Missouri Department of Mental Health FY 2008 Budget Governor Recommends Book 1

8.8 MB·English

by  Missouri Department of Mental Health

MISSOURI DEPARTMENT OF
MENTAL
:HEALTH
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TABLE OF
CONTENTS
DEPARTMENT OF MENTAL HEALTH
FY 2008 GOVERNOR RECOMMENDS
TABLE OF CONTENTS
RANK DECISION ITEM NAME PAGE
OVERVIEW 1
SUPPLEMENTAL
Habilitation Center Funding 6
Fulton State Hospital Capacity Expansion 20
Overtime 30
Fuel and Utilities 37
Inflationary Costs 44
Refunds 50
Federal Funds 55
SUPPLEMENTAL TOTALS 60
DEPARTMENT TOTALS 62
DEPARTMENTWIDE
002 New- General Structure Adjustment (Cost of Living Adjustment) 64
006 New - Provider Cost-of-Living Adjustment 172
006 New - Direct Care Salaries 187
010 New- Caseload Growth 212
012 New - Psychiatrist and Psychologist Recruitment and Retention 224
013 New- Vehicle Replacement 250
014 New- Increased Food Costs 277
014 New- Increased Medical Costs 292
015 New- MI/MR Dual Diagnosed Community Services 308
018 New - Medicaid Match Adjustment 315
019 New- Motor Fuel 322
024 New- Medicare Part B Premiums 354
New- Medical for Employed Disabled 361
New-Technology Support for Data Enhancement 367
GLOSSARY 372
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Background How Dollars Are Spent and Collected
Throughout the years, the Department of Mental Health has sought As an executive agency, the Department relies on funding
to improve the condition of persons with mental illness, mental recommended by the Governor and approved by the Missouri
retardation and developmental disabilities and alcohol and substance General Assembly. The Department's FY 2007 budget is
abuse. Created in 1945, the Department operates under the approximately 6.18 percent of total state General Revenue operating
statutory authority of Chapters 630, 631, 632, and 633 RSMo. Our funds.
mission is working side by side with individuals, families, agencies
and diverse communities. The Department of Mental Health The FY 2007 Appropriation for the total state operating budget
establishes policies, standards and quality outcomes for prevention, request for the Department of Mental Health is $1 billion.
education, habilitation, rehabilitation and treatment for Missourian's
challenged by mental illness, substance abuse/addiction and DEPARTMENT OF MENTAL HEALTH
developmental disabilities. The Department implements policy and FY 2007 TOTAL APPROPRIATION
programs through three program divisions - Comprehensive and BY DIVISION ALL FUNDS
Psychiatric Services, Mental Retardation and Developmental
Disabilities, and Alcohol and Drug Abuse. Services are provided
OFFICE OF THE
through an array of community-based programs and outpatient
DIRECTOR
ALCOHOL &
clinics, inpatient hospitals, long-term rehabilitation centers and $58,626,689
DRUG ABUSE
habilitation centers. The Department operates under the advice of a 6%
$103,099,842
seven member Mental Health Commission appointed by the 10%
Governor.
COMPREHENSIVE
MENTAL
& PSYCHIATRIC
RETARDATION &
SERVICES
The Department employs approximately 8,800 full-time employees in DEVELOPMENTAL
$378,795,305
regional offices and centers, acute and rehabilitation hospitals and DISABILITIES
36%
$509,867,375
habilitation centers, and central administrative offices to serve more
48%
than 140,000 Missourians and their families (excludes clients served
through ADA/SA TOP program).
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The Department relies on state General Revenue funds,
Federal funds, and Other funds to meet the needs of its consumers. A majority of the Department's budget is dedicated to community
The majority, 52.75 percent, in the Department's FY 2007 budget is programs. This is consistent with national trends in state mental
from state General Revenue, and 43.02 percent is from Federal health and developmental disability programs.
funds. Other funds comprise 4.23 percent of the Department's FY
2007 budget and include the Compulsive Gamblers Fund, Mental Annually, the Department collects receipts from private pay,
Health Earnings Fund, Mental Health Trust Fund, Debt Offset insurance, Medicare and Medicaid and will generate approximately
Escrow, Health Initiatives Fund, Mental Health Inter-Agency Payment $131 million to the state General Revenue fund in FY 2007, including
Fund, Facilities Maintenance and Reserve Fund, General Revenue revenues only that are directly transferred to state general revenue.
Reimbursements Fund, Mental Health Healthy Families Trust Fund,
and the Mental Health Intergovernmental Transfer Fund.
DEPARTMENT OF MENTAL HEALTH DEPARTMENT OF MENTAL HEALTH
FY 2007 APPROPRIATION FY 2007 APPROPRIATION BY CATEGORY
BY FUND SOURCE
CHILDREN'S
FACILITIES INPATIENT
OTHER4.23% OTHER $10,662,702 ACUTE &
$71,490,033 1.0%
REHABIL'N
6.8%
$182,811,503
GENERAL 17.4%
FEDERAL REVENUE
HABILITATION
43.02% 52.75%
CENTERS
COMMUNITY $91,682,099
PROGRAMS-ALL 8.7%
DIV
$693,74 2,87 4
66.0%
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SUPPLEMENTAL
REQUEST
Report 12 - FY 2007 Supplemental Gov Rec DECISION ITEM SUMMARY
Budget Unit
Decision Item SUPPL DEPT SUPPL DEPT SUPPLGOV SUPPLGOV SUPPLGOV SUPPLGOV SUPPL SUPPL
Budget Object Summary REQUEST REQUEST RECOMMENDED RECOMMENDED REL RESERVE REL RESERVE MONTHS FOR POSITION
Fund DOLLAR FTE DOLLAR FTE DOLLAR FTE
BELLEFONTAINE HC
Habilitation Center Funding -2650011
PERSONAL SERVICES
GENERAL REVENUE 0 0.00 0 0.00 300,000 0.00 0 0.00
TOTAL-PS 0 0.00 0 0.00 300,000 0.00 0 0.00
EXPENSE & EQUIPMENT
GENERAL REVENUE 0 0.00 0 0.00 75,000 0.00 0 0.00
TOTAL-EE 0 0.00 0 0.00 75,000 0.00 0 0.00
TOTAL 0 0.00 0 0.00 375,000 0.00 0 0.00
GRAND TOTAL $0 0.00 $0 0.00 $375,000 0.00 $0 0.00
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Report 12 - FY 2007 Supplemental Gov Rec DECISION ITEM SUMMARY
Budget Unit
Decision Item SUPPL DEPT SUPPL DEPT SUPPLGOV SUPPLGOV SUPPLGOV SUPPLGOV SUPPL SUPPL
Budget Object Summary REQUEST REQUEST RECOMMENDED RECOMMENDED REL RESERVE REL RESERVE MONTHS FOR POSITION
Fund DOLLAR FTE DOLLAR FTE DOLLAR FTE
MRDD POOL
Habilitation Center Funding-2650011
PERSONAL SERVICES
GENERAL REVENUE 1,474,043 64.22 928,125 64.22 56,249 0.00 12 65.00
TOTAL-PS 1,474,043 64.22 928,125 64.22 56,249 0.00 12 65.00
EXPENSE & EQUIPMENT
GENERAL REVENUE 2,140,627 0.00 1,806,552 0.00 59,075 0.00 0 0.00
DEPT MENTAL HEALTH 796,050 0.00 596,050 0.00 0 0.00 0 0.00
TOTAL-EE 2,936,677 0.00 2,402,602 0.00 59,075 0.00 0 0.00
PROGRAM-SPECIFIC
GENERAL REVENUE 1,351,250 0.00 1,351,250 0.00 0 0.00 0 0.00
DEPT MENTAL HEALTH 2,166,714 0.00 2,166,714 0.00 0 0.00 0 0.00
TOTAL-PO 3,517,964 0.00 3,517,964 0.00 0 0.00 0 0.00
TOTAL 7,928,684 64.22 6,848,691 64.22 115,324 0.00 12 65.00
GRAND TOTAL $7,928,684 64.22 $6,848,691 64.22 $115,324 0.00 $12 65.00
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SUPPLEMENTAL NEW DECISION ITEM
Department: Mental Health Budget Unit 74106C
Division: Mental Retardation and Developmental Disabilities
Dl Name: Habilitation Center Funding Dl#2650011 Original FY 07 House Bill Section, if applicable 10.402
1. AMOUNT OF REQUEST
FY 2007 Budget Request FY 2007 Governor's Recommendation
GR Federal Other Total GR Fed Other Total
PS 1,474,043 0 0 1,474,043 PS 928,125 0 0 928,125
EE 2,140,627 796,050 0 2,936,677 EE 1,806,552 596,050 0 2,402,602
PSD 1,351,250 2,166,714 0 3,517,964 E PSD 1,351,250 2,166,714 0 3,517,964 E
TRF 0 0 0 0 TRF 0 0 0 0
Total 4,965,920 2,962,764 0 7,928,684 E Total 4,085,927 2,762,764 0 6,848,691 E (1)
FTE 64.22 0.00 0.00 64.22 FTE 64.22 0.00 0.00 64.22
POSITIONS 64.22 0.00 0.00 64.22 POSITIONS 64.22 0.00 0.00 64.22
NUMBER OF MONTHS BELLEFONTAINE POSITIONS NUMBER OF MONTHS BELLEFONTAINE POSITIONS
ARE NEEDED: 12 ARE NEEDED: 12
Est. Fringe I 721,691 I Ol Ol 721,691 Est. Fringe 1 454,410 I Ol Ol I 454,410
Note: Fringes budgeted in House Bill 5 except for certain fringes Note: Fringes budgeted in House Bill 5 except for certain fringes
budgeted directly to MoDOT, Highway Patrol, and Conservation. budgeted directly to MoDOT, Highway Patrol, and Conservation.
Other Funds: None. Other Funds: None.
Note: An "E" is requested for Federal PSD Appropriation 3630. Note: An "E" is recommended for Federal PSD Appropriation 3630.
(1) $115,324 in Staffing Standards Pool and $375,000 in Bellefontaine
Hab Center reserves will be released without offset within the
Department to fund this item.
2. WHY IS THIS SUPPLEMENTAL FUNDING NEEDED? INCLUDE THE FEDERAL OR STATE STATUTORY OR CONSTITUTIONAL AUTHORIZATION FOR THIS
PROGRAM.
This decision item requests funding to support multiple components of habilitation center funding as follows:
Staffing Standards Pool to address staffing ratios
In FY'06 the Department conducted a review of direct care staffing ratios and the amount of professional staff available at all six habilitation centers. The review
recommended $6.5 million was necessary to fund additional direct care staff and professional staff resources to effectively support the needs of current consumers at the
habilitation centers. FY'07 DMH Budget included a portion of the funding ($3.8 M and 97.70 FTEs) needed to address this issue. The additional direct care staff are required
to meet the health and safety needs of complex care consumers living at the habilitation centers that require one on one and sometimes two on one staffing due to increased
behaviors. The additional professional staff are needed to help address specific treatment issues such as occupational therapy, speech therapy and physical therapy
necessary to ensure the identified needs of the consumers are met and active treatment is provided to comply with ICF/MR standards. FederaiiCF/MR collections generated
annually by the six habilitation centers is over $60 million.
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