Comprehensive Services Act S E R V I N G A T - R I S K Y O U T H - - PowerPoint PPT Presentation

S E R V I N G A T - R I S K Y O U T H A N D F A M I L I E S

Comprehensive Services Act

HOUSE APPROPRIATIONS HEALTH & HUMAN RESOURCES SUBCOMMITTEE

JANUARY 30, 2012

SUSAN CUMBIA CLARE, EXECUTIVE DIRECTOR OFFICE OF COMPREHENSIVE SERVICES

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Mission

The mission of the CSA is to create a collaborative system of services and funding that is child-centered, family-focused and community-based when addressing the strengths and needs of troubled and at-risk youth and their families in the Commonwealth.

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General Fund CSA Budget

FY12 General Fund Budget

Pool Fund Services Medicaid Services Earmarks: Administration

• Earmarks: Training, Utilization Management Services, Uniform Reporting, Local

Administration, Uniform Assessment

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CSA Medicaid Expenditures

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$- $20,000,000 $40,000,000 $60,000,000 $80,000,000 $100,000,000 $120,000,000 FY08 FY09 FY10 FY11

Medicaid Service Expenditures

Total Medicaid Expenditures General Fund Transfer

• General Fund Transfer includes direct appropriation and local contribution

CSA Pool Fund Expenditures

• Expenditures represent state and local dollars.
• General fund contribution is approximately 65% of the total dollars.

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FY08 FY09 FY10 FY11 FY12 FY13 FY14 Projected $396,639,506. $407,956,138. $433,026,718. $372,930,261. $353,737,927. $363,088,783. $368,110,306. Actual $380,536,393. $365,254,505. $346,902,004. $332,141,203. $0.00 $50,000,000.00 $100,000,000.00 $150,000,000.00 $200,000,000.00 $250,000,000.00 $300,000,000.00 $350,000,000.00 $400,000,000.00 $450,000,000.00 $500,000,000.00

Total CSA Pool Fund Service Expenditures

Pool Fund Expenditure Drivers

1000 2000 3000 4000 5000 6000 7000 8000 9000

2005 2006 2007 2008 2009 2010 2011

Number of Youth in Foster Care

Source of data: Virginia Child Welfare Outcome Reports , Virginia Department of Social Services

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Pool Fund Expenditure Drivers

500 1000 1500 2000 2500 3000 3500 FY09 FY10 FY11

Number of Youth in Residential Care

$0 $10,000,000 $20,000,000 $30,000,000 $40,000,000 $50,000,000 $60,000,000 $70,000,000 $80,000,000 FY09 FY10 FY11

Expenditures for Residential Care

• Match rate system was fully implemented in FY09
• Increases local match rate for residential services
• Decreases local match rate for community based services
• Children’s Services Systems Transformation was implemented in FY09

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Pool Fund Expenditure Drivers

$0 $5,000,000 $10,000,000 $15,000,000 $20,000,000 $25,000,000 FY08 FY09 FY10 FY11

Expenditures for Wrap-Around Services*

500 1,000 1,500 2,000 FY08 FY09 FY10 FY11

Number of Youth Receiving Wrap-Around Services*

• Expenditures represent state and local dollars.
• Increased guidance and training regarding appropriate use of funds was

provided beginning in Spring 2009.

• Policy regarding use of funds was clarified in January 2011.

*Wrap-Around Services for Students with Disabilities

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2013-14 Governor’s Proposed Budget

Eliminate Wrap-Around Service Category

 “Wrap-around Services for Students with Disabilities” are non-IEP* services

designed to support a student with an educational disability in the home or

• community. *Individualized Education Program for student eligible for special education services

 After school care  Behavior analysis/behavior training  Parent training  In-home counseling  Mentoring  Etc.

 Services are not required by federal mandate or state Code.  When authorized by a local team, the locality and the Commonwealth must

appropriate “such sums of money as shall be sufficient” to fund services.

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2013-14 Budget

Eliminate Wrap-Around Service Category

500 1000 1500 2000 2500 3000 3500 FY05 FY06 FY07 FY08 FY09 FY10 FY11

Number of Youth Served

Private Special Ed. Day Wrap-Around Services

• The availability of this fund category has not had the intended impact,

i.e., to reduce the number of more restrictive educational placements.

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2013-14 Governor’s Proposed Budget

Eliminate Wrap-Around Service Category

Statistics FY2011

 General fund expenditures

$6,777,555

 Youth served

564

 Localities Using Funds

48%

Projected FY2013

 Projected expenditure level

$6,130,294

 Budget reduction

5,401,216

 Reinvest into non-mandated

$ 729,078

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2013-14 Governor’s Proposed Budget

Audit of the Comprehensive Services Act

 Process:

Contract with a private audit firm.

 Cost:

$500,000

 Scope: Review of state and local systems.

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2013-14 Governor’s Proposed Budget

Audit of the Comprehensive Services Act

 Purposes:

Identify strengths and gaps in state and local

compliance procedures around eligibility, program, and fiscal requirements under the CSA.

Provide recommendations for improvements to

processes to increase compliance with eligibility, program, and fiscal requirements under the CSA.

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