department of behavioral health & developmental disabilities · 2017-01-18 · adult forensics...
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Department of Behavioral Health & Developmental Disabilities
Joint Appropriations CommitteeBudget Presentation
Chair: Sen. Jack HillChair: Rep. Terry England
Budget PresentationAFY2017 – FY2018
Commissioner Judy FitzgeraldJanuary 17, 2017
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1Georgia Department of Behavioral Health and Developmental Disabilities
Presentation Package Contents
DBHDD Overview & Summary Vision: People We Serve Mission: Provider Network Progress
• ADA Settlement Agreement• Agency Accomplishments
AFY 2017 – FY2018 Budget Changes
Capital Budget
Agency Challenges & Opportunities
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2Georgia Department of Behavioral Health and Developmental Disabilities
Vision Statement: Easy access to high-quality care that leads to a life of recovery and independence for the people we serve.
People We Serve:
Behavioral Health: Mental Illness
Behavioral Health: Addictive Diseases
Intellectual & Developmental Disabilities
All Georgians are touched by these populations
Department of Behavioral Health & Developmental Disabilities
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3Georgia Department of Behavioral Health and Developmental Disabilities
Mission Statement: Leading an accountable and effective continuum of care to support Georgians with behavioral health challenges, and intellectual and developmental disabilities in a dynamic health care environment.
Since 2012 ongoing efforts to overhaul our service delivery system
Department of Behavioral Health & Developmental Disabilities
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4Georgia Department of Behavioral Health and Developmental Disabilities
Increasing Accountability in the Provider Network: Behavioral Health
1. Redesign of the Provider Network 3 Tiers, with service definitions and standards
2. Development of Key Performance Indicators Access to Services, Crisis Management, Substance Use
Treatment & Support, Administration & Fiscal Structure, Accreditation, Housing Access, and others
3. Transformation of Financial Infrastructure Fee for Service Cost Based Reimbursement
4. ASO: Georgia Collaborative Allows DBHDD to apply managed care strategies in
the public system Measure & improve access, quality, and efficiency
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5Georgia Department of Behavioral Health and Developmental Disabilities
Increasing Accountability in the Provider Network: Intellectual & Developmental Disabilities
1. Overhaul of Support Coordination and Intensive Support Coordination
2. Transform the Transition Process (hospital to community)
3. Office of Health & Wellness (clinical oversight)
4. Proposed Budget Changes Resulting from the Residential Cost Study
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6Georgia Department of Behavioral Health and Developmental Disabilities
FY2017 Current Budget
State Federal & Other Total
DBHDD Total 1,032,094,308$ 172,858,006$ 1,204,952,314$
Community 705,683,415$ 130,233,111$ 835,916,526$
Hospital 287,473,215$ 28,868,136$ 316,341,351$
Administration 35,306,770$ 4,400,746$ 39,707,516$
Transportation 2,600,000$ 7,336,971$ 9,936,971$
Attached Agencies 1,030,908$ 2,019,042$ 3,049,950$
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7Georgia Department of Behavioral Health and Developmental Disabilities
Program State Funds Federal & Other Total
Administration 37,906,770$ 11,737,717$ 49,644,487$
Adult Addictive 46,239,763$ 44,689,134$ 90,928,897$
Adult Developmental Disab. 299,377,970$ 55,940,753$ 355,318,723$
Adult Forensics 97,337,649$ 26,500$ 97,364,149$
Adult Mental Health 365,254,047$ 12,949,048$ 378,203,095$
C&A Addicitve 3,307,854$ 7,928,149$ 11,236,003$
C&A Developmental Disab. 8,983,665$ 3,588,692$ 12,572,357$
C&A Forensic 6,472,393$ -$ 6,472,393$
C&A Mental Health 50,274,665$ 10,409,515$ 60,684,180$
Direct Care/Support Svcs 115,672,145$ 13,573,041$ 129,245,186$
Substance Abuse Prevention 236,479$ 9,996,415$ 10,232,894$
Attached Agencies 1,030,908$ 2,019,042$ 3,049,950$
Total Department 1,032,094,308$ 172,858,006$ 1,204,952,314$
Department of Behavioral Health & Developmental DisabilitiesFY 2017 Current Budget
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8Georgia Department of Behavioral Health and Developmental Disabilities
$424,851,380 $445,155,586
$570,364,256 $600,209,302
$638,832,851 $665,788,715 $678,739,100
$705,683,415
$244,436,102
$284,733,044 $286,668,079 $300,643,235
$279,606,372 $264,956,051 $271,294,298
$287,473,215
$-
$100,000,000
$200,000,000
$300,000,000
$400,000,000
$500,000,000
$600,000,000
$700,000,000
$800,000,000
FY2010Appropriation
FY2011Appropriation
FY2012Appropriation
FY2013Appropriation
FY2014Appropriation
FY2015Appropriation
FY2016Appropriation
FY2017Appropriation
Community & Hospital BudgetsState Funds Appropriation
FY2010 - FY2017
Community
Hospitals
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9Georgia Department of Behavioral Health and Developmental Disabilities
O N G O I N G C O M P L I AN C E
ADA Settlement Update
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10Georgia Department of Behavioral Health and Developmental Disabilities
ADA Settlement Update: Past & Current
➢Achieved compliance with the majority of original elements
➢Total Funding Received (over the original Settlement period, FY12 – FY16): $171.5M
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11Georgia Department of Behavioral Health and Developmental Disabilities
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12Georgia Department of Behavioral Health and Developmental Disabilities
ADA Settlement Update: Elements of the Extension
➢The state has negotiated a two year extension to address a few remaining elements
❖ Transition of individuals with IDD from Hospitals
❖ Waivers for individuals with IDD
❖ Community Oversight of individuals with IDD
❖ Mental Health Supported Housing
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13Georgia Department of Behavioral Health and Developmental Disabilities
AFY2017 & FY2018 BUDGET CHANGES
Agency Budget Requests
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14Georgia Department of Behavioral Health and Developmental Disabilities
FY2017 & FY2018: Agency Budget Priorities
Ensuring Easy Access to High Quality Care
Crisis Services
NOW & COMP Waivers
Forensic Services
Mental Health Housing Services
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15Georgia Department of Behavioral Health and Developmental Disabilities
STATE FUNDS CHANGES STATE
Statewide Adjustments
1 Merit System Assessments ($158,102) $5,421
2 Merit Based Pay Adjustments - $13,084,066
3 ERS Adjustments - $194,925
4 TRS Adjustments - $87,184
5 DOAS Self Insurance - ($216,560)
6 SHBP – Board of Regents - $14,661
7 FMAP Rate Changes - ($4,000,000)
TOTAL (158,102) $9,169,697
AFY2017 FY2018
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16Georgia Department of Behavioral Health and Developmental Disabilities
STATE FUNDS CHANGES STATE
DBHDD Budget Changes
1 Adult DD – 250 New Waivers(6 Months Funding in AFY2017, Annualized in FY2018)
$6,054,113 $12,108,226
2 Adult DD – 250 New Waivers(6 Months Funding in FY2018, Annualized in FY2019)
- $6,054,113
3 Adult DD – Annualize 100 Waivers(6 Months Funding Already Received for FY2017, Annualization Needed for FY2018)
- $1,096,912
4 Adult DD – Annualize the Comp Rate Increase - $11,762,894
5 Adult MH – Supported Housing(Initial Funding in AFY2017, Annualized in FY2018)
$6,133,276 $7,756,876
6 Adult MH – Behavioral Health Crisis Center - $6,000,000
7 BIPP Restoration - $10,731,835
TOTAL $12,187,389 $55,510,856
AFY2017 FY2018
40 Bed Forensic Unit at GRHA (This will be an AFY2018 Request)
$4,338,452
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17Georgia Department of Behavioral Health and Developmental Disabilities
STATE FUNDS
Department of Behavioral Health & Developmental DisabilitiesTotal Proposed Net Change
Agency Budget Requests $12,029,287 $64,680,553
Department of Behavioral Health & Developmental DisabilitiesFinal Proposed Budget
DBHDD Agency Budget $1,044,123,595 $1,096,774,861
AFY2017 FY2018
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18Georgia Department of Behavioral Health and Developmental Disabilities
BUILDING OUR FUTURE
Capital Budget
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19Georgia Department of Behavioral Health and Developmental Disabilities
CAPITAL FUNDS CHANGES for FY2018 STATE
Capital Funds
1 Savannah Treatment Mall – 20 Year Bonds $5,085,000
2 Hospital Major Improvements & Renovations – 20 Year Bonds
$5,000,000
3 Hospital Sustainment and Repairs – 5 Year Bonds $2,000,000
Total $12,085,000
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20Georgia Department of Behavioral Health and Developmental Disabilities
AGENCY CHALLENGES & OPPORTUNITIES
FY2018 & Beyond
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21Georgia Department of Behavioral Health and Developmental Disabilities
Looking Ahead: Behavioral Health & IDD
Clinical Workforce Recruitment & Retention
Core BH Funding
Georgia’s population has increased by an estimated 9.5% from FY07 – FY17
Core Outpatient Services’ funding has not kept pace
Continued investment is needed to move Georgia toward national averages
BHCC & CSU Statewide Coverage
Prioritize the IDD Planning List
Maintain provider rate structure that attracts and retains quality providers in Georgia
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22Georgia Department of Behavioral Health and Developmental Disabilities
Looking Ahead: Addictive Diseases, Forensic Services, & Housing
AD Capacity Enhancements aligned with Strategic Priorities
Forensic Services Improvements
Community & Secure
Aging population with nursing home level of care needs
Increase mental health supported housing capacity
Working co-operatively with our sister agencies to help meet the needs of Georgia’s citizens
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“Easy access to high quality care that leads to a life of recovery and independence for the people we serve.”