fy2017 budget recommendation - sdlegislature.gov€¦ · total fy17 governor's recommended...

Department of Human Services Homepage: http://dhs.sd.gov/

FY2017 BUDGET RECOMMENDATION For Period of: July 1, 2016 to June 30, 2017

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Table of Contents Acronyms Slide 3

Department of Human Services Overview Slides 4 - 9

Secretariat Slide 10 - 11

Developmental Disabilities Slides 12 - 16

SD Developmental Center (SDDC) Slides 17 - 24

Rehabilitation Services Slides 25 - 29

Service to the Blind & Visually Impaired Slides 30 - 34

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DEPARTMENT OF HUMAN SERVICES BUDGET PRESENTATION ACRONYMS

ADLS – Assistive Daily Living Services CMS – Centers for Medicare and Medicaid Services COLA – Cost of Living Adjustment CSP – Community Support Provider CTS – Community Training Services DDD – Division of Developmental Disabilities DDS – Disability Determination Services DRS – Division of Rehabilitation Services DHS – Department of Human Services FMAP – Federal Medical Assistance Percentage HCBS – Home & Community Based Services ICF/IID – Intermediate Care Facility for Individuals with Intellectual Disabilities IL – Independent Living SBVI – Service to the Blind and Visually Impaired SDDC – South Dakota Developmental Center SDRC – South Dakota Rehabilitation Center for the Blind SSA – Social Security Administration SSDI – Social Security Disability Insurance SSI – Supplemental Security Income TRS – Telecommunication Relay Services VR – Vocational Rehabilitation

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Department of Human Services Mission Statement

DHS will enhance the quality of life of people with disabilities, in partnership with its stakeholders.

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SECRETARY Gloria

Pearson

SERVICE TO THE BLIND AND VISUALLY IMPAIRED

Gaye Mattke, Director

REHABILITATION SERVICES

Eric Weiss, Director

SD DEVELOPMENTAL CENTER / REDFIELD

Jan Banghart, Director

DEVELOPMENTAL DISABILITIES

Dan Lusk, Director

STATEWIDE INDEPENDENT LIVING COUNCIL

SD COUNCIL ON DEVELOPMENTAL DISABILITIES

FAMILY SUPPORT COUNCIL

BOARD OF SERVICE TO THE BLIND AND VISUALLY IMPAIRED

BOARD OF VOCATIONAL REHABILITATION

Budget and Finance Lloyd Johnson, Interim Director

Department of Human Services

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Department of Human Services Offices

Community Support Providers

SD Developmental Center - Redfield

Private Intermediate Care Facility for Individuals w/ Intellectual Disabilities

SD Rehabilitation Center for the Blind

Home Care Providers

Communication Services for the Deaf

Independent Living Centers

DHS Offices and Providers

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FY17 DHS Overview Total Projected People Served – 26,800

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South Dakota Developmental

Center 132

Rehabilitation Services 10,318

Developmental Disabilities

5,394

SSA Disability Determinations

9,200

Service to the Blind and Visually

Impaired 1,756

DEPARTMENT OF HUMAN SERVICES

FY17 Recommended Budget $198,596,769

FY16 Operating Budget $199,818,988

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General $78,673,794

Federal $105,515,529

Other $15,629,665 General

$78,606,606

Federal $110,329,625

Other $9,660,538

LRC Budget Brief page 2

FTE General Federal Other TotalFY16 Operating 545.4 $78,673,794 $105,515,529 $15,629,665 $199,818,988FY17 Recommended 545.4 $78,606,606 $110,329,625 $9,660,538 $198,596,769FY17 Increase 0.0 ($67,188) $4,814,096 ($5,969,127) ($1,222,219)

DEPARTMENT OF HUMAN SERVICES

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$1,636,653

$(3,571,271)

$1,675,792

$(42,697)

$7,382 $51,270 $120,549 $55,134

$(4,000,000)

$(3,000,000)

$(2,000,000)

$(1,000,000)

$-

$1,000,000

$2,000,000

2.7%ProviderInflation

Change inFMAP

Growth inHCBS Adults

SDDCUtilities

SDDC FoodService

ADLSConflict FreeCase Mgmt

Enhancementof ADLSSupports

ADLS RateEnhancement

General Fund Decrease - ($67,188)

Secretariat

Mission Statement

To provide vision and leadership to the department; and to ensure efficient and effective delivery of services through policy and financial management.

10 LRC Budget Brief page 12

Items Recommended: $4,096

Office of the Secretary FY17 Total Recommended Budget: $1,620,892

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FY16 Base $1,616,796

FY17 Recommended

Increase $4,096

FTE General Federal Other TotalProvider Inflation 0.0 4,096$ -$ -$ 4,096$ Total Increases/Decreases: 0.0 4,096$ -$ -$ 4,096$

Total FY17 Governor's Recommended Budget: 17.0 918,398$ 701,073$ 1,421$ 1,620,892$


DIVISION OF DEVELOPMENTAL DISABILITIES

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 communities.

Mission Statement


Home and Community Based Services (HCBS)

CHOICES Medicaid Waiver Services: • Services are provided through the 19 Community Support Providers and include:

• Service coordination • Residential supports • Employment supports: Pre-vocational and Supported employment • Day Habilitation: Therapies and Community Involvement Activities • Nursing • Specialized medical services, equipment, and drugs

• Room and board is paid by the individual Family Support Medicaid Waiver Services: • Services are provided through the 19 Community Support Providers and include:

• Service coordination • Respite and companion care • Environmental accessibility and modifications • Specialized medical adaptive equipment and supplies

• Family Support services do not include room and board or residential services. The participant’s family must provide the residential support needed.

Division of Developmental Disabilities

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FY17 Growth in HCBS Adults


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From SDDC 15.67 $437.86 $2,504,370 Other Admits 60.67 $93.62 $2,073,173

$4,577,543

Breakdown of Admissions

Home & Community Based ServicesIndividuals Totals

Discharges: (91) ($4,538,249)Admissions: 76 $4,577,543Kids Turning 21: 68 $3,768,205Absent Bed Days & Cost Share: NA ($57,192)Totals: 53 $3,750,307


Items Recommended: ($1,771,867)

Division of Developmental Disabilities FY17 Total Recommended Budget: $143,301,343

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FY16 Base $145,073,210

FY17 Recommended

Increase $0

FTE General Federal Other TotalChange in FMAP 0.0 (2,855,570)$ 3,314,706$ (459,136)$ -$ DDD Provider Inflation 2.7% 0.0 1,513,109$ 2,017,582$ 228,468$ 3,759,159$ Growth in HCBS Adults (53) 0.0 1,721,016$ 2,029,291$ -$ 3,750,307$ Authority Reduction 0.0 -$ (3,540,295)$ (5,741,038)$ (9,281,333)$ Total Increases/Decreases: 0.0 378,555$ 3,821,284$ (5,971,706)$ (1,771,867)$

Total FY17 Governor's Recommended Budget: 20.5 60,592,595$ 77,021,014$ 5,687,734$ 143,301,343$


FY17 Funding Sources

Federal Fund Sources


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General $60,592,595

Federal $77,021,014

Other $5,687,734

Medicaid $76,293,581

DD Basic Support

$591,683

Respite Care $135,750

South Dakota Developmental Center

Mission Statement

To provide individualized treatment services and supports to people with developmental disabilities and challenging behaviors only when needed services are not available in a community setting.


Services: • Primarily services include the diagnosis, treatment, or

rehabilitation of persons with intellectual disabilities or related conditions

• Provides, in a protected residential setting, ongoing evaluation, planning, 24-hour supervision, coordination, and integration of health or rehabilitative services to help each individual function at his greatest ability

• Specialized services include mental illness, substance abuse, and psychiatric services; also includes intensive treatment services for sex offenders

• This is an intensive program of training, treatment and health services. Admission occurs only when services are not available in the community


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19

0

20

40

60

80

100

120

140

160

180

200

FY2005 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015

SDDC POPULATION TRENDS


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0

10

20

30

40

50

60

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Admissions and Discharges

Admissions Discharges

• Survey of SDDC campus to identify parcels of land that can be sold and replotting of current parcels of land was completed.

• Governor’s bill to allow sale of excess property at SDDC.

SDDC Footprint Reduction


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Demolition of Four Buildings: • Sunny View • Willhite • Dakota Hall • Root Cellar HB1015 An Act to Authorize DHS to Dismantle And Demolish Buildings.

Special Appropriation Request


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South Dakota Developmental Center FY17 Total Recommended Budget: $25,932,575

Items Recommended: ($70,690)

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FY16 Base $26,003,265 FY17

Recommended Increase

$0

FTE General Federal Other TotalChange in FMAP 0.0 (618,267)$ 618,267$ -$ -$ Adjustment in Utilities 0.0 (42,697)$ (50,344)$ -$ (93,041)$ Food Service Inflation 0.0 7,382$ 12,390$ 2,579$ 22,351$ FTE Reduction in Budget Authority (2.0) -$ -$ -$ -$ Total Increases/Decreases: (2.0) (653,582)$ 580,313$ 2,579$ (70,690)$

Total FY17 Governor's Recommended Budget: 377.6 11,499,131$ 13,638,720$ 794,724$ 25,932,575$


South Dakota Developmental Center FY17 Funding Sources

Other Fund Sources

Federal Fund Sources

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Medicaid $13,435,092

School Breakfast/Lunch

$203,628

Prescription Drug Plan $665,516

SDDC Other $129,208

General $11,499,131

Federal $13,638,720

Other $794,724

Division of Rehabilitation Services

Mission Statement

To assist individuals with disabilities to obtain employment, economic self-sufficiency, personal independence and full inclusion into society.


Primary Impairments Overview of Programs and Services • Vocational Rehabilitation (VR) • Independent Living • Disability Determination Services • Telecommunication Relay Services • Assistive Daily Living Services

Employment Initiatives • Ability For Hire • Collaboration with providers


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Cognitive 41%

Sensory 4% Mental

Illness 31%

Physical 24%

Assistive Daily Living Services (ADLS)

Description: The Assistive Daily Living Services Program is a Medicaid waiver program that provides personal attendant care and other services to adults with quadriplegia to live independently in their own home. Services include: • Assistance with activities of daily living such as bathing and dressing • Case Management • Skilled Nursing • Specialized Medical Supplies and Emergency Response Devices

Budget Request: • Additional services to meet the needs of participants • Required changes to the provision of case management service • Personal Attendant and skilled nursing rates



Division of Rehabilitation Services FY17 Total Recommended Budget: $23,792,710

Items Recommended: $616,242

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FY16 Base $23,176,468

FY17 Recommended

Increase $616,242

FTE General Federal Other TotalChange in FMAP 0.0 (97,434)$ 97,434$ -$ -$ DRS Provider Inflation 2.7% 0.0 74,224$ 56,642$ -$ 130,866$ Conflict Free Case Mgmt 2.0 51,270$ 51,270$ -$ 102,540$ Enhancement of ADLS Srvs 0.0 120,549$ 142,143$ -$ 262,692$ ADLS PA and SN Rate Enhancement 0.0 55,134$ 65,010$ -$ 120,144$ Total Increases/Decreases: 2.0 203,743$ 412,499$ -$ 616,242$

Total FY17 Governor's Recommended Budget: 101.1 4,643,075$ 16,354,531$ 2,795,104$ 23,792,710$


Division of Rehabilitation Services FY17 Funding Sources

Other Funds

Federal Funds

SSA Program Income

$1,217,451

Interpreter Registration

$8,000

TRS $1,569,653

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General $4,643,075

Federal $16,354,531

Other $2,795,104

Vocational Rehabilitation $8,695,590

Supported Employment

$294,000

Medicaid $2,432,405

Disability Determination

$4,166,536 Independent

Living $303,951

Assistive Technology $462,049

Division of Service to the Blind and Visually Impaired

Mission Statement

To provide individualized rehabilitation services that result in optimal employment and independent living outcomes for citizens who are blind or visually impaired.


Vocational Rehabilitation Program (VR) Services to help individuals with significant vision loss to obtain or maintain

employment.


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Job Placement 7%

Maintenance 10%

Physical Restoration

25%

Assistive Technology

24%

Post Secondary School

6%

Employment Skills 18%

Other 3%

Assessment 7%

Occupations of Individuals Successful Employment Outcomes


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Sales 3%

Service 35%

Ag, Forestry, Fishing 4%

Admin Support 12%

Managerial 6%

Production/Construction 19%

Professional 21%

Items Recommended: $0 FY17 Total Recommended Budget: $3,949,249


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FY16 Base $3,949,249

FY17 Recommended

Increase $0

FTE General Federal Other TotalTotal Increases/Decreases: 0.0 -$ -$ -$ -$

Total FY17 Governor's Recommended Budget: 29.2 953,407$ 2,614,287$ 381,555$ 3,949,249$


FY17 Funding Sources Other Funds

Federal Funds


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General $953,407

Federal $2,614,287

Other $381,555

Vocational Rehabilitation $2,305,007

Independent Living

$303,682

SSA Program Income

$175,150

SBVI Other $206,405

Thank you!

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fy2017 budget recommendation - sdlegislature.gov€¦ · total fy17 governor's recommended...

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