Departm ent of Behavioral Health & Developm ental Disabilities - - PowerPoint PPT Presentation

Departm ent of Behavioral Health & Developm ental Disabilities

Proposed AFY17 & FY18 Budgets Subm itted For Approval to the DBHDD Board of Directors Commissioner Frank W. Berry August 18, 2016

1 Georgia Department of Behavioral Health and Developmental Disabilities

Presentation Agenda

• Agency Accom plishm ents
• ADA Settlem ent Progress Report
• Am ended FY 20 17 & FY 20 18
• Capital Budget

2 Georgia Department of Behavioral Health and Developmental Disabilities

F Y 2 0 1 6 – F Y 2 0 1 7

Agency Accomplishments

3 Georgia Department of Behavioral Health and Developmental Disabilities

• Expanded Com m unity Services:

 75 New Waiver Slots  Im plem ented Intensive Support Coordination  Expanded CSU Capacity

• FST/ HST Pay Equity
• Infrastructure & Furniture at the Hospitals
• Utilized 9 9 .9 % of State Appropriations to put

individuals into services

4 Georgia Department of Behavioral Health and Developmental Disabilities

O N G O I N G C O M P L I AN C E

ADA Settlement Update

5 Georgia Department of Behavioral Health and Developmental Disabilities

• ADA Settlem ent Update:

 Original agreem ent has been successfully com pleted  An extension has been negotiated around transitions from the hospital system , waivers, and housing  Funding to support the extension will be reviewed on later slides

• Total Funding Received: $171.5M

6 Georgia Department of Behavioral Health and Developmental Disabilities

M O V I N G F O RWAR D

Amended FY 2017 & FY 2018

7 Georgia Department of Behavioral Health and Developmental Disabilities

FY20 17 Appropriation

State Federal & Other Total

DBHDD Total 1,032,094,308 $ 175,442,787 $ 1,207,537,095 $

Community 705,683,415 $ 132,817,892 $ 838,501,307 $ Hospital 287,473,215 $ 28,868,136 $ 316,341,351 $ Administration 35,306,770 $ 4,400,746 $ 39,707,516 $ Transportation 2,600,000 $ 7,336,971 $ 9,936,971 $ Attached Agencies 1,030,908 $ 2,019,042 $ 3,049,950 $

8 Georgia Department of Behavioral Health and Developmental Disabilities

$424,851,380 $445,155,586 $570,364,256 $600,209,302 $638,832,851 $665,788,715 $678,739,100 $705,683,415 $244,436,102 $284,733,044 $286,668,079 $300,643,235 $279,606,372 $264,956,051 $271,294,298 $287,473,215 $- $100,000,000 $200,000,000 $300,000,000 $400,000,000 $500,000,000 $600,000,000 $700,000,000 $800,000,000 FY2010 Appropriation FY2011 Appropriation FY2012 Appropriation FY2013 Appropriation FY2014 Appropriation FY2015 Appropriation FY2016 Appropriation FY2017 Appropriation

Community & Hospital Budgets State Funds Appropriation

FY2010 - FY2017

Community Hospitals

9 Georgia Department of Behavioral Health and Developmental Disabilities

Program State Funds Federal & Other Total Administration 37,906,770 $ 11,737,717 $ 49,644,487 $ Adult Addictive 46,239,763 $ 44,689,134 $ 90,928,897 $ Adult Developmental Disab. 299,377,970 $ 55,940,753 $ 355,318,723 $ Adult Forensics 97,337,649 $ 26,500 $ 97,364,149 $ Adult Mental Health 365,254,047 $ 12,949,048 $ 378,203,095 $ C&A Addicitve 3,307,854 $ 7,928,149 $ 11,236,003 $ C&A Developmental Disab. 8,983,665 $ 3,588,692 $ 12,572,357 $ C&A Forensic 6,472,393 $

• $

6,472,393 $ C&A Mental Health 50,274,665 $ 12,994,296 $ 63,268,961 $ Direct Care/Support Svcs 115,672,145 $ 13,573,041 $ 129,245,186 $ Substance Abuse Prevention 236,479 $ 9,996,415 $ 10,232,894 $ Attached Agencies 1,030,908 $ 2,019,042 $ 3,049,950 $ Total Department 1,032,094,308 $ 175,442,787 $ 1,207,537,095 $

Department of Behavioral Health & Developmental Disabilities

FY 2017 Appropriation

10 Georgia Department of Behavioral Health and Developmental Disabilities

FY20 17 & FY20 18 : Agency Budget Priorities

• Ensuring Easy Access to High Quality Care

 Crisis Services Statewide  Core Services Enhancem ent  Waivers for Transition From the Planning List & Hospitals

• Forensic Services
• Hospital Clinical Em ployee Salary Equity
• Housing Services

11 Georgia Department of Behavioral Health and Developmental Disabilities

Proposed AFY17 & FY18 Changes to State Funds Budget

OPB OFFICIAL SUBMISSION

AFY17 FY18

8,207,843 $ 13,415,686 $ 6,133,276 $ 7,756,876 $

• $

1,223,897 $

• $

8,207,843 $

• $

11,900,000 $

• $

10,731,835 $

• $

644,199 $

TOTAL

14,341,119 $ 53,880,336 $

Adult DD - Annualize 100 Waivers

(6 Months Funding in FY2017, Annualized in FY2018)

Adult DD - 250 New Waivers

(6 Months Funding in FY2018, Annualized in FY2019)

BIPP Restoration Adult DD - COMP Rate Increase FMAP Change Adult DD - 250 New Waivers

(6 Months Funding in AFY2017, Annualized in FY2018)

Adult MH - Supported Housing

(Initial Funding in AFY2017, Annualized in FY2018)

12 Georgia Department of Behavioral Health and Developmental Disabilities

Proposed AFY17 & FY18 Changes to State Funds Budget

DBHDD INTERNAL PRIORITIES

AFY17 FY18

• $

13,259,409 $

• $

12,000,000 $

• $

20,000,000 $

TOTAL

• $

45,259,409 $

• $

4,338,452 $

Hospital Clinical Employee Package 40 Bed Forensic Unit at GRHA

(This w ill be an AFY2018 Request )

2 New BHCC's Core Services Development

13 Georgia Department of Behavioral Health and Developmental Disabilities

Hospital Services Statewide Enhancem ents

40 Bed Forensic Unit at GRHA Six months operational funding $4,338,452 Hospital Clinical Em ployee Salary Equity Salary adjustment for clinical staff to reduce turnover and improve recruitment $13,259,409 FY 20 18

14 Georgia Department of Behavioral Health and Developmental Disabilities

New Com m unity Services For Behavioral Health

Behavioral Health Crisis Service Centers 2 New BHCC’s (Expand coverage statewide) $12,000,000 Core Services Enhancem ent Primary Behavioral Healthcare $20,000,000 Housing Services Supported Housing to comply with the ADA Settlement $7,756,876 FY 20 18

15 Georgia Department of Behavioral Health and Developmental Disabilities

New Com m unity Services For Intellectual & Developm ental Disabilities

Annualize AFY20 17 Waivers 250 Waivers for Individuals with Intellectual & Developmental Disabilities $13,415,686 Annualize FY20 17 Waivers 100 NOW Waivers $1,223,897 New FY20 18 Waivers 250 Waivers for Individuals with Intellectual & Developmental Disabilities (6 Months Fund ing) $8,207,843 Annualize COMP Rate Increase Annualize the COMP Rate Increase as Outlined in the Rate Study $11,900,000 FY 20 18

16 Georgia Department of Behavioral Health and Developmental Disabilities

Budgetary Adjustm ents For DBHDD

BIPP Funding Restoration Restore State Funds Removed as Part of the BIPP Program $10,731,835 FMAP Rate Change Add State Funds to Compensate for a Higher State Match Rate $644,199 FY 20 18

17 Georgia Department of Behavioral Health and Developmental Disabilities

Capital Request

18 Georgia Department of Behavioral Health and Developmental Disabilities

Capital Outlays Request Facility Refurbishm ent & Repair Projects

• OPB Capital Target: $15.0 M

Priority Location Action Capital Required Cumulative

1 GRHS Savannah Treatment Mall 5,084,000 $ 5,084,000 $ 2 System Wide Hospital Major Renovations and Repairs - 20yr Bonds 6,416,000 $ 11,500,000 $ 3 System Wide Hospital Sustainment and Repairs - 5 yr Bonds 3,500,000 $ 15,000,000 $

19 Georgia Department of Behavioral Health and Developmental Disabilities

AG E N C Y C H AL L E N G E S & O P P O R T U N I T I E S

FY2018 & Beyond

20 Georgia Department of Behavioral Health and Developmental Disabilities

Future Challenges & Opportunities

• Continued investm ent in Com m unity Behavioral

Health to m ove toward national averages

• Im prove access to care
• BHCC’s & CSU’s
• Prioritize the IDD Planning List
• Ensure rates are appropriate for quality service

delivery

21 Georgia Department of Behavioral Health and Developmental Disabilities

• AD Capacity Im provem ents
• Forensic Services Im provem ents

 Com m unity & Secure  Aging population with NH level of care needs

• These represent som e out year agency priorities