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The Department of Intellectual and Developmental Disabilities

The Department of Intellectual and Developmental Disabilities. Recommended Budget, Fiscal Year 2013-14. DIDD FY2013-14 Budget Hearing. Program Updates Budget by Program Funding Source Estimates Budget Reductions Cost Increases Capital Budget Supplemental Request. Program Updates.

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The Department of Intellectual and Developmental Disabilities

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  1. The Department of Intellectualand Developmental Disabilities Recommended Budget, Fiscal Year 2013-14

  2. DIDD FY2013-14 Budget Hearing • Program Updates • Budget by Program • Funding Source Estimates • Budget Reductions • Cost Increases • Capital Budget • Supplemental Request

  3. Program Updates • Home & Community Based Waivers • Statewide Waiver Census 6,240 • FY2012 Average Cost Per Person Per Day $235.33 • Self Determination Waiver Census 1,132 • FY2012 Average Cost Per Person Per Day $50.91 • Centers for Medicare & Medicaid Services (CMS) recognized the waiver as a model of best practices. • CMS has just approved the renewal of this waiver. • Arlington Waiver Census 313 • FY2012 Average Cost Per Person Per Day $396.94 • Waiting list for intellectual disabilities waiver services is 7,264

  4. DIDD Waiver Census History Census is as of June 30th of each year.

  5. Program Updates • Developmental Centers • 2% of the population served by DIDD is in developmental centers. • Clover Bottom’s census is 41 with planned closure in 2014. • Greene Valley’s census is 136; however, 12 residents will transition to state-operated community homes once constructed. • Harold Jordan Center’s census is 4. The department is making programmatic changes to enable greater use of the facility while also allowing the state to receive federal Medicaid funds. Presently, this center is 100% state funded.

  6. Program Updates • State Operated Intermediate Care Facility Homes • West Region • All 12 homes are operational. • Current census is 48. • FY2012 actual cost per person per day was $1,092.53 • East Region • Total of 16 homes are planned. • 13 are constructed with a current census of 51. • Construction will begin soon for the last 3 homes. • FY2012 actual cost per person per day was $872.32. • Middle Region • Total of 9 homes are planned. • Lots have been purchased for 9 homes. • Construction has begun on 4 of these homes.

  7. Program Updates • Resource Centers • Current Status: • There are three resource centers operating in the three regions and providing the following services: assistive technology, occupational and physical therapy, speech and language pathology, dental, behavior analysis, and physical nutritional management. • Proposed Changes: • In the FY2014 budget, 35 positions are moved from the resource centers to the developmental centers where they provide services. • Another 35 positions will be abolished. • Middle & east resource centers are restructured leaving only assistive technology and dental services. • The west resource center will continue to operate with a full array of services.

  8. Budget by Program (includes waiver funding within TennCare)

  9. Recommended Budget by Funding Source *TennCare revenue includes $279,555,000 in state matching funds. Direct services receive almost a $2 federal match for every $1 in state funds. Administrative expenses are matched at $1 for $1.

  10. DIDD Funding By Source

  11. Base Budget Reductions

  12. DIDD & Total State Position History

  13. Core Services Continuation and Cost Increases

  14. Waiver Cost Increases (TennCare’s Budget) • If these cost increases are approved, total funding for the home and community based waivers will be $653,468,600 and will include funding for a 287 person program expansion. All waiver funding resides in TennCare’s budget.

  15. DIDD History of Expenditures Millions

  16. DIDD History of People Served

  17. Capital Budget

  18. FY2013 Supplemental Request Supplemental Appropriations (Volume 1, page A-32) Arlington Lawsuit Exit Plan $569,400 Total Funding • $300,000 State in TennCare’s budget for DIDD 16 positions • 11 for an intermediate care facility survey team • 4 for an enrollment team • 1 for lawsuit compliance

  19. FY2014 Budget Highlights Allows for enrollment growth of 287 people in home and community based services. • 191 people as part of the Arlington lawsuit exit plan • 96 people associated with normal growth in the waivers Continues funding for the Family Support Program at the FY2013 level of $7.4 million. Provides funding for the temporary continuation of operations at the Clover Bottom Developmental Center. Reduces 120 authorized positions (54 are estimated to be vacant). Facilitates programmatic changes at the Harold Jordan Center which allows for the collection of Medicaid funding. Provides for capital project maintenance and improvements.

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