Monthly THP-Plus/THP+FC Conference Call

Thursday, September 12 th : 10:00 to 11:00 a.m.

Agenda

Welcome and introductions THP+FC

 Update on the number of providers

THP-Plus

 Discussion of the THP-Plus Baseline under Realignment

Other Items

 Next call replaced with web seminar to discuss annual report: October 10th

THP+FC Provider Growth

35 30 25

27 28 31 31

20

16 18

15

12 13

10

6 7

5

1 1

0 Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 2012 2013

What is the goal of this conversation?

For the THP-Plus community to:

    Understand how 2011 Realignment changed THP-Plus. Understand the procedural requirement in state law to reduce THP-Plus capacity as part of 2011 Realignment.

Promote transparency at the county level about the baseline level of service established when 2011 Realignment was enacted.

Ensure that decisions to reduce capacity involve a range of stakeholders, including public administrators, non-profit providers and youth.

Basics of 2011 Realignment & THP-Plus

   

General information:

Adopted by Legislature in 2011.

Directs a portion of the sales and use tax directly to counties. Eliminates the state share of cost for almost all child welfare and foster care programs.

Gives counties new flexibility, particularly over programs that were state-only funded.

  

Information Specific to THP-Plus

Eliminates the requirement for counties to submit a county plan to CDSS for their THP-Plus program.

Eliminates county requirements to dedicate 70 percent of its realigned THP-Plus funding to the THP+FC program.

Permits counties to use funds allocated to THP-Plus for other purposes, as long as they are child-welfare related.

Senate Bill 1020

Legislature created procedural requirement for counties that want to exercise this new flexibility to reduce THP-Plus service levels.

(f) Any decision of a county or a city and county to eliminate or significantly reduce the levels or types of optional or discretionary behavioral health county is or has previously the board of supervisors . services , adult protective services, or child welfare services …that the county or city and funded…may… only be made in open session, as an action item, at a duly noticed meeting of For the purpose of this subdivision, “ significant reduction ” shall include a years.

* 10-percent reduction in funding in any one year or a cumulative 25-percent reduction over the previous three *Government Code section 30026.5(f), as adopted in Senate Bill 1020

CDSS All County Letter 12-44

Page 6: “However, if a county intends to eliminate or significantly reduce the level of its THP-Plus program by 10 percent in any one year or by a cumulative 25 percent over the previous three years, the decision must be affirmed in open session by a vote of its local Board of Supervisors pursuant to Government Code section 30026.5(f), as adopted in SB 1020 (Chapter 40, Statutes of 2012.)”

What THP Plus funding was provided under Realignment?

 $34,928,000 in THP-Plus funding was distributed to 58 counties (CFL 11/12-18).

 The distribution was based on each county’s FY 2010-11 rates and allocation, with a small adjustment due to a minor budget reduction. (ACL 11-03)  Five counties received a THP-Plus distribution in FY 2011-12; their distribution was also adjusted for two bed counts per county.

What THP Plus funding was distributed under Realignment?

Alameda Alpine Amador Butte $2,897,614 $67,344 $67,344 $323,580 Calaveras Colusa $104,190 $48,622 Contra Costa $1,089,309 Del Norte $374,846 El Dorado Fresno Glenn Humboldt Imperial Inyo Kern Kings Lake Lassen Los Angeles $304,283 $522,346 $207,278 $173,650 $99,969 $121,554 $825,481 $72,160 $250,055 $138,919 $2,165,106 Madera Marin Mariposa Mendocino Merced Modoc Mono Monterey Napa Nevada $145,629 $283,683 $178,485 $277,839 $244,141 $82,859 $67,344 $410,701 $444,744 $144,763 Orange Placer Plumas Riverside Sacramento $1,698,256 $551,102 $61,280 $866,043 $1,984,843 San Benito $67,344 San Bernardino $1,052,386 San Diego San Francisco San Joaquin $4,831,711 $2,474,795 $539,866 San Luis Obispo $421,298 San Mateo Santa Barbara $1,476,186 $331,036 Santa Clara Santa Cruz $2,086,413 $472,410 Shasta Sierra Siskiyou Solano Sonoma $194,488 $67,344 $197,036 $962,670 $376,268 Stanislaus Sutter Tehama Trinity Tulare Tuolumne Ventura Yolo Yuba $327,303 $260,474 $355,430 $270,656 $215,680 $105,316 $65,987 $162,128 $318,413

How many THP-Plus beds does that funding translate into?**

*Alameda Alpine Amador *Butte Calaveras Colusa *Contra Costa Del Norte El Dorado Fresno Glenn Humboldt Imperial Inyo Kern Kings Lake *Lassen *Los Angeles Madera 123 2 2 13 3 2 41 9 9 17 5 5 3 5 41 3 9 4 82 4 Marin Mariposa Mendocino Merced Modoc Mono Monterey Napa Nevada *Orange Placer *Plumas Riverside Sacramento San Benito San Bernardino *San Diego *San Francisco San Joaquin San Luis Obispo 8 5 10 9 2 2 15 10 5 65 17 2 33 65 2 30 140 92 17 10 San Mateo Santa Barbara *Santa Clara Santa Cruz Shasta Sierra Siskiyou Solano Sonoma Stanislaus Sutter Tehama Trinity Tulare Tuolumne Ventura Yolo *Yuba 49 9 65 17 10 2 5 25 13 17 9 10 7 9 5 5 5 10 *indicates counties with more than one provider ** This bed count is based on ACL 11-03, adjusted down to reflect a small budget reduction from FY 10-11 to 2011 Realignment.

What monthly rate amounts does that translate into?

*Alameda Alpine Amador *Butte Calaveras Colusa $1,963 $2,800 $2,806 $2,125 $2,965 $2,075 *Contra Costa $2,214 Del Norte $3,555 El Dorado $2,886 Fresno Glenn Humboldt $2,623 $3,538 $2,965 Imperial Inyo Kern Kings Lake *Lassen *Los Angeles Madera $2,845 $2,075 $1,677 $2,054 $2,372 $2,965 $2,200 $3,108 Marin Mariposa Mendocino Merced Modoc Mono Monterey Napa Nevada *Orange Placer *Plumas $3,018 $3,047 $2,372 $2,315 $3,537 $2,806 $2,337 $3,796 $2,471 $2,163 $2,767 $2,617 Riverside Sacramento San Benito $2,174 $2,529 $2,806 San Bernardino $2,898 *San Diego $2,884 *San Francisco $2,247 *indicates counties with more than one provider San Joaquin $2,711 San Luis Obispo $3,596 San Mateo $2,520 Santa Barbara *Santa Clara Santa Cruz Shasta Sierra Siskiyou $3,140 $2,658 $2,372 $1,668 $2,806 $3,363 Solano Sonoma Stanislaus Sutter Tehama Trinity Tulare Tuolumne Ventura Yolo *Yuba $3,161 $2,471 $1,643 $2,471 $3,034 $3,301 $2,046 $1,797 $1,126 $2,767 $2,718

What are symptoms of a possible reduction in service levels?

Reduction in contracted bed capacity Reduction in monthly THP-Plus rate Reduction in actual beds filled

Possible symptoms of service reduction

Scenario 1: Reduction in bed capacity

 When we received our new contract for the coming fiscal year, the number of THP-Plus beds we are contracted for with our county was reduced by 10% or more.

Example: During FY 2012-13 our contract was for 12 beds, but for FY 2013-14 it is for 10 beds (a 17% reduction).

Possible symptoms of service reduction

Scenario 2: Reduction in monthly THP-Plus rate

 The monthly rate per youth we are contracted to provide THP-Plus services for has dropped 10% or more Example: During FY 2012-13 our rate was $2,350 for our scattered site model, but for FY 2013-14 it is $2,115 (a 10% reduction).

Possible symptoms of service reduction

Scenario 3: Reduction in actual beds filled

 Although our contract did not change, our beds are not being filled.

Example: During FY 2011-12 our contract was for 12 beds. It remained at 12 for FY 2012-13, but we only maintained about 4 youth per month (a 75% reduction).

Next Steps at the Local Level

1.

2.

3.

4.

Make sure all providers and county representatives are clear about the amount of THP-Plus distributed to your county through 2011 Realignment (CFL 11/12 18) Understand as a group what that funding means in terms of beds and rates.

Make sure everyone clear about the state law requiring any decision to “significantly reduce” be made in open session, as an action item, at a duly noticed meeting of the board of supervisors. Meet regularly to monitor service level and discuss the interplay between extended foster care and THP Plus.

THP-Plus & THP+FC Annual Report FY 2012-13

Next month this call will be replaced with a web seminar on the Annual Report.

Thursday, October 10 th from 10-11 am

Register for the web seminar at:

https://www1.gotomeeting.com/regist er/860625025

(the link is also available on the THP-Plus website)

Other Items

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Poll: what day of the week would you prefer to hold these calls?

TUESDAY, WEDNESDAY OR KEEP THEM ON THURSDAY?

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Date & time of November call to be determined