Transcript Document 7420112

Fiscal Year 2014 Budget Hearing
Office of Management and Budget
Legislative Hall
Senate Chambers
Tuesday, November 13, 2012
Rita Landgraf
Cabinet Secretary
Delaware Health and Social Services
Improve the quality of life for Delaware’s residents by promoting health
and well-being, fostering self sufficiency and protecting vulnerable
populations
OFFICE OF THE
SECRETARY
Management
Services
State Service
Centers
Social
Services
Public Health
Medical Examiner
Medicaid and
Medical Assistance
Long Term Care
Residents
Protection
Substance Abuse
and Mental Health
Child Support Enforcement
Developmental
Disabilities
Visually Impaired
Aging and Adults with
Physical Disabilities
Delaware Health and Social Services
DHSS Accomplishments
The First Four Years
• Public Health Transformation
– Combating Infant Mortality
– Enhanced Efforts in Reducing Prescription Drug
Abuse
– Healthy Lifestyles Groundwork
Delaware Health and Social Services
DHSS Accomplishments
The First Four Years (cont’d)
• State of Delaware and US DOJ Settlement
Reforming Delaware’s Mental Health
System
Delaware Health and Social Services
DHSS Accomplishments
The First Four Years (cont’d)
•
•
•
•
Community Based
Peer Support
Enhanced Crisis Service
HB 311 and HJR 17
Delaware Health and Social Services
DHSS Accomplishments
The First Four Years (cont’d)
• Moving LTC clients to community settings
Integration of LTC facilities into DSAAPD
• Care Transitions Program
Delaware Health and Social Services
State LTC Picture
Delaware Health and Social Services
DHSS Accomplishments
The First Four Years (cont’d)
• Managed LTC Medicaid – Diamond State Health Plan
Plus
• Electronic Health Records (EHR)
• Program of All-Inclusive Care for the Elderly (PACE)
• Health Benefit Exchange (HBE)
• Disproportionate Share Hospital (DSH) Program
• Telehealth
Delaware Health and Social Services
DHSS Accomplishments
The First Four Years (cont’d)
• Providing Eligible Delawareans with Food Benefits –
Focus on Children and Elders
• USDA Bonus Award Recognition
• Improving Efficiency and Access via On-Line Application
Upgrade
• Financial Empowerment
Delaware Health and Social Services
DHSS Accomplishments
The First Four Years (cont’d)
• Enhancing Lives for Individuals with Disabilities
– Focus on Employment for Individuals with Visual
Impairments
– Continued Efforts in residential placements for
Individuals with Developmental Disabilities
– Continued Efforts in Supporting Families
– Employment First Legislation
Delaware Health and Social Services
Budget Process
Delaware Health and Social Services
MOVING FORWARD:
THE NEXT FOUR YEARS
Delaware Health and Social Services
Moving Forward
• Quality Assurance
Process Quality unit
• Information Technology (IT) Improvements
Standard Functional Applications within DHSS
Data Collection Improvements
Analytical Capabilities improvements
Infrastructure Improvements
Delaware Health and Social Services
Medicaid Growth
Delaware Health and Social Services
Food Supplement Program Growth
Delaware Health and Social Services
Delaware Health and Social Services
Budget Process
• FY13 GF Budget
$1,047,299.5
• FY14 Door Openers
Resources needed for increased volume, annualization
Increase of 6% needed
• Requested New Dollars
• FY14 Total GF Request
7% Increase over FY13
$ 75,801.3
$1,123,100.8
Delaware Health and Social Services
FY 14 GF Budget Request $1,123,100.8
Door Openers - $65,870.7
DMMA – Medicaid Base
Medicaid One-Time
Total
$39,007.9
$11,200.0
$50,207.9
Delaware Health and Social Services
FY 14 GF Budget Request $1,123,100.8
Door Openers (Cont’d)
DOJ/DPC Settlement
• Housing Vouchers
• Targeted Case Management
• Supported Employment
• Assertive Community Treatment
• Peer Supports
Delaware Health and Social Services
$4,327.0
FY 14 GF Budget Request $1,123,100.8
Door Openers (Cont’d)
DDDS - FY 13 Placements Full Year Funds
DDDS - New Community Placements/
Special School Grads
$2,992.9
$3,819.0
DHSS - FY 13 Salary Policy Contingency
$4,523.9
Delaware Health and Social Services
FY 14 GF Budget Request - $1,123,100.8
Enhancements
Supply enhancement to meet testing demand (OCME)
$ 100.0
Birth to Three contract nurses and educators (DMS)
$ 393.0
PC 5 Year Replacement Schedule (DMS)
$ 815.0
Enhanced Family Supports (DDDS)
$ 715.5
Reduce Personal Attendant Waiting List (DSAAPD)
$ 461.7
Increase Home Delivered Meals (DSAAPD)
$ 700.0
Delaware Community Cooperative Agreement (DPH)
$ 333.5
Increase Personal Needs Allowance (DMMA)
$
Emergency Shelter Placements for APS (DSAAPD)
$ 200.0
Other
$ 910.7
Delaware Health and Social Services
56.7
FY 14 GF Budget Request - $1,123,100.8
Inflation/Volume
Network and Licensing for computer applications (DMS)
$257.3
Contractual Services increase to meet demand (DLTCRP)
$ 65.7
Lease Escalators (DMS)
$147.1
Common Area Maintenance (DMS)
$194.3
Foster Grandparents (DSSC)
$ 84.5
Assisted Technology-Assessment and Training (DVI)
$ 25.0
Delaware Care (DSSC)
$ 47.2
Emergency Shelters (DSSC)
$ 39.9
Delaware Health and Social Services
FY 14 GF Budget Request $1,123,100.8
One-Time
Programming Video Lottery Intercept (DCSE)
$
Information Technology (IT) Infrastructure Improvements (DMS)
$4,372.5
Electronic Medical Records Expansion (DPH)
$ 195.0
Electronic Medical Records LTC (DSAAPD)
$ 234.3
Information Technology (IT) Planning (DSAAPD)
$ 300.0
Scanning of Back Files into Client Information System (DCSE)
$
Delaware Health and Social Services
35.0
54.0
FY 14 GF Budget Request – $1,123,100.8
Other Items
Base reductions
DPC Personnel (DPC)
($128.7)
Cash Assistance (DSS)
($136.2)
Contractual Services-Sickle Cell contract to G-I-A (Admin-OSEC)
($49.5)
Structural Changes
Move funding and positions from Institutional Care to Community Services
DSAMH- & DDDS 11 FTEs and $602.3
Realignment of Resources
DSS positions to Office of the Secretary for Quality Assurance unit
Cash Assistance to Child Care, to cover loss of federal funds, and to Fair Hearings
DHSS positions and funding to DTI to manage Computer Application Enhancement
Projects (16.0) FTEs
($492.9)
Delaware Health and Social Services
FY 14 Capital Budget Request
Project Name
• Maintenance & Restoration
$ 3,750,000
• Minor Capital Improvements
$ 7,250,000
• Roof Repair/Replacement
$ 9,000,000
• IT Projects
$17,601,400
Delaware Health and Social Services
FY 14 Capital Budget Request (cont’d)
Project Name
• DPC Deferred Maintenance
$2,070,500
• DHSS Carvel
$ 541,800
• Drinking Water
$1,840,000
• Water Management Account
$ 100,000
• Sussex Building-DPC
$ 685,000
• EMS Renovations
$ 981,500
Delaware Health and Social Services
Important Partnerships
CROSS CABINET INITIATIVES
•
Delaware State Housing Authority – SRAP
•
Early Childhood Education
•
I-ADAPT - Individual Assessment and Discharge Planning Teams
COMMUNITY PARTNERS
Delaware Health and Social Services
Delaware Health and Social Services