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Fiscal Year 2015 JFC Hearing Legislative Hall Senate Hearing Room

Fiscal Year 2015 JFC Hearing Legislative Hall Senate Hearing Room. February 25-27, 2014 Rita Landgraf Cabinet Secretary. Overview of Format for DHSS Presentations. Secretary’s Overview Focus, Emerging Issues and DHSS FY 15 GRB at a Glance Division Presentations

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Fiscal Year 2015 JFC Hearing Legislative Hall Senate Hearing Room

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  1. Fiscal Year 2015 JFC HearingLegislative HallSenate Hearing Room February 25-27, 2014 Rita Landgraf Cabinet Secretary

  2. Overview of Format forDHSS Presentations • Secretary’s Overview • Focus, Emerging Issues and DHSS FY 15 GRB at a Glance • Division Presentations • Maintaining FY 14 Funding Levels • New Funding Recommended • All will receive our customary power point presentations with more details relative to division focus and these will be on our website.

  3. 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 Aging and Adults with Physical Disabilities Visually Impaired

  4. Moving Forward • Continued Focus • Affordable Care Act mandates • US DOJ Settlement • LTC Transition • DHSS Mission • Best Practices • Process Quality Initiative

  5. Addiction Services We know that untreated, or poorly treated, substance use disorders cause suffering, illness, loss of human potential, damaged families, weakened communities, and extraordinary costs to the state and the nation. HEALTH CONDITIONSUS COSTS Cancer (15% tobacco) $128.0 billion Diabetes $245.0 billion Heart Disease & Stroke $444.0 billion (30% tobacco and drugs) Substance Abuse $559.0 billion Moving ForwardEmerging Issues

  6. EMERGING ISSUES • Community Based Services • DSAMH • DDDS • Nurse Family Partnership • Health Innovation

  7. Budget Overview • FY 14 GF Budget $1,089,592.7 • FY 15 GRB New Dollars $ 32,484.2 • Resources needed for increased volume, annualizations, structural changes • New/Expanded Programs • FY 15 Total GRB $1,122,076.9 [3% Increase over FY 14]

  8. FY 15 GRB - $1,122,076.9Base Adjustments DPH • Office of Animal Welfare (FYF) $ 300.0 DDDS • FY 14 Placements (FYF) $2,283.7 DHSS • FY 14 Salary Policy $2,280.6

  9. DMMA – Medicaid $23,976.0 Inflation/Volume $20,676.0 Structural transfer from $ 3,300.0 DSS-Child Care DDDS Residential Placements $ 1,874.7 FY 15 GRB - $1,122,076.9Inflation and Volume

  10. Secretary’s Office Financial Empowerment $ 124.0 DPH Medical Marijuana $ 70.0 DPH Nurse Family Partnership $1,300.0 DDDS Special School Grads $1,420.7 FY 15 GRB - $1,122,076.9New/Expanded Programs

  11. FY 15 GRB - $1,122,076.9New/Expanded Programs USDOJ/DPC Settlement • Assertive Community Treatment $1,650.0 • Crisis Services $1,240.0 • Peer Supports* $ 325.0 • Targeted Case Management $ 300.0 • Supported Employment $ 100.0 • Housing Vouchers* * $ 0.0 Total $3,615.0 *Peer Supports to be supported with $50.0 from the FY14 Housing Continuing appropriation **Housing Vouchers to be supported with $750.0 from the FY14 Housing Continuing appropriation

  12. Important Partnerships CROSS CABINET INITIATIVES • Delaware State Housing Authority – State Rental Assistance Program (SRAP) • Early Childhood Education • I-ADAPT-Individual Assessment & Discharge Planning Teams • Health Care Reform and Transformation • Behavioral Health – Education & Prevention / Treatment & Recovery • Financial Empowerment & Security • Employment of Persons with Disabilities COMMUNITY PARTNERS CAREGIVERS

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