Suppo rting a Be tte r T o mo rro wOne Pe rso n at a T ime - - PowerPoint PPT Presentation

Mississippi De par tme nt of Me ntal He alth F Y20 Budge t Re que st

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Pe rso n at a T ime

Pr

• gr

e ss with F Y19 L e ve l State Sour c e F unding

 DMH furthe r e xpa nde d c o mmunity-b a se d

se rvic e s b y shifting a n a dditio na l $13.3 millio n fro m institutio na l b udg e ts to the Se rvic e Budg e t to re duc e the re lia nc e o n institutio na l c a re .

 DMH imple me nte d the Sta te Pe rso nne l Bo a rd’ s

no n-a ppro pria te d jo b c la ss re a lig nme nt re c o mme nda tio n in the Dire c t Ca re Se rie s e ffe c tive June 1, 2018.

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F unding Shift to Community

 $8 millio n fo r e xpa nsio n o f c risis se rvic e s inc luding 42

a dditio na l c risis sta b iliza tio n b e ds in the c o mmunity, c o urt lia iso ns, c risis c o unse lo rs, a nd a n a dditio na l PACT te a m. With this, c r

isis stabilization be ds will now be available to all 14 Community Me ntal He alth Ce nte r s.

 $4 millio n to e xpa nd the I

D/ DD Ho me a nd Co mmunity Ba se d Wa ive r.

 $900,000 to c o ntinue / e xpa nd the de ve lo pme nt o f

Be ha vio ra l He a lth Ho me s fo r individua ls tha t ha ve b e e n re c e iving c o ntinue d tre a tme nt se rvic e s a t Mississippi Sta te Ho spita l.

 $400,000 to c o ntinue / e xpa nd the ja il-b a se d

c o mpe te nc e re sto ra tio n pro je c t

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Mobile Cr isis Re sponse T e ams

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9,421 19,660 22,768 23,168 26,322 2,733 9,701 15,442 15,668 18,651

5,000 10,000 15,000 20,000 25,000 30,000 F Y14 F Y15 F Y16 F Y17 F Y18

Mo b ile Crisis Re spo nse T e a ms

Ca lls F a c e -to -Fa c e Visits

34% inc r e ase in c alls sinc e F Y15 92% inc r e ase in fac e - to- fac e visits sinc e F Y15

Pr

• gr

ams of Asse r tive Community T r e atme nt (PACT )

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173 248 328 384

50 100 150 200 250 300 350 400 450 F Y15 F Y16 F Y17 F Y18

PACT T e a ms

T wo additional PACT T e ams in F Y19 122% inc r e ase in numbe r se r ve d sinc e F Y15

Ne w E nrollme nt ID/ DD Wa ive r

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39 166 123 105 88 69 5 56 89 168 96 237 133 81

50 100 150 200 250 F Y 2012 F Y 2013 F Y 2014 F Y 2015 F Y 2016 F Y 2017 F Y 2018 # fro m I nstitutio ns # fro m Pla nning L ist

1,455 ne w e nr

• lle e s sinc e F

Y12 46% inc r e ase in e nr

• llme nt sinc e F

Y12

Moving T

• war

ds a Community- Base d Syste m of Car e

In F Y18…

 4,610 se rve d a t DMH’ s b e ha vio ra l he a lth pro g ra ms  27% de c re a se in numb e r re c e iving a c ute psyc hia tric

se rvic e s a t sta te ho spita ls sinc e F Y12

 3,513 se rve d a t Crisis Sta b iliza tio n Units; 91.85% dive rsio n

ra te

 42 ne w c risis sta b iliza tio n b e ds to b e a dde d in F

Y19

 964 se rve d in I

DD Re g io na l Pro g ra ms

 32% re duc tio n in numb e r se rve d a t I

DD Re g io na l Pro g ra ms

 82% o f pe o ple with I

DD se rve d in the c o mmunity

 2,682 se rve d o n I

D/ DD Wa ive r

 46% inc re a se in I

D/ DD Wa ive r e nro llme nt sinc e F Y12

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Dir e c t Car e Se r ie s Re alignme nt

 T

he se fro nt line po sitio ns a re the mo st c ritic a l to pro viding q ua lity c a re in o ur pro g ra ms a nd ha ve the hig he st ra te o f turno ve r in sta te g o ve rnme nt – 48%.

 T

he re a lig nme nt a pplie d to a ll e mplo ye e s in the Dire c t Ca re Se rie s with e a c h e mplo ye e re c e iving a minimum a nnua l sa la ry inc re a se

• f $2,300.

 E

mplo ye e s in the fo llo wing jo b c la sse s we re a ffe c te d: Dire c t Ca re T ra ine e , Dire c t Ca re Wo rke r, Dire c t Ca re Adva nc e d, Dire c t Ca re Alt Supe rviso r, Dire c t Ca re Supe rviso rs.

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Dir e c t Car e Se r ie s Re alignme nt

ST ART SAL ARY PRIOR T O RE AL IGNME NT ST ART SAL ARY AF T E R RE AL IGNME NT MH- DIRE CTCARE T RAINE E

$15,898.24 $18,282.98

MH- DIRE CTCARE WORKE R

$17,408.94 $20,020.28

MH- DIRE CTCARE ADVANCE D

$19,108.56 $21,974.84

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Due to the c o mpe titive na ture o f the he a lthc a re industry, DMH re spe c tfully re q ue sts the L e g isla ture fund a re a lig nme nt fo r the a g e nc y’ s re ma ining e mplo ye e s.

F

• re nsic Se rvic e s

 I

n a dditio n, DMH is using a va ila b le re so urc e s (o ne -time funding a nd $1 millio n in b o nds) to re no va te b uilding 63 to b e c o me a 60-70 b e d F

• re nsic Se rvic e s Unit.

 Po te ntia lly do ub le the c urre nt F

• re nsic

Se rvic e s b e d c a pa c ity with o ne -time funding a s a re sult o f stre a mlining se rvic e s a nd prio ritizing a re a s o f ne e d.

 Antic ipa te d sta rt da te : No ve mb e r 2019

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F Y20 Budg e t Re que st

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Funding Source LBR FY20 FY19 Estimate vs. LBR FY20 Requested Increase Above LBR Total Request FY20 General $205,872,745 ($2,128,820) *$6,453,751 $212,326,496 State Source Special $18,951,886

• $18,951,886

Other Special Source $313,051,210 ($44,937,565) $44,937,565 $357,988,775 Total $537,875,841 ($47,066,385) $51,391,316 $589,267,157

*General funds requested include:

• LBR reduction being restored to FY19 level ($2,128,820)
• PERS employer contribution increase ($1,824,931)
• Expansion for mental health community-based services ($1,000,000)
• Expansion for the Medicaid ID/DD Waiver for community-based IDD services ($1,500,000)

F Y20 DMH Budg e t Re que st

 I

nc re a se o f $6,453,751 is re q ue ste d fo r the fo llo wing :

 L

BR re duc tio n b e ing re sto re d to F Y19 le ve l ($2,128,820)

 PE

RS e mplo ye r c o ntrib utio n inc re a se ($1,824,931)

 E

xpa nsio n fo r me nta l he a lth c o mmunity-b a se d se rvic e s ($1,000,000)

 E

xpa nsio n fo r the Me dic a id I D/ DD Wa ive r fo r c o mmunity b a se d I DD se rvic e s ($1,500,000)

 I

nte rna l shift o f $2.5 millio n fro m I DD Re g io na l Pro g ra ms to the Se rvic e Budg e t fo r the Ho me a nd Co mmunity Ba se d Wa ive r.

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Me dic aid Matc h for Home and Community Base d Waive r

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E stimate d Slots by Ye ar E nd E stimate d E xpe nditur e s F Y19

2,700 $32,176,558

F Y20

2,800 $33,676,558 F Y19 e nro llme nt wa s 2,647 a s o f De c e mb e r 31, 2018. I n F Y20, DMH will shift $2.5 millio n fro m the I DD Re g io na l Pro g ra ms to he lp fund the Ho me a nd Co mmunity Ba se d Wa ive r. DMH a ntic ipa te s the ne e d fo r a g e ne ra l fund inc re a se in F Y21 in

• rde r to c o ntinue e xpa nsio n.

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Wor king T

• ge the r

Mississippi Department of Mental Health www.dmh.ms.gov 601-359-1228