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Division of Intellectual Disabilities Services
Recommended Fiscal Year 2010-2011 Budget
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Change FY 2010 to FY 2011
Pos. State Federal Other Total
FY 2010 3177 $69,791,300 $2,058,600 $763,769,800 $835,619,700
FY 2011 2555 30,905,900 1,861,100 695,309,100 728,076,100
Reduction 622 $38,885,400 $197,500 $68,460,700 $107,543,600
•Other represents revenue from TennCare. This includes both the federal Medicaid reimbursements and the required state match.
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% of Budget By Type of Program
65%16%
7%4% 8%
Waiver Dev Ctr
State Funded State Homes
Other
72%
11%
3%4%
10%
Waiver Dev Ctr
State Funded State Homes
Other
Fiscal Year 2010 Fiscal Year 2011
65% 16%
8%
7% 4%
72% 11%
10%
3% 4%
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$107.5m Reduction by Type of Program
ProgramFunding Change
% of Reduction
% Reduction to Program
Budget
Developmental Centers $51.1m reduction 47.5% 38.5%
State Funded Programs $35.5m reduction 33.0% 60.5%
Home & Community Based Waivers
$18.0m reduction 16.7% 3.3%
State Community Homes $3.1m reduction 2.8% 9.4%
Other $0.2m increase
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Developmental Ctrs - $51.1m Reduction
Arlington Closure $1.7m funded in FY10 with non-recurring funds $1.0m for transfer of utilities, court monitor expense, etc to West
Regional Office $8.3 for final closure on June 30, 2010 85 Positions Abolished
Clover Bottom Downsizing $9.2m funded in FY10 with non-recurring funds for transitions to
private ICF/MR (129 Positions) Respites (25 positions previously intended for GVDC) $13.9m associated with downsizing to 32 beds (23 vacant
positions abolished. 282 positions & $13.9 million restored with non-recurring funds for 6 months transition)
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Developmental Ctrs - $51.1m Reduction
Greene Valley – Reduce Census & Daily Cost $3.2m reduction for transitions to private ICF/MR $2.2m reduction for transitions to state-operated community homes $11.4m reduction of operational cost 210 Reduction in Force
Major Maintenance - Reduction of $.2m
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State Funded Programs $35.5m Reduction
Program Funding
CSN of West Tennessee (targeted to end 6/10) $18.3 million
Wrap-around Services - Hospital Attendants, Household Establishment, Housing Subsidies, Some Dental Services, Class Transportation (effective
date of 07/01/10)
$9.5 million
Consumer Directed Supports – (ended 12/31/09) $5.0 million
State Funded Non-class Members $2.7 million
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Home and Community Based Waiver Program $18.0m Reduction Exceeded waiver budget by $41m in FY09 $62.7m increase based on current enrollment and
current level of expenditures $36.5m decrease from non-recurring FY10 funding $13.2m increase for growth of 108 people per year $57.4m decrease for targeted reductions
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65% of Division’s FY10 Budget is waiver funding72% of Division’s FY11 Budget is waiver funding
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Targeted Waiver Reductions
ReductionWaiver
Amendment
Estimated People Served Savings
Dental - cap at $2500 per year Yes 640 $1.2m
Nutrition - limit to 6 visits per year Yes 871 $0.4m
Nursing - limit to 12 hours per day Yes 130 $14.3m
Personal Assistance - limit to 50 hrs per week Yes 1760 $15.1m
Environmental & Vehicle Accessibility Modifications - eliminate service Yes 174 $1.1m
Individual Transportation - eliminate service (67% of people who receive PA receive this service) Yes 1315 $1.2m
Remove RN oversight - adjust level 6 rates No 1478 $7.9m
Revise Residential Rates No 3344 $16.2m
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Proposed Waiver RatesResidential Rates range from Level 1thru 6. The higher the level, the more supervision is required. Addressed here are proposed changed to levels 2 thru 4.
Service Current Rate Proposed Rate DifferenceLON 4 Single Person Placement
$484.20 $364.65 ($119.55)
SL 4- Two Person Home $294.35 $277.75 ($16.60)
SL 4-Three Person Home $247.35 $232.60 ($14.75)
Res Hab 4- Four Person Home $189.10 $178.25 ($10.85)
SL 3-Two Person Home $241.55 $233.90 ($7.65)
SL 3-Three Person Home $169.10 $170.60 $1.50
Res 3-Four Person Home $95.40 $96.90 $1.50
LON 2 Single Person Placement
$206.95 $138.75 ($68.20)
SL 2- Two Person Home $148.75 $138.75 ($10.00)
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Proposed Waiver Rates ContinuedService Current
RateProposed Rate Difference
LON 1 Companion $176.55 $102.55 ($74.00)
LON 1 Single Person Home, Shift Staff $191.00 $102.55 ($88.45)
SL 1-Two person home $115.50 $102.55 ($12.95)
SL 1-Three person home $80.75 $81.25 $0.50
Res 1-Four person home $62.25 $62.75 $0.50
LON 6 Single Person Home $775.25 $747.75 ($27.50)
SL 6-Two Person Home $387.65 $475.65 $88.00
Medical Residential, Two Person Home $546.61 $589.60 $42.99
Medical Residential Three person $415.13 $443.95 $28.82
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Note:Independent Support Coordination - Revising rate for people in ICF/MR’s from $232 to $175, a 25% reduction in rate for this category
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Targeted Waiver Reductions
*$205.96 Average Daily Rate FY 09/10
2.8% Over expenditure
7.2% State Revenue Decline
*$185.30 Average Daily Rate FY10/11
*Average for all three waivers
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State Operated Homes $3.1 Million ReductionEast TN Homes $1.8m increase
Operational Funding for 4 additional homes 59 positions from GVDC Non-recurring start-up funding
West TN Homes $4.9m reduction Abolish 77 positions
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DIDS Contact Information
James Finch, Ed. D., Deputy Commissioner615-532-6538
Fred Hix, Assistant Commissioner, Administrative Services615-253-6710
Debra Payne, Assistant Commissioner, Community Services 615-253-6885
Missy Marshall, Director of Public Affairs615-253-2236
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