$3.179
$0.000
$0.900
$1.800
$2.700
$3.600
$4.500
FY12 Act Spdg FY13 Act Spdg FY14 Est Spdg FY15 Request
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DHS Fiscal Year 2015
Budget Request Highlights
The FY15 proposed budget represents a
$501.4M GRF increase from FY14 Agency estimated expenditures
This proposal is aimed at providing services to more than 2.8 million customers that we serve annually
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DHS Fiscal Year 2015
Budget Request Highlights continued…
The Budget request provides an added $700,000 for DHS DASA detoxification Services Outreach
DMH’s FY15 budget request includes annualized costs associated with the Forensic Plan of Correction to ensure that individuals remanded to DHS custody are transferred from jails within the statutory timeframe
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DHS Fiscal Year 2015
Budget Request Highlights continued…
DHS will be continuing to rebalance the long term care system for individuals with developmental disabilities
As previously announced, DHS is moving forward with its plans to close the Murray Developmental Center in FY15
The proposed budget includes $30M for a partial-year, $1 per hour wage increase for Direct Support Persons who work in Intermediate Care Facilities for Persons with Developmental Disabilities (ICFs/DD) and community-based residential and day services
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DHS Fiscal Year 2015
Budget Request Highlights continued…
The FY15 request includes the transfer of the AmeriCorp Program from the Division of Family and Community Services to the Department of Public Health
The Division of Family and Community Services is requesting an additional 500 staff in the FY15 budget to remedy historic understaffing
In partnership with the Department of HFS, DHS has requested funds to be made available for the transition of DHS clients into Care Coordination
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DHS Fiscal Year 2015
Budget Request Highlights continued…
In compliance with the SMART Act, DRS implemented the Electronic Visit Verification (EVV) program. Since implementation, on January 1, 2014, over 24,000, or 86%, of Individual Providers/Personal Assistants have used the telephony system to document hours worked.
Illinois is the first state to combine electronic timekeeping with a payroll processing system alongside a data warehouse for tracking and monitoring service delivery
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DHS Fiscal Year 2015Alcoholism and Substance Abuse
General Revenue Fund – Dollars in millions
FY12 Actual Expenditures = $129.0M
FY13 Actual Expenditures = $128.7M
FY14 Estimated Spending = $119.6M
FY15 Appropriation Request = $120.3M
FY12 Act Exp FY13 Act Exp FY14 Est Spdg FY15 Request$0.0
$50.0
$100.0
$150.0
$129.0 $128.7 $119.6$120.3
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DHS Fiscal Year 2015Alcoholism and Substance Abuse
Budget Request Highlights
The proposed FY15 funding will allow the continuation of Addiction Treatment Services to approximately 70,000 clients
The Budget request provides an added $ 700,000 for DHS DASA Detoxification Services Outreach
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DHS Fiscal Year 2015Developmental Disabilities
General Revenue Fund – Dollars in billions
FY12 Actual Expenditures = $1.107B
FY13Actual Expenditures = $1.452B (included funding to eliminate payment backlog)
FY14 Estimated Spending = $1.047B
FY15 Appropriation Request = $1.135B
* FY13, $1.515 including $63.0M from the Healthcare Provider Relief Fund (HPRF)
* FY14, $1.417 including $370.0M from the Healthcare Provider Relief Fund (HPRF)
*FY15, $1.505B including $370.0M from the Healthcare Provider Relief Fund (HPRF)
FY12 Act Exp FY13 Act Exp FY14 Est Spdg FY15 Request$0.000$0.200$0.400$0.600$0.800$1.000$1.200$1.400$1.600
$1.107$1.452
$1.047$1.135
$0.06
$0.37$0.37
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DHS Fiscal Year 2015 Developmental Disabilities
Budget Request Highlights
The FY15 budget request represents the continuation of two significant actions in the State’s efforts to transition services for individuals with developmental disabilities from Long Term Care Facilities to Person Centered, Community Integrated Services:
1) The closure of the Murray Developmental Center, and
2) The implementation of the Ligas Consent Decree
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DHS Fiscal Year 2015 Developmental Disabilities
Budget Request Highlights continued…
The proposed budget includes $27M to fund expansion of community services for Ligas
Class Members $2.8M to support the transition of an additional 100
individuals out of state-operated centers to community-based settings
$2.5M for the transition of DCFS wards to adult services $30M for a partial-year, $1 per hour wage increase for Direct
Support Persons who work in Intermediate Care Facilities for Persons with Developmental Disabilities (ICFs/DD) and community-based residential and day services
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DHS Fiscal Year 2015Developmental Disabilities
Budget Request Highlights continued…
The Ligas expansion is being funded through the federal Balancing Incentive Program (BIP). In addition, BIP funds are being used to: Create 16, 24-hour stabilization capacities for individuals
at risk in the community who need temporary residential services due to extreme behavior issues ($3.4M)
Expand Service and Support Teams that assist individuals at risk in the community ($2M)
Undertake an Employment First Initiative to strengthen access to Supported Employment Opportunities ($2M)
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DHS Fiscal Year 2015Family & Community Services
General Revenue Fund – Dollars in billions
FY12 Actual Expenditures = $.940B
FY13 Actual Expenditures = $.891B
FY14 Estimated Spending = $.940B
FY15 Appropriation Request = $1.201B
FY12 Act Exp FY13 Act Exp FY14 Est Spdg FY15 Request$0.000
$0.200
$0.400
$0.600
$0.800
$1.000
$1.200
$1.400
$0.940 $0.891 $0.940 $1.201
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DHS Fiscal Year 2015Family & Community Services
Budget Request Highlights
In FY15, the AmeriCorp Program will transition from DFCS to DPH
The proposed budget includes funding in the income assistance lines to allow us to maintain the TANF caseload and all other income assistance caseloads
The proposal also includes funding for Child Care to Support the cost of higher quality care for our youngest children Reduce parent co-pays for Child Care Ensure an average of 163,600 children per month continue to have
access to Child Care so their parents can maintain employment
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DHS Fiscal Year 2015Family & Community Services
Budget Request Highlights continued…
The proposed FY15 budget includes an increase for the Teen Reach Program expanding services to an additional 16,000 youth (approximately 30,000 total) These services assist youth in developing life skills
necessary to avoid risk taking behavior and lead to great academic success
Emergency and Transitional Housing funding in FY15 is maintained at the FY14 level of $9.4M. Homeless Prevention funding is maintained in FY15 at the FY14 level of $4M. Homeless Youth Services funding is maintained in FY15 at the FY14 level of $4.6M. These programs will continue to be funded from the Affordable Housing Trust Fund and GRF. Supportive Housing Services will continue to be delivered by both DFCS and DMH.
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DHS Fiscal Year 2015Family & Community Services
Budget Request Highlights continued…
Early Intervention (EI) is proposed to receive an increase of $8M to support a higher number of children participating in the program
Increased investment also reflects new federal regulations regarding use of public and/or private insurance
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DHS Fiscal Year 2015Family & Community Services
Budget Request Highlights continued… Illinois Medicaid Redetermination Project
(IMRP), also known as the Enhanced Eligibility Verification (EEV) Project, is mandated by the SMART Act IDHS, in partnership with Healthcare and Family
Services (HFS) has transitioned to the “hybrid” approach for IMRP. Under this approach, the casework component of the project is now done completely by in-house caseworkers who can make the final eligibility determination, removing some of the duplication that was inherent in the original model.
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DHS Fiscal Year 2015Family & Community Services
Budget Request Highlights continued…
The Division of Family and Community Services is requesting an additional 500 staff in the FY15 budget to remedy historic understaffing that has caused caseloads to exceed 2,000 cases per worker in some parts of the State, and will better allow DHS to provide timely services to customers in need of SNAP, cash and medical assistance.
The additional headcount will also help DFCS handle the backlog of Long Term Care applications. We are committed to catching up on these applications and ensuring nursing facilities are paid for the care they give.
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DHS Fiscal Year 2015Mental Health
General Revenue Fund – Dollars in millionsFY12 Actual Expenditures = $477.0MFY13 Actual Expenditures = $460.1M FY14 Estimated Spending = $505.8MFY15 Appropriation Request = $597.6M
FY12 Act Exp FY13 Act Exp FY14 Est Spdg FY15 Request$0.0
$100.0
$200.0
$300.0
$400.0
$500.0
$600.0
$700.0
$477.0 $460.1 $505.8 $597.6
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DHS Fiscal Year 2015Mental Health
Budget Request Highlights continued… The FY15 budget request includes annualized costs
associated with the Forensic Plan of Correction to ensure that individuals remanded to DHS custody are transferred from jails within the statutory timeframe.
Ongoing costs associated with the implementation of the Williams and Colbert Consent Decrees
To date, 880 Williams Class members have transitioned to the community, with an estimated 400* clients to transition in FY15
The Division of Mental Health is also partnering with the Department of Aging and DHS’ Rehabilitation Services on the implementation of Colbert
*This number may change based on the Plaintiff’s formula
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DHS Fiscal Year 2015Mental Health
Budget Request Highlights continued… The FY15 budget includes
$44.2M in funding shift from Other State Funds to the General Revenue Fund due to insufficient resources $16M from the DHS Community Services Fund $28.2M from the Community Mental Health
Medicaid Trust Fund Continued funding of the Individual Care Grant
(ICG) program to ensure continued and expanded access for children & adolescents who require intensive treatment services
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DHS Fiscal Year 2015 Rehabilitation Services
General Revenue Fund – Dollars in millions
FY12 Actual Expenditures = $619.8M
FY13 Actual Expenditures = $613.4M
FY14 Estimated Spending = $640.4M
FY15 Appropriation Request = $686.3M
*FY13, FY14, and FY15 include funding from the HSP Medicaid Trust Fund
FY12 Act Exp FY13 Act Exp FY14 Est Spdg FY15 Request$0.0
$100.0$200.0$300.0$400.0$500.0$600.0$700.0$800.0
$619.8
$376.6 $394.4$440.3
$236.8 $246.0$246.0
GRF HSP FFP
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DHS Fiscal Year 2015Rehabilitation Services
Budget Request Highlights The Home Services Program includes an overall all funds increase
of $39.3M (6.2%) over FY14. Nearly $32.0M of the increase is to invest in the wages for Personal Assistants and Individual Maintenance Home Health providers.
The FY15 Introduced Budget reflects a $30.1M Care Coordination appropriation for customers in the Home Services Program transitioning to managed care Since its implementation in 2013, over 7,000 customers in the Home
Services Program have been receiving coordinated care from one of the State's Managed Care providers. In FY15, an additional 5,700 customers will be eligible for the dual Medicaid-Medicare Alignment Program
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DHS Fiscal Year 2015Rehabilitation Services
Budget Request Highlights continued… The proposed budget maintains a $246.0M shift off GRF to
reinvest Federal Financial Participation generated from the Home Services Program into the Medicaid Trust Fund in order to offset program liability.
Nearly $3.6M is included in the Introduced Budget to support the Balancing Incentive Program for the development of innovative community employment projects.
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DHS Fiscal Year 2015
Summary Impact of an Across the Board Reduction to General Revenue Funds of 24.4% from FY15 Request
DHS Division FY14Change from
FY14% Change from FY14 FY15 Request
24.4% Reduction to
Request% Cut from
RequestHead Count Reduction
Admin & Program Support $172,782.9 ($21,558.3) -12.5% $186,388.8 ($45,478.9) -24.4% (178.6)
Alcoholism and Substance Abuse $119,573.8 ($14,919.4) -12.5% $120,301.2 ($29,353.5) -24.4% (3.7)
Developmental Disabilities $1,046,739.7 ($130,602.8) -12.5% $1,135,506.4 ($277,063.6) -24.4% (1,023.4)
Family & Community Services $939,979.7 ($117,282.3) -12.5% $1,200,663.1 ($292,961.8) -24.4% (1,045.1)
Mental Health $505,847.8 ($63,115.2) -12.5% $597,621.1 ($145,819.5) -24.4% (673.8)
Rehabilitation Services $394,398.5 ($49,209.5) -12.5% $440,253.5 ($107,421.9) -24.4% (184.7)
DHS Total $3,179,322.4 ($396,687.5) -12.5% $3,680,734.1 ($898,099.2) -24.4% (3,109.3)