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
Presentation Agenda Agency Accom plishm ents ADA Settlem ent Progress Report Am ended FY 20 17 & FY 20 18 Capital Budget Georgia Department of Behavioral Health and Developmental Disabilities 1
Agency Accomplishments F Y 2 0 1 6 – F Y 2 0 1 7 Georgia Department of Behavioral Health and Developmental Disabilities 2
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 Georgia Department of Behavioral Health and Developmental Disabilities 3
ADA Settlement Update O N G O I N G C O M P L I AN C E Georgia Department of Behavioral Health and Developmental Disabilities 4
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 Georgia Department of Behavioral Health and Developmental Disabilities 5
Amended FY 2017 & FY 2018 M O V I N G F O RWAR D Georgia Department of Behavioral Health and Developmental Disabilities 6
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 Georgia Department of Behavioral Health and Developmental Disabilities 7
Community & Hospital Budgets State Funds Appropriation FY2010 - FY2017 $800,000,000 $705,683,415 $678,739,100 $700,000,000 $665,788,715 $638,832,851 $600,209,302 $570,364,256 $600,000,000 $500,000,000 $445,155,586 Community $424,851,380 Hospitals $400,000,000 $300,643,235 $287,473,215 $284,733,044 $286,668,079 $279,606,372 $271,294,298 $300,000,000 $264,956,051 $244,436,102 $200,000,000 $100,000,000 $- FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 FY2016 FY2017 Appropriation Appropriation Appropriation Appropriation Appropriation Appropriation Appropriation Appropriation Georgia Department of Behavioral Health and Developmental Disabilities 8
Department of Behavioral Health & Developmental Disabilities FY 2017 Appropriation State Funds Program 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 Georgia Department of Behavioral Health and Developmental Disabilities 9
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 Georgia Department of Behavioral Health and Developmental Disabilities 10
Proposed AFY17 & FY18 Changes to State Funds Budget OPB OFFICIAL SUBMISSION AFY17 FY18 Adult DD - 250 New Waivers (6 Months Funding in AFY2017, Annualized in FY2018) $ 8,207,843 $ 13,415,686 Adult MH - Supported Housing $ 6,133,276 $ 7,756,876 (Initial Funding in AFY2017, Annualized in FY2018) Adult DD - Annualize 100 Waivers $ - $ 1,223,897 (6 Months Funding in FY2017, Annualized in FY2018) Adult DD - 250 New Waivers $ - $ 8,207,843 (6 Months Funding in FY2018, Annualized in FY2019) Adult DD - COMP Rate Increase $ - $ 11,900,000 BIPP Restoration $ - $ 10,731,835 FMAP Change $ - $ 644,199 TOTAL $ 14,341,119 $ 53,880,336 Georgia Department of Behavioral Health and Developmental Disabilities 11
Proposed AFY17 & FY18 Changes to State Funds Budget DBHDD INTERNAL PRIORITIES AFY17 FY18 Hospital Clinical Employee Package $ - $ 13,259,409 2 New BHCC's $ - $ 12,000,000 Core Services Development $ - $ 20,000,000 TOTAL $ - $ 45,259,409 40 Bed Forensic Unit at GRHA (This w ill be an AFY2018 Request ) $ - $ 4,338,452 Georgia Department of Behavioral Health and Developmental Disabilities 12
Hospital Services Statewide Enhancem ents FY 20 18 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 $13,259,409 and improve recruitment Georgia Department of Behavioral Health and Developmental Disabilities 13
New Com m unity Services For Behavioral Health FY 20 18 Behavioral Health Crisis Service Centers 2 New BHCC’s $12,000,000 (Expand coverage statewide) Core Services Enhancem ent Primary Behavioral Healthcare $20,000,000 Housing Services Supported Housing to comply with the ADA $7,756,876 Settlement Georgia Department of Behavioral Health and Developmental Disabilities 14
New Com m unity Services For Intellectual & Developm ental Disabilities FY 20 18 Annualize AFY20 17 Waivers 250 Waivers for Individuals with Intellectual & $13,415,686 Developmental Disabilities Annualize FY20 17 Waivers 100 NOW Waivers $1,223,897 New FY20 18 Waivers 250 Waivers for Individuals with Intellectual & $8,207,843 Developmental Disabilities (6 Months Fund ing) Annualize COMP Rate Increase Annualize the COMP Rate Increase as Outlined in $11,900,000 the Rate Study Georgia Department of Behavioral Health and Developmental Disabilities 15
Budgetary Adjustm ents For DBHDD FY 20 18 BIPP Funding Restoration Restore State Funds Removed as Part of the BIPP $10,731,835 Program FMAP Rate Change Add State Funds to Compensate for a Higher State $644,199 Match Rate Georgia Department of Behavioral Health and Developmental Disabilities 16
Capital Request Georgia Department of Behavioral Health and Developmental Disabilities 17
Capital Outlays Request Facility Refurbishm ent & Repair Projects Capital Priority Location Action 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 OPB Capital Target: $15.0 M Georgia Department of Behavioral Health and Developmental Disabilities 18
FY2018 & Beyond 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 Georgia Department of Behavioral Health and Developmental Disabilities 19
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 Georgia Department of Behavioral Health and Developmental Disabilities 20
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 Georgia Department of Behavioral Health and Developmental Disabilities 21
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