FY2015 Budget Recommendation Period: July 1, 2014, to June 30, 2015 - PDF document

2 Agency Presentation - Human Services - FY15 Monday, February 10, 2014 9:58 AM FY2015 Budget Recommendation Period: July 1, 2014, to June 30, 2015 Department of Human Service Homepage: dhs. d.2ov

Table of Contents Acronyms Page 1 Department of Human Services Overview Pages 2 - 7 ecretariat Pages 8 - 9 Developmental Disabilities Pages 10 - 19 SD Developmental Ce nter (SDDC) Pages 20 - 27 Rehabilitation Service Pages 28 - 36 Service to the Blind & Visually Impaired Pages 37 - 43

Department of Human Services Budget Presentation Acronyms ADLS - Assisttve Daily Living Services CMS - enters for Medicare and Medicaid Services COLA - Cost of Living Adjustment CSP - Community Support Provider CTS - Community Training ervices DDD - Division of Developmental Disabilities DDS - Disability Determination Services DRS - Division of Rehabilitation ervices DHS - Department of Human Services FMAP - Federal Medical Assistance Percentage HCBS - Home & Community Based ervices ICFIIID - Intermediate Care Facility for Individuals with Intellectual Disabilities IL - Independent Living SB VI - ervice to the Blind and Visually Impaired SDDC - South Dakota Developmental Center SDRC - South Dakota Rehabilitation Center for the Blind SSA - ocial Security Administration - Supplemental Security Income SSI TRS - Telecommunication Relay Services VR - Vocational Rehabilitation Pagel

Department of Human Services Mi sion tatement DHS will enhance the quality of life of people with disabilities, in partnership with its stakeholders. Page 2

Department of Human Services SO COt."NCn. ON -- - --- -, OE\'ELOPMEKTAL DISABll.lTIES ' ' FAMll. Y st,"PPORT COUNCn. STATEWIDE INDl'l 'l1'"DE..'IT LI\ ThG COlliCll. ECRETARY Gloria Pear on Gloria.Pearson~statc.sd.us 3. 990 DEVELOPME AL REHABILITATIO DISABILITIE ERVICES Dan Lu k Eric Wei Dan.Lusk@statc.sd.us I Eric.Wciss'lilstatc.sd.us I 73 -3195 3-3438 D DEVELOPMENTAL ENTER I REDFIELD and VISUALLY IMPAIRED Ted Williams Ga e Mattke Ted.William 'al tatc. sd .us I 472-4210 Ga c.Mattkc astatc . sd .us 3-466-1 Page 3

DHS Office and Provider r-: ---~ u Cam~ f s ] ty .. H C ' Department of Human SD De, ·elopmental Communica.uon Home Care Pron ders Services Offices Center - Redfield Sernces for the Deaf Page4 SD Rehab1 lua11on Community lndependent Lmng hildren 's Care Hospital and Center for the B hnd Suppon Pro, ·iders Centers School

FY15 DHS Overview Total Projected People Served - 27,598 South Dakota Se1 ice to the Blind De velopmental Center and i ually Impaired l 4 1,757 Rehabilitation Service 11 ,007 ocial ecurity Di abi li ty Detennination 9.500 Developmental Di abilitie 5.200 Page 5

Department of Human Services FY14 Operating Budget FYlS Recommended Budget 170,638,971 188,589,783 Other Other General $15.095.756 $3 ,834.746 $T'.l07.476 I Federal Federal $100.386.55 1 $99.953.054 General Fede1·al Other Total FY14 Operating S66 , 851 17 1 $99.9 53 .054 S3.834, -16 Si 0.638.9 I FY15 R ec ommended S 3.10 ,476 S!00.386 .551 $15.095. 56 $188.589. 83 FY15 Increase $6. 56.305 $433.497 $11. 61.010 SI .950.81- Page 6

Department of Human Services General Fund Increase - $6,256,305 % • Change in F :'.'v1AP • Provider Inflation - 3% • Growth in HCBS Adults • Other Items 26% Page

Secretariat Mi ion tatement To provide vi ion and leadership to the department; and to en ure efficient and effective delivery of services throuah policy and financial management. Page 8

Secretariat FY 15 Total Recommended Budget: $1,435,087 II Items Recommende d: $539 FY14 Ba e: - - - FY 15 Reconunended 1,434,54 Increa : 539 General Federa l Ot h er To tal Bur eau Billing : 276 $263 $0 $539 Total ln crea e /Decrea e : 276 263 $0 $539 otal FY15 ove rn or' Recommended Budget: 6103697 . 134353087 8223 969 Page 9

Division of Developmental Disabilities Mi sion tat eme nt To ensure that people with developmental disabilities have equal opportunities and receive the services and supports they need to live and work in South Dakota co1n1nunities. Page JO

Division of Developmental Disabilities Eligibility for Services Must have a developmental disability d fined a follows: • Must have a severe, chronic disability attributable to intellectual disability cerebral pal y, pilep y, h ad injury, brain di a ·e, auti m, or another condition wh ich is clo ely related to intellectual di ability and require treatment or se rvices similar to tho e required for individuals with intellectual di ·ability. To be clo ely related to intellectual di ability, a condition must cause impairment of general intellectual functioning or adaptive behavior imilar to that of intellectual di ability • he disability manifested it se lf before the individual reached the age of 22 • The di ability i likely to continue indefinitely Page 11

Division of Developmental Disabilities Home and Community Based Services (HCBS) - CHOICES Waiver Description: • CHOICES Waiver Service · are provided under a waiver of federal Medicaid regulation to allow funding for people to live in the community rather than an in titution. Individual with disabilitie receive support that a ist them to function independently in their home and community. Eligibility: • Mu t have an intellectual or developmental disability defined in law • Ability to function independently is ubstantially limited and di sability occur before age 22 Page 12

Division of Developmental Disabilities Home and Community Based Services (HCBS) - CHOICES Waiver Services: • rv1ce are provided through the 19 ommunity upport Provider and include: • ervice coordination • Re idential support • Employment support : Pre- ocational and Supported employment • Day Habilitation: Therapie and Community Involvement Activites • Nursing • pecialized medical ervice ·, equipm nt, and drug • Room and board i paid by the individual • he HOI ES waiver currently contain a tructural disincentive for people with di abilities to work. • The Governor's Employment Task Force has recommended eliminating this disincentive. • FY15 Recommended budget impact: $44 ,776 total fund ( 214, 74 general/$233,902 federal) Page 13

Division of Developmental Disabilities Family Support Waiver Services Description: • Family Support Services are also provided under a waiver of federal Medicaid regulations to allow funding for people to live in the community rather than an institution. This waiver provides services to indi iduals with di abilitie that a ist them to tay at home and li v with their familie . Eligibility: • Mu st ha e an intellectual or de elopmental di ability defined in law • Ability to function independently is substantially limited and disability occur before age 22 Page 14

Division of Developmental Disabilities Family Support Waiver Services Services: • Service are provided through the 19 Community Support Provider and include: • Service coordination • Re pite and companion care • En iromnental acce ibility and modification • Specialized medi ca l adaptive equipment and supplies • Family Support services do not include room and board or residential services. he participants family must provide the re idential support needed. • There is currently a waiting li t for Family Support services • 40 individual in ea t central South Dakota • FY15 Reconunended Budget impact: 139,052 total ($84,042 general/$55,010 federal) Page 15

Division of Developmental Disabilities Other Services Community trainino ervices (CTS) upp011s for daily living and employment Provided by Community Supp011 Providers Supp011 approximately 320 people who don't require CHOICES wai er services Adult fo ster care Support 3-4 people needing minimal assi tance in daily living Private intermediate care facility for individuals with intellectual disabilities Children's Care Hospital and School in Sioux Falls Serve ch il dren through age 21 with ignificant di abilitie Re idential, therapeutic, educational and other medically nece a1y ·erv 1c e Supp011s 65 children Respite care • Temporary relief for care givers of children or adults with disabilities who live at home with familie Approximately 725 participant Page 16

Division of Developmental Disabilities FY15 Growth in HCBS Adults Home & Community Ba ed Service Individuals Totals Discharges: (85) ($3,815,912) Admission : 3,798,890 81 $3,423,919 Kids Turning 21: 85 Absent Bed Days: A ($51,099) Totals: 81 $323552798 Page I

Division of Developmental Disabilities FY15 Total Recommended Budget: $136,653,544 Items Recommended: 17,479,248 • FY l 5 Recommended In rea e: 17,479,248 Federal Other Totals Change in FMAP: 2,074,270 ( 2,074,270) 0 DOD Pro v ider Inflation 3 %: 1,522 81 7 3,4 77 036 Growth in HCB Adult s (81): 1,606.756 S3,355,798 Waiting List fo r· Family uppo11 (40): 84,042 139,052 Eliminate Employment Dis incentin : 214 874 so Reduction in Ex ce ss Federal Authority: ODD Lo cal chool Dls uict Match: 0 0 Bur·eau Billings: $258 1!086 Total Increa ses/Decrease s: 5.503, 01 7 715,446 Total FY15 Gov ernor 's Recommended Budget: 55.832 ;7 44 69;560;015 11 J 60 ;7 85 136;653,544 Page 18

Division of Developmental Disabilities FY15 Funding Sources Other S1 L60 ,785 I General $55.832, 744 Federal Fund Sources Medicaid $68.878.330 Federal 69. "60.015 uppo1 t 590. 93 Page 19