Comprehensive Services Act S E R V I N G A T - R I S K Y O U T H - PowerPoint PPT Presentation

Comprehensive Services Act S E R V I N G A T - R I S K Y O U T H A N D F A M I L I E S HOUSE APPROPRIATIONS HEALTH & HUMAN RESOURCES SUBCOMMITTEE JANUARY 30, 2012 SUSAN CUMBIA CLARE, EXECUTIVE DIRECTOR OFFICE OF COMPREHENSIVE SERVICES 1/30/2012 1 Office of Comprehensive Services

Mission The mission of the CSA is to create a collaborative system of services and funding that is child-centered, family-focused and community-based when addressing the strengths and needs of troubled and at-risk youth and their families in the Commonwealth. 1/30/2012 2 Office of Comprehensive Services

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General Fund CSA Budget FY12 General Fund Budget Pool Fund Services Medicaid Services Earmarks: Administration • Earmarks: Training, Utilization Management Services, Uniform Reporting, Local Administration, Uniform Assessment 1/30/2012 4 Office of Comprehensive Services

CSA Medicaid Expenditures Medicaid Service Expenditures $120,000,000 $100,000,000 $80,000,000 $60,000,000 $40,000,000 $20,000,000 $- FY08 FY09 FY10 FY11 Total Medicaid Expenditures General Fund Transfer • General Fund Transfer includes direct appropriation and local contribution 1/30/2012 5 Office of Comprehensive Services

CSA Pool Fund Expenditures Total CSA Pool Fund Service Expenditures $500,000,000.00 $450,000,000.00 $400,000,000.00 $350,000,000.00 $300,000,000.00 $250,000,000.00 $200,000,000.00 $150,000,000.00 $100,000,000.00 $50,000,000.00 $0.00 FY08 FY09 FY10 FY11 FY12 FY13 FY14 Projected $396,639,506. $407,956,138. $433,026,718. $372,930,261. $353,737,927. $363,088,783. $368,110,306. Actual $380,536,393. $365,254,505. $346,902,004. $332,141,203. • Expenditures represent state and local dollars. • General fund contribution is approximately 65% of the total dollars. 1/30/2012 6 Office of Comprehensive Services

Pool Fund Expenditure Drivers Number of Youth in Foster Care Source of data: Virginia Child Welfare Outcome Reports , Virginia Department of Social Services 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 2005 2006 2007 2008 2009 2010 2011 1/30/2012 7 Office of Comprehensive Services

Pool Fund Expenditure Drivers Number of Youth in Expenditures for Residential Care Residential Care $80,000,000 3500 $70,000,000 3000 $60,000,000 2500 $50,000,000 2000 $40,000,000 1500 $30,000,000 1000 $20,000,000 500 $10,000,000 0 $0 FY09 FY10 FY11 FY09 FY10 FY11 • Match rate system was fully implemented in FY09 • Increases local match rate for residential services • Decreases local match rate for community based services • Children’s Services Systems Transformation was implemented in FY09 1/30/2012 8 Office of Comprehensive Services

Pool Fund Expenditure Drivers Number of Youth Expenditures for Receiving Wrap-Around Wrap-Around Services* Services* 2,000 $25,000,000 $20,000,000 1,500 $15,000,000 1,000 $10,000,000 500 $5,000,000 $0 0 FY08 FY09 FY10 FY11 FY08 FY09 FY10 FY11 *Wrap-Around Services for Students with Disabilities • Expenditures represent state and local dollars. • Increased guidance and training regarding appropriate use of funds was provided beginning in Spring 2009. • Policy regarding use of funds was clarified in January 2011. 1/30/2012 9 Office of Comprehensive Services

2013- 14 Governor’s Proposed Budget Eliminate Wrap-Around Service Category  “Wrap - around Services for Students with Disabilities” are non -IEP* services designed to support a student with an educational disability in the home or community. *Individualized Education Program for student eligible for special education services  After school care  Behavior analysis/behavior training  Parent training  In-home counseling  Mentoring  Etc.  Services are not required by federal mandate or state Code.  When authorized by a local team, the locality and the Commonwealth must appropriate “such sums of money as shall be sufficient” to fund services. 1/30/2012 10 Office of Comprehensive Services

2013-14 Budget Eliminate Wrap-Around Service Category 3500 Number of Youth Served 3000 2500 2000 1500 1000 500 0 FY05 FY06 FY07 FY08 FY09 FY10 FY11 Private Special Ed. Day Wrap-Around Services • The availability of this fund category has not had the intended impact, i.e., to reduce the number of more restrictive educational placements. 1/30/2012 11 Office of Comprehensive Services

2013- 14 Governor’s Proposed Budget Eliminate Wrap-Around Service Category Statistics FY2011  General fund expenditures $6,777,555  Youth served 564  Localities Using Funds 48% Projected FY2013  Projected expenditure level $6,130,294  Budget reduction 5,401,216  Reinvest into non-mandated $ 729,078 1/30/2012 12 Office of Comprehensive Services

2013- 14 Governor’s Proposed Budget Audit of the Comprehensive Services Act  Process: Contract with a private audit firm.  Cost: $500,000  Scope: Review of state and local systems. 1/30/2012 13 Office of Comprehensive Services

2013- 14 Governor’s Proposed Budget Audit of the Comprehensive Services Act  Purposes:  Identify strengths and gaps in state and local compliance procedures around eligibility, program, and fiscal requirements under the CSA.  Provide recommendations for improvements to processes to increase compliance with eligibility, program, and fiscal requirements under the CSA. 1/30/2012 14 Office of Comprehensive Services