Agency of Human Services FY 2020 Budget Adjustment Senate - - PowerPoint PPT Presentation

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Agency of Human Services FY 2020 Budget Adjustment Senate - - PowerPoint PPT Presentation

Oct 04, 2022 270 likes •381 views

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Agency of Human Services

FY 2020 Budget Adjustment Senate Appropriations Committee January 7, 2020

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AHS Budget Adjustment Overview

  • Reflects an increase of $9.5M GF;
  • Funds 211 contract to allow for 24X7 coverage;
  • GA Emergency Housing BAA request of $1.9M;
  • Delivery System Reform Investments (DSRs);
  • Brattleboro Retreat Rate increase;
  • Woodside – not part of FY20 BAA.

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AHS FY20 BAA Net Neutral & Technical Adjustments

  • Transfer of funding for VHC Sustainability;
  • DA/SSA rate increase reconciliation from DMH to DAIL;
  • DCF – series of DCF net-neutral movements between appropriations;
  • General Fund Carryforward in AHS GC, DVHA State Only, DAIL CFC, and

DAIL for SASH.

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AHS FY20 BAA Secretary’s Office – Global Commitment

  • Update for new adult caseload & utilization change per Medicaid

consensus [$4.8M GF];

  • Adjust State Health Care Resource Fund and General fund to reflect

FY19 carryforward [-$3.3M GF];

  • Increase SHCRF for Medicaid Fraud Recoveries [-$906K GF];
  • Include FY19 GF carryforward [-$623K GF];
  • FY19 GC fund true-up [-$2.0M GF].

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AHS FY20 BAA – DVHA

  • Updated Medicaid Consensus Forecast from October 2019, will need to

be adopted by the E-Board in January [-$5.8M all funds, -$305K GF];

  • Delivery System Reform investment with OneCare Vermont:
  • CY 2019 investments [$1.8M gross, $832K GF];
  • CY 2020 investments [$3.9M gross, $1.8M GF];
  • Brattleboro Retreat rate increase [$549K all funds, $252K GF];
  • FY19 GF Carryforward [-$237K GF].

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AHS FY20 BAA – DMH

  • Increase for forensic doctors[$55K gross, $25K GF];
  • UVVMC Fellowship savings [-$45K gross, -$21K GF];
  • Leverage Medicare revenue [-$500K gross, -$231K GF];
  • Level 1 Cost Settlement Savings [-164K gross, -$76K GF ];
  • Kids Residential Cost & Caseload Increases [$947K gross, $437K GF];
  • Brattleboro Retreat rate increases and level 1 cost settlement [$2.2M

gross, $1M GF];

  • One-time savings from delayed implementation of adult enhanced plans

[-$500K gross, -$231K GF].

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AHS FY20 BAA– DCF

  • Family Services Division:
  • Transfer two positions from ESD to FSD per Act 72 of 2019 Session;
  • Caseload & Caseload Related Items:
  • Sub-adoption caseload decrease [-$518K all funds, -$318K GF];
  • Sub-care caseload increase [$4.3M all funds, $2.4M GF];
  • Global Commitment Earnings adjustments [-$242K GF].
  • Child Development Division:
  • CIS bundled services for non-Medicaid children – funding shift from GC [$382K GF].

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AHS FY20 BAA– DCF cont.

  • General Assistance:
  • Emergency Temporary Housing & Hotel Vouchers [$1.9M GF];
  • PNI Caseload [$115K GF];
  • Burials Caseload [$216K GF].

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AHS FY20 BAA– DAIL

  • Carryforward from FY19 – SASH, CFC;
  • Underutilization [-$638K GF]:
  • Attendant Services Medicaid Program [-$317K gross];
  • Non-HCBS program [-$369K gross];
  • AFSCME Collective Bargaining [-$413K gross];
  • TBI [-$285K gross];
  • Nursing homes – case mix score adjustment [$2.9M gross].

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AHS FY20 BAA– DOC

  • HCV treatments [$880K GF];
  • MAT costs [$430K GF];
  • Inmate Health Services contract [$309K GF];
  • OOS Caseload – currently at an average of 51 beds over base

appropriation [$1.3M GF].

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