February 25-27, 2014Rita Landgraf

Cabinet Secretary

Fiscal Year 2015 JFC HearingLegislative Hall

Senate Hearing Room

Delaware Health and Social Services

Overview of Format forDHSS Presentations

• Secretary’s Overview– Focus, Emerging Issues and DHSS FY 15 GRB

at a Glance

• Division Presentations– Maintaining FY 14 Funding Levels– New Funding Recommended– All will receive our customary power point

presentations with more details relative to division focus and these will be on our website.

Delaware Health and Social Services

Office of the Secretary

State Service Centers

Social Services

Aging and Adults with Physical Disabilities

Substance Abuse and

Mental Health

Long Term Care

Residents Protection

Developmental Disabilities

Public Health

MedicalExamine

r

Child Support Enforcement

Medicaid and Medical

Assistance

Management Services

Visually Impaired

Improve the quality of life for Delaware’s residents by promoting health and well-being, fostering self sufficiency and protecting vulnerable

populations

Delaware Health and Social Services

Moving Forward

• Continued Focus Affordable Care Act mandates US DOJ Settlement LTC Transition

• DHSS Mission• Best Practices• Process Quality Initiative

Delaware Health and Social Services

• Addiction Services• We know that untreated, or poorly treated, substance

use disorders cause suffering, illness, loss of human potential, damaged families, weakened communities, and extraordinary costs to the state and the nation. HEALTH CONDITIONS US COSTS Cancer (15% tobacco) $128.0 billion Diabetes $245.0 billion Heart Disease & Stroke $444.0 billion

(30% tobacco and drugs) Substance Abuse $559.0 billion

Moving ForwardEmerging Issues

Delaware Health and Social Services

EMERGING ISSUES

• Community Based Services– DSAMH

– DDDS

– Nurse Family Partnership

• Health Innovation

Delaware Health and Social Services

Personnel202,722.0

19%

All Other145,087.9

13%

Medicaid652,286.9

60%

DDDS Programs26,576.8

2%

TANF19,100.0

2%

Child Care38,490.8

4%

General Assistance

5,328.3 0%

DHSS FY 14 GF BUDGET DISTRIBUTION

Delaware Health and Social Services

Budget Overview

• FY 14 GF Budget $1,089,592.7

• FY 15 GRB New Dollars $ 32,484.2– Resources needed for increased

volume, annualizations, structural changes– New/Expanded Programs

• FY 15 Total GRB $1,122,076.9 [3% Increase over FY 14]

Delaware Health and Social Services

FY 15 GRB - $1,122,076.9Base Adjustments

DPH•Office of Animal Welfare (FYF) $ 300.0

DDDS•FY 14 Placements (FYF) $2,283.7

DHSS•FY 14 Salary Policy $2,280.6

Delaware Health and Social Services

FY 15 GRB - $1,122,076.9Inflation and Volume

DMMA – Medicaid $23,976.0• Inflation/Volume $20,676.0• Structural transfer from $ 3,300.0 DSS-Child Care

DDDS • Residential Placements $ 1,874.7

Delaware Health and Social Services

FY 15 GRB - $1,122,076.9New/Expanded Programs

Secretary’s Office• Financial Empowerment $ 124.0

DPH• Medical Marijuana $ 70.0

DPH• Nurse Family Partnership $1,300.0

DDDS• Special School Grads $1,420.7

Delaware Health and Social Services

FY 15 GRB - $1,122,076.9New/Expanded Programs

USDOJ/DPC Settlement

• Assertive Community Treatment$1,650.0• Crisis Services $1,240.0• Peer Supports* $ 325.0• Targeted Case Management $ 300.0• Supported Employment $ 100.0• Housing Vouchers* * $ 0.0

Total $3,615.0*Peer Supports to be supported with $50.0 from the FY14 Housing Continuing appropriation**Housing Vouchers to be supported with $750.0 from the FY14 Housing Continuing appropriation

Delaware Health and Social Services

Important PartnershipsCROSS CABINET INITIATIVES

Delaware State Housing Authority – State Rental Assistance Program (SRAP)

Early Childhood Education I-ADAPT-Individual Assessment & Discharge Planning Teams Health Care Reform and Transformation Behavioral Health – Education & Prevention / Treatment &

Recovery Financial Empowerment & Security Employment of Persons with Disabilities

COMMUNITY PARTNERS

CAREGIVERS

Delaware Health and Social Services