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The Department of Intellectual and Developmental Disabilities

The Department of Intellectual and Developmental Disabilities. Recommended Budget, Fiscal Year 2014-15. DIDD FY2014-15 Budget Hearing. Program Updates Budget by Program Funding Source Estimates Budget Reductions Cost Increases Budget Highlights Accomplishments. 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 2014-15

  2. DIDD FY2014-15 Budget Hearing • Program Updates • Budget by Program • Funding Source Estimates • Budget Reductions • Cost Increases • Budget Highlights • Accomplishments

  3. Program Updates • Home and Community Based Services Waivers • Statewide Waiver • Census - 6,336 • Average Cost Per Person Per Day - $250.49 • Self Determination Waiver • Census – 1,132 • Average Cost Per Person Per Day - $53.80 • Arlington Waiver • Census - 297 • Average Cost Per Person Per Day - $395.34 • Waiting list for intellectual disabilities waiver -7,130

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

  5. Program Updates • Developmental Centers • Clover Bottom’s census is 38 with planned closure in May 2015. • Greene Valley’s census is 119; however, 12 people will move to state-operated community homes in fiscal year 2015. • Harold Jordan’s census is 6 of which 4 people are in the state-funded forensic program and 2 people are in the new ICF/IID funded program. This new 12 bed program for persons with significant behavioral and psychiatric challenges obtained ICF/IID certification in October 2013. This means DIDD will now be able to receive federal funding for these beds. The department will soon be admitting more people to this program.

  6. Developmental Center Transition Cost Comparison Total Arlington Transition Cost FY2006 to FY2011 - $254.7 Million Total Clover Bottom Transition Cost FY2010 to FY2015 - $172.7 Million

  7. Program Updates • State Operated Intermediate Care Facility Homes • West Region • All 12 homes are operational. • Current census is 46. • East Region • Total of 16 homes are planned. • Thirteen are constructed with a current census of 51. • Last 3 homes will open in fiscal year 2015. • Middle Region • Total of 9 homes are planned. • Four homes are constructed and transitions from Clover Bottom are occurring. • Current census is 2. • One home is scheduled to be fully occupied by March 28th.

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

  9. Recommended Budget by Funding Source *TennCare funding includes $289,454,000 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. Base Budget Reductions

  13. DIDD & Total State Position History

  14. Cost Increases – Non-Waiver Programs

  15. Waiver Cost Increases (TennCare’s Budget)

  16. FY2014-15 Budget Highlights • Increases the number of individuals receiving home and community based services by 100 • Includes funding for 2 positions for developmental disabilities planning. • Continues recurring funding for the Family Support Program at $7.4 million • Allows for targeted rate increases in areas where providers struggle to meet their costs • Reduces 100 authorized positions • 37 positions at the Middle TN Homes for the conversion from state employees to contract employees • 62 positions as part of the Department’s reduction plan • 1 position as a reduction to offset cost increases

  17. Accomplishments • Completed the transfer of the licensing function from Mental Health to DIDD. • Obtained ICF/IID certification in October 2013 to allow federal funding for 12 people at the Harold Jordan Center. • Exited from the 21 year old Arlington Lawsuit. Completed the exit plan two months ahead of schedule. • Completed centralization of several administrative functions. • Completed construction of 4 homes in Middle TN. Transitions from Clover Bottom to these homes are now occurring. • Staff completed training and began surveying private ICF/IID’s effective March 1st. This function was previously performed by the Department of Health. • Conducted extensive review and re-write of the DIDD Provider Manual. • Continued efforts in the development of a new information system, Project Titan. • Continued efforts to become the first accredited intellectual disabilities state system.

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