Missouri Department of Mental Health FY 2021 Budget Governor Recommends Book 3

4.4 MB·English

by  Missouri Department of Mental Health

FY 2021 BUDGET
MISSOURI DEPARTMENT OF
MENTAL GOVERNOR
RECOMMENDS
HEALTH
Division of Developmental
Disabilities
(Book 3 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 74105C
Division Developmental Disabilities
Core Administration HB Section 10.400
1. CORE FINANCIAL SUMMARY
FY 2021 Budget Request FY 2021 Governor's Recommendation
GR Federal Other Total GR Federal Other Total
PS 1,345,637 324,020 0 1,669,657 PS 1,345,637 324,020 0 1,669,657
EE 57,287 759,718 0 817,005 EE 57,287 759,718 0 817,005
PSD 0 0 0 0 PSD 0 0 0 0
TRF 0 0 0 0 TRF 0 0 0 0
Total 1,402,924 1,083,738 0 2,486,662 Total 1,402,924 1,083,738 0 2,486,662
FTE 24.37 5.00 0.00 29.37 FTE 24.37 5.00 0.00 29.37
I I I I
Est. Fringe I 673,212 I 153,510 I 0 I 826,723 Est. Fringe 673,212 153,510 0 826,723
Note: Fringes budgeted in House Bill 5 except for certain fringes Note: Fringes budgeted in House Bill 5 except for certain fringes
I I
budgeted directly to MoDOT, Highway Patrol, and Conservation. budgeted directly to MoDOT, Highway Patrol, and Conservation.
Other Funds: None. Other Funds:None.
2. CORE DESCRIPTION
The Division of Developmental Disabilities (DD) has the responsibility to ensure that evaluation, care, habilitation and rehabilitation services are accessible to Missouri
citizens with developmental disabilities. In order to carry out its mission, the Division of DD purchases and provides servicesto persons with developmental disabilities
through regional offices and state operated services. These facilities serve approximately39,220 consumers,and the Division of DD's budget includes 3,204
appropriated staff who require administrative and technical support from the Division of DD. This core provides funding for personal services and expense and
equipment for administrative staff who are essential in overseeing all statewide programs through establishing policies, procedures, and providing support to the
Division of DD's facilities and contract providers.
3. PROGRAM LISTING (list programs included in this core funding)
DD Administration
833
CORE DECISION ITEM
Department Mental Health Budget Unit 74105C
Division Developmental Disabilities
Core Administration HB Section 10.400
4. FINANCIAL HISTORY
FY 2017 FY 2018 FY 2019 FY 2020
Actual Expenditures (All Funds)
Actual Actual Actual Current Yr.
Appropriation (All Funds) 1,737,670 1,737,670 1,748,505 2,484,784 1,720,000
Less Reverted (All Funds) (42,032) (40,761) (41,028) (42,057) 1,698,380
1,700,000 -
Less Restricted (All Funds) 0 0 0 0
/
1,696,909
Budget Authority (All Funds) 1,695,638 1,696,909 1,707,477 2,442,727
1,680,000
/
Actual Expenditures (All Funds) 1,629,463 1,696,909 1,698,380 N/A 1,660,000
/
Unexpended (All Funds) 66,175 0 9,097 N/A
1,640,000
✓
Unexpended, by Fund: 1,629,463
1,620,000
General Revenue 1 0 0 N/A
Federal 66,174 0 9,097 N/A
1,600,000
Other 0 0 0 N/A
(1), (2) (1) (3) 1,580,000
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)Lapse amounts for Federal funds occurred as a result of lower collections to support funding authority.
(2)FY 2017 includes core reallocations in the amount of $56,916 and 2.00 FTE for two clerical support staff transferred to Regional Offices.
(3)FY 2020 planned expenditures include $700,000 appropriated in FY 2020 for a timekeeping system for state-operated services.
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