Missouri Department of Mental Health FY 2021 Budget Governor Recommends Book 2 PDF
Preview Missouri Department of Mental Health FY 2021 Budget Governor Recommends Book 2
FY 2021 BUDGET MISSOURI DEPARTMENT OF GOVERNOR MENTAL RECOMMENDS HEALTH Division of Behavioral Health (ADA and CPS) (Book 2 of 3) January 2020 DEPARTMENT OF MENTAL HEALTH FY 2021 GOVERNOR RECOMMENDS TABLE OF CONTENTS DEPARTMENT INFORMATION Department Overview ..................................................................................................................................................................... 1 Department Placemat ..................................................................................................................................................................... 2 State Auditor’s Report, Oversight and Evaluations and MO Sunset Act Reports ........................................................................... 5 SUPPLEMENTAL REQUESTS Increase – Overtime Compensation ................................................................................................................................................. 7 Increase – Crisis Counseling Grant................................................................................................................................................... 14 Increase – Children’s Residential Rate Rebase Equity Adjustment .................................................................................................. 18 Increase – MO DD Council Authority Shortfall...................................................................................................................................... . .2..4.. ......... Increase – Provider Tax Shortfall................................................................................................................................. 31 SUPPLEMENTAL TOTALS ........................................................................................................................................................... 40 DEPARTMENT TOTALS .............................................................................................................................................................. 41 DEPARTMENTWIDE Increase – FY 2021 Pay Plan ............................................................................................................................................................ 45 Increase – FY 2020 Cost-to-Continue Pay Plan ................................................................................................................................ 131 Increase – FY 2020 Cost-to-Continue Market Adjustment Pay Plan ................................................................................................ 218 Increase – Mileage Reimbursement ................................................................................................................................................ 245 Increase – FMAP Adjustment .......................................................................................................................................................... 283 Increase – Above and Beyond Performance Incentives ................................................................................................................... 289 Increase – DMH Utilization Increase ............................................................................................................................................... 292 Increase – Increased Medical Care Costs......................................................................................................................................... 302 Increase – Increased Food Costs ...................................................................................................................................................... 322 Increase – Crisis Counseling Grant................................................................................................................................................... 341 DEPARTMENT OF MENTAL HEALTH FY 2021 GOVERNOR RECOMMENDS TABLE OF CONTENTS OFFICE OF DIRECTOR Core – Director’s Office ................................................................................................................................................................... 346 Core – Mileage Reimbursement ...................................................................................................................................................... 356 Core – Overtime .............................................................................................................................................................................. 361 Core – ITSD ADA Federal Transfer Section ...................................................................................................................................... 370 Core – Operational Support ............................................................................................................................................................ 375 Core – Staff Training ........................................................................................................................................................................ 387 Core – Refunds ................................................................................................................................................................................ 398 Core – Abandoned Fund Transfer ................................................................................................................................................... 407 Core – Mental Health Trust Fund .................................................................................................................................................... 412 Core – Federal Funds ....................................................................................................................................................................... 417 Core – Housing Assistance ............................................................................................................................................................... 422 Core – Medicaid Payments Related to State Operated ICF/IID UPL Claim Payments ..................................................................... 432 Core – Intergovernmental Transfer/Disproportionate Share Payments ........................................................................................ 437 Core – General Revenue Transfer Section....................................................................................................................................... 442 Increase – CCBHO Earnings Federal Transfer .................................................................................................................................. 447 Core – IGT DMH Medicaid Transfer................................................................................................................................................. 450 Core – DSH Transfer ........................................................................................................................................................................ 455 Core – Legal Expense Transfer ........................................................................................................................................................ 460 OPERATING BUDGET TOTAL – Office of Director ................................................................................................................. 465 DIVISION OF BEHAVIORAL HEALTH - ALCOHOL AND DRUG ABUSE Core – Administration ..................................................................................................................................................................... 467 Core – Prevention and Education Services ...................................................................................................................................... 478 Increase – First Responders Comprehensive Addiction & Recovery Act Grant ................................................................................ 495 Core – Treatment Services .............................................................................................................................................................. 500 Increase – CSTAR Opioid Treatment Access Cost-to-Continue ........................................................................................................ 520 Increase – DBH Medication Assisted Treatment (MAT) .................................................................................................................. 525 Increase – CSTAR Treatment Access Cost-to-Continue.................................................................................................................... 532 Core – Compulsive Gambling Treatment ........................................................................................................................................ 538 DEPARTMENT OF MENTAL HEALTH FY 2021 GOVERNOR RECOMMENDS TABLE OF CONTENTS Core – Substance Awareness Traffic Offender Program (SATOP) ................................................................................................... 546 OPERATING BUDGET TOTAL – Division of ADA .................................................................................................................... 558 DIVISION OF BEHAVIORAL HEALTH - COMPREHENSIVE PSYCHIATRIC SERVICES Core – Administration ..................................................................................................................................................................... 560 Core – Facility Support .................................................................................................................................................................... 573 Core – Adult Community Programs ................................................................................................................................................. 582 Increase – Certified Community Behavioral Health Organizations (CCBHO)................................................................................... 606 Increase – Certified Community Behavioral Health Organizations (CCBHO) Regional Certification ............................................... 615 Increase – Eastern Region Community Access to Care .................................................................................................................... 624 Core – Civil Detention Legal Fees .................................................................................................................................................... 628 Core – Forensics Support Services (FSS) .......................................................................................................................................... 633 Core – Youth Community Programs (YCP) ...................................................................................................................................... 643 Increase – Children’s Residential Rate Rebase Equity Adjustment Cost-to-Continue ..................................................................... 659 Increase – MO Healthy Transitions (MO TAY-LER) Grant ................................................................................................................ 665 Core – Medications.......................................................................................................................................................................... 670 Increase – DBH Increased Medication Costs ................................................................................................................................... 679 Core – Mental Health Trauma Treatment for Children ................................................................................................................... 694 Core – Adult Inpatient Facilities ...................................................................................................................................................... 703 Increase – Fulton State Hospital SORTS Ward Expansion Cost-to-Continue ................................................................................... 807 Core – State Operated Children’s Facility ........................................................................................................................................ 813 OPERATING BUDGET TOTAL – Division of CPS ..................................................................................................................... 831 DIVISION OF DEVELOPMENTAL DISABILITIES Core – Administration ..................................................................................................................................................................... 833 Core – Habilitation Center Payments .............................................................................................................................................. 846 Increase – DD Provider Tax Shortfall ............................................................................................................................................... 854 Core – Community Programs .......................................................................................................................................................... 863 Increase – Dual Diagnosis Transitions from State Hospitals ........................................................................................................... 900 Increase – DD Rate Standardization ................................................................................................................................................ 909 DEPARTMENT OF MENTAL HEALTH FY 2021 GOVERNOR RECOMMENDS TABLE OF CONTENTS Increase – Eliminate DD Waitlist ..................................................................................................................................................... 917 Increase – DD Market Based Rate Adjustment ............................................................................................................................... 924 Increase – DD Case Management Privatization .............................................................................................................................. 932 Increase – Southeast Autism Diagnosis Evaluations ....................................................................................................................... 954 Core – Community Support Staff .................................................................................................................................................... 963 Increase – DD Regional Office Staffing ............................................................................................................................................ 976 Core – Developmental Disabilities Act (DDA) .................................................................................................................................. 987 Increase – MO DD Council Authority Shortfall................................................................................................................................. 998 Core – Provider Assessment Transfer Section................................................................................................................................. 1004 Core – Regional Offices ................................................................................................................................................................... 1012 Core – State Operated Services ....................................................................................................................................................... 1051 Increase – Optimistic Beginnings Conversion .................................................................................................................................. 1114 Core – Tuberous Sclerosis Complex ................................................................................................................................................ 1123 OPERATING BUDGET TOTAL – Division of DD ......................................................................................................................1128 GLOSSARY ...............................................................................................................................................................................1130 CORE DECISION ITEM Department: Mental Health Budget Unit: 66105C Division: Alcohol and Drug Abuse Core: ADA Administration HB Section: 10.100 1. CORE FINANCIAL SUMMARY FY 2021 Budget Request FY 2021 Governor's Recommendation GR Federal Other Total GR Federal Other Total PS 904,576 975,588 49,306 1,929,470 PS 904,576 975,588 49,306 1,929,470 EE 21,508 1,547,965 0 1,569,473 EE 21,508 1,547,965 0 1,569,473 PSD 0 0 0 0 PSD 0 0 0 0 TRF 0 0 0 0 TRF 0 0 0 0 Total 926,084 2,523,553 49,306 3,498,943 Total 926,084 2,523,553 49,306 3,498,943 FTE 14.78 17.04 1.00 32.82 FTE 14.78 17.04 1.00 32.82 Est. Fringe I 490,815 I 544,260 I 29,389 I 1,064,465 Est. Fringe I 490,815 I 544,260 I 29,389 I 1,064,465 Note: Fringes budgeted in House Bill 5 except for certain fringes budgeted Note: Fringes budgeted in House Bill 5 except for certain fringes directly to MoDOT, Highway Patrol, and Conservation. Ib udgeted directly to MoDOT, Highway Patrol, and Conservation. I Other Funds: Health Initiatives Fund (HIF) (0275) $49,306 Other Funds: Health Initiatives Fund (HIF) (0275) $49,306 2.CORE DESCRIPTION The Division of Alcohol and Drug Abuse (ADA) and the Division of Comprehensive Psychiatric Services (CPS) administratively merged in FY 2013 creating the Division of Behavioral Health (DBH). With regard to ADA services, DBH isresponsible for ensuring that prevention, treatment, and recovery services are accessible topersons with substance use disorders, those at risk of substance misuse,and compulsive gamblers. In order to carry out its mission, DBH provides services to individuals through 203community provider contracts,andtreatsabout42,000individuals with substance use disorders each year. In addition, approximately 539,000 individuals are impacted through DBH's prevention programming, and 15,200through the Substance Awareness Traffic Offender Program (SATOP). DBHalso provides prevention, treatment and recovery services to address the opioid epidemic. This core provides funding for personal services and expense and equipment for administrative staff who are essential in overseeing all statewide programs by establishing policies and procedures; monitoring,evaluating and providing technical assistance to a network of community providers; providing data analytics; and applying appropriate fiscal procedures to ensure financial accountability. 3. PROGRAM LISTING (list programs included in this core funding) ADA Administration 467 CORE DECISION ITEM Department: Mental Health Budget Unit: 66105C Division: Alcohol and Drug Abuse Core: ADA Administration HB Section: 10.100 4. FINANCIAL HISTORY FY 2017 FY 2018 FY 2019 FY 2020 Actual Actual Actual Current Yr. Actual Expenditures (All Funds) Appropriation (All Funds) 1,994,760 2,495,554 2,723,253 3,497,638 3,700,000 Less Reverted (All Funds) (27,946) (27,946) (28,129) (29,238) Less Restricted (All Funds) 0 0 0 0 3,200,000 Budget Authority (All Funds) 1,966,814 2,467,608 2,695,124 3,468,400 Actual Expenditures (All Funds) 1,700,227 1,764,516 2,561,168 N/A 2,700,000 / Unexpended (All Funds) 266,587 703,092 133,956 N/A 2,561,168 2,200,000 / Unexpended, by Fund: 1,700,-227 General Revenue 0 0 0 N/A 1,700,000 - Federal 266,587 703,092 133,956 N/A 1,764,516 Other 0 0 0 N/A (1) (2) (2) 1,200,000 FY 2017 FY 2018 FY 2019 Reverted includes the statutory three-percent reserve amount (when applicable). Restricted includes any Governor's Expenditure Restrictions which remained at the end of the fiscal year (when applicable). NOTES: (1)In response to the 21st Century Cures Act, the Division applied for and received the State Targeted Response to the Opioid Crisis Grant. Additional authority was appropriated in FY 2018 for the Opioid Crisis grant. (2)As a continuation to the State Targeted Response Grant, the Division was awarded the State Opioid Response Grant. Additional authority was appropriated in FY 2020 as well as supplemental authority in FY 2019. 468
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