2015 Legislative Wrap-Up

Maggie Anderson, Executive DirectorDeb McDermott, Chief Financial Officer

DHS 2015-17 Budget Highlights

Total Funds - $3.5 Billion

General Fund - $1.3 Billion

DHS 2015-17 Budget Highlights

* Includes Temporary Assistance for Needy Families (TANF), Job Opportunity Basic Skills, (JOBS) Child Care, Supplemental Nutritional Assistance Program (SNAP), Low Income Home Energy Assistance Program (LIHEAP), IV-D Judicial, Regional Child Support Units, Child Welfare, Aging, Mental Health, Substance Abuse, Vocational Rehabilitation, Autism Voucher Program, and Non-Medical Developmental Disability grants and services.

DHS 2015-17 Budget Highlights

Medical Assistance Grants

$2,409,432,376

DHS 2015-17 Budget Highlights

Behavioral Health - Increases Total General Other

Increase Extended Services - Seriously Mentally Ill by 35 Slots - Statewide

388,492

388,492  

Increase Prevocational Skills -Traumatic Brain Injury by 26 Slots - Statewide

302,109

302,109  

Increase Extended Services - Traumatic Brain Injury by 35 Slots - Statewide

180,783

180,783  

10 Bed Crisis Residential Unit/Transitional Living Unit North Central Region (serving Minot & Williston)

903,983

685,895

218,088

4 bed Alternative Care Unit - West Central Region (Bismarck)

283,500

283,500  15 Bed Expansion Tompkins Rehabilitation Program (11 FTE) (Addiction Treatment Program Through a Contract with Department of Corrections)- Statewide

1,520,369

-

1,520,369

Telemedicine Residency Program - Statewide

146,459

146,459  

ND Cares - Statewide

130,000

130,000  

Increase Funding for Robinson Recovery - Statewide

237,500

237,500  

Mobile On-Call Crisis Response West Central Region (Bismarck)

250,000

250,000  

Total

4,343,195

2,604,738

1,738,457

DHS 2015-17 Budget Highlights

Home and Community-Based Services Total General Other

Increase Funding for Vulnerable Adult Protective Services Southeast Region (Fargo)

464,894

464,894  

Increase Guardianship Establishments for Vulnerable Adults by 39 Slots - Statewide

97,500

97,500  

Increase for Senior Meals - Statewide

502,300

502,300  

Increase Autism Waiver by 25 Slots - Statewide 1,468,012

734,006

734,006

Increase Autism Voucher Slots by 10 - Statewide

250,001

250,001  

Increase Autism Waiver Age Limit Through 9 yrs of age (12 Slots) - Statewide

704,640

352,320

352,320

Total 3,487,347

2,401,021

1,086,326

Additional Information

Total Increase in Autism from above 2,422,653 1,336,327 1,086,326

DHS 2015-17 Budget Highlights

Inflationary Increases for Providers - 3% Each Year of the Biennium Total General Other

Medicaid Provider Inflation - Statewide

19,316,597

9,433,914

9,882,683

Long Term Care Provider Inflation - Statewide

15,519,858

8,258,171

7,261,687

Program & Policy Other Inflation - Statewide

1,751,915

1,657,007

94,908

Foster Care and Adoption Provider Inflation - Statewide

5,129,103

2,980,825

2,148,278

DD Provider Inflation - Statewide

23,872,534

11,906,769

11,965,765

Autism Provider Inflation - Statewide

157,356

78,678

78,678

HSC Contracted Provider Inflation - Statewide

1,694,967

1,694,967  

Total

67,442,330

36,010,331

31,431,999

Ambulance Provider Rate Increase - Statewide

1,250,000

625,000

625,000

DHS 2015-17 Budget Highlights

• SB 2043DHS to cover Community Paramedics under Medicaid.

• SB 2046DHS to cover Licensed Marriage and Family Therapists under Medicaid.

• HB 1046Appropriates $375,000 for Return to Work Services for People with Traumatic Brain Injury (TBI) and $50,000 to increase funding to increase statewide TBI services.

DHS 2015-17 Budget Highlights

• SB 2048Appropriates $750,000 to Implement a Substance Abuse Treatment Services Voucher Program and $150,000 for Consultant Services to Implement Behavioral Health Changes.

• SB 2289Appropriates $160,000 for Interagency Program for Assistive Technology (IPAT). Total IPAT funding is nearly $1.4 Million.

DHS 2015-17 Budget Highlights

Eligibility Systems Modernization ProjectSB 2177Determines eligibility for:

• Medicaid• Children’s Health Insurance Program• Supplemental Nutrition Assistance Program• Low Income Home Energy Assistance Program • Child Care Assistance Program• Basic Care Program• Temporary Assistance for Needy Families

Contract Signed! Project Underway!

Medicaid Expansion Premiums

Jan. 2014 to May 2015

DHS 2015-17 Budget Highlights

Guardianship Establishment141 Slots - $352,500

Human Services Budget (SB 2012)

Public Guardianship$1,328,600

Office of Management and Budget (SB 2015)

DHS 2015-17 Budget Highlights

Vulnerable Adults Protective Services

Statewide CoverageStatewide Central Intake – Aging Services Office 1

NW & NC (Mountrail Co. Social Services) Contract1

Lake Region Human Service Center1

Northeast Human Service Center2

Southeast (Cass Co. Social Services) Contract 3

South Central (Hart Counseling) Contract2

West Central Human Service Center2

Badlands Human Service Center 1

DHS 2015-17 Budget Highlights

Property Tax ReliefSB 2206

Effective January 1, 2016, the State will assume the County share of:

• Foster Care and Adoption• Therapeutic Foster Care• Service Payments for the Elderly and Disabled

(SPED) Program• Family Preservation Services (current contracts)• Supplemental Nutrition Assistance Program (SNAP)

Electronic Benefits Transfer (EBT) Card Costs • Computer Costs $19.3 Million

DHS 2015-17 Budget Highlights

Property Tax ReliefSB 2206

Budget Limit

Calendar Year 2015 Budget

Calendar Year 2014 (County Billing)

% Salary Fringe Benefit

$19.3 Million

DHS 2015-17 Budget Highlights

Emergency Levy Grant ProgramSB 2206

Eligible Counties:

• Historical use of Emergency Human Services Mill Levy

• Adjacent to or part of an Indian Reservation

• Includes Stutsman County (State Hospital in Jamestown)

$3.9 Million

We look forward to working with our county partners in the 2015-16 Interim.

Maggie Anderson, Executive DirectorDeb McDermott, Chief Financial Officer