ibudget florida michael p. hansen director rick scott governor senate committee on children,...
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iBudget Florida
Michael P. HansenDirector
Rick Scott Governor
Senate Committee on Senate Committee on Children, Families, andChildren, Families, and
Elder AffairsElder AffairsNovember 3, 2011November 3, 2011
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iBudget Overall Goals
• Customer self-direction and choice• Equitable distribution of appropriated Medicaid waiver
funds• Business process efficiencies using technology
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iBudget Background• 2009 GAA required plan by February 2010
– APD researched other states’ systems and best practices
– APD worked with iBudget Florida Stakeholders’ Group to design plan
• iBudget implementation authorized in s. 393.0662, F.S., in 2010
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QSI ASSESSMENT1) Functional Score2) Behavioral Score3) Ability to: Transfer, Self-Protect, and Maintain Hygiene
AGE LIVING SETTING
Determines Individual Budgets
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iBudget Allocation Formula
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LEAST FLEXIBLE:•Residential Services•Therapeutic Supports & Wellness
MOST FLEXIBLE:•Life Skills Development•Supplies & Equipment•Personal Supports•Support Coordination•Transportation•Dental Services
CONSUMER CHOICE(12,196 Combinations
of Services)
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Consumer Flexibility in Spending
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Create Overall Plan
Technical/Process
Finalize Deployment Strategy
Implement in Phases Statewide
Transition Areas 1 & 2 In Progress
iBudget Phase-In Plan
In Progress
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HARD CHOICES
Description Impact
Original Methodology based on original iBudget Plan distribution through algorithm for all services including extraordinary needs for those who qualify.
• Based on current appropriation ($810M)
• Consumers have flexibility to choose services within limits of their individual allocation
• Reductions will be significant for some consumers
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HARD CHOICES
Description Impact
Base Model
This model compares the iBudget with the current cost plan and selects the result according to the following decision rules: 1.If Cost Plan less than iBudget, select Cost Plan.
2.If iBudget less than Cost Plan, select iBudget except when iBudget less than half Cost Plan. Then select half Cost Plan.
• Retains current cost plan for consumers whose needs are less than the iBudget
• Total cost ($725 M) is within appropriation with funds remaining for extraordinary needs and crisis situations
• Many consumers would not have sufficient allocation to meet their core services needs
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HARD CHOICES
Description ImpactModel A Including core services
This option would provide funding for core services for consumers whose allocation was insufficient to meet their core services.
• Adds $143 M in cost• About 9,600 people are
affected• Total allocation would
exceed appropriation by about $57 M
• Adult Day Training (ADT) would not be funded for all current people who use ADT
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Example 1
$39,813
$19,906
$32,613
$47,804
$39,813
$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
Cost Plan Half CP CoreServices
iBudget Model A
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Example 2$79,951
$39,976 $39,442
$24,379
$39,976
$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
$90,000
Cost Plan Half CP CoreServices
iBudget Model A
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Example 3$44,802
$22,401
$39,546
$28,283
$39,546
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
$50,000
Cost Plan Half CP CoreServices
iBudget Model A
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Example 4$29,260
$14,630
$5,991
$23,471 $23,471
$0.00
$5,000.00
$10,000.00
$15,000.00
$20,000.00
$25,000.00
$30,000.00
$35,000.00
Cost Plan Half CP CoreServices
iBudget Model A
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Thank You!
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Supplemental Slides if Time Allows
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HARD CHOICES
Description ImpactModel A with Adult Day Training (ADT) Added
This option would provide funding for ADT for consumers whose base allocation was insufficient to include ADT.
• Adds $34.6 M in additional cost
• About 5,200 people are affected
• Total allocation including core and ADT services would total $902 M
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ADT Example$46,288
$23,144
$36,808
$43,201
$29,937
$36,808
$0.00$5,000.00
$10,000.00$15,000.00$20,000.00$25,000.00$30,000.00$35,000.00$40,000.00$45,000.00$50,000.00
Cost Plan Half CP CoreServices
Core +ADT
iBudget Model A
ADT$6,393
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