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EQUITY METHODOLOGY

June 27, 2014

MIKE KRAUSE & JOHN DENARO

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The Henry J. Kaiser Family Foundation reported that Florida Mental Health expenditures of $39.55 ranks 49th out of the 52 (includes Puerto Rico and the District of Columbia)

This information is calculated by the National Association of State Mental Health Program Directors Research Institute, Inc. by dividing the State Mental Health expenditures by the US Department of Commerce United States Census Bureau Civilian Population reported estimated State Civilian Population.

Expenditure Total $742,227,938

Civilian Population 18,769,000

Expenditure per capita $39.55

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Definitions

• Total Adjusted DCF SAMH Acute Care Funding - Current contracted funding to provide services in cost centers Crisis Stabilization, Crisis Support/Emergency, and Substance Abuse Inpatient Detoxification less Special Project Funding less Jail Diversion funding less Statewide Funding in these cost centers.

The services provided by the Adjusted DCF SAMH Acute Care funding is available to all non institutionalized residents.

• Total Adjusted DCF SAMH Non Acute Care Funding - Funding that is equal to the current contracted DCF SAMH funding less Special Project Funding less Prevention Partnership Grants Funding less Jail Diversion funding less Statewide Funding less Total Adjusted DCF SAMH Acute Care Funding.

The services provided by the Adjusted Non Acute Care funding is available to all residents who have no other means to pay for the treatment .

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2014 Funding Changes (Additional Funding and Allocated Funding)

Non Acute Care Funding

Circuit Adj. Funding Beginning Balance Changes Adj. Funding after Changes6 Pasco 7,719,358 0 7,719,3586 Pinellas 20,100,524 0 20,100,52410 14,667,306 -113,579 14,553,72712 12,999,125 0 12,999,125

13 22,674,424 0 22,674,424

20 20,342,138 964,000 21,306,138

Total 98,502,875 850,421 99,353,296

Children’s Mental Health reduction Winter Haven $113,579. Children’s Mental Health additions David Lawrence Center $15,000, Hendry Glades Mental Health Clinic $30,000, NAMI Collier County $15,000, NAMI Lee County $15,000, SALUSCARE $38,579.

Adult Mental Health addition Charlotte Behavioral Health Care $85,000, David Lawrence Center $200,000, Hendry Glades Mental Health Clinic $122,000, Hope Clubhouse $150,000, NAMI Collier County $30,000, NAMI Lee County $18,421, SALUSCARE $245,000.

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2014 Funding Changes (Additional Funding and Allocated Funding)

Acute Care Funding

Circuit Adj. Funding Beginning Balance Changes Adj. Funding after Changes6 Pasco 3,399,905 0 .3,399,9056 Pinellas 6,910,105 0 6,910,10510 4,559,128 206,400 4,765,52812 5,783,630 0 5,783,630

13 10,129,460 0 10,129,460

20 10,592,113 -206,400 10,385,713

Total 41,374,341 0 41,374,341

Children’s Substance Abuse reduction SALUSCARE $206,400.Children’s Substance Abuse addition Tri County Human Services $206,400.

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Definitions - continued:

• Total Population – Civilian non institutionalized population as reported by the US Department of Commerce United States Census Bureau http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml?refresh=t.

This population has access to services provided by the Adjusted DCF SAMH Acute Care funding.

• Uninsured Population – No health insurance coverage population as reported by the US Department of Commerce United States Census Bureau http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml?refresh=t.

This population has access to services provided by the Adjusted DCF SAMH Non Acute Care funding.

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Ranking Methodology

Total Adjusted DCF SAMH Acute Care Funding will be divided by the Total Population to arrive at the Total Adjusted DCF SAMH Acute Care Funding ranking.

Total Adjusted DCF SAMH Non Acute Funding will be divided by the Uninsured Population to arrive at the Total Adjusted DCF SAMH Non Acute Funding ranking.

The mean ranking of each funding category will have a maximum ranking equal to 107% and a minimum ranking equal to 93%.

Equity is defined when a circuit ranking is between the maximum ranking and the minimum ranking.

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Funding Adjustments

New Funding will be applied to those circuits that are below the mean ranking until all of those circuits meet the definition of equity.

Reductions in funding will be applied to those circuits that are above the mean ranking until all of those circuits meet the definition of equity.

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Annual Target

Each year staff will present a plan to the Board of Directors for approval that will establish the Target for that year that identifies amounts that may be transferred from/to each circuit.

The Equity Methodology will be applied to all funding reductions up to the Annual Target and all additional funding up to the Annual Target. Funding reduction and additional funding in excess of the annual target will be distributed under existing funding procurement policy.

After Equity is achieved funding will follow the CFBHN Procurement Policy. Equity calculations will continue to be monitored to ensure network equity.

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QUESTIONS?

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Thank You!