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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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