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Division of Intellectual Disabilities Services

Division of Intellectual Disabilities Services . Recommended Fiscal Year 2010-2011 Budget. Change FY 2010 to FY 2011 . Other represents revenue from TennCare. This includes both the federal Medicaid reimbursements and the required state match. 2. % of Budget By Type of Program .

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Division of Intellectual Disabilities Services

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  1. Division of Intellectual Disabilities Services Recommended Fiscal Year 2010-2011 Budget

  2. Change FY 2010 to FY 2011 • Other represents revenue from TennCare. This includes both the federal Medicaid reimbursements and the required state match. 2 Slide 2

  3. % of Budget By Type of Program Fiscal Year 2010 Fiscal Year 2011 65% 16% 72% 11% 7% 4% 3% 4% 8% 10% Slide 3

  4. $107.5m Reduction by Type of Program 4 Slide 4

  5. Developmental Ctrs - $51.1m Reduction Arlington Closure • $1.7m funded in FY10 with non-recurring funds • $1.0m for transfer of utilities, court monitor expense, etc to West Regional Office • $8.3 for final closure on June 30, 2010 • 85 Positions Abolished Clover Bottom Downsizing • $9.2m funded in FY10 with non-recurring funds for transitions to private ICF/MR (129 Positions) • Respites (25 positions previously intended for GVDC) • $13.9m associated with downsizing to 32 beds (23 vacant positions abolished. 282 positions & $13.9 million restored with non-recurring funds for 6 months transition) 5 Slide 5

  6. Developmental Ctrs - $51.1m Reduction Greene Valley – Reduce Census & Daily Cost • $3.2m reduction for transitions to private ICF/MR • $2.2m reduction for transitions to state-operated community homes • $11.4m reduction of operational cost • 210 Reduction in Force Major Maintenance - Reduction of $.2m 6 Slide 6

  7. State Funded Programs $35.5m Reduction 7 Slide 7

  8. Home and Community Based Waiver Program $18.0m Reduction • Exceeded waiver budget by $41m in FY09 • $62.7m increase based on current enrollment and current level of expenditures • $36.5m decrease from non-recurring FY10 funding • $13.2m increase for growth of 108 people per year • $57.4m decrease for targeted reductions 65% of Division’s FY10 Budget is waiver funding 72% of Division’s FY11 Budget is waiver funding 8 Slide 8

  9. Targeted Waiver Reductions 9 Slide 9

  10. Proposed Waiver RatesResidential Rates range from Level 1thru 6. The higher the level, the more supervision is required. Addressed here are proposed changed to levels 2 thru 4. 10 Slide 10

  11. Proposed Waiver Rates Continued Note: Independent Support Coordination - Revising rate for people in ICF/MR’s from $232 to $175, a 25% reduction in rate for this category 11 Slide 11

  12. Targeted Waiver Reductions *$205.96 Average Daily Rate FY 09/10 2.8% Over expenditure 7.2% State Revenue Decline *$185.30 Average Daily Rate FY10/11 *Average for all three waivers 12 Slide 12

  13. State Operated Homes $3.1 Million Reduction East TN Homes $1.8m increase • Operational Funding for 4 additional homes • 59 positions from GVDC • Non-recurring start-up funding West TN Homes $4.9m reduction • Abolish 77 positions 13 Slide 13

  14. DIDS Contact InformationJames Finch, Ed. D., Deputy Commissioner615-532-6538Fred Hix, Assistant Commissioner, Administrative Services615-253-6710Debra Payne, Assistant Commissioner, Community Services615-253-6885Missy Marshall, Director of Public Affairs615-253-2236 14 Slide 14

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