CASE MANAGEMENT OUTSOURCING MH/ ID/ EI ASSUMPTIONS See detailed - PowerPoint PPT Presentation

CASE MANAGEMENT OUTSOURCING MH/ ID/ EI

ASSUMPTIONS See detailed assumptions in separate document. Comparison of existing county structure vs. outsourcing of case management services Table of organization Preliminary 2012- 2013 budget County direct and indirect allocated costs Other costs Occupancy, Operating Costs, Capital Outside Service Providers Revenue

MH/ ID ADMINISTRATOR CASEWORKER DIRECTOR OF PROGRAM Fiscal Director DIRECTORMANAGEMENT Administrative EI COORDINATOR Assistant II Accting GL/ Staff SupportAccountant EI SC IIEI SC I Admin Secretary Receptionist Assistant three][ two] Contract CASSP Housing MH Program ID Program MonitorCoordinatorSpecialistSpecialists ( 2) Specialists ( 2) CW Sup ICW SupIICWSupIICWSup ICW Sup ICW Sup I ACM CW III ICM CW IIIICM CW IIIRC CWIIIID SC IIIID SC II one][ one][ one][ one][ one][ four] ACM CWIIICMCWIIICMCW IIRC CW IIID SC II four][ four][ four][ six][ four] ICM CW I ICM CW IRC CW I two][ two][ one]

OUTSOURCE EXISTING CASE COUNTY VARIANCE MANAGEMENTSTRUCTURE EXPENSE Salary & Benefits$ 888, 300$ 3, 424, 800$ ( PEHBC Management consultant 1, 600) Total Personnel Costs 2, 538, 100) Central Service Allocation 122, 000 122, 000 - Allocated Costs: Fiscal Support 23, 500) Accounts Payable 8, 300 7, 800) Purchasing 6, 200 9, 700 ( 3, 500) HR and Risk Management 23, 100) HS Administration 118, 900 ( 57, 700) Information Services 115, 200 ( 52, 700) Fulton County 8, 400 5, 600) 200, 800 374, 700 ( Occupancy Expense 137, 000 ( 74, 500) General Operating 103, 200 292, 700 ( Capital Purchases 1, 200 ( 400) Purchased Services TOTAL EXPENSE 1, 807,000) REVENUE Interest 3, 500 3, 500 - Federal 913, 000 913, 000 - State Charges for Services - 1, 807, 000) Other Miscellaneous 1, 807, 000) FULTON County Share FRANKLIN County Share 245, 800 245, 800 - 1, 807,000) SAVINGS / ( COST) TO PROGRAMS NOTE: The Assumptions arean essential component of this analysis and should be considered when evaluating the costs and benefits of the various options.

OUTSOURCE CASE MANAGEMENTEXISTING COUNTY STRUCTUREVARIANCE MentalIntellectualEarlyMentalIntellectualEarlyMentalIntellectualEarly TOTALHealthDisabilitiesInterventionTOTALHealthDisabilitiesInterventionTOTALHealthDisabilitiesIntervention EXPENSE Salary & Benefits$ 260, 200$ 108, 800$ 3, 424,800$ 2, 160,800$ 855, 600$ 408, 400$ ( 2, 536, 500)$ ( 1, 641, 500)$ ( 595, 400)$ ( PEHBC 91, 900 64, 000 Management consultant 90, 700 33, 100 14, 600 15, 900 ( 1, 600) Total Personnel Costs 1, 070,900 616, 400 331, 100 926, 500 300, 900) Central Service Allocation 122, 000 80, 900 9, 200 122, 000 9, 200 - Allocated Costs: Fiscal Support 28, 900 4, 800 7, 000 ( 1, 000) ( AccountsPayable 3, 600 1, 800 9, 600 3, 800 2, 700 ( 7, 800) 6, 700) (200) ( 900) Purchasing 4, 100 900 9, 700 4, 000 4, 300 1, 400 ( 3, 500) 2, 800) (200) ( 500) HR and Risk Management 25, 300 3, 500 5, 200 ( 700) ( HS Administration 61, 200 22, 500 7, 500 118, 900 10, 900 ( 1, 700) ( Information Services 62, 500 22, 900 8, 500 115, 200 13, 300 ( 3, 400) ( Fulton County 5, 200 1, 200 6, 800 5, 500 1, 700 ( 5, 600) 4, 800) (300) ( 500) 200, 800 69, 100 103, 500 28, 200 374, 700 221, 500 111, 000 42, 200 ( 173, 900) ( 152, 400) ( 7, 500) ( 14, 000) Occupancy Expense 62, 500 34, 900 7, 100 137, 000 18, 400 ( 16, 300) ( 11, 300) General Operating 103, 200 66, 300 11, 500 292, 700 207, 300 32, 100 ( 189, 500) ( 141, 000) ( 27, 900) 20, 600) Capital Purchases 800 - 400 1, 200 - 600 200) ( 200) Purchased Services 6, 146,400 4, 404,800 761, 100 591, 900 1, 169,400 820, 300 169, 200 TOTAL EXPENSE 7, 706,600 5, 272,400 1, 160,300 1, 327,400 ( 167,100) REVENUE Interest 2, 000 1, 500 3, 500 - 2, 000 1, 500 - Federal 913, 000 155, 700 570, 900 913, 000 155, 700 570, 900 State 6, 490,500 4, 987,000 625, 700 625, 700 Charges for Services - - - - 478, 100 167, 100) Other Miscellaneous 27, 200 3, 700 7, 434,200 5, 146,400 1, 065,700 1, 232,800 ( 167, 100) FULTON County Share 26, 600 12, 600 5, 200 8, 800 5, 200 8, 800 - FRANKLIN County Share 245, 800 113, 400 85, 800 245, 800 113, 400 85, 800 - 7, 706,600 5, 272,400 1, 160,300 1, 327,400 ( 167,100) SAVINGS / ( COST) TO PROGRAMS NOTE: The Assumptions are an essential component of this analysis and should be considered when evaluating the costs and benefits of the various options.

Personnel Costs$ General Fiscal Oversight 23, 500 Accounts Payable 7, 800 Purchasing 3, 500 HR and Risk Management 23, 100 Human Service Admin Oversight 57, 700 Information Services 52, 700 Fulton County 5, 600 Occupancy Expense 74, 500 General Operating Costs Capital Purchases 400 Less: Additional payments to Case Management Service Provider ( 1, 169, 400) Less: Corresponding reduction in revenue paid direct to provider ( 1, 807, 000) NET SAVINGS / ( COST) TO PROGRAMS$ -

COSTS TO COUNTIES General Fiscal Oversight$ Accounts Payable 7, 800 Purchasing 3, 500 HR and Risk Management 23, 100 Human Service Admin Oversight 57, 700 Information Services 52, 700 Occupancy Expense 74, 500 Fulton County 5, 600 NET COST TO COUNTIES$ 248, 400