FY2015 Budget Recommendation Period: July 1, 2014, to June 30, 2015 - - PDF document
2 Agency Presentation - Human Services - FY15 Monday, February 10, 2014 9:58 AM FY2015 Budget Recommendation Period: July 1, 2014, to June 30, 2015 Department of Human Service Homepage: dhs. d.2ov Table of Contents Acronyms Page 1 Department
2 Agency Presentation - Human Services - FY15
Monday, February 10, 2014 9:58 AM
Period: July 1, 2014, to June 30, 2015
Department of Human Service Homepage: dhs. d.2ov
Acronyms Department of Human Services Overview ecretariat Developmental Disabilities SD Developmental Center (SDDC) Rehabilitation Service Service to the Blind & Visually Impaired Page 1 Pages 2 - 7 Pages 8 - 9 Pages 10 - 19 Pages 20 - 27 Pages 28 - 36 Pages 37 - 43
ADLS - Assisttve Daily Living Services
CMS - enters for Medicare and Medicaid Services COLA - Cost of Living Adjustment CSP - Community Support Provider CTS - Community Training ervices DDD - Division of Developmental Disabilities DDS - Disability Determination Services DRS - Division of Rehabilitation ervices DHS - Department of Human Services FMAP - Federal Medical Assistance Percentage HCBS - Home & Community Based ervices ICFIIID - Intermediate Care Facility for Individuals with Intellectual Disabilities IL - Independent Living SB VI - ervice to the Blind and Visually Impaired SDDC - South Dakota Developmental Center SDRC - South Dakota Rehabilitation Center for the Blind SSA -
SSI
TRS - Telecommunication Relay Services VR - Vocational Rehabilitation
Pagel
Mi sion tatement DHS will enhance the quality of life of people with disabilities, in partnership with its stakeholders.
Page 2
SO COt."NCn. ON OE\'ELOPMEKTAL DISABll.lTIES FAMll. Y st,"PPORT COUNCn. STATEWIDE INDl'l'l1'"DE..'IT LI\ ThG COlliCll.
' '
ECRETARY Gloria Pear on
Gloria.Pearson~statc.sd.us
DEVELOPME AL DISABILITIE Dan Lu k
Dan.Lusk@statc.sd.us I 3-3438
D DEVELOPMENTAL ENTER I REDFIELD Ted Williams
Ted.William 'al tatc.sd.us I 472-4210
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REHABILITATIO ERVICES Eric Wei
Eric.Wciss'lilstatc.sd.us I 73-3195
and VISUALLY IMPAIRED Ga e Mattke
Ga c.Mattkc astatc.sd.us 3-466-1
C
Department of Human Services Offices SD Rehab1 lua11on Center for the B hnd
DHS Office and Provider
r-:---~
]
H
SD De,·elopmental Center - Redfield Community Suppon Pro,·iders
Cam~
ty
Home Care Pronders lndependent Lmng Centers
..
Communica.uon
Sernces for the Deaf hildren's Care Hospital and School
u Page4
Total Projected People Served - 27,598
Se1 ice to the Blind
and i ually Impaired 1,757
Detennination 9.500 South Dakota Developmental Center l 4 Developmental Di abilitie 5.200
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Rehabilitation Service
11 ,007
FY14 Operating Budget 170,638,971
Federal $99.953.054 Other $3,834.746
FY14 Operating
FY15 Recommended FY15 Increase General
S66,851 171 S 3.10 ,476 $6. 56.305
FYlS Recommended Budget 188,589,783
Other $15.095.756
Federal $100.386.55 1
Fede1·al Other Total $99.953.054 S3.834, -16 Si 0.638.9 I S!00.386.551 $15.095. 56 $188.589. 83 $433.497 $11. 61.010 SI .950.81- Page 6
General $T'.l07.476
General Fund Increase - $6,256,305
%
:'.'v1AP
26% Page
Mi ion tatement
To provide vi ion and leadership to the department;
and to en ure efficient and effective delivery of services throuah policy and financial management.
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FY14 Ba e: -
General Bureau Billing : 276 Total lncrea e /Decrea e : 276
8223 969
Page 9
Federal $263 263 6103697
FY
15 Reconunended
Increa : 539
Other Total $0 $539 $0 $539 .134353087
Mi sion tatement
To ensure that
people with developmental disabilities have equal opportunities and receive the services and supports they need to live and work in South Dakota co1n1nunities.
Page JO
Eligibility for Services
Must have a developmental disability d fined a follows:
cerebral pal y, pilep y, h ad injury, brain di a ·e, auti m, or another condition which is clo ely related to intellectual di ability and require treatment or services similar to tho e required for individuals with intellectual di ·ability. To be clo ely related to intellectual di ability, a condition must cause impairment of general intellectual functioning or adaptive behavior imilar to that of intellectual di ability
before the individual reached the age of 22
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Home and Community Based Services (HCBS) - CHOICES Waiver Description:
federal Medicaid regulation to allow funding for people to live in the community rather than an in titution. Individual with disabilitie receive support that a ist them to function independently in their home and community. Eligibility:
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Home and Community Based Services (HCBS) - CHOICES Waiver Services:
di abilities to work.
disincentive.
general/$233,902 federal)
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Family Support Waiver Services Description:
Medicaid regulations to allow funding for people to live in the community rather than an institution. This waiver provides services to indi iduals with di abilitie that a ist them to tay at home and liv with their familie . Eligibility:
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Family Support Waiver Services Services:
include:
services. he participants family must provide the re idential support needed.
general/$55,010 federal)
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Other Services
Community trainino ervices (CTS) upp011s for daily living and employment Provided by Community Supp011 Providers Supp011 approximately 320 people who don't require CHOICES wai er services Adult foster care Support 3-4 people needing minimal assi tance in daily living Private intermediate care facility for individuals with intellectual disabilities Children's Care Hospital and School in Sioux Falls Serve children through age 21 with ignificant di abilitie Re idential, therapeutic, educational and other medically nece a1y ·erv1ce Supp011s 65 children Respite care
with familie Approximately 725 participant
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Individuals Totals Discharges: (85) ($3,815,912) Admission : 81 3,798,890 Kids Turning 21: 85 $3,423,919 Absent Bed Days: A ($51,099) Totals: 81 $323552798
Page I
Federal Change in FMAP: 2,074,270 ( 2,074,270) DOD Provider Inflation 3%: 1,522 81 7 Growth in HCB Adults (81): 1,606.756 Waiting List for· Family uppo11 (40): 84,042 Eliminate Employment Disincentin: 214 874 Reduction in Excess Federal Authority:
so
ODD Local chool Dlsuict Match: Bur·eau Billings: $258 1!086 Total Increases/Decreases: 5.503,017 715,446 Total FY15 Governor's Recommended Budget: 55.832;744 69;560;015 Page 18
17,479,248
FYl 5 Recommended In rea e: 17,479,248
Other Totals 3,477 036 S3,355,798 139,052
11J 60;785 136;653,544
Federal
Other S1L60,785
I
General $55.832, 744
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Federal Fund Sources
Medicaid $68.878.330
uppo1 t
590.93
Mission Statement
To provide individualized treatment services and
supports to people with develop1nental disabilities and challenging behaviors only when needed sen,ices are not available in a co,nmunity setting.
Page _
De cription:
(ICF/IID)
tates to provide comprehensive and individualized health care and rehabilitation services to individual to promote their independence. Eligibility:
before age 22
cerebral pal y, epilep y, head injury, brain di a ·e, auti m, or another condition which is clo ely related to intell ctual disability and requir s treatment or ervic imilar to tho e required for individuals with intellectual di ability.
related to intellectual di ability, a condition mu t cau e impaim1ent of general intellectual functioning or adapti e beha ior similar to that of intellech1al disability
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Services:
persons with intellectual disabilities or related conditions
planning 24-hour supervision coordination, and integration of health
ability
p ychiatric service ; al o include inten ive treatment service · for sex
Admi ion occur only when ervice are not available in the community
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SDDC Population Trends
200 180 160 140
Q
·= 120
"'
""
i:i':: 100 :,., ~ 80
A
"'
O D
f' 60
;;
40 20 FY2004 FY2005 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
Fiscal Year
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Admi ions and Di charge
60 ~------------------------------- FY2002 FY2003 FY2004 FY2005 FY2006 FY2007 FY2008 FY2009 FY2010 FY201 l FY2012 FY2013
Page 24
Length of Stay
25
22·8 22.5 22.5
20
18.4 17.4 17.6 16.6 15 13.4 12.6 11.8 115 11.7 11.9 11.2 10
OA
7.7 7.9 7.8 7.9
7.3
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Items Recommended: $311,735
Yl4 Base:
23,986,765 ------
'hange in FMAP: Utilities: DD Worker'
General 439 684 $80,027
FY
15 Recommended / Increa e: 311 ,7 5
Federal Other Totals ( 439,684) 87 115 72,019 Bureau Billing : 6,413 Total Increase /Decrea e : Total FY15
OYel'nOl'1 Recommended Budget:
111 2211 108 121 2851 247 241 2981 500
Page _6
Orher
$792.145
General
$11.221.l 08
Pre cription DrugPlan~ $665,516 SDDCOther
Other Fund ource
$126,629 ---
Federal Fund ource
Lunch Page 2 $199.563
Mi sion tatement
To a i t individual with di abilities to obtain
employment, econo1nic elf- ufficiency, per onal independence and full inclu ion into ociety.
Page _g
Vocational Rehabilitation (VR)
Description: Vocational Rehabilitation is a program that provides setvices to assist individuals ,, vith disabilities to get and keep job in line with their abilitie and intere t . Eligibility: A disability that is a substanrial impediment to employment Work in an integrated setting is appropriate Se1vice are necessary in order to obtain employment ervires: Employment Counseling Post-secondruy education Job Placement Employment Skill Training A si rive Technology
Physical 23%
Primuy Impail'ments
Mental Illness 30% Page 29 Cognitive 42% Sensory 5%
Vocational Rehabilitation Program Performance
The Vocational Rehabilitation program assisted 823 individuals with disabilities to reach their employment ooals la t year. In fi cal year 2013, the a erage income of client who succe fully obtained employment increa ed by 34 7%. DRS is one of 5 VR agencies nationwide that have met all six VR perfonnance indicators in the past three years.
Value of Vocational Rehabilitation Program
Increase in the number of individuals obtaining medical insurance through employment Increase in the munber of individual where wage are primruy ource of supp01t Increa e in average weekly wage Decrea e dependency on public uppo1t
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Independent Living (IL) Description:
disabilitie that a i t them to function independently in their home and community. Eligibility:
Set-vices:
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Assistive Daily Living Services (ADLS) Description:
program that pro ides personal attendant care and other services to adult with quadriplegia to Ii e independently in their own home. Eligibility:
age and able to manage and direct own care
daily living Services:
daily Ii ing such as bathing and dre sing
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Services for Individuals Who Are Deaf or Hard of Hearing Description:
and other need of individual who are deaf or hard of hearing.
Eligibility:
that re ult in difficulty communicating.
Services:
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Disability Determination Services (DDS)
Description:
di ability deci ion for ocial ecurity, according to federal guideline . Eligibility:
impainnent that will last for at lea t 12 consecutive months
activitie of their previou jobs or any other jobs which they might be able to perform based on their age, education, and work experience
Services:
applicant and an other available ources
and Supplemental Security Income (SSI) programs
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FY14 Base: $22,274,360
hange in FMAP: Provider Inflation 3%: Bureau Billing : Total Increases/Decreases: Total FY15 Governor' Recommended Budget: General 79 200 $81 748 22 838 $163,786 413171603
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Federal ( 79,200) S58,974 132 499 { 6,727} 1514381712
FY15 Recommended Increase: $157,059
Other
so
$140 722 162 337 157,059 216751104 $22 1431 1419
Omer
$ __
675.104 Federal S15.43 .712
Federal Fund
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Other· Fund
Independent Living S303,951
SSA Program Income
$1.21 ,4 I
Interpreter Registration $8,000 Disability Determination
$4.013,788 ln-Sef\ice S19,299
Mission Statement
To provide individualized rehabilitation services
that result in optimal employment and independent living outcomes for citizens who are blind or visually impaired.
Page 3
Vocational Rehabilitation Program (VR)
Description:
Eligibility:
presumed eligible for vocational rehabilitation services Services:
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Occupation of Individual
e1vice Indu try 35%
g.. F
Fishing 5% 12% Other 1%
mployment Outcomes
dmin Suppmt 9% Managerial 3%
_____
Productior Con truction 16%
19% Thi hart reflect occupation ofcor umer ,; ho obtained employment in 2013. Job obtained by BVI consumers are similar to labor market trends in outh Dakota with a majority of jobs in service and ale (47%). Managerial and professional job were 21 % of ucces ful clo ures in 2013.
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Independent Living Program (IL)
Description: The independent living program provides ervices to individuals with di abilities that a i t them to function independently in their home and conununity. Eligibility: The presence of a significant visual disability The pre ence of a ub tantial lilnitation in ability to fi.mction independently in family
A reasonable expectation that Independent Living ervice will ignificantly a ist the individual to improve their ability to fonction independently in family or conummity Services: Rehabilitation teaching se1 v ices including: mobility training, braille instrnction, home management and other services and training in alternative techniques to help adju t to blindne · The provision of i ual aid · and de ice IL skills training, infonnation and refe1rnl se1vices, peer counseling, and individual advocacy training Any other appropriate se1 v ice designed to assist an older individual who is blind in coping with daily living activitie
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120 100 80
60 40
20
Age Range of Older Blind Individuals
Age 55.59 Age 60-~ Age 65-69 Age 70.74 Age 75.79 Age 80.84 Age 8~89 Age 90-94 Age 95.99 100 •
The target population for the Independent Living Blind Program is
i.ndi idual over the age of
people e1ved over the age of 100.
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FY14 Bae: $3.769,002 FYl 5 Reconunended
General Federnl Other Totals Bureau Billing
636 12 370 22 231
Total Increa e illecrea e :
636 12 370 22 231
Total FY15 Governo1 ·' Recommended Budget:
9131 052 $214911880 31 7711 233
Page 4_
rher
366.30\
Federal $2,491.880 General $913,052
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SBVI Other $191 ,151
Other Funds Federal Funds
Income SI 5,1 0 Supported Employment $6,000