fy2018 budget recommendation -...
TRANSCRIPT
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Department of Human Services Homepage: http://dhs.sd.gov/
FY2018 BUDGET RECOMMENDATION For Period of: July 1, 2017 to June 30, 2018
1
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Table of Contents Acronyms Slide 3
Department of Human Services Overview Slides 4 - 9
Secretariat Slides 10 - 11
Developmental Disabilities Slides 12 - 17
SD Developmental Center (SDDC) Slides 18 - 26
Rehabilitation Services Slides 27 - 31
Service to the Blind & Visually Impaired Slides 32 – 37
Long Term Services and Supports (LTSS) Slide 38
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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
3
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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.
4
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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 Barb Abeln, Director
DEVELOPMENTAL DISABILITIES
Ann Schwartz, Interim 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 Darryl Millner, Director
Department of Human Services
5
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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
6
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FY18 DHS Overview Total Projected People Served – 27,876
7
South Dakota Developmental Center
123 Rehabilitation Services 10,981
Developmental Disabilities
5,606
SSA Disability Determinations
9,400
Service to the Blind and Visually Impaired
1,766
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DEPARTMENT OF HUMAN SERVICES
FY18 Recommended Budget $204,414,758
FY17 Operating Budget $200,828,688
8 LRC Budget Brief page 2
General $79,025,586
Federal $115,689,423
Other $9,699,749
General $79,478,302
Federal $111,622,742
Other $9,727,644
FTE General Federal Other TotalFY17 Operating 545.4 $79,478,302 $111,622,742 $9,727,644 $200,828,688FY18 Recommended 533.4 $79,025,586 $115,689,423 $9,699,749 $204,414,758FY18 Increase/(Decrease) (12.0) ($452,716) $4,066,681 ($27,895) $3,586,070
TOC
Department of Human Services
Table of Contents
Table of Contents
Appendix
Acronyms1SD Developmental Center (SDDC)
Mission & Services Provided15
Department of Human Services OverviewSpecialized Services16
Mission Statement2Levels of Support17
Department Chart3Funding Sources18
Office/Provider Map4Recommended Budget19
FY15 DHS Overview5
Funding Overview6Rehabilitation Services
Funding Overview Cont.7Mission & Services Provided20
Services Provided21
SecretariatIndividuals Rehabilitated22
Mission Statement8Funding Sources22
Recommended Budget9Recommended Budget23
Developmental DisabilitiesService to the Blind & Visually Impaired
Mission 10Mission 24
Services Provided11Services Provided25
Funding Sources12Individuals Rehabilitated26
Recommended Budget13Funding Sources27
Growth in Eligibles - HCBS14Recommended Budget28
&9&F, &A&9Pg &P of &N&9&D
People Served
South Dakota Developmental Center123
Rehabilitation Services10,981
Developmental Disabilities5,606
SSA Disability Determinations9,400
Service to the Blind and Visually Impaired1,766
Total27876
South Dakota Developmental CenterRehabilitation ServicesDevelopmental DisabilitiesSSA Disability DeterminationsService to the Blind and Visually Impaired12310981560694001766
DHS Pie Total Sum
Total FY18 BudgetTotal FY17 Budget
General$79,025,58639%General$79,478,30240%
Federal$115,689,42357%Federal$111,622,74256%
Other$9,699,7495%Other$9,727,6445%
Total$204,414,757Total$200,828,688
Also, in the powerpoint, include a table that shows the following
FTEGeneral Federal Other Total
FY17 Operating545.4$79,478,302$111,622,742$9,727,644$200,828,688
FY18 Recommended533.4$79,025,586$115,689,423$9,699,749$204,414,758
FY18 Increase/(Decrease)(12.0)($452,716)$4,066,681($27,895)$3,586,070
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther79025585.666666672115689422.819699749
GeneralFederalOther794783021116227429727644
General Fund % Inc
General Percent Increase
9.36%
2.7% Provider Inflation$ 1,636,653-2435.93%
Change in FMAP$ (3,571,271)5315.34%
Growth in HCBS Adults$ 1,675,792-2494.18%
SDDC Utilities$ (42,697)63.55%
SDDC Food Service$ 7,382-10.99%
ADLS Conflict Free Case Mgmt$ 51,270-76.31%
Enhancement of ADLS Supports$ 120,549-179.42%
ADLS Rate Enhancement$ 55,134-82.06%
$ (67,188)
General Fund Decrease - ($67,188)
$(3,571,271)
2.7% Provider InflationChange in FMAPGrowth in HCBS AdultsSDDC UtilitiesSDDC Food ServiceADLS Conflict Free Case MgmtEnhancement of ADLS SupportsADLS Rate Enhancement1636653-35712711675792-4269773825127012054955134
DHS 15 Changes
FY15 Budget Recommended Changes
General$6,256,305
Federal$433,497
Other$11,261,010
Total$17,950,812
&9&F, &A&9Pg &P of &N&9&D
General$5,203,203
Federal
$1,080,224
Other
$0
GeneralFederalOther625630543349711261010
DHS FY15 MajorItems A1 to BFM
FTEGeneralFederalOtherTotal
FY2014 Budget Base550.4$66,851,171$99,953,054$3,834,746$170,638,971
Inflation / Expansion / Reduction
1.6% Inflation Developmental Disabilities$801,732$1,052,687$0$1,854,419
1.6% Inflation Rehabilitation Services$43,207$31,845$0$75,052
SD Developmental Center - Utilities$78,941$88,201$0$167,142
FMAP Rate Change$1,782,793($1,782,793)$0$0
DDD Growth in Eligibles$1,563,352$1,746,732$0$3,310,084
Rehabilitation Services COLA$44,377$163,968$0$208,345
Service to the Blind COLA$11,095$40,993$0$52,088
DDD Family Support Expansion$83,404$55,648$0$139,052
DDD Cost Share Reduction Employment Incentive$211,957$236,819$0$448,776
DDD Additonal Supportive Nursing Service$575,125$642,587$0$1,217,712
DDD Reduction in Federal Authority$0($1,203,543)$0($1,203,543)
DD Council Adjustments$884$0$0$884
SDDC Worker's Comp Rate Increase$6,336$7,080$0$13,416
Inflation / Expansion / Reduction Total0.0$5,203,203$1,080,224$0$6,283,427
Total FY2015 Requested Budget550.4$72,054,374$101,033,278$3,834,746$176,922,398
&"Arial,Bold"&8&F&A&"Arial,Bold"&8Pg &P of &N&"Arial,Bold"&8&D, &T
Sec Increase
FY16 Base$1,616,796
FY17 Recommended Increase$4,096
FY16 Base1791430270107314211616796
FTEGeneralFederal OtherTotal
Provider Inflation0.0$ 4,096$ - 0$ - 0$ 4,096
Total Increases/Decreases:0.0$ 4,096$ - 0$ - 0$ 4,096
Total FY17 Governor's Recommended Budget:17.0$ 918,398$ 701,073$ 1,421$ 1,620,892
FY16 BaseFY17 Recommended Increase16167964096
Sec MajorItems
Secretariat
FY15 Total Recommended Budget
GeneralFederalOtherTotals
Bureau Billings$276$263$0$539
$276$263$0$539
&9&F, &A&9Pg &P of &N&9&D
DDD MajorItems
Division of Developmental Disabilities
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$533,267($651,999)$118,732$0
Growth in Eligibles - HCBS Adults:$1,606,756$1,749,042$0$3,355,798
DDD Provider Inflation 3%:$1,522,817$1,954,219$0$3,477,036
Family Support Expansion:$84,042$55,010$0$139,052
DDD Cost Share Reduction-Employment Incentive$214,874$233,902$0$448,776
Reduction in Federal Expenditure Authority$0($1,203,543)$0($1,203,543)
DDD Local School District Match$0$0$11,260,785$11,260,785
Bureau Billings$258$1,086$0$1,344
Totals:$3,962,014$2,137,717$11,379,517$17,479,248
&9&F, &A&9Pg &P of &N&9&D
DDD HCBS Growth
Division of Developmental Disabilities
FY17 HCBS Growth in Eligibles
Home & Community Based Services
IndividualsTotals
Discharges:(91)($4,538,249)
Admissions:76$4,577,543
Kids Turning 21:68$3,768,125adjusted this number down by $80 to reconcile to BFM major item sheet. BFM budget analyst applied additional inflation using base numbers rather than the rate specific information used by DHS. The difference in methodologies was $80.
Absent Bed Days & Cost Share:NA($57,112)
Totals:53$3,750,307
Breakdown of Admissions
From SDDC16$437.86$2,504,370365
Other Admits61$93.62$2,073,173365
$4,577,543
&9&F, &A&9Pg &P of &N&9&D
DD Increase
FY16 Base$145,073,210
FY17 Recommended Increase$0
FY16 Base20.560,214,040.0073,199,730.0011,659,440.00145,073,210.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (2,855,570)$ 3,314,706$ (459,136)$ - 0
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$ - 0$ 3,750,307
Authority Reduction0.0$ - 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
*Note: Inflatin on expansion is inluded in the expansion line in effort for table to match BFM budget book. This results in the table not tying back to the rolling budget and inflation on expansion was loaded as inflation.
FY16 BaseFY17 Recommended Increase1450732100
DDD Pie Total Sum
DDD Total FY17 Budget
General$60,592,595
Federal$77,021,014
Other$5,687,734
Total$143,301,343
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther60592595770210145687734
DDD Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG version
Medicaid$76,293,581
DD Basic Support$591,683
Respite Care$135,750
Total$77,021,014
&9&F, &A&9Pg &P of &N&9&D
MedicaidDD Basic SupportRespite Care76293581591683135750
SDDC MajorItems
Division of SD Developmental Center
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$439,684($439,684)$0$0
Utilities:$80,027$87,115$0$167,142
SDDC Worker's Comp Increase$66,161$72,019$138,180
Bureau Billings$2,718$3,695$6,413
Totals:$588,590($276,855)$0$311,735
&9&F, &A&9Pg &P of &N&9&D
SDDC Pie Total Sum
SDDC Total FY17 BudgetFederal Fund Sources
General$11,499,131
Federal$13,638,720
Other$794,724
Total$25,932,575
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther1149913113638720794724
SDDC Increase
DDD Total FY17 BudgetFederal Fund Sources
FY16 Base$26,003,265
FY17 Recommended Increase$0
Total$26,003,265
FY16 Base379.612,152,713.0013,058,407.00792,145.0026,003,265.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (618,267)$ 618,267$ - 0$ - 0
Adjustment in Utilities0.0$ (42,697)$ (50,344)$ - 0$ (93,041)
Food Service Inflation0.0$ 7,382$ 12,390$ 2,579$ 22,351
FTE Reduction in Budget Authority(2.0)$ - 0$ - 0$ - 0$ - 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
&9&F, &A&9Pg &P of &N&9&D
FY16 BaseFY17 Recommended Increase260032650
FY13 Base
$24,146,398
FY14 Recommended Decrease ($971,500)
FY16 BaseFY17 Recommended Increase260032650
SDDC Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG version
Medicaid$13,435,092
School Breakfast/Lunch$203,628
Total$13,638,720
&9&F, &A&9Pg &P of &N&9&D
MedicaidSchool Breakfast/Lunch13435092203628
SDDC Bar Other
Other Fund Sources
Prescription Drug Plan$665,516
SDDC Other$129,208
Total$794,724
&9&F, &A&9Pg &P of &N&9&D
Prescription Drug PlanSDDC Other665516129208
RS MajorItems
Division of Rehabilitation Services
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$79,200($79,200)$0$0
Provider Inflation 3%:$81,748$58,974$0$140,722
Bureau Billings$2,838$13,499$16,337
Totals:$163,786($6,727)$0$157,059
&9&F, &A&9Pg &P of &N&9&D
DRS Increase
FY16 Base$23,176,468
FY17 Recommended Increase$616,242
FY16 Base99.14,439,332.0015,942,032.002,795,104.0023,176,468.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (97,434)$ 97,434$ - 0$ - 0
DRS Provider Inflation 2.7%0.0$ 74,224$ 56,642$ - 0$ 130,866
Conflict Free Case Mgmt2.0$ 51,270$ 51,270$ - 0$ 102,540
Enhancement of ADLS Srvs0.0$ 120,549$ 142,143$ - 0$ 262,692
ADLS PA and SN Rate Enhancement0.0$ 55,134$ 65,010$ - 0$ 120,144
Total Increases/Decreases:2.0$ 203,743$ 412,499$ - 0$ 616,242
Total FY17 Governor's Recommended Budget:101.1$ 4,643,075$ 16,354,531$ 2,795,104$ 23,792,710
FY16 BaseFY17 Recommended Increase23176468616242
RS 14 Pie Total Sum
DRS Total FY17 Budget
General$4,643,075
Federal$16,354,531
Other$2,795,104
Total$23,792,710
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther4643075163545312795104
RS 14 Pie Federal Fund
Federal Fund Sources
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
Total$16,354,531
&9&F, &A&9Pg &P of &N&9&D
Vocational RehabilitationSupported EmploymentMedicaidDisability DeterminationIndependent LivingAssistive Technology869559029400024324054166536303951462049
RS Bar Other
Other Fund Sources
SSA Program Income$1,217,451
Interpreter Registration$8,000
TRS$1,569,653
Total$2,795,1042795104
&9&F, &A&9Pg &P of &N&9&D
SSA Program IncomeInterpreter RegistrationTRS121745180001569653
DRS 16 Primary Impair
Impairments
Cognitive41%
Sensory4%
Mental Illness31%
Physical24%
Total100%
&9&F, &A&9Pg &P of &N&9&D
CognitiveSensoryMental IllnessPhysical0.410.040.310.24
SBVI MajorItems
Division of Service to the Blind & Visually Impaired
FY15 Total Recommended Budget
GeneralFederalOtherTotals
Bureau Billings$636$1,370$225$2,231
Totals:$636$1,370$225$2,231
&9&F, &A&9Pg &P of &N&9&D
SBVI Increase
FY16 Base$3,949,249
FY17 Recommended Increase$0
FY16 Base29.2953,407.002,614,287.00381,555.003,949,249.00
FTEGeneralFederal OtherTotal
Total Increases/Decreases:0$ - 0$ - 0$ - 0$ - 0
Total FY17 Governor's Recommended Budget:29.2$ 953,407$ 2,614,287$ 381,555$ 3,949,249
FY16 BaseFY17 Recommended Increase39492490
SBVI 16 Pie Services
Vocational Rehabilitation Program
Services Provided
Job Placement7%
Maintenance10%
Pysical Restoration25%
Assistive Technology24%
Post Secondary School6%
Employment Skills18%
Other3%
Assessment7%
Total100%
&9&F, &A&9Pg &P of &N&9&D
Job Placement7%
Job PlacementMaintenancePysical RestorationAssistive TechnologyPost Secondary SchoolEmployment SkillsOtherAssessment7.0000000000000007E-20.10.250.240.060.180.037.0000000000000007E-2
SBVI 16 Pie Employment
Occupations of Individuals
Successful Employment Outcomes
Sales3%
Service35%
Ag, Forestry, Fishing4%
Admin Support12%
Managerial6%
Production/Construction19%
Professional21%
Total100%
&9&F, &A&9Pg &P of &N&9&D
SalesServiceAg, Forestry, FishingAdmin SupportManagerialProduction/ConstructionProfessional0.030.350.040.120.060.190.21
SBVI 16 Chart Older Blind
Older Blind Individuals Served in FY16
Age 55-5911
Age 60-6430
Age 65-6924
Age 70-7427
Age 75-7958
Age 80-84843020.6681415929
Age 85-89105
Age 90-9481
Age 95-9928
Age 100+4
Total452
&9&F, &A&9Pg &P of &N&9&D
Age 55-59Age 60-64Age 65-69Age 70-74Age 75-79Age 80-84Age 85-89Age 90-94Age 95-99Age 100+11302427588410581284
SBVI 16 Pie Total Sum
SBVI Total FY17 Budget
General$953,407
Federal$2,614,287
Other$381,555
Total$3,949,249
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther9534072614287381555
SBVI 16 Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG Version
Vocational Rehabilitation$2,305,007
Independent Living$303,682
Total$2,608,689
&9&F, &A&9Pg &P of &N&9&D
Vocational Rehabilitation$2,305,007
Vocational RehabilitationIndependent Living2305007303682
SBVI 16 Other
Other Fund Sources
Information from Fund Sources Used Report - AG Version
SSA Program Income$175,150
SBVI Other$206,405
Total$381,555
&9&F, &A&9Pg &P of &N&9&D
SSA Program IncomeSBVI Other175150206405
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DEPARTMENT OF HUMAN SERVICES
9
$633,473
$(1,720,373)
$508,707 $379,908
$(53,794)
$16,780
$(162,949) $(56,135)
$1,667
$(2,000,000)
$(1,500,000)
$(1,000,000)
$(500,000)
$-
$500,000
$1,000,000
1% ProviderInflation
Change inFMAP
Growth inHCBS Adults
Family SupportGrowth SDDC Utilities
SDDC FoodService
SDDCFTE/Personal
ServicesReduction
JuvenileCorrections
MonitorReduction
ADLS RateEnhancement
Series1 $633,473 $(1,720,373) $508,707 $379,908 $(53,794) $16,780 $(162,949) $(56,135) $1,667
General Fund Decrease - ($452,716)
-
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 9
-
Decrease Recommended: ($54,566)
Office of the Secretary FY18 Total Recommended Budget: $1,686,733
11 LRC Budget Brief page 9
FY17 Base $1,741,299
FY18 Recommended Increase
$0
FTE General Federal Other TotalProvider Inflation 0.0 1,569$ -$ -$ 1,569$ Juvenile Corrections Monitor (1.0) ($56,135) -$ -$ ($56,135)Total Increases/Decreases: (1.0) ($54,566) -$ -$ ($54,566)
Total FY18 Governor's Recommended Budget: 17.0 925,804$ 759,499$ 1,430$ 1,686,733$
TOC
Department of Human Services
Table of Contents
Table of Contents
Appendix
Acronyms1SD Developmental Center (SDDC)
Mission & Services Provided15
Department of Human Services OverviewSpecialized Services16
Mission Statement2Levels of Support17
Department Chart3Funding Sources18
Office/Provider Map4Recommended Budget19
FY15 DHS Overview5
Funding Overview6Rehabilitation Services
Funding Overview Cont.7Mission & Services Provided20
Services Provided21
SecretariatIndividuals Rehabilitated22
Mission Statement8Funding Sources22
Recommended Budget9Recommended Budget23
Developmental DisabilitiesService to the Blind & Visually Impaired
Mission 10Mission 24
Services Provided11Services Provided25
Funding Sources12Individuals Rehabilitated26
Recommended Budget13Funding Sources27
Growth in Eligibles - HCBS14Recommended Budget28
&9&F, &A&9Pg &P of &N&9&D
People Served
South Dakota Developmental Center123
Rehabilitation Services10,981
Developmental Disabilities5,606
SSA Disability Determinations9,400
Service to the Blind and Visually Impaired1,766
Total27876
South Dakota Developmental CenterRehabilitation ServicesDevelopmental DisabilitiesSSA Disability DeterminationsService to the Blind and Visually Impaired12310981560694001766
DHS Pie Total Sum
Total FY18 BudgetTotal FY17 Budget
General$79,025,58639%General$79,478,30240%
Federal$115,689,42357%Federal$111,622,74256%
Other$9,699,7495%Other$9,727,6445%
Total$204,414,757Total$200,828,688
Also, in the powerpoint, include a table that shows the following
FTEGeneral Federal Other Total
FY17 Operating545.4$79,478,302$111,622,742$9,727,644$200,828,688
FY18 Recommended533.4$79,025,586$115,689,423$9,699,749$204,414,757
FY18 Increase/(Decrease)(12.0)($452,716)$4,066,681($27,895)$3,586,069
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther79025585.666666672115689422.819699749
GeneralFederalOther794783021116227429727644
General Fund % Inc
General Percent Increase
9.36%
1% Provider Inflation$ 633,473-139.93%
Change in FMAP$ (1,720,373)380.01%
Growth in HCBS Adults$ 508,707-112.37%
Family Support Growth$ 379,908-83.92%
SDDC Utilities$ (53,794)11.88%
SDDC Food Service$ 16,780-3.71%
SDDC FTE/Personal Services Reduction$ (162,949)35.99%
Juvenile Corrections Monitor Reduction$ (56,135)12.40%
ADLS Rate Enhancement$ 1,667-0.37%
$ (452,716)
General Fund Decrease - ($452,716)
$(1,720,373)
$(53,794)
$(162,949)
$(56,135)
1% Provider InflationChange in FMAPGrowth in HCBS AdultsFamily Support GrowthSDDC UtilitiesSDDC Food ServiceSDDC FTE/Personal Services ReductionJuvenile Corrections Monitor ReductionADLS Rate Enhancement633473-1720373508707379908-5379416780-162949-561351667
DHS 15 Changes
FY15 Budget Recommended Changes
General$6,256,305
Federal$433,497
Other$11,261,010
Total$17,950,812
&9&F, &A&9Pg &P of &N&9&D
General$5,203,203
Federal
$1,080,224
Other
$0
GeneralFederalOther625630543349711261010
DHS FY15 MajorItems A1 to BFM
FTEGeneralFederalOtherTotal
FY2014 Budget Base550.4$66,851,171$99,953,054$3,834,746$170,638,971
Inflation / Expansion / Reduction
1.6% Inflation Developmental Disabilities$801,732$1,052,687$0$1,854,419
1.6% Inflation Rehabilitation Services$43,207$31,845$0$75,052
SD Developmental Center - Utilities$78,941$88,201$0$167,142
FMAP Rate Change$1,782,793($1,782,793)$0$0
DDD Growth in Eligibles$1,563,352$1,746,732$0$3,310,084
Rehabilitation Services COLA$44,377$163,968$0$208,345
Service to the Blind COLA$11,095$40,993$0$52,088
DDD Family Support Expansion$83,404$55,648$0$139,052
DDD Cost Share Reduction Employment Incentive$211,957$236,819$0$448,776
DDD Additonal Supportive Nursing Service$575,125$642,587$0$1,217,712
DDD Reduction in Federal Authority$0($1,203,543)$0($1,203,543)
DD Council Adjustments$884$0$0$884
SDDC Worker's Comp Rate Increase$6,336$7,080$0$13,416
Inflation / Expansion / Reduction Total0.0$5,203,203$1,080,224$0$6,283,427
Total FY2015 Requested Budget550.4$72,054,374$101,033,278$3,834,746$176,922,398
&"Arial,Bold"&8&F&A&"Arial,Bold"&8Pg &P of &N&"Arial,Bold"&8&D, &T
Sec Increase
FY17 Base$1,741,299
FY18 Recommended Increase$0
FY17 Base1898037075949914301741299
FTEGeneralFederal OtherTotal
Provider Inflation0.0$ 1,569$ - 0$ - 0$ 1,569
Juvenile Corrections Monitor(1.0)($56,135)$ - 0$ - 0($56,135)
Total Increases/Decreases:(1.0)($54,566)$ - 0$ - 0($54,566)
Total FY18 Governor's Recommended Budget:17.0$ 925,804$ 759,499$ 1,430$ 1,686,733
FY17 Base$1,741,299
FY18 Recommended Increase$0
FY17 BaseFY18 Recommended Increase17412990
Sec MajorItems
Secretariat
FY15 Total Recommended Budget
GeneralFederalOtherTotals
Bureau Billings$276$263$0$539
$276$263$0$539
&9&F, &A&9Pg &P of &N&9&D
DDD MajorItems
Division of Developmental Disabilities
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$533,267($651,999)$118,732$0
Growth in Eligibles - HCBS Adults:$1,606,756$1,749,042$0$3,355,798
DDD Provider Inflation 3%:$1,522,817$1,954,219$0$3,477,036
Family Support Expansion:$84,042$55,010$0$139,052
DDD Cost Share Reduction-Employment Incentive$214,874$233,902$0$448,776
Reduction in Federal Expenditure Authority$0($1,203,543)$0($1,203,543)
DDD Local School District Match$0$0$11,260,785$11,260,785
Bureau Billings$258$1,086$0$1,344
Totals:$3,962,014$2,137,717$11,379,517$17,479,248
&9&F, &A&9Pg &P of &N&9&D
DDD HCBS Growth
Division of Developmental Disabilities
FY18 HCBS Growth in Eligibles
Home & Community Based Services
IndividualsTotals
Discharges:(97)($4,486,841)
Admissions:61$3,033,220
Kids Turning 21:45$2,131,472
CCHS KT21:3$487,647
Absent Bed Days & Cost Share:NA($17,482)
Totals:12$1,148,015
Breakdown of Admissions
From SDDC8.24$445.34$1,339,774365
Other Admits52.33$88.66$1,693,446365
$3,033,220
&9&F, &A&9Pg &P of &N&9&D
DD Increase
FY17 Base$144,386,299
FY18 Recommended Increase$3,175,515
FY17 Base20.561,025,142.0077,612,498.005,748,659.00144,386,299.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (1,382,911)$ 1,524,467$ (141,556)$ - 0
DDD Provider Inflation 1%0.0$ 591,831$ 781,530$ 56,071$ 1,429,432
Growth in HCBS Adults (11.90)0.0$ 508,707$ 627,814$ - 0$ 1,136,521
Family Support Expansion0.0$ 379,908$ 229,654$ - 0$ 609,562
Total Increases/Decreases:0.0$ 97,535$ 3,163,465$ (85,485)$ 3,175,515
Total FY18 Governor's Recommended Budget:20.5$ 61,122,677$ 80,775,963$ 5,663,174$ 147,561,814
*Previous year's note: Inflatin on expansion is inluded in the expansion line in effort for table to match BFM budget book. This results in the table not tying back to the rolling budget and inflation on expansion was loaded as inflation.
FY17 BaseFY18 Recommended Increase1443862993175515
DDD Pie Total Sum
DDD Total FY18 Budget
General$61,122,677
Federal$80,775,963
Other$5,663,174
Total$147,561,814
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther61122677807759635663174
DDD Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG version
Medicaid$80,047,97299%
DD Basic Support$592,2411%
Respite Care$135,7500%
Total$80,775,963
&9&F, &A&9Pg &P of &N&9&D
MedicaidDD Basic SupportRespite Care80047972592241135750
SDDC MajorItems
Division of SD Developmental Center
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$439,684($439,684)$0$0
Utilities:$80,027$87,115$0$167,142
SDDC Worker's Comp Increase$66,161$72,019$138,180
Bureau Billings$2,718$3,695$6,413
Totals:$588,590($276,855)$0$311,735
&9&F, &A&9Pg &P of &N&9&D
SDDC Pie Total Sum
SDDC Total FY18 BudgetFederal Fund Sources
General$11,308,269
Federal$14,015,974
Other$794,724
Total$26,118,967
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther1130826914015974794724
SDDC Increase
SDDC Total FY17 BudgetFederal Fund Sources
FY17 Base$26,551,505
FY18 Recommended Increase$0
Total$26,551,505
FY17 Base376.611,784,860.0013,971,921.00794,724.0026,551,505.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (286,741)$ 286,741$ - 0$ - 0
Adjustment in Utilities0.0$ (53,794)$ (66,393)$ - 0$ (120,187)
Food Service Growth/Inflation0.0$ 26,893$ 33,190$ - 0$ 60,083
FTE Reduction(12.0)$ (162,949)$ (209,485)$ - 0$ (372,434)
Total Increases/Decreases:(12.0)$ (476,591)$ 44,053$ - 0$ (432,538)
Total FY18 Governor's Recommended Budget:364.6$ 11,308,269$ 14,015,974$ 794,724$ 26,118,967
&9&F, &A&9Pg &P of &N&9&D
FY17 Base$26,551,505
FY17 BaseFY18 Recommended Increase265515050
FY13 Base
$24,146,398
FY14 Recommended Decrease ($971,500)
FY17 BaseFY18 Recommended Increase265515050
SDDC Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG version
Medicaid$13,812,346
School Breakfast/Lunch$203,628
Total$14,015,974
&9&F, &A&9Pg &P of &N&9&D
MedicaidSchool Breakfast/Lunch13812346203628
SDDC Bar Other
Other Fund Sources
Prescription Drug Plan$665,516
SDDC Other$129,208
Total$794,724
&9&F, &A&9Pg &P of &N&9&D
Prescription Drug PlanSDDC Other665516129208
RS MajorItems
Division of Rehabilitation Services
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$79,200($79,200)$0$0
Provider Inflation 3%:$81,748$58,974$0$140,722
Bureau Billings$2,838$13,499$16,337
Totals:$163,786($6,727)$0$157,059
&9&F, &A&9Pg &P of &N&9&D
DRS Increase
FY17 Base$22,826,523
FY18 Recommended Increase$897,659
FY17 Base101.14,718,420.0016,614,678.001,493,425.0022,826,523.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (50,721)$ 50,721$ - 0$ - 0
DRS Provider Inflation 1%0.0$ 29,960$ 24,596$ - 0$ 54,556
Deaf Services Growth0.0$ - 0$ - 0$ 57,590$ 57,590
DDS Operating Costs Increases0.0$ - 0$ 337,134$ - 0$ 337,134
DDS Cooperative Disability Investigations Unit1.0$ - 0$ 444,655$ - 0$ 444,655
ADLS PA and SN Rate Enhancements0.0$ 1,667$ 2,057$ - 0$ 3,724
Total Increases/Decreases:1.0$ (19,094)$ 859,163$ 57,590$ 897,659
Total FY18 Governor's Recommended Budget:102.1$ 4,699,326$ 17,473,841$ 1,551,015$ 23,724,182
FY17 BaseFY18 Recommended Increase22826523897659
RS 14 Pie Total Sum
DRS Total FY18 Budget
General$4,699,326
Federal$17,473,841
Other$1,551,015
Total$23,724,182
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther4699326174738411551015
RS 14 Pie Federal Fund
Federal Fund Sources
Vocational Rehabilitation$8,846,026
Supported Employment$294,000
Medicaid$2,558,693
Disability Determination$5,009,122
Independent Living$303,951
Assistive Technology$462,049
Total$17,473,841
&9&F, &A&9Pg &P of &N&9&D
Vocational RehabilitationSupported EmploymentMedicaidDisability DeterminationIndependent LivingAssistive Technology884602629400025586935009122303951462049
RS Bar Other
Other Fund Sources
SSA Program Income$1,217,452
Interpreter Registration$8,000
TRS$1,627,243
Total$2,852,6952852695
&9&F, &A&9Pg &P of &N&9&D
SSA Program IncomeInterpreter RegistrationTRS121745280001627243
DRS 16 Primary Impair
Impairments
Cognitive42%
Sensory3%
Mental Illness31%
Physical24%
Total100%
&9&F, &A&9Pg &P of &N&9&D
CognitiveSensoryMental IllnessPhysical0.420.030.310.24
SBVI MajorItems
Division of Service to the Blind & Visually Impaired
FY15 Total Recommended Budget
GeneralFederalOtherTotals
Bureau Billings$636$1,370$225$2,231
Totals:$636$1,370$225$2,231
&9&F, &A&9Pg &P of &N&9&D
SBVI Increase
FY17 Base$4,021,382
FY18 Recommended Increase$0
FY17 Base29.2969,510.002,664,146.00387,726.004,021,382.00
FTEGeneralFederal OtherTotal
Total Increases/Decreases:0$ - 0$ - 0$ - 0$ - 0
Total FY18 Governor's Recommended Budget:29.2$ 969,510$ 2,664,146$ 387,726$ 4,021,382
FY17 BaseFY18 Recommended Increase40213820
SBVI 16 Pie Services
Vocational Rehabilitation Program
Services Provided
Job Placement11%
Maintenance5%
Pysical Restoration25%
Assistive Technology24%
Post Secondary School12%
Employment Skills17%
Other4%
Assessment5%
Total103%
&9&F, &A&9Pg &P of &N&9&D
Job Placement7%
Job PlacementMaintenancePysical RestorationAssistive TechnologyPost Secondary SchoolEmployment SkillsOtherAssessment0.110.050.250.240.120.170.040.05
SBVI 16 Pie Employment
Occupations of Individuals
Successful Employment Outcomes
Sales17%
Service35%
Ag, Forestry, Fishing4%
Admin Support11%
Managerial6%
Production/Construction17%
Professional10%
Total100%
&9&F, &A&9Pg &P of &N&9&D
SalesServiceAg, Forestry, FishingAdmin SupportManagerialProduction/ConstructionProfessional0.170.350.040.110.060.170.1
SBVI 16 Chart Older Blind
Older Blind Individuals Served in FY16
Age 55-5911
Age 60-6430
Age 65-6924
Age 70-7427
Age 75-7958
Age 80-84843020.6681415929
Age 85-89105
Age 90-9481
Age 95-9928
Age 100+4
Total452
&9&F, &A&9Pg &P of &N&9&D
Age 55-59Age 60-64Age 65-69Age 70-74Age 75-79Age 80-84Age 85-89Age 90-94Age 95-99Age 100+11302427588410581284
SBVI 16 Pie Total Sum
SBVI Total FY18 Budget
General$969,510
Federal$2,664,146
Other$387,726
Total$4,021,382
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther9695102664146387726
SBVI 16 Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG Version
Vocational Rehabilitation$2,348,475
Independent Living$315,671
Total$2,664,146
&9&F, &A&9Pg &P of &N&9&D
Vocational Rehabilitation$2,305,007
Vocational RehabilitationIndependent Living2348475315671
SBVI 16 Other
Other Fund Sources
Information from Fund Sources Used Report - AG Version
SSA Program Income$175,150
SBVI Other$212,576
Total$387,726
&9&F, &A&9Pg &P of &N&9&D
SSA Program IncomeSBVI Other175150212576
-
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
12 LRC Budget Brief page 12
-
Home and Community Based Services (HCBS)
CHOICES Medicaid Waiver Services: • Services are provided through the 19 direct support and case management providers
and include: • 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
13
-
Increase Recommended: $3,175,515
Division of Developmental Disabilities FY18 Total Recommended Budget: $147,561,814
14 LRC Budget Brief page 12
FTE General Federal Other TotalChange in FMAP 0.0 (1,382,911)$ 1,524,467$ (141,556)$ -$ DDD Provider Inflation 1% 0.0 583,101$ 773,062$ 56,071$ 1,412,234$ Growth in HCBS Adults 0.0 513,852$ 634,163$ -$ 1,148,015$ Family Support Expansion 0.0 383,493$ 231,773$ -$ 615,266$ Total Increases/Decreases: 0.0 97,535$ 3,163,465$ (85,485)$ 3,175,515$
Total FY18 Governor's Recommended Budget: 20.5 61,122,677$ 80,775,963$ 5,663,174$ 147,561,814$
FY17 Base $144,386,299
FY18 Recommended Increase
$3,175,515
TOC
Department of Human Services
Table of Contents
Table of Contents
Appendix
Acronyms1SD Developmental Center (SDDC)
Mission & Services Provided15
Department of Human Services OverviewSpecialized Services16
Mission Statement2Levels of Support17
Department Chart3Funding Sources18
Office/Provider Map4Recommended Budget19
FY15 DHS Overview5
Funding Overview6Rehabilitation Services
Funding Overview Cont.7Mission & Services Provided20
Services Provided21
SecretariatIndividuals Rehabilitated22
Mission Statement8Funding Sources22
Recommended Budget9Recommended Budget23
Developmental DisabilitiesService to the Blind & Visually Impaired
Mission 10Mission 24
Services Provided11Services Provided25
Funding Sources12Individuals Rehabilitated26
Recommended Budget13Funding Sources27
Growth in Eligibles - HCBS14Recommended Budget28
&9&F, &A&9Pg &P of &N&9&D
People Served
South Dakota Developmental Center123
Rehabilitation Services10,981
Developmental Disabilities5,606
SSA Disability Determinations9,400
Service to the Blind and Visually Impaired1,766
Total27876
South Dakota Developmental CenterRehabilitation ServicesDevelopmental DisabilitiesSSA Disability DeterminationsService to the Blind and Visually Impaired12310981560694001766
DHS Pie Total Sum
Total FY18 BudgetTotal FY17 Budget
General$79,025,58639%General$79,478,30240%
Federal$115,689,42357%Federal$111,622,74256%
Other$9,699,7495%Other$9,727,6445%
Total$204,414,757Total$200,828,688
Also, in the powerpoint, include a table that shows the following
FTEGeneral Federal Other Total
FY17 Operating545.4$79,478,302$111,622,742$9,727,644$200,828,688
FY18 Recommended533.4$79,025,586$115,689,423$9,699,749$204,414,757
FY18 Increase/(Decrease)(12.0)($452,716)$4,066,681($27,895)$3,586,069
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther79025585.666666672115689422.819699749
GeneralFederalOther794783021116227429727644
General Fund % Inc
General Percent Increase
9.36%
1% Provider Inflation$ 633,473-139.93%
Change in FMAP$ (1,720,373)380.01%
Growth in HCBS Adults$ 508,707-112.37%
Family Support Growth$ 379,908-83.92%
SDDC Utilities$ (53,794)11.88%
SDDC Food Service$ 16,780-3.71%
SDDC FTE/Personal Services Reduction$ (162,949)35.99%
Juvenile Corrections Monitor Reduction$ (56,135)12.40%
ADLS Rate Enhancement$ 1,667-0.37%
$ (452,716)
General Fund Decrease - ($452,716)
$(1,720,373)
$(53,794)
$(162,949)
$(56,135)
1% Provider InflationChange in FMAPGrowth in HCBS AdultsFamily Support GrowthSDDC UtilitiesSDDC Food ServiceSDDC FTE/Personal Services ReductionJuvenile Corrections Monitor ReductionADLS Rate Enhancement633473-1720373508707379908-5379416780-162949-561351667
DHS 15 Changes
FY15 Budget Recommended Changes
General$6,256,305
Federal$433,497
Other$11,261,010
Total$17,950,812
&9&F, &A&9Pg &P of &N&9&D
General$5,203,203
Federal
$1,080,224
Other
$0
GeneralFederalOther625630543349711261010
DHS FY15 MajorItems A1 to BFM
FTEGeneralFederalOtherTotal
FY2014 Budget Base550.4$66,851,171$99,953,054$3,834,746$170,638,971
Inflation / Expansion / Reduction
1.6% Inflation Developmental Disabilities$801,732$1,052,687$0$1,854,419
1.6% Inflation Rehabilitation Services$43,207$31,845$0$75,052
SD Developmental Center - Utilities$78,941$88,201$0$167,142
FMAP Rate Change$1,782,793($1,782,793)$0$0
DDD Growth in Eligibles$1,563,352$1,746,732$0$3,310,084
Rehabilitation Services COLA$44,377$163,968$0$208,345
Service to the Blind COLA$11,095$40,993$0$52,088
DDD Family Support Expansion$83,404$55,648$0$139,052
DDD Cost Share Reduction Employment Incentive$211,957$236,819$0$448,776
DDD Additonal Supportive Nursing Service$575,125$642,587$0$1,217,712
DDD Reduction in Federal Authority$0($1,203,543)$0($1,203,543)
DD Council Adjustments$884$0$0$884
SDDC Worker's Comp Rate Increase$6,336$7,080$0$13,416
Inflation / Expansion / Reduction Total0.0$5,203,203$1,080,224$0$6,283,427
Total FY2015 Requested Budget550.4$72,054,374$101,033,278$3,834,746$176,922,398
&"Arial,Bold"&8&F&A&"Arial,Bold"&8Pg &P of &N&"Arial,Bold"&8&D, &T
Sec Increase
FY17 Base$1,741,299
FY18 Recommended Increase$1,569
FY17 Base1898037075949914301741299
FTEGeneralFederal OtherTotal
Provider Inflation0.0$ 1,569$ - 0$ - 0$ 1,569
Total Increases/Decreases:0.0$ 1,569$ - 0$ - 0$ 1,569
Total FY18 Governor's Recommended Budget:18.0$ 981,939$ 759,499$ 1,430$ 1,742,868
FY17 Base$1,741,299
FY18 Recommended Increase$1,569
FY17 BaseFY18 Recommended Increase17412991569
Sec MajorItems
Secretariat
FY15 Total Recommended Budget
GeneralFederalOtherTotals
Bureau Billings$276$263$0$539
$276$263$0$539
&9&F, &A&9Pg &P of &N&9&D
DDD MajorItems
Division of Developmental Disabilities
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$533,267($651,999)$118,732$0
Growth in Eligibles - HCBS Adults:$1,606,756$1,749,042$0$3,355,798
DDD Provider Inflation 3%:$1,522,817$1,954,219$0$3,477,036
Family Support Expansion:$84,042$55,010$0$139,052
DDD Cost Share Reduction-Employment Incentive$214,874$233,902$0$448,776
Reduction in Federal Expenditure Authority$0($1,203,543)$0($1,203,543)
DDD Local School District Match$0$0$11,260,785$11,260,785
Bureau Billings$258$1,086$0$1,344
Totals:$3,962,014$2,137,717$11,379,517$17,479,248
&9&F, &A&9Pg &P of &N&9&D
DDD HCBS Growth
Division of Developmental Disabilities
FY18 HCBS Growth in Eligibles
Home & Community Based Services
IndividualsTotals
Discharges:(97)($4,486,841)
Admissions:61$3,033,220
Kids Turning 21:45$2,131,472
CCHS KT21:3$487,647
Absent Bed Days & Cost Share:NA($17,482)
Totals:12$1,148,015
Breakdown of Admissions
From SDDC8.24$445.34$1,339,774365
Other Admits52.33$88.66$1,693,446365
$3,033,220
&9&F, &A&9Pg &P of &N&9&D
DD Increase
FY16 Base$145,073,210
FY17 Recommended Increase$0
FY17 Base20.561,025,142.0077,612,498.005,748,659.00144,386,299.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (1,382,911)$ 1,524,467$ (141,556)$ - 0
DDD Provider Inflation 1%0.0$ 583,101$ 773,062$ 56,071$ 1,412,234
Growth in HCBS Adults0.0$ 513,852$ 634,163$ - 0$ 1,148,015
Family Support Expansion0.0$ 383,493$ 231,773$ - 0$ 615,266
Total Increases/Decreases:0.0$ 97,535$ 3,163,465$ (85,485)$ 3,175,515
Total FY18 Governor's Recommended Budget:20.5$ 61,122,677$ 80,775,963$ 5,663,174$ 147,561,814
*Previous year's note: Inflatin on expansion is inluded in the expansion line in effort for table to match BFM budget book. This results in the table not tying back to the rolling budget and inflation on expansion was loaded as inflation.
FY16 BaseFY17 Recommended Increase1450732100
DDD Pie Total Sum
DDD Total FY17 Budget
General$60,592,595
Federal$77,021,014
Other$5,687,734
Total$143,301,343
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther60592595770210145687734
DDD Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG version
Medicaid$76,293,581
DD Basic Support$591,683
Respite Care$135,750
Total$77,021,014
&9&F, &A&9Pg &P of &N&9&D
MedicaidDD Basic SupportRespite Care76293581591683135750
SDDC MajorItems
Division of SD Developmental Center
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$439,684($439,684)$0$0
Utilities:$80,027$87,115$0$167,142
SDDC Worker's Comp Increase$66,161$72,019$138,180
Bureau Billings$2,718$3,695$6,413
Totals:$588,590($276,855)$0$311,735
&9&F, &A&9Pg &P of &N&9&D
SDDC Pie Total Sum
SDDC Total FY17 BudgetFederal Fund Sources
General$11,499,131
Federal$13,638,720
Other$794,724
Total$25,932,575
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther1149913113638720794724
SDDC Increase
DDD Total FY17 BudgetFederal Fund Sources
FY16 Base$26,003,265
FY17 Recommended Increase$0
Total$26,003,265
FY16 Base379.612,152,713.0013,058,407.00792,145.0026,003,265.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (618,267)$ 618,267$ - 0$ - 0
Adjustment in Utilities0.0$ (42,697)$ (50,344)$ - 0$ (93,041)
Food Service Inflation0.0$ 7,382$ 12,390$ 2,579$ 22,351
FTE Reduction in Budget Authority(2.0)$ - 0$ - 0$ - 0$ - 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
&9&F, &A&9Pg &P of &N&9&D
FY16 BaseFY17 Recommended Increase260032650
FY13 Base
$24,146,398
FY14 Recommended Decrease ($971,500)
FY16 BaseFY17 Recommended Increase260032650
SDDC Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG version
Medicaid$13,435,092
School Breakfast/Lunch$203,628
Total$13,638,720
&9&F, &A&9Pg &P of &N&9&D
MedicaidSchool Breakfast/Lunch13435092203628
SDDC Bar Other
Other Fund Sources
Prescription Drug Plan$665,516
SDDC Other$129,208
Total$794,724
&9&F, &A&9Pg &P of &N&9&D
Prescription Drug PlanSDDC Other665516129208
RS MajorItems
Division of Rehabilitation Services
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$79,200($79,200)$0$0
Provider Inflation 3%:$81,748$58,974$0$140,722
Bureau Billings$2,838$13,499$16,337
Totals:$163,786($6,727)$0$157,059
&9&F, &A&9Pg &P of &N&9&D
DRS Increase
FY16 Base$23,176,468
FY17 Recommended Increase$616,242
FY16 Base99.14,439,332.0015,942,032.002,795,104.0023,176,468.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (97,434)$ 97,434$ - 0$ - 0
DRS Provider Inflation 2.7%0.0$ 74,224$ 56,642$ - 0$ 130,866
Conflict Free Case Mgmt2.0$ 51,270$ 51,270$ - 0$ 102,540
Enhancement of ADLS Srvs0.0$ 120,549$ 142,143$ - 0$ 262,692
ADLS PA and SN Rate Enhancement0.0$ 55,134$ 65,010$ - 0$ 120,144
Total Increases/Decreases:2.0$ 203,743$ 412,499$ - 0$ 616,242
Total FY17 Governor's Recommended Budget:101.1$ 4,643,075$ 16,354,531$ 2,795,104$ 23,792,710
FY16 BaseFY17 Recommended Increase23176468616242
RS 14 Pie Total Sum
DRS Total FY17 Budget
General$4,643,075
Federal$16,354,531
Other$2,795,104
Total$23,792,710
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther4643075163545312795104
RS 14 Pie Federal Fund
Federal Fund Sources
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
Total$16,354,531
&9&F, &A&9Pg &P of &N&9&D
Vocational RehabilitationSupported EmploymentMedicaidDisability DeterminationIndependent LivingAssistive Technology869559029400024324054166536303951462049
RS Bar Other
Other Fund Sources
SSA Program Income$1,217,451
Interpreter Registration$8,000
TRS$1,569,653
Total$2,795,1042795104
&9&F, &A&9Pg &P of &N&9&D
SSA Program IncomeInterpreter RegistrationTRS121745180001569653
DRS 16 Primary Impair
Impairments
Cognitive41%
Sensory4%
Mental Illness31%
Physical24%
Total100%
&9&F, &A&9Pg &P of &N&9&D
CognitiveSensoryMental IllnessPhysical0.410.040.310.24
SBVI MajorItems
Division of Service to the Blind & Visually Impaired
FY15 Total Recommended Budget
GeneralFederalOtherTotals
Bureau Billings$636$1,370$225$2,231
Totals:$636$1,370$225$2,231
&9&F, &A&9Pg &P of &N&9&D
SBVI Increase
FY16 Base$3,949,249
FY17 Recommended Increase$0
FY16 Base29.2953,407.002,614,287.00381,555.003,949,249.00
FTEGeneralFederal OtherTotal
Total Increases/Decreases:0$ - 0$ - 0$ - 0$ - 0
Total FY17 Governor's Recommended Budget:29.2$ 953,407$ 2,614,287$ 381,555$ 3,949,249
FY16 BaseFY17 Recommended Increase39492490
SBVI 16 Pie Services
Vocational Rehabilitation Program
Services Provided
Job Placement7%
Maintenance10%
Pysical Restoration25%
Assistive Technology24%
Post Secondary School6%
Employment Skills18%
Other3%
Assessment7%
Total100%
&9&F, &A&9Pg &P of &N&9&D
Job Placement7%
Job PlacementMaintenancePysical RestorationAssistive TechnologyPost Secondary SchoolEmployment SkillsOtherAssessment7.0000000000000007E-20.10.250.240.060.180.037.0000000000000007E-2
SBVI 16 Pie Employment
Occupations of Individuals
Successful Employment Outcomes
Sales3%
Service35%
Ag, Forestry, Fishing4%
Admin Support12%
Managerial6%
Production/Construction19%
Professional21%
Total100%
&9&F, &A&9Pg &P of &N&9&D
SalesServiceAg, Forestry, FishingAdmin SupportManagerialProduction/ConstructionProfessional0.030.350.040.120.060.190.21
SBVI 16 Chart Older Blind
Older Blind Individuals Served in FY16
Age 55-5911
Age 60-6430
Age 65-6924
Age 70-7427
Age 75-7958
Age 80-84843020.6681415929
Age 85-89105
Age 90-9481
Age 95-9928
Age 100+4
Total452
&9&F, &A&9Pg &P of &N&9&D
Age 55-59Age 60-64Age 65-69Age 70-74Age 75-79Age 80-84Age 85-89Age 90-94Age 95-99Age 100+11302427588410581284
SBVI 16 Pie Total Sum
SBVI Total FY17 Budget
General$953,407
Federal$2,614,287
Other$381,555
Total$3,949,249
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther9534072614287381555
SBVI 16 Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG Version
Vocational Rehabilitation$2,305,007
Independent Living$303,682
Total$2,608,689
&9&F, &A&9Pg &P of &N&9&D
Vocational Rehabilitation$2,305,007
Vocational RehabilitationIndependent Living2305007303682
SBVI 16 Other
Other Fund Sources
Information from Fund Sources Used Report - AG Version
SSA Program Income$175,150
SBVI Other$206,405
Total$381,555
&9&F, &A&9Pg &P of &N&9&D
SSA Program IncomeSBVI Other175150206405
-
FY18 Growth in HCBS Adults
Division of Developmental Disabilities
15 LRC Budget Brief page 14
Home & Community Based ServicesIndividuals Totals
Discharges: (97) ($4,486,841)Admissions: 61 $3,033,220Kids Turning 21: 45 $2,131,472LifeScape (CCHS) KT21: 3 $487,647Absent Bed Days & Cost Share: NA ($17,482)Totals: 12 $1,148,015
From SDDC 8.24 $445.34 $1,339,774 Other Admits 52.33 $88.66 $1,693,446
$3,033,220
Breakdown of Admissions
TOC
Department of Human Services
Table of Contents
Table of Contents
Appendix
Acronyms1SD Developmental Center (SDDC)
Mission & Services Provided15
Department of Human Services OverviewSpecialized Services16
Mission Statement2Levels of Support17
Department Chart3Funding Sources18
Office/Provider Map4Recommended Budget19
FY15 DHS Overview5
Funding Overview6Rehabilitation Services
Funding Overview Cont.7Mission & Services Provided20
Services Provided21
SecretariatIndividuals Rehabilitated22
Mission Statement8Funding Sources22
Recommended Budget9Recommended Budget23
Developmental DisabilitiesService to the Blind & Visually Impaired
Mission 10Mission 24
Services Provided11Services Provided25
Funding Sources12Individuals Rehabilitated26
Recommended Budget13Funding Sources27
Growth in Eligibles - HCBS14Recommended Budget28
&9&F, &A&9Pg &P of &N&9&D
People Served
South Dakota Developmental Center123
Rehabilitation Services10,981
Developmental Disabilities5,606
SSA Disability Determinations9,400
Service to the Blind and Visually Impaired1,766
Total27876
South Dakota Developmental CenterRehabilitation ServicesDevelopmental DisabilitiesSSA Disability DeterminationsService to the Blind and Visually Impaired12310981560694001766
DHS Pie Total Sum
Total FY18 BudgetTotal FY17 Budget
General$79,025,58639%General$79,478,30240%
Federal$115,689,42357%Federal$111,622,74256%
Other$9,699,7495%Other$9,727,6445%
Total$204,414,757Total$200,828,688
Also, in the powerpoint, include a table that shows the following
FTEGeneral Federal Other Total
FY17 Operating545.4$79,478,302$111,622,742$9,727,644$200,828,688
FY18 Recommended533.4$79,025,586$115,689,423$9,699,749$204,414,757
FY18 Increase/(Decrease)(12.0)($452,716)$4,066,681($27,895)$3,586,069
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther79025585.666666672115689422.819699749
GeneralFederalOther794783021116227429727644
General Fund % Inc
General Percent Increase
9.36%
1% Provider Inflation$ 633,473-139.93%
Change in FMAP$ (1,720,373)380.01%
Growth in HCBS Adults$ 508,707-112.37%
Family Support Growth$ 379,908-83.92%
SDDC Utilities$ (53,794)11.88%
SDDC Food Service$ 16,780-3.71%
SDDC FTE/Personal Services Reduction$ (162,949)35.99%
Juvenile Corrections Monitor Reduction$ (56,135)12.40%
ADLS Rate Enhancement$ 1,667-0.37%
$ (452,716)
General Fund Decrease - ($452,716)
$(1,720,373)
$(53,794)
$(162,949)
$(56,135)
1% Provider InflationChange in FMAPGrowth in HCBS AdultsFamily Support GrowthSDDC UtilitiesSDDC Food ServiceSDDC FTE/Personal Services ReductionJuvenile Corrections Monitor ReductionADLS Rate Enhancement633473-1720373508707379908-5379416780-162949-561351667
DHS 15 Changes
FY15 Budget Recommended Changes
General$6,256,305
Federal$433,497
Other$11,261,010
Total$17,950,812
&9&F, &A&9Pg &P of &N&9&D
General$5,203,203
Federal
$1,080,224
Other
$0
GeneralFederalOther625630543349711261010
DHS FY15 MajorItems A1 to BFM
FTEGeneralFederalOtherTotal
FY2014 Budget Base550.4$66,851,171$99,953,054$3,834,746$170,638,971
Inflation / Expansion / Reduction
1.6% Inflation Developmental Disabilities$801,732$1,052,687$0$1,854,419
1.6% Inflation Rehabilitation Services$43,207$31,845$0$75,052
SD Developmental Center - Utilities$78,941$88,201$0$167,142
FMAP Rate Change$1,782,793($1,782,793)$0$0
DDD Growth in Eligibles$1,563,352$1,746,732$0$3,310,084
Rehabilitation Services COLA$44,377$163,968$0$208,345
Service to the Blind COLA$11,095$40,993$0$52,088
DDD Family Support Expansion$83,404$55,648$0$139,052
DDD Cost Share Reduction Employment Incentive$211,957$236,819$0$448,776
DDD Additonal Supportive Nursing Service$575,125$642,587$0$1,217,712
DDD Reduction in Federal Authority$0($1,203,543)$0($1,203,543)
DD Council Adjustments$884$0$0$884
SDDC Worker's Comp Rate Increase$6,336$7,080$0$13,416
Inflation / Expansion / Reduction Total0.0$5,203,203$1,080,224$0$6,283,427
Total FY2015 Requested Budget550.4$72,054,374$101,033,278$3,834,746$176,922,398
&"Arial,Bold"&8&F&A&"Arial,Bold"&8Pg &P of &N&"Arial,Bold"&8&D, &T
Sec Increase
FY17 Base$1,741,299
FY18 Recommended Increase$1,569
FY17 Base1898037075949914301741299
FTEGeneralFederal OtherTotal
Provider Inflation0.0$ 1,569$ - 0$ - 0$ 1,569
Total Increases/Decreases:0.0$ 1,569$ - 0$ - 0$ 1,569
Total FY18 Governor's Recommended Budget:18.0$ 981,939$ 759,499$ 1,430$ 1,742,868
FY17 Base$1,741,299
FY18 Recommended Increase$1,569
FY17 BaseFY18 Recommended Increase17412991569
Sec MajorItems
Secretariat
FY15 Total Recommended Budget
GeneralFederalOtherTotals
Bureau Billings$276$263$0$539
$276$263$0$539
&9&F, &A&9Pg &P of &N&9&D
DDD MajorItems
Division of Developmental Disabilities
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$533,267($651,999)$118,732$0
Growth in Eligibles - HCBS Adults:$1,606,756$1,749,042$0$3,355,798
DDD Provider Inflation 3%:$1,522,817$1,954,219$0$3,477,036
Family Support Expansion:$84,042$55,010$0$139,052
DDD Cost Share Reduction-Employment Incentive$214,874$233,902$0$448,776
Reduction in Federal Expenditure Authority$0($1,203,543)$0($1,203,543)
DDD Local School District Match$0$0$11,260,785$11,260,785
Bureau Billings$258$1,086$0$1,344
Totals:$3,962,014$2,137,717$11,379,517$17,479,248
&9&F, &A&9Pg &P of &N&9&D
DDD HCBS Growth
Division of Developmental Disabilities
FY18 HCBS Growth in Eligibles
Home & Community Based Services
IndividualsTotals
Discharges:(97)($4,486,841)
Admissions:61$3,033,220
Kids Turning 21:45$2,131,472
LifeScape (CCHS) KT21:3$487,647
Absent Bed Days & Cost Share:NA($17,482)
Totals:12$1,148,015
Breakdown of Admissions
From SDDC8.24$445.34$1,339,774365
Other Admits52.33$88.66$1,693,446365
$3,033,220
&9&F, &A&9Pg &P of &N&9&D
DD Increase
FY16 Base$145,073,210
FY17 Recommended Increase$0
FY16 Base20.560,214,040.0073,199,730.0011,659,440.00145,073,210.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (2,855,570)$ 3,314,706$ (459,136)$ - 0
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$ - 0$ 3,750,307
Authority Reduction0.0$ - 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
*Note: Inflatin on expansion is inluded in the expansion line in effort for table to match BFM budget book. This results in the table not tying back to the rolling budget and inflation on expansion was loaded as inflation.
FY16 BaseFY17 Recommended Increase1450732100
DDD Pie Total Sum
DDD Total FY17 Budget
General$60,592,595
Federal$77,021,014
Other$5,687,734
Total$143,301,343
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther60592595770210145687734
DDD Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG version
Medicaid$76,293,581
DD Basic Support$591,683
Respite Care$135,750
Total$77,021,014
&9&F, &A&9Pg &P of &N&9&D
MedicaidDD Basic SupportRespite Care76293581591683135750
SDDC MajorItems
Division of SD Developmental Center
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$439,684($439,684)$0$0
Utilities:$80,027$87,115$0$167,142
SDDC Worker's Comp Increase$66,161$72,019$138,180
Bureau Billings$2,718$3,695$6,413
Totals:$588,590($276,855)$0$311,735
&9&F, &A&9Pg &P of &N&9&D
SDDC Pie Total Sum
SDDC Total FY17 BudgetFederal Fund Sources
General$11,499,131
Federal$13,638,720
Other$794,724
Total$25,932,575
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther1149913113638720794724
SDDC Increase
DDD Total FY17 BudgetFederal Fund Sources
FY16 Base$26,003,265
FY17 Recommended Increase$0
Total$26,003,265
FY16 Base379.612,152,713.0013,058,407.00792,145.0026,003,265.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (618,267)$ 618,267$ - 0$ - 0
Adjustment in Utilities0.0$ (42,697)$ (50,344)$ - 0$ (93,041)
Food Service Inflation0.0$ 7,382$ 12,390$ 2,579$ 22,351
FTE Reduction in Budget Authority(2.0)$ - 0$ - 0$ - 0$ - 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
&9&F, &A&9Pg &P of &N&9&D
FY16 BaseFY17 Recommended Increase260032650
FY13 Base
$24,146,398
FY14 Recommended Decrease ($971,500)
FY16 BaseFY17 Recommended Increase260032650
SDDC Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG version
Medicaid$13,435,092
School Breakfast/Lunch$203,628
Total$13,638,720
&9&F, &A&9Pg &P of &N&9&D
MedicaidSchool Breakfast/Lunch13435092203628
SDDC Bar Other
Other Fund Sources
Prescription Drug Plan$665,516
SDDC Other$129,208
Total$794,724
&9&F, &A&9Pg &P of &N&9&D
Prescription Drug PlanSDDC Other665516129208
RS MajorItems
Division of Rehabilitation Services
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$79,200($79,200)$0$0
Provider Inflation 3%:$81,748$58,974$0$140,722
Bureau Billings$2,838$13,499$16,337
Totals:$163,786($6,727)$0$157,059
&9&F, &A&9Pg &P of &N&9&D
DRS Increase
FY16 Base$23,176,468
FY17 Recommended Increase$616,242
FY16 Base99.14,439,332.0015,942,032.002,795,104.0023,176,468.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (97,434)$ 97,434$ - 0$ - 0
DRS Provider Inflation 2.7%0.0$ 74,224$ 56,642$ - 0$ 130,866
Conflict Free Case Mgmt2.0$ 51,270$ 51,270$ - 0$ 102,540
Enhancement of ADLS Srvs0.0$ 120,549$ 142,143$ - 0$ 262,692
ADLS PA and SN Rate Enhancement0.0$ 55,134$ 65,010$ - 0$ 120,144
Total Increases/Decreases:2.0$ 203,743$ 412,499$ - 0$ 616,242
Total FY17 Governor's Recommended Budget:101.1$ 4,643,075$ 16,354,531$ 2,795,104$ 23,792,710
FY16 BaseFY17 Recommended Increase23176468616242
RS 14 Pie Total Sum
DRS Total FY17 Budget
General$4,643,075
Federal$16,354,531
Other$2,795,104
Total$23,792,710
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther4643075163545312795104
RS 14 Pie Federal Fund
Federal Fund Sources
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
Total$16,354,531
&9&F, &A&9Pg &P of &N&9&D
Vocational RehabilitationSupported EmploymentMedicaidDisability DeterminationIndependent LivingAssistive Technology869559029400024324054166536303951462049
RS Bar Other
Other Fund Sources
SSA Program Income$1,217,451
Interpreter Registration$8,000
TRS$1,569,653
Total$2,795,1042795104
&9&F, &A&9Pg &P of &N&9&D
SSA Program IncomeInterpreter RegistrationTRS121745180001569653
DRS 16 Primary Impair
Impairments
Cognitive41%
Sensory4%
Mental Illness31%
Physical24%
Total100%
&9&F, &A&9Pg &P of &N&9&D
CognitiveSensoryMental IllnessPhysical0.410.040.310.24
SBVI MajorItems
Division of Service to the Blind & Visually Impaired
FY15 Total Recommended Budget
GeneralFederalOtherTotals
Bureau Billings$636$1,370$225$2,231
Totals:$636$1,370$225$2,231
&9&F, &A&9Pg &P of &N&9&D
SBVI Increase
FY16 Base$3,949,249
FY17 Recommended Increase$0
FY16 Base29.2953,407.002,614,287.00381,555.003,949,249.00
FTEGeneralFederal OtherTotal
Total Increases/Decreases:0$ - 0$ - 0$ - 0$ - 0
Total FY17 Governor's Recommended Budget:29.2$ 953,407$ 2,614,287$ 381,555$ 3,949,249
FY16 BaseFY17 Recommended Increase39492490
SBVI 16 Pie Services
Vocational Rehabilitation Program
Services Provided
Job Placement7%
Maintenance10%
Pysical Restoration25%
Assistive Technology24%
Post Secondary School6%
Employment Skills18%
Other3%
Assessment7%
Total100%
&9&F, &A&9Pg &P of &N&9&D
Job Placement7%
Job PlacementMaintenancePysical RestorationAssistive TechnologyPost Secondary SchoolEmployment SkillsOtherAssessment7.0000000000000007E-20.10.250.240.060.180.037.0000000000000007E-2
SBVI 16 Pie Employment
Occupations of Individuals
Successful Employment Outcomes
Sales3%
Service35%
Ag, Forestry, Fishing4%
Admin Support12%
Managerial6%
Production/Construction19%
Professional21%
Total100%
&9&F, &A&9Pg &P of &N&9&D
SalesServiceAg, Forestry, FishingAdmin SupportManagerialProduction/ConstructionProfessional0.030.350.040.120.060.190.21
SBVI 16 Chart Older Blind
Older Blind Individuals Served in FY16
Age 55-5911
Age 60-6430
Age 65-6924
Age 70-7427
Age 75-7958
Age 80-84843020.6681415929
Age 85-89105
Age 90-9481
Age 95-9928
Age 100+4
Total452
&9&F, &A&9Pg &P of &N&9&D
Age 55-59Age 60-64Age 65-69Age 70-74Age 75-79Age 80-84Age 85-89Age 90-94Age 95-99Age 100+11302427588410581284
SBVI 16 Pie Total Sum
SBVI Total FY17 Budget
General$953,407
Federal$2,614,287
Other$381,555
Total$3,949,249
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther9534072614287381555
SBVI 16 Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG Version
Vocational Rehabilitation$2,305,007
Independent Living$303,682
Total$2,608,689
&9&F, &A&9Pg &P of &N&9&D
Vocational Rehabilitation$2,305,007
Vocational RehabilitationIndependent Living2305007303682
SBVI 16 Other
Other Fund Sources
Information from Fund Sources Used Report - AG Version
SSA Program Income$175,150
SBVI Other$206,405
Total$381,555
&9&F, &A&9Pg &P of &N&9&D
SSA Program IncomeSBVI Other175150206405
TOC
Department of Human Services
Table of Contents
Table of Contents
Appendix
Acronyms1SD Developmental Center (SDDC)
Mission & Services Provided15
Department of Human Services OverviewSpecialized Services16
Mission Statement2Levels of Support17
Department Chart3Funding Sources18
Office/Provider Map4Recommended Budget19
FY15 DHS Overview5
Funding Overview6Rehabilitation Services
Funding Overview Cont.7Mission & Services Provided20
Services Provided21
SecretariatIndividuals Rehabilitated22
Mission Statement8Funding Sources22
Recommended Budget9Recommended Budget23
Developmental DisabilitiesService to the Blind & Visually Impaired
Mission 10Mission 24
Services Provided11Services Provided25
Funding Sources12Individuals Rehabilitated26
Recommended Budget13Funding Sources27
Growth in Eligibles - HCBS14Recommended Budget28
&9&F, &A&9Pg &P of &N&9&D
People Served
South Dakota Developmental Center123
Rehabilitation Services10,981
Developmental Disabilities5,606
SSA Disability Determinations9,400
Service to the Blind and Visually Impaired1,766
Total27876
South Dakota Developmental CenterRehabilitation ServicesDevelopmental DisabilitiesSSA Disability DeterminationsService to the Blind and Visually Impaired12310981560694001766
DHS Pie Total Sum
Total FY18 BudgetTotal FY17 Budget
General$79,025,58639%General$79,478,30240%
Federal$115,689,42357%Federal$111,622,74256%
Other$9,699,7495%Other$9,727,6445%
Total$204,414,757Total$200,828,688
Also, in the powerpoint, include a table that shows the following
FTEGeneral Federal Other Total
FY17 Operating545.4$79,478,302$111,622,742$9,727,644$200,828,688
FY18 Recommended533.4$79,025,586$115,689,423$9,699,749$204,414,757
FY18 Increase/(Decrease)(12.0)($452,716)$4,066,681($27,895)$3,586,069
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther79025585.666666672115689422.819699749
GeneralFederalOther794783021116227429727644
General Fund % Inc
General Percent Increase
9.36%
1% Provider Inflation$ 633,473-139.93%
Change in FMAP$ (1,720,373)380.01%
Growth in HCBS Adults$ 508,707-112.37%
Family Support Growth$ 379,908-83.92%
SDDC Utilities$ (53,794)11.88%
SDDC Food Service$ 16,780-3.71%
SDDC FTE/Personal Services Reduction$ (162,949)35.99%
Juvenile Corrections Monitor Reduction$ (56,135)12.40%
ADLS Rate Enhancement$ 1,667-0.37%
$ (452,716)
General Fund Decrease - ($452,716)
$(1,720,373)
$(53,794)
$(162,949)
$(56,135)
1% Provider InflationChange in FMAPGrowth in HCBS AdultsFamily Support GrowthSDDC UtilitiesSDDC Food ServiceSDDC FTE/Personal Services ReductionJuvenile Corrections Monitor ReductionADLS Rate Enhancement633473-1720373508707379908-5379416780-162949-561351667
DHS 15 Changes
FY15 Budget Recommended Changes
General$6,256,305
Federal$433,497
Other$11,261,010
Total$17,950,812
&9&F, &A&9Pg &P of &N&9&D
General$5,203,203
Federal
$1,080,224
Other
$0
GeneralFederalOther625630543349711261010
DHS FY15 MajorItems A1 to BFM
FTEGeneralFederalOtherTotal
FY2014 Budget Base550.4$66,851,171$99,953,054$3,834,746$170,638,971
Inflation / Expansion / Reduction
1.6% Inflation Developmental Disabilities$801,732$1,052,687$0$1,854,419
1.6% Inflation Rehabilitation Services$43,207$31,845$0$75,052
SD Developmental Center - Utilities$78,941$88,201$0$167,142
FMAP Rate Change$1,782,793($1,782,793)$0$0
DDD Growth in Eligibles$1,563,352$1,746,732$0$3,310,084
Rehabilitation Services COLA$44,377$163,968$0$208,345
Service to the Blind COLA$11,095$40,993$0$52,088
DDD Family Support Expansion$83,404$55,648$0$139,052
DDD Cost Share Reduction Employment Incentive$211,957$236,819$0$448,776
DDD Additonal Supportive Nursing Service$575,125$642,587$0$1,217,712
DDD Reduction in Federal Authority$0($1,203,543)$0($1,203,543)
DD Council Adjustments$884$0$0$884
SDDC Worker's Comp Rate Increase$6,336$7,080$0$13,416
Inflation / Expansion / Reduction Total0.0$5,203,203$1,080,224$0$6,283,427
Total FY2015 Requested Budget550.4$72,054,374$101,033,278$3,834,746$176,922,398
&"Arial,Bold"&8&F&A&"Arial,Bold"&8Pg &P of &N&"Arial,Bold"&8&D, &T
Sec Increase
FY17 Base$1,741,299
FY18 Recommended Increase$1,569
FY17 Base1898037075949914301741299
FTEGeneralFederal OtherTotal
Provider Inflation0.0$ 1,569$ - 0$ - 0$ 1,569
Total Increases/Decreases:0.0$ 1,569$ - 0$ - 0$ 1,569
Total FY18 Governor's Recommended Budget:18.0$ 981,939$ 759,499$ 1,430$ 1,742,868
FY17 Base$1,741,299
FY18 Recommended Increase$1,569
FY17 BaseFY18 Recommended Increase17412991569
Sec MajorItems
Secretariat
FY15 Total Recommended Budget
GeneralFederalOtherTotals
Bureau Billings$276$263$0$539
$276$263$0$539
&9&F, &A&9Pg &P of &N&9&D
DDD MajorItems
Division of Developmental Disabilities
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$533,267($651,999)$118,732$0
Growth in Eligibles - HCBS Adults:$1,606,756$1,749,042$0$3,355,798
DDD Provider Inflation 3%:$1,522,817$1,954,219$0$3,477,036
Family Support Expansion:$84,042$55,010$0$139,052
DDD Cost Share Reduction-Employment Incentive$214,874$233,902$0$448,776
Reduction in Federal Expenditure Authority$0($1,203,543)$0($1,203,543)
DDD Local School District Match$0$0$11,260,785$11,260,785
Bureau Billings$258$1,086$0$1,344
Totals:$3,962,014$2,137,717$11,379,517$17,479,248
&9&F, &A&9Pg &P of &N&9&D
DDD HCBS Growth
Division of Developmental Disabilities
FY18 HCBS Growth in Eligibles
Home & Community Based Services
IndividualsTotals
Discharges:(97)($4,486,841)
Admissions:61$3,033,220
Kids Turning 21:45$2,131,472
CCHS KT21:3$487,647
Absent Bed Days & Cost Share:NA($17,482)
Totals:12$1,148,015
Breakdown of Admissions
From SDDC8.24$445.34$1,339,774365
Other Admits52.33$88.66$1,693,446365
$3,033,220
&9&F, &A&9Pg &P of &N&9&D
DD Increase
FY16 Base$145,073,210
FY17 Recommended Increase$0
FY16 Base20.560,214,040.0073,199,730.0011,659,440.00145,073,210.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (2,855,570)$ 3,314,706$ (459,136)$ - 0
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$ - 0$ 3,750,307
Authority Reduction0.0$ - 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
*Note: Inflatin on expansion is inluded in the expansion line in effort for table to match BFM budget book. This results in the table not tying back to the rolling budget and inflation on expansion was loaded as inflation.
FY16 BaseFY17 Recommended Increase1450732100
DDD Pie Total Sum
DDD Total FY17 Budget
General$60,592,595
Federal$77,021,014
Other$5,687,734
Total$143,301,343
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther60592595770210145687734
DDD Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG version
Medicaid$76,293,581
DD Basic Support$591,683
Respite Care$135,750
Total$77,021,014
&9&F, &A&9Pg &P of &N&9&D
MedicaidDD Basic SupportRespite Care76293581591683135750
SDDC MajorItems
Division of SD Developmental Center
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$439,684($439,684)$0$0
Utilities:$80,027$87,115$0$167,142
SDDC Worker's Comp Increase$66,161$72,019$138,180
Bureau Billings$2,718$3,695$6,413
Totals:$588,590($276,855)$0$311,735
&9&F, &A&9Pg &P of &N&9&D
SDDC Pie Total Sum
SDDC Total FY17 BudgetFederal Fund Sources
General$11,499,131
Federal$13,638,720
Other$794,724
Total$25,932,575
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther1149913113638720794724
SDDC Increase
DDD Total FY17 BudgetFederal Fund Sources
FY16 Base$26,003,265
FY17 Recommended Increase$0
Total$26,003,265
FY16 Base379.612,152,713.0013,058,407.00792,145.0026,003,265.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (618,267)$ 618,267$ - 0$ - 0
Adjustment in Utilities0.0$ (42,697)$ (50,344)$ - 0$ (93,041)
Food Service Inflation0.0$ 7,382$ 12,390$ 2,579$ 22,351
FTE Reduction in Budget Authority(2.0)$ - 0$ - 0$ - 0$ - 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
&9&F, &A&9Pg &P of &N&9&D
FY16 BaseFY17 Recommended Increase260032650
FY13 Base
$24,146,398
FY14 Recommended Decrease ($971,500)
FY16 BaseFY17 Recommended Increase260032650
SDDC Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG version
Medicaid$13,435,092
School Breakfast/Lunch$203,628
Total$13,638,720
&9&F, &A&9Pg &P of &N&9&D
MedicaidSchool Breakfast/Lunch13435092203628
SDDC Bar Other
Other Fund Sources
Prescription Drug Plan$665,516
SDDC Other$129,208
Total$794,724
&9&F, &A&9Pg &P of &N&9&D
Prescription Drug PlanSDDC Other665516129208
RS MajorItems
Division of Rehabilitation Services
FY15 Total Recommended Budget
GeneralFederalOtherTotals
FMAP:$79,200($79,200)$0$0
Provider Inflation 3%:$81,748$58,974$0$140,722
Bureau Billings$2,838$13,499$16,337
Totals:$163,786($6,727)$0$157,059
&9&F, &A&9Pg &P of &N&9&D
DRS Increase
FY16 Base$23,176,468
FY17 Recommended Increase$616,242
FY16 Base99.14,439,332.0015,942,032.002,795,104.0023,176,468.00
FTEGeneralFederal OtherTotal
Change in FMAP0.0$ (97,434)$ 97,434$ - 0$ - 0
DRS Provider Inflation 2.7%0.0$ 74,224$ 56,642$ - 0$ 130,866
Conflict Free Case Mgmt2.0$ 51,270$ 51,270$ - 0$ 102,540
Enhancement of ADLS Srvs0.0$ 120,549$ 142,143$ - 0$ 262,692
ADLS PA and SN Rate Enhancement0.0$ 55,134$ 65,010$ - 0$ 120,144
Total Increases/Decreases:2.0$ 203,743$ 412,499$ - 0$ 616,242
Total FY17 Governor's Recommended Budget:101.1$ 4,643,075$ 16,354,531$ 2,795,104$ 23,792,710
FY16 BaseFY17 Recommended Increase23176468616242
RS 14 Pie Total Sum
DRS Total FY17 Budget
General$4,643,075
Federal$16,354,531
Other$2,795,104
Total$23,792,710
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther4643075163545312795104
RS 14 Pie Federal Fund
Federal Fund Sources
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
Total$16,354,531
&9&F, &A&9Pg &P of &N&9&D
Vocational RehabilitationSupported EmploymentMedicaidDisability DeterminationIndependent LivingAssistive Technology869559029400024324054166536303951462049
RS Bar Other
Other Fund Sources
SSA Program Income$1,217,451
Interpreter Registration$8,000
TRS$1,569,653
Total$2,795,1042795104
&9&F, &A&9Pg &P of &N&9&D
SSA Program IncomeInterpreter RegistrationTRS121745180001569653
DRS 16 Primary Impair
Impairments
Cognitive41%
Sensory4%
Mental Illness31%
Physical24%
Total100%
&9&F, &A&9Pg &P of &N&9&D
CognitiveSensoryMental IllnessPhysical0.410.040.310.24
SBVI MajorItems
Division of Service to the Blind & Visually Impaired
FY15 Total Recommended Budget
GeneralFederalOtherTotals
Bureau Billings$636$1,370$225$2,231
Totals:$636$1,370$225$2,231
&9&F, &A&9Pg &P of &N&9&D
SBVI Increase
FY16 Base$3,949,249
FY17 Recommended Increase$0
FY16 Base29.2953,407.002,614,287.00381,555.003,949,249.00
FTEGeneralFederal OtherTotal
Total Increases/Decreases:0$ - 0$ - 0$ - 0$ - 0
Total FY17 Governor's Recommended Budget:29.2$ 953,407$ 2,614,287$ 381,555$ 3,949,249
FY16 BaseFY17 Recommended Increase39492490
SBVI 16 Pie Services
Vocational Rehabilitation Program
Services Provided
Job Placement7%
Maintenance10%
Pysical Restoration25%
Assistive Technology24%
Post Secondary School6%
Employment Skills18%
Other3%
Assessment7%
Total100%
&9&F, &A&9Pg &P of &N&9&D
Job Placement7%
Job PlacementMaintenancePysical RestorationAssistive TechnologyPost Secondary SchoolEmployment SkillsOtherAssessment7.0000000000000007E-20.10.250.240.060.180.037.0000000000000007E-2
SBVI 16 Pie Employment
Occupations of Individuals
Successful Employment Outcomes
Sales3%
Service35%
Ag, Forestry, Fishing4%
Admin Support12%
Managerial6%
Production/Construction19%
Professional21%
Total100%
&9&F, &A&9Pg &P of &N&9&D
SalesServiceAg, Forestry, FishingAdmin SupportManagerialProduction/ConstructionProfessional0.030.350.040.120.060.190.21
SBVI 16 Chart Older Blind
Older Blind Individuals Served in FY16
Age 55-5911
Age 60-6430
Age 65-6924
Age 70-7427
Age 75-7958
Age 80-84843020.6681415929
Age 85-89105
Age 90-9481
Age 95-9928
Age 100+4
Total452
&9&F, &A&9Pg &P of &N&9&D
Age 55-59Age 60-64Age 65-69Age 70-74Age 75-79Age 80-84Age 85-89Age 90-94Age 95-99Age 100+11302427588410581284
SBVI 16 Pie Total Sum
SBVI Total FY17 Budget
General$953,407
Federal$2,614,287
Other$381,555
Total$3,949,249
&9&F, &A&9Pg &P of &N&9&D
GeneralFederalOther9534072614287381555
SBVI 16 Pie Federal Fund
Federal Fund Sources
Information from Fund Sources Used Report - AG Version
Vocational Rehabilitation$2,305,007
Independent Living$303,682
Total$2,608,689
&9&F, &A&9Pg &P of &N&9&D
Vocational Rehabilitation$2,305,007
Vocational RehabilitationIndependent Living2305007303682
SBVI 16 Other
Other Fund Sources
Information from Fund Sources Used Report - AG Version
SSA Program Income$175,150
SBVI Other$206,405
Total$381,555
&9&F, &A&9Pg &P of &N&9&D
SSA Program IncomeSBVI Other175150206405
-
FY18 Funding Sources
Federal Fund Sources
Division of Developmental Disabilities
16
General $61,122,677
Federal $80,775,963
Other $5,663,174
Medicaid $80,047,972
DD Basic Support
$592,241
Respite Care $135,750
-
Key Initiatives, Successes, Challenges Initiatives and Success: • South Dakota’s Community-based I/DD system
ranked 9th nationally • Implementation of federally