health care agency behavioral health services (bhs) · recovery arts nami walks 9-26-09 tustin...
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Recovery Arts
NAMI Walks 9-26-09
Tustin Facility Update Meeting 10-6-09
MHSA Issue Resolution Process
Spirituality Initiative
26 Service Providers
Art Exhibit
Community Response
By Famous
Health Care Agency Behavioral Health Services
Mental Health Services Act (MHSA)
MHSA Health ExpoThursday, September 24, 2009
10:00am –
2:00pm 505 E. Central Ave., Santa Ana, CA 92706
MHSA Revenues
MHSA Planning Estimates
MHSA Five Year Sustainability
Other Community Mental Health Revenues
Fiscal Policy Considerations
The MHSA created a 1% tax on income in excess of $1 million to expand mental health services
Two primary sources of deposits into State MHS Fund◦
1.76% of all
monthly personal income tax (PIT) payments (Cash Transfers)
◦
Annual Adjustment based on actual tax returns
Settlement between monthly PIT payments and actual tax returns
Based on actual tax returns from two years prior
04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12 12/13
Cash Transfers $169.5 $894.6 $935.1 $983.9 $823.0 $840.0 $869.4 $907.2 $961.7
Annual Adjustment $83.6 $0.0 $0.0 $423.7 $438.4 $581.0 $72.0 ($134.0) $50.0
Interest $0.7 $11.2 $49.2 $94.4 $42.7 $8.8 $9.0 $9.0 $9.0
Total $253.8 $905.8 $984.3 $1,502.0 $1,304.1 $1,429.8 $950.4 $782.2 $1,020.7
a/ Governor's Budget cash transfers and interest through FY09/10 and annual adjustment through 11/12
Actual EstimatedFiscal Year
MHSA Estimated Revenues-Governor's May Revise (Best Case)a/
04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12 12/13
Cash Transfers $169.5 $894.6 $935.1 $983.9 $778.9 $755.5 $782.0 $816.0 $865.0
Annual Adjustment $83.6 $0.0 $0.0 $423.7 $438.4 $581.0 $72.0 ($180.9) $50.0
Interest $0.7 $11.2 $49.2 $94.4 $42.7 $8.8 $9.0 $9.0 $9.0
Total $253.8 $905.8 $984.3 $1,502.0 $1,260.0 $1,345.3 $863.0 $644.1 $924.0
MHSA Estimated Revenues (Conservative Estimate)
Fiscal YearActual Estimated
Funds are made available to each County through Planning Estimates
Planning Estimates represent the maximum funding for each County◦
Established by component, published by DMH
Generally, Planning Estimates are established on a cash basis◦
Sufficient revenues are in the State MHS Fund at the start of the fiscal year for distributions for the entire fiscal year
04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12 12/13
Planning $12.7
CSS $317.3 $320.5 $518.2 $650.0 $900.0 $783.6 $548.5 $465.1
PEI $115.0 $232.6 $330.0 $216.2 $137.1 $116.2
WET $100.0 $110.0
CFTN $345.0 $108.4
INN $71.0 $71.0 $119.6 $35.9 $30.6
Total $12.7 $317.3 $320.5 $1,078.2 $1,172.0 $1,301.0 $1,119.4 $721.5 $611.9
Fiscal YearActual Estimated
a/ Excludes State Administered projects (CSS MHSA Housing Program and PEI)
04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12 12/13
Planning $0.6
CSS $25.5 $25.8 $37.6 $52.2 $72.6 $63.2 $44.2 $37.5
PEI $9.8 $19.7 $27.7 $18.1 $11.5 $9.7
WET $8.3 $8.9
CFTN $28.3 $8.9
INN $5.8 $5.8 $9.8 $2.9 $2.5
Total $0.6 $25.5 $25.8 $84.0 $95.5 $106.1 $91.1 $58.6 $49.7
Fiscal YearActual Estimated
a/ Excludes State Administered projects (CSS MHSA Housing Program and PEI)
$0.0
$10.0
$20.0
$30.0
$40.0
$50.0
$60.0
$70.0
$80.0
07/08 08/09 09/10 10/11 11/12 12/13
Fiscal Year
CSSPEIINN
FY 2009-10 represents one-time spike in available funding
Orange County MHSA sustainable levels ($900 million statewide revenue)◦
CSS -
$50 to $55 million◦
PEI -
$13 to $15 million◦
Innovation -
$3 to $4 million
Realignment
Medi-Cal Federal Financial Participation
State General Fund
Mental Health Services Act
County Funds
Sales tax revenues declined 13% in FY 2008-09
Anticipate increase to begin in early 2010
Estimate overall decline in FY 2009-10 of 5% to 6% compared to FY 2008-09
Mental Health realignment trust fund will not receive increase in sales tax in the near term as Social Services caseload costs will be funded first
Vehicle license fees declined 8.5% in FY 2008-09
Estimate overall decline of VLF for mental health in FY 2009-10 of 1% to 2%
Estimate overall decline in FY 2009-10 total Realignment of 4% to 5%
Higher Federal Medical Assistance Percentage (federal share) through 12/31/10 (from 50% to 61.59%)
Results in increase in estimated FY 2009-10 Medi-Cal FFP in addition to caseload increases and cost increases
Medi-Cal becoming larger share of overall funding
Greater share of county discretionary funding required to match FFP
The required EPSDT SGF match is lower in years with higher FMAP
We anticipate that two reasons cited for the state reducing FY 2009-10 SGF managed care allocation will be permanent◦
Non-required services◦
Increased FMAP
MHSA, $0.00
Other SGF, $127.10
Managed Care SGF, $169.20
EPSDT SGF, $118.00
FFP, $539.70
Realignment, $1,036.30
Other, $242.30
FFP, $954.80
Realignment, $1,159.30
MHSA, $12.60 Other, $271.90
Other SGF, $107.20
Managed Care SGF, $222.40
EPSDT SGF, $365.20
FFP, $1,651.80
Realignment, $1,027.80
Other, $187.60
MHSA, $1,301.00
Other SGF, $56.30
Managed Care SGF, $113.40
EPSDT SGF, $349.00
FFP, $1,483.20
Realignment, $1,032.20
Other, $148.70
MHSA, $721.50
Other SGF, $53.60 Managed Care
SGF, $118.10
EPSDT SGF, $456.10
MHSA is and will continue to be a significant resource for mental health services and supports◦
Not only to expand services, but to assist in maintaining the safety net through transformed programs
Dedicated funding streams and entitlement program more reliable than SGF appropriations
Planning is essential in these economic times
Health Care Reform will likely have impact on mental health services
MHSA Technology Update
MHSA Technological Needs Proposal
Approved by the OC Board of Supervisors on 8/25/09
Sent to DMH for approval
On the OC MHSA Website
MHSA Technology UpdateMHSA Advisory Committees
Technological Advisory Committee
is working on increasing internet access to consumers and family members
Data Outcomes Committee
has had agenda setting meeting to gather information on current data outcome activities to present to community members
Arts CommunityOlder AdultsTAYEarly ChildhoodLBGTQ CommunityKorean-AmericanVietnamese AmericanLatinoPersian and Arab
American
RefugeeDeaf and Hard of HearingNative AmericanCounty Behavioral Health
ProvidersCounty Contract AgenciesRegional Meetings
(N/S/E/W)Client and Family member
groupsCommunity partners
1.
PPT presentation on Innovation Component2.
Discussion of the Procedure for Submitting Ideas
3.
Open Discussion of Potential Innovation Programs
4.
Use of Innovation Submission Form5.
Scheduling of Follow Up Meeting if Necessary