Missouri Department of Mental Health FY 2014 Budget Governor Recommends Book 1

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by  Missouri Department of Mental Health

FY 2014 BUDGET
MISSOURI DEPARTMENT OF GOVERNOR
MENTAL
RECOMMENDS
HEALTH
Departmentwide,
Office ofD irector and
Division ofA lcohol and
Drug Abuse
(Book 1 of2)
January 2013
Table of Contents
DEPARTMENT OF MENTAL HEALTH
FY 2014 GOVERNOR RECOMMENDS
TABLE OF CONTENTS
PAGE DECISION ITEM NAME
1 OVERVIEW
3 STATE AUDITOR'S REPORT, OVERSIGHT AND EVALUATIONS AND MO SUNSET ACT REPORTS
SUPPLEMENTAL REQUEST
7 Court Ordered Legal Fees
11 Overtime
18 CPS Hospital Provider Tax
23 Additional MHEF Authority
29 FSH SORTS Cost to Continue
44 DO Additional Federal Authority
56 SUPPLEMENTAL TOTALS
57 DEPARTMENT TOTALS
DEPARTMENTWIDE
59 New - Nurse/Nursing Assistant Repositioning
93 New -Additional DMH Authority
104 New - Increased Medical Care Costs
139 New - DMH Utilitzation Increases
149 New - DMH FMAP Adjustment
156 New - Transitional Medicaid
162 New - DMH Provider Rate Increase
173 New - Increased Medication Costs
195 New - Cost to Continue FY13 Pay Plan
288 New - COLA
390 New - Consumer Employment
DEPARTMENT OF MENTAL HEALTH
FY 2014 GOVERNOR RECOMMENDS
TABLE OF CONTENTS
PAGE DECISION ITEM NAME
OFFICE OF DIRECTOR
397 Director's Office - Core
401 Program Description- Administration (Director's Office)
405 Overtime - Core
414 ITSD ADA Federal Transfer Section- Core
419 Operational Support- Core
425 Program Description- Administration (Operational Support)
432 Department Staff Training -Core
436 Program Description -Staff Training
440 Refunds- Core
445 Abandoned Fund Transfer -Core
450 Mental Health Trust Fund - Core
455 Federal Funds - Core
461 Children's System of Care Program -Core
465 Program Description- Children's System of Care
470 New- Project LAUNCH Grant
476 Housing Assistance - Core
480 Program Description- Housing Assistance
485 Medicaid Payments Related to State Operated ICF/MR UPL Claim Payments - Core
490 Intergovernmental Transfer/Disproportionate Share Payments -Core
495 GR Transfer Section - Core
500 IGT DMH Medicaid Tranfer -Core
505 DSH Transfer - Core
509 New- DSH Transfer
512 OPERATING BUDGET TOTAL- Office of Director
DEPARTMENT OF MENTAL HEALTH
FY 2014 GOVERNOR RECOMMENDS
TABLE OF CONTENTS
PAGE DECISION ITEM NAME
DIVISION OF ALCOHOL AND DRUG ABUSE
515 ADA Administration - Core
520 Program Description- ADA Administration
526 ADA Prevention and Education Services -Core
531 Program Description- School-based Prevention (S.P.I.R.I.T)
534 Program Description- Community-based Prevention
538 New- Partnership for Success Grant
547 ADA Treatment Services -Core
554 Program Description- Comprehensive Substance Treatment and Rehabilitation (CST AR)
560 Program Description- Primary Recovery
565 ADA Compulsive Gambling Treatment - Core
569 Program Description- Compulsive Gambling
574 ADA Substance Abuse Traffic Offender Program (SA TOP)- Core
578 Program Description- SAT OP
581 OPERATING BUDGET TOTAL- Division of ADA
582 Glossary
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, recommended by the Governor and approved by the Missouri
developmental disabilities and alcohol and substance abuse. General Assembly. The Department's FY 2013 budget is
Created in 1945, the Department operates under the statutory approximately 7.5 percent of total state General Revenue operating
authority of Chapters 630, 631, 632, and 633 RSMo. Our mission is funds, excluding refunds.
working side by side with individuals, families, agencies and diverse
communities. The Department of Mental Health establishes policies, The FY 2013 appropriated total operating budget for the Department
standards and quality outcomes for prevention, education, of Mental Health is $1.39 billion.
habilitation, rehabilitation and treatment for Missourian's challenged
by mental illness, substance abuse/addiction and developmental
disabilities. The Department implements policy and programs
DEPARTMENT OF MENTAL HEALTH
through three program divisions - Comprehensive and Psychiatric
FY 2013 TOTAL APPROPRIATION
Services, Developmental Disabilities, and Alcohol and Drug Abuse.
BY DIVISION ALL FUNDS
Services are provided through an array of community-based
programs and outpatient clinics, inpatient hospitals, long-term
rehabilitation centers and habilitation centers. The Department CCNTRAL OFFICE ALCOHOL& DRUG
operates under the advice of a seven member Mental Health ADI'v11N SUPPORT ABUSE
Commission appointed by the Governor. .)52,914,518 $122,825,642
4% 9%
The Department employs approximately 7,400 full-time employees in
regional offices and centers, rehabilitation hospitals and habilitation
DCVCLOPfvlENTAL COMPREHENSIVE
centers, and central administrative offices. These employees,
DISABfUTIES & PSYCHIATRIC
combined with the over 1, 800 DMH contract providers, serve more
S716,471,965 SERVICLS
than 170,000 Missourians and their families each year.
51% Ss00,862,310
36%
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The Department relies on state General Revenue funds, Federal A majority of the Department's budget is dedicated to community
funds, and Other funds to meet the needs of its consumers. The programs. This is consistent with national trends in state mental
majority, 52.85 percent, of the Department's FY 2013 budget is from health and developmental disability programs.
Federal funds, and 43.21 percent is from state General Revenue.
Other funds comprise 3.94 percent of the Department's FY 2013 Annually, the Department collects receipts from private pay,
budget and include the Compulsive Gamblers Fund, Mental Health insurance, Medicare and Medicaid and will generate approximately
Earnings Fund, Mental Health Trust Fund, Debt Offset Escrow, $140 million to the state General Revenue fund in FY 2013, including
Health Initiatives Fund, Mental Health Inter-Agency Payment Fund, revenues that are directly transferred to state general revenue.
Healthy Families Trust Fund, Inmate Revolving Fund, Mental Health
Local Tax Match Fund, and the Mental Health Intergovernmental
Transfer Fund.
DEPARTMENTOFMENTALHEALTH
DEPARTMENT OF MENTAl HEAlTH FY 2013 APPROPRIATION BY CATEGORY
FY 2013APPROPRIATION
BY FUND SOURCE Other CF·::; Cllildren',;
~r-4~\,441 ,617 F:acllltle;
OTHER
/VImini•:•lrati
3.94% $16,217,458 ___ CPS lnpat~tmt
·1 ·1uq,h :F !G~/)52,;335
GENERAL "l t.~l511h
REVE~J UE C!)rnrnunitv [1[1 r·J.at.:<ilit;:;ti•:;,·,
Programs-All
(;€~nt8rs
Div1~.10ns ;F89,U95,2t37
:f 1, Cli'>5.379,4:'JO (; 4-0%)
76.48~{1
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STATE AUDITOR'S REPORTS, OVERSIGHT EVALUATIONS AND MO SUNSET ACT REPORTS
Section 33.270 RSMo. requires that budget submissions include information on the most recent reports done by the State Auditor, evaluations done
by the Oversight Division of the Committee on Legislative Research, and Missouri Sunset Act reports. Include reports released over the past three
years. Agencies must complete the attached form for applicable programs.
1. Program Name - List the name of the program or the division.
2. Type of Report- Indicate if the report is an Audit Report, Oversight Evaluation or a Sunset Act Report.
3. Date Issued-The date the report was issued.
4. Website-The website address where the report can be located.
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State Auditor's Reports, Oversight Evaluations, and Missouri Sunset Act Reports
Program or Division Name Type of Report Date Issued Website
Follow-up Report on Audit Findings-Office of State Auditor's Office July 2011 www.auditor.mo.gov/Qress/2011-38.Qdf
Director
Department of Mental Health - Office of Director State Auditor's Office December 201 0 www.auditor.mo.gov/Qress/201 0-167.Qdf
CIMOR System I Data Security State Auditor's Office December 2010 www.auditor.mo.gov/Qress/201 0-159.Qdf
Billing and Collection Practices State Auditor's Office April2010 www.auditor.mo.aov/oress/2010-45.odf
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Programs Subject to Missouri Sunset Act
Program I Statutes Establishina 1 Sunset Date I Review Status
1fltermecrrate·care Facility for the MentalfyRetaraecrAssessmeil-f -·-· -~-=s-ec--ct~io-n--c6=3=3c-.4-oc0"'-1c---J _____ -------~s~e--p~tember 30~--20_1_5_ -- ---~TI · - -------·--------------·--·----------
Foster Care and Adoptive Parents Recruitment and Retention Section 453.600 August 28, 201?_ _______
----t-- ---
Fund Board December 31, 2617 ____ ·---·--------·~------
Developmental Disabilities Waiting List Equity Trust Fund Section 143.1017 i
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