FY2018 BUDGET RECOMMENDATION - sdlegislature.govsdlegislature.gov/docs/budget/BoardPapers/2017/2... · FY2018 BUDGET RECOMMENDATION For Period of: July 1, 2017 to June 30, 2018 1

Department of Human Services Homepage: http://dhs.sd.gov/

FY2018 BUDGET RECOMMENDATION For Period of: July 1, 2017 to June 30, 2018

1

Table of Contents Acronyms Slide 3

Department of Human Services Overview Slides 4 - 9

Secretariat Slides 10 - 11

Developmental Disabilities Slides 12 - 17

SD Developmental Center (SDDC) Slides 18 - 26

Rehabilitation Services Slides 27 - 31

Service to the Blind & Visually Impaired Slides 32 – 37

Long Term Services and Supports (LTSS) Slide 38

2

DEPARTMENT OF HUMAN SERVICES BUDGET PRESENTATION ACRONYMS

ADLS – Assistive Daily Living Services CMS – Centers for Medicare and Medicaid Services COLA – Cost of Living Adjustment CSP – Community Support Provider CTS – Community Training Services DDD – Division of Developmental Disabilities DDS – Disability Determination Services DRS – Division of Rehabilitation Services DHS – Department of Human Services FMAP – Federal Medical Assistance Percentage HCBS – Home & Community Based Services ICF/IID – Intermediate Care Facility for Individuals with Intellectual Disabilities IL – Independent Living SBVI – Service to the Blind and Visually Impaired SDDC – South Dakota Developmental Center SDRC – South Dakota Rehabilitation Center for the Blind SSA – Social Security Administration SSDI – Social Security Disability Insurance SSI – Supplemental Security Income TRS – Telecommunication Relay Services VR – Vocational Rehabilitation

3

Department of Human Services Mission Statement

DHS will enhance the quality of life of people with disabilities, in partnership with its stakeholders.

4

SECRETARY Gloria

Pearson

SERVICE TO THE BLIND AND VISUALLY IMPAIRED

Gaye Mattke, Director

REHABILITATION SERVICES

Eric Weiss, Director

SD DEVELOPMENTAL CENTER / REDFIELD Barb Abeln, Director

DEVELOPMENTAL DISABILITIES

Ann Schwartz, Interim Director

STATEWIDE INDEPENDENT LIVING COUNCIL

SD COUNCIL ON DEVELOPMENTAL DISABILITIES

FAMILY SUPPORT COUNCIL

BOARD OF SERVICE TO THE BLIND AND VISUALLY IMPAIRED

BOARD OF VOCATIONAL REHABILITATION

BUDGET AND FINANCE Darryl Millner, Director

Department of Human Services

5

Department of Human Services Offices

Community Support Providers

SD Developmental Center - Redfield

Private Intermediate Care Facility for Individuals w/ Intellectual Disabilities

SD Rehabilitation Center for the Blind

Home Care Providers

Communication Services for the Deaf

Independent Living Centers

DHS Offices and Providers

6

FY18 DHS Overview Total Projected People Served – 27,876

7

South Dakota Developmental Center

123 Rehabilitation Services 10,981

Developmental Disabilities

5,606

SSA Disability Determinations

9,400

Service to the Blind and Visually Impaired

1,766

DEPARTMENT OF HUMAN SERVICES

FY18 Recommended Budget $204,414,758

FY17 Operating Budget $200,828,688

8 LRC Budget Brief page 2

General $79,025,586

Federal $115,689,423

Other $9,699,749

General $79,478,302

Federal $111,622,742

Other $9,727,644

FTE General Federal Other TotalFY17 Operating 545.4 $79,478,302 $111,622,742 $9,727,644 $200,828,688FY18 Recommended 533.4 $79,025,586 $115,689,423 $9,699,749 $204,414,758FY18 Increase/(Decrease) (12.0) ($452,716) $4,066,681 ($27,895) $3,586,070

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Table of Contents

Table of Contents

Appendix

Acronyms1SD Developmental Center (SDDC)

Mission & Services Provided15

Department of Human Services OverviewSpecialized Services16

Mission Statement2Levels of Support17

Department Chart3Funding Sources18

Office/Provider Map4Recommended Budget19

FY15 DHS Overview5

Funding Overview6Rehabilitation Services

Funding Overview Cont.7Mission & Services Provided20

Services Provided21

SecretariatIndividuals Rehabilitated22

Mission Statement8Funding Sources22

Recommended Budget9Recommended Budget23

Developmental DisabilitiesService to the Blind & Visually Impaired

Mission 10Mission 24

Services Provided11Services Provided25

Funding Sources12Individuals Rehabilitated26

Recommended Budget13Funding Sources27

Growth in Eligibles - HCBS14Recommended Budget28

&9&F, &A&9Pg &P of &N&9&D

People Served

South Dakota Developmental Center123

Rehabilitation Services10,981

Developmental Disabilities5,606

SSA Disability Determinations9,400

Service to the Blind and Visually Impaired1,766

Total27876

South Dakota Developmental CenterRehabilitation ServicesDevelopmental DisabilitiesSSA Disability DeterminationsService to the Blind and Visually Impaired12310981560694001766

DHS Pie Total Sum

Total FY18 BudgetTotal FY17 Budget

General$79,025,58639%General$79,478,30240%

Federal$115,689,42357%Federal$111,622,74256%

Other$9,699,7495%Other$9,727,6445%

Total$204,414,757Total$200,828,688

Also, in the powerpoint, include a table that shows the following

FTEGeneral Federal Other Total

FY17 Operating545.4$79,478,302$111,622,742$9,727,644$200,828,688

FY18 Recommended533.4$79,025,586$115,689,423$9,699,749$204,414,758

FY18 Increase/(Decrease)(12.0)($452,716)$4,066,681($27,895)$3,586,070

&9&F, &A&9Pg &P of &N&9&D

GeneralFederalOther79025585.666666672115689422.819699749

GeneralFederalOther794783021116227429727644

General Fund % Inc

General Percent Increase

9.36%

2.7% Provider Inflation$ 1,636,653-2435.93%

Change in FMAP$ (3,571,271)5315.34%

Growth in HCBS Adults$ 1,675,792-2494.18%

SDDC Utilities$ (42,697)63.55%

SDDC Food Service$ 7,382-10.99%

ADLS Conflict Free Case Mgmt$ 51,270-76.31%

Enhancement of ADLS Supports$ 120,549-179.42%

ADLS Rate Enhancement$ 55,134-82.06%

$ (67,188)

General Fund Decrease - ($67,188)

$(3,571,271)

2.7% Provider InflationChange in FMAPGrowth in HCBS AdultsSDDC UtilitiesSDDC Food ServiceADLS Conflict Free Case MgmtEnhancement of ADLS SupportsADLS Rate Enhancement1636653-35712711675792-4269773825127012054955134

DHS 15 Changes

FY15 Budget Recommended Changes

General$6,256,305

Federal$433,497

Other$11,261,010

Total$17,950,812

&9&F, &A&9Pg &P of &N&9&D

General$5,203,203

Federal

$1,080,224

Other

$0


DHS FY15 MajorItems A1 to BFM

FTEGeneralFederalOtherTotal

FY2014 Budget Base550.4$66,851,171$99,953,054$3,834,746$170,638,971

Inflation / Expansion / Reduction

1.6% Inflation Developmental Disabilities$801,732$1,052,687$0$1,854,419

1.6% Inflation Rehabilitation Services$43,207$31,845$0$75,052

SD Developmental Center - Utilities$78,941$88,201$0$167,142

FMAP Rate Change$1,782,793($1,782,793)$0$0

DDD Growth in Eligibles$1,563,352$1,746,732$0$3,310,084

Rehabilitation Services COLA$44,377$163,968$0$208,345

Service to the Blind COLA$11,095$40,993$0$52,088

DDD Family Support Expansion$83,404$55,648$0$139,052

DDD Cost Share Reduction Employment Incentive$211,957$236,819$0$448,776

DDD Additonal Supportive Nursing Service$575,125$642,587$0$1,217,712

DDD Reduction in Federal Authority$0($1,203,543)$0($1,203,543)

DD Council Adjustments$884$0$0$884

SDDC Worker's Comp Rate Increase$6,336$7,080$0$13,416

Inflation / Expansion / Reduction Total0.0$5,203,203$1,080,224$0$6,283,427

Total FY2015 Requested Budget550.4$72,054,374$101,033,278$3,834,746$176,922,398

&"Arial,Bold"&8&F&A&"Arial,Bold"&8Pg &P of &N&"Arial,Bold"&8&D, &T

Sec Increase

FY16 Base$1,616,796

FY17 Recommended Increase$4,096

FY16 Base1791430270107314211616796

FTEGeneralFederal OtherTotal

Provider Inflation0.0$ 4,096$ - 0$ - 0$ 4,096

Total Increases/Decreases:0.0$ 4,096$ - 0$ - 0$ 4,096

Total FY17 Governor's Recommended Budget:17.0$ 918,398$ 701,073$ 1,421$ 1,620,892

FY16 BaseFY17 Recommended Increase16167964096

Sec MajorItems

Secretariat

FY15 Total Recommended Budget

GeneralFederalOtherTotals

Bureau Billings$276$263$0$539

$276$263$0$539

&9&F, &A&9Pg &P of &N&9&D

DDD MajorItems

Division of Developmental Disabilities



FMAP:$533,267($651,999)$118,732$0

Growth in Eligibles - HCBS Adults:$1,606,756$1,749,042$0$3,355,798

DDD Provider Inflation 3%:$1,522,817$1,954,219$0$3,477,036

Family Support Expansion:$84,042$55,010$0$139,052

DDD Cost Share Reduction-Employment Incentive$214,874$233,902$0$448,776

Reduction in Federal Expenditure Authority$0($1,203,543)$0($1,203,543)

DDD Local School District Match$0$0$11,260,785$11,260,785

Bureau Billings$258$1,086$0$1,344

Totals:$3,962,014$2,137,717$11,379,517$17,479,248

&9&F, &A&9Pg &P of &N&9&D

DDD HCBS Growth


FY17 HCBS Growth in Eligibles

Home & Community Based Services

IndividualsTotals

Discharges:(91)($4,538,249)

Admissions:76$4,577,543

Kids Turning 21:68$3,768,125adjusted this number down by $80 to reconcile to BFM major item sheet. BFM budget analyst applied additional inflation using base numbers rather than the rate specific information used by DHS. The difference in methodologies was $80.

Absent Bed Days & Cost Share:NA($57,112)

Totals:53$3,750,307

Breakdown of Admissions

From SDDC16$437.86$2,504,370365

Other Admits61$93.62$2,073,173365

$4,577,543

&9&F, &A&9Pg &P of &N&9&D

DD Increase

FY16 Base$145,073,210

FY17 Recommended Increase$0

FY16 Base20.560,214,040.0073,199,730.0011,659,440.00145,073,210.00


Change in FMAP0.0$ (2,855,570)$ 3,314,706$ (459,136)$ - 0

DDD Provider Inflation 2.7%0.0$ 1,513,109$ 2,017,582$ 228,468$ 3,759,159

Growth in HCBS Adults (53)0.0$ 1,721,016$ 2,029,291$ - 0$ 3,750,307

Authority Reduction0.0$ - 0$ (3,540,295)$ (5,741,038)$ (9,281,333)

Total Increases/Decreases:0.0$ 378,555$ 3,821,284$ (5,971,706)$ (1,771,867)

Total FY17 Governor's Recommended Budget:20.5$ 60,592,595$ 77,021,014$ 5,687,734$ 143,301,343

*Note: Inflatin on expansion is inluded in the expansion line in effort for table to match BFM budget book. This results in the table not tying back to the rolling budget and inflation on expansion was loaded as inflation.


DDD Pie Total Sum

DDD Total FY17 Budget

General$60,592,595

Federal$77,021,014

Other$5,687,734

Total$143,301,343

&9&F, &A&9Pg &P of &N&9&D


DDD Pie Federal Fund

Federal Fund Sources

Information from Fund Sources Used Report - AG version

Medicaid$76,293,581

DD Basic Support$591,683

Respite Care$135,750

Total$77,021,014

&9&F, &A&9Pg &P of &N&9&D

MedicaidDD Basic SupportRespite Care76293581591683135750

SDDC MajorItems

Division of SD Developmental Center



FMAP:$439,684($439,684)$0$0

Utilities:$80,027$87,115$0$167,142

SDDC Worker's Comp Increase$66,161$72,019$138,180

Bureau Billings$2,718$3,695$6,413

Totals:$588,590($276,855)$0$311,735

&9&F, &A&9Pg &P of &N&9&D

SDDC Pie Total Sum

SDDC Total FY17 BudgetFederal Fund Sources

General$11,499,131

Federal$13,638,720

Other$794,724

Total$25,932,575

&9&F, &A&9Pg &P of &N&9&D


SDDC Increase

DDD Total FY17 BudgetFederal Fund Sources

FY16 Base$26,003,265


Total$26,003,265

FY16 Base379.612,152,713.0013,058,407.00792,145.0026,003,265.00


Change in FMAP0.0$ (618,267)$ 618,267$ - 0$ - 0

Adjustment in Utilities0.0$ (42,697)$ (50,344)$ - 0$ (93,041)

Food Service Inflation0.0$ 7,382$ 12,390$ 2,579$ 22,351

FTE Reduction in Budget Authority(2.0)$ - 0$ - 0$ - 0$ - 0

Total Increases/Decreases:(2.0)$ (653,582)$ 580,313$ 2,579$ (70,690)

Total FY17 Governor's Recommended Budget:377.6$ 11,499,131$ 13,638,720$ 794,724$ 25,932,575

&9&F, &A&9Pg &P of &N&9&D


FY13 Base

$24,146,398

FY14 Recommended Decrease ($971,500)


SDDC Pie Federal Fund



Medicaid$13,435,092

School Breakfast/Lunch$203,628

Total$13,638,720

&9&F, &A&9Pg &P of &N&9&D

MedicaidSchool Breakfast/Lunch13435092203628

SDDC Bar Other

Other Fund Sources

Prescription Drug Plan$665,516

SDDC Other$129,208

Total$794,724

&9&F, &A&9Pg &P of &N&9&D

Prescription Drug PlanSDDC Other665516129208

RS MajorItems

Division of Rehabilitation Services



FMAP:$79,200($79,200)$0$0

Provider Inflation 3%:$81,748$58,974$0$140,722


Totals:$163,786($6,727)$0$157,059

&9&F, &A&9Pg &P of &N&9&D

DRS Increase

FY16 Base$23,176,468


FY16 Base99.14,439,332.0015,942,032.002,795,104.0023,176,468.00


Change in FMAP0.0$ (97,434)$ 97,434$ - 0$ - 0

DRS Provider Inflation 2.7%0.0$ 74,224$ 56,642$ - 0$ 130,866

Conflict Free Case Mgmt2.0$ 51,270$ 51,270$ - 0$ 102,540

Enhancement of ADLS Srvs0.0$ 120,549$ 142,143$ - 0$ 262,692

ADLS PA and SN Rate Enhancement0.0$ 55,134$ 65,010$ - 0$ 120,144

Total Increases/Decreases:2.0$ 203,743$ 412,499$ - 0$ 616,242



RS 14 Pie Total Sum

DRS Total FY17 Budget

General$4,643,075

Federal$16,354,531

Other$2,795,104

Total$23,792,710

&9&F, &A&9Pg &P of &N&9&D


RS 14 Pie Federal Fund


Vocational Rehabilitation$8,695,590

Supported Employment$294,000

Medicaid$2,432,405

Disability Determination$4,166,536

Independent Living$303,951

Assistive Technology$462,049

Total$16,354,531

&9&F, &A&9Pg &P of &N&9&D

Vocational RehabilitationSupported EmploymentMedicaidDisability DeterminationIndependent LivingAssistive Technology869559029400024324054166536303951462049

RS Bar Other

Other Fund Sources

SSA Program Income$1,217,451

Interpreter Registration$8,000

TRS$1,569,653

Total$2,795,1042795104

&9&F, &A&9Pg &P of &N&9&D

SSA Program IncomeInterpreter RegistrationTRS121745180001569653

DRS 16 Primary Impair

Impairments

Cognitive41%

Sensory4%

Mental Illness31%

Physical24%

Total100%

&9&F, &A&9Pg &P of &N&9&D

CognitiveSensoryMental IllnessPhysical0.410.040.310.24

SBVI MajorItems

Division of Service to the Blind & Visually Impaired




Totals:$636$1,370$225$2,231

&9&F, &A&9Pg &P of &N&9&D

SBVI Increase

FY16 Base$3,949,249


FY16 Base29.2953,407.002,614,287.00381,555.003,949,249.00


Total Increases/Decreases:0$ - 0$ - 0$ - 0$ - 0

Total FY17 Governor's Recommended Budget:29.2$ 953,407$ 2,614,287$ 381,555$ 3,949,249


SBVI 16 Pie Services

Vocational Rehabilitation Program

Services Provided

Job Placement7%

Maintenance10%

Pysical Restoration25%

Assistive Technology24%

Post Secondary School6%

Employment Skills18%

Other3%

Assessment7%

Total100%

&9&F, &A&9Pg &P of &N&9&D

Job Placement7%

Job PlacementMaintenancePysical RestorationAssistive TechnologyPost Secondary SchoolEmployment SkillsOtherAssessment7.0000000000000007E-20.10.250.240.060.180.037.0000000000000007E-2

SBVI 16 Pie Employment

Occupations of Individuals

Successful Employment Outcomes

Sales3%

Service35%

Ag, Forestry, Fishing4%

Admin Support12%

Managerial6%

Production/Construction19%

Professional21%

Total100%

&9&F, &A&9Pg &P of &N&9&D

SalesServiceAg, Forestry, FishingAdmin SupportManagerialProduction/ConstructionProfessional0.030.350.040.120.060.190.21

SBVI 16 Chart Older Blind

Older Blind Individuals Served in FY16

Age 55-5911

Age 60-6430

Age 65-6924

Age 70-7427

Age 75-7958

Age 80-84843020.6681415929

Age 85-89105

Age 90-9481

Age 95-9928

Age 100+4

Total452

&9&F, &A&9Pg &P of &N&9&D

Age 55-59Age 60-64Age 65-69Age 70-74Age 75-79Age 80-84Age 85-89Age 90-94Age 95-99Age 100+11302427588410581284

SBVI 16 Pie Total Sum

SBVI Total FY17 Budget

General$953,407

Federal$2,614,287

Other$381,555

Total$3,949,249

&9&F, &A&9Pg &P of &N&9&D


SBVI 16 Pie Federal Fund


Information from Fund Sources Used Report - AG Version



Total$2,608,689

&9&F, &A&9Pg &P of &N&9&D


Vocational RehabilitationIndependent Living2305007303682

SBVI 16 Other

Other Fund Sources


SSA Program Income$175,150

SBVI Other$206,405

Total$381,555

&9&F, &A&9Pg &P of &N&9&D

SSA Program IncomeSBVI Other175150206405

DEPARTMENT OF HUMAN SERVICES

9

$633,473

$(1,720,373)

$508,707 $379,908

$(53,794)

$16,780

$(162,949) $(56,135)

$1,667

$(2,000,000)

$(1,500,000)

$(1,000,000)

$(500,000)

$-

$500,000

$1,000,000

1% ProviderInflation

Change inFMAP

Growth inHCBS Adults

Family SupportGrowth SDDC Utilities

SDDC FoodService

SDDCFTE/Personal

ServicesReduction

JuvenileCorrections

MonitorReduction

ADLS RateEnhancement

Series1 $633,473 $(1,720,373) $508,707 $379,908 $(53,794) $16,780 $(162,949) $(56,135) $1,667


Secretariat

Mission Statement

To provide vision and leadership to the department; and to ensure efficient and effective delivery of services through policy and financial management.


Decrease Recommended: ($54,566)

Office of the Secretary FY18 Total Recommended Budget: $1,686,733


FY17 Base $1,741,299

FY18 Recommended Increase

$0

FTE General Federal Other TotalProvider Inflation 0.0 1,569$ -$ -$ 1,569$ Juvenile Corrections Monitor (1.0) ($56,135) -$ -$ ($56,135)Total Increases/Decreases: (1.0) ($54,566) -$ -$ ($54,566)

Total FY18 Governor's Recommended Budget: 17.0 925,804$ 759,499$ 1,430$ 1,686,733$

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Table of Contents

Table of Contents

Appendix







FY15 DHS Overview5



Services Provided21










&9&F, &A&9Pg &P of &N&9&D

People Served






Total27876


DHS Pie Total Sum


General$79,025,58639%General$79,478,30240%

Federal$115,689,42357%Federal$111,622,74256%

Other$9,699,7495%Other$9,727,6445%

Total$204,414,757Total$200,828,688



FY17 Operating545.4$79,478,302$111,622,742$9,727,644$200,828,688

FY18 Recommended533.4$79,025,586$115,689,423$9,699,749$204,414,757


&9&F, &A&9Pg &P of &N&9&D



General Fund % Inc


9.36%

1% Provider Inflation$ 633,473-139.93%

Change in FMAP$ (1,720,373)380.01%

Growth in HCBS Adults$ 508,707-112.37%

Family Support Growth$ 379,908-83.92%



SDDC FTE/Personal Services Reduction$ (162,949)35.99%

Juvenile Corrections Monitor Reduction$ (56,135)12.40%


$ (452,716)


$(1,720,373)

$(53,794)

$(162,949)

$(56,135)

1% Provider InflationChange in FMAPGrowth in HCBS AdultsFamily Support GrowthSDDC UtilitiesSDDC Food ServiceSDDC FTE/Personal Services ReductionJuvenile Corrections Monitor ReductionADLS Rate Enhancement633473-1720373508707379908-5379416780-162949-561351667

DHS 15 Changes


General$6,256,305

Federal$433,497

Other$11,261,010

Total$17,950,812

&9&F, &A&9Pg &P of &N&9&D

General$5,203,203

Federal

$1,080,224

Other

$0




FY2014 Budget Base550.4$66,851,171$99,953,054$3,834,746$170,638,971





FMAP Rate Change$1,782,793($1,782,793)$0$0













Sec Increase

FY17 Base$1,741,299


FY17 Base1898037075949914301741299



Juvenile Corrections Monitor(1.0)($56,135)$ - 0$ - 0($56,135)

Total Increases/Decreases:(1.0)($54,566)$ - 0$ - 0($54,566)


FY17 Base$1,741,299



Sec MajorItems

Secretariat




$276$263$0$539

&9&F, &A&9Pg &P of &N&9&D

DDD MajorItems




FMAP:$533,267($651,999)$118,732$0








Totals:$3,962,014$2,137,717$11,379,517$17,479,248

&9&F, &A&9Pg &P of &N&9&D

DDD HCBS Growth




IndividualsTotals

Discharges:(97)($4,486,841)


Kids Turning 21:45$2,131,472

CCHS KT21:3$487,647


Totals:12$1,148,015


From SDDC8.24$445.34$1,339,774365

Other Admits52.33$88.66$1,693,446365

$3,033,220

&9&F, &A&9Pg &P of &N&9&D

DD Increase

FY17 Base$144,386,299

FY18 Recommended Increase$3,175,515

FY17 Base20.561,025,142.0077,612,498.005,748,659.00144,386,299.00


Change in FMAP0.0$ (1,382,911)$ 1,524,467$ (141,556)$ - 0

DDD Provider Inflation 1%0.0$ 591,831$ 781,530$ 56,071$ 1,429,432

Growth in HCBS Adults (11.90)0.0$ 508,707$ 627,814$ - 0$ 1,136,521

Family Support Expansion0.0$ 379,908$ 229,654$ - 0$ 609,562

Total Increases/Decreases:0.0$ 97,535$ 3,163,465$ (85,485)$ 3,175,515


*Previous year's note: Inflatin on expansion is inluded in the expansion line in effort for table to match BFM budget book. This results in the table not tying back to the rolling budget and inflation on expansion was loaded as inflation.


DDD Pie Total Sum


General$61,122,677

Federal$80,775,963

Other$5,663,174

Total$147,561,814

&9&F, &A&9Pg &P of &N&9&D





Medicaid$80,047,97299%

DD Basic Support$592,2411%

Respite Care$135,7500%

Total$80,775,963

&9&F, &A&9Pg &P of &N&9&D


SDDC MajorItems




FMAP:$439,684($439,684)$0$0

Utilities:$80,027$87,115$0$167,142



Totals:$588,590($276,855)$0$311,735

&9&F, &A&9Pg &P of &N&9&D

SDDC Pie Total Sum


General$11,308,269

Federal$14,015,974

Other$794,724

Total$26,118,967

&9&F, &A&9Pg &P of &N&9&D


SDDC Increase


FY17 Base$26,551,505


Total$26,551,505

FY17 Base376.611,784,860.0013,971,921.00794,724.0026,551,505.00


Change in FMAP0.0$ (286,741)$ 286,741$ - 0$ - 0


Food Service Growth/Inflation0.0$ 26,893$ 33,190$ - 0$ 60,083

FTE Reduction(12.0)$ (162,949)$ (209,485)$ - 0$ (372,434)

Total Increases/Decreases:(12.0)$ (476,591)$ 44,053$ - 0$ (432,538)


&9&F, &A&9Pg &P of &N&9&D

FY17 Base$26,551,505


FY13 Base

$24,146,398






Medicaid$13,812,346


Total$14,015,974

&9&F, &A&9Pg &P of &N&9&D


SDDC Bar Other

Other Fund Sources


SDDC Other$129,208

Total$794,724

&9&F, &A&9Pg &P of &N&9&D


RS MajorItems




FMAP:$79,200($79,200)$0$0



Totals:$163,786($6,727)$0$157,059

&9&F, &A&9Pg &P of &N&9&D

DRS Increase

FY17 Base$22,826,523


FY17 Base101.14,718,420.0016,614,678.001,493,425.0022,826,523.00


Change in FMAP0.0$ (50,721)$ 50,721$ - 0$ - 0

DRS Provider Inflation 1%0.0$ 29,960$ 24,596$ - 0$ 54,556

Deaf Services Growth0.0$ - 0$ - 0$ 57,590$ 57,590

DDS Operating Costs Increases0.0$ - 0$ 337,134$ - 0$ 337,134

DDS Cooperative Disability Investigations Unit1.0$ - 0$ 444,655$ - 0$ 444,655

ADLS PA and SN Rate Enhancements0.0$ 1,667$ 2,057$ - 0$ 3,724

Total Increases/Decreases:1.0$ (19,094)$ 859,163$ 57,590$ 897,659



RS 14 Pie Total Sum


General$4,699,326

Federal$17,473,841

Other$1,551,015

Total$23,724,182

&9&F, &A&9Pg &P of &N&9&D






Medicaid$2,558,693




Total$17,473,841

&9&F, &A&9Pg &P of &N&9&D


RS Bar Other

Other Fund Sources



TRS$1,627,243

Total$2,852,6952852695

&9&F, &A&9Pg &P of &N&9&D



Impairments

Cognitive42%

Sensory3%

Mental Illness31%

Physical24%

Total100%

&9&F, &A&9Pg &P of &N&9&D


SBVI MajorItems





Totals:$636$1,370$225$2,231

&9&F, &A&9Pg &P of &N&9&D

SBVI Increase

FY17 Base$4,021,382


FY17 Base29.2969,510.002,664,146.00387,726.004,021,382.00







Services Provided

Job Placement11%

Maintenance5%





Other4%

Assessment5%

Total103%

&9&F, &A&9Pg &P of &N&9&D

Job Placement7%

Job PlacementMaintenancePysical RestorationAssistive TechnologyPost Secondary SchoolEmployment SkillsOtherAssessment0.110.050.250.240.120.170.040.05




Sales17%

Service35%


Admin Support11%

Managerial6%


Professional10%

Total100%

&9&F, &A&9Pg &P of &N&9&D




Age 55-5911

Age 60-6430

Age 65-6924

Age 70-7427

Age 75-7958

Age 80-84843020.6681415929

Age 85-89105

Age 90-9481

Age 95-9928

Age 100+4

Total452

&9&F, &A&9Pg &P of &N&9&D




General$969,510

Federal$2,664,146

Other$387,726

Total$4,021,382

&9&F, &A&9Pg &P of &N&9&D







Total$2,664,146

&9&F, &A&9Pg &P of &N&9&D



SBVI 16 Other

Other Fund Sources



SBVI Other$212,576

Total$387,726

&9&F, &A&9Pg &P of &N&9&D


DIVISION OF DEVELOPMENTAL DISABILITIES

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 communities.

Mission Statement


Home and Community Based Services (HCBS)

CHOICES Medicaid Waiver Services: • Services are provided through the 19 direct support and case management providers

and include: • Residential supports • Employment supports: Pre-vocational and Supported employment • Day Habilitation: Therapies and Community Involvement Activities • Nursing • Specialized medical services, equipment, and drugs

• Room and board is paid by the individual Family Support Medicaid Waiver Services: • Services are provided through the 19 Community Support Providers and include:

• Service coordination • Respite and companion care • Environmental accessibility and modifications • Specialized medical adaptive equipment and supplies

• Family Support services do not include room and board or residential services. The participant’s family must provide the residential support needed.


13

Increase Recommended: $3,175,515

Division of Developmental Disabilities FY18 Total Recommended Budget: $147,561,814


FTE General Federal Other TotalChange in FMAP 0.0 (1,382,911)$ 1,524,467$ (141,556)$ -$ DDD Provider Inflation 1% 0.0 583,101$ 773,062$ 56,071$ 1,412,234$ Growth in HCBS Adults 0.0 513,852$ 634,163$ -$ 1,148,015$ Family Support Expansion 0.0 383,493$ 231,773$ -$ 615,266$ Total Increases/Decreases: 0.0 97,535$ 3,163,465$ (85,485)$ 3,175,515$

Total FY18 Governor's Recommended Budget: 20.5 61,122,677$ 80,775,963$ 5,663,174$ 147,561,814$

FY17 Base $144,386,299

FY18 Recommended Increase

$3,175,515

TOC


Table of Contents

Table of Contents

Appendix







FY15 DHS Overview5



Services Provided21










&9&F, &A&9Pg &P of &N&9&D

People Served






Total27876


DHS Pie Total Sum


General$79,025,58639%General$79,478,30240%

Federal$115,689,42357%Federal$111,622,74256%

Other$9,699,7495%Other$9,727,6445%

Total$204,414,757Total$200,828,688



FY17 Operating545.4$79,478,302$111,622,742$9,727,644$200,828,688

FY18 Recommended533.4$79,025,586$115,689,423$9,699,749$204,414,757


&9&F, &A&9Pg &P of &N&9&D



General Fund % Inc


9.36%


Change in FMAP$ (1,720,373)380.01%








$ (452,716)


$(1,720,373)

$(53,794)

$(162,949)

$(56,135)


DHS 15 Changes


General$6,256,305

Federal$433,497

Other$11,261,010

Total$17,950,812

&9&F, &A&9Pg &P of &N&9&D

General$5,203,203

Federal

$1,080,224

Other

$0




FY2014 Budget Base550.4$66,851,171$99,953,054$3,834,746$170,638,971





FMAP Rate Change$1,782,793($1,782,793)$0$0













Sec Increase

FY17 Base$1,741,299


FY17 Base1898037075949914301741299





FY17 Base$1,741,299



Sec MajorItems

Secretariat




$276$263$0$539

&9&F, &A&9Pg &P of &N&9&D

DDD MajorItems




FMAP:$533,267($651,999)$118,732$0








Totals:$3,962,014$2,137,717$11,379,517$17,479,248

&9&F, &A&9Pg &P of &N&9&D

DDD HCBS Growth




IndividualsTotals

Discharges:(97)($4,486,841)


Kids Turning 21:45$2,131,472

CCHS KT21:3$487,647


Totals:12$1,148,015


From SDDC8.24$445.34$1,339,774365

Other Admits52.33$88.66$1,693,446365

$3,033,220

&9&F, &A&9Pg &P of &N&9&D

DD Increase

FY16 Base$145,073,210


FY17 Base20.561,025,142.0077,612,498.005,748,659.00144,386,299.00


Change in FMAP0.0$ (1,382,911)$ 1,524,467$ (141,556)$ - 0

DDD Provider Inflation 1%0.0$ 583,101$ 773,062$ 56,071$ 1,412,234

Growth in HCBS Adults0.0$ 513,852$ 634,163$ - 0$ 1,148,015

Family Support Expansion0.0$ 383,493$ 231,773$ - 0$ 615,266

Total Increases/Decreases:0.0$ 97,535$ 3,163,465$ (85,485)$ 3,175,515


*Previous year's note: Inflatin on expansion is inluded in the expansion line in effort for table to match BFM budget book. This results in the table not tying back to the rolling budget and inflation on expansion was loaded as inflation.


DDD Pie Total Sum


General$60,592,595

Federal$77,021,014

Other$5,687,734

Total$143,301,343

&9&F, &A&9Pg &P of &N&9&D





Medicaid$76,293,581



Total$77,021,014

&9&F, &A&9Pg &P of &N&9&D


SDDC MajorItems




FMAP:$439,684($439,684)$0$0

Utilities:$80,027$87,115$0$167,142



Totals:$588,590($276,855)$0$311,735

&9&F, &A&9Pg &P of &N&9&D

SDDC Pie Total Sum


General$11,499,131

Federal$13,638,720

Other$794,724

Total$25,932,575

&9&F, &A&9Pg &P of &N&9&D


SDDC Increase


FY16 Base$26,003,265


Total$26,003,265

FY16 Base379.612,152,713.0013,058,407.00792,145.0026,003,265.00


Change in FMAP0.0$ (618,267)$ 618,267$ - 0$ - 0






&9&F, &A&9Pg &P of &N&9&D


FY13 Base

$24,146,398






Medicaid$13,435,092


Total$13,638,720

&9&F, &A&9Pg &P of &N&9&D


SDDC Bar Other

Other Fund Sources


SDDC Other$129,208

Total$794,724

&9&F, &A&9Pg &P of &N&9&D


RS MajorItems




FMAP:$79,200($79,200)$0$0



Totals:$163,786($6,727)$0$157,059

&9&F, &A&9Pg &P of &N&9&D

DRS Increase

FY16 Base$23,176,468


FY16 Base99.14,439,332.0015,942,032.002,795,104.0023,176,468.00


Change in FMAP0.0$ (97,434)$ 97,434$ - 0$ - 0








RS 14 Pie Total Sum


General$4,643,075

Federal$16,354,531

Other$2,795,104

Total$23,792,710

&9&F, &A&9Pg &P of &N&9&D






Medicaid$2,432,405




Total$16,354,531

&9&F, &A&9Pg &P of &N&9&D


RS Bar Other

Other Fund Sources



TRS$1,569,653

Total$2,795,1042795104

&9&F, &A&9Pg &P of &N&9&D



Impairments

Cognitive41%

Sensory4%

Mental Illness31%

Physical24%

Total100%

&9&F, &A&9Pg &P of &N&9&D


SBVI MajorItems





Totals:$636$1,370$225$2,231

&9&F, &A&9Pg &P of &N&9&D

SBVI Increase

FY16 Base$3,949,249


FY16 Base29.2953,407.002,614,287.00381,555.003,949,249.00







Services Provided

Job Placement7%

Maintenance10%





Other3%

Assessment7%

Total100%

&9&F, &A&9Pg &P of &N&9&D

Job Placement7%





Sales3%

Service35%


Admin Support12%

Managerial6%


Professional21%

Total100%

&9&F, &A&9Pg &P of &N&9&D




Age 55-5911

Age 60-6430

Age 65-6924

Age 70-7427

Age 75-7958

Age 80-84843020.6681415929

Age 85-89105

Age 90-9481

Age 95-9928

Age 100+4

Total452

&9&F, &A&9Pg &P of &N&9&D




General$953,407

Federal$2,614,287

Other$381,555

Total$3,949,249

&9&F, &A&9Pg &P of &N&9&D







Total$2,608,689

&9&F, &A&9Pg &P of &N&9&D



SBVI 16 Other

Other Fund Sources



SBVI Other$206,405

Total$381,555

&9&F, &A&9Pg &P of &N&9&D


FY18 Growth in HCBS Adults



Home & Community Based ServicesIndividuals Totals

Discharges: (97) ($4,486,841)Admissions: 61 $3,033,220Kids Turning 21: 45 $2,131,472LifeScape (CCHS) KT21: 3 $487,647Absent Bed Days & Cost Share: NA ($17,482)Totals: 12 $1,148,015

From SDDC 8.24 $445.34 $1,339,774 Other Admits 52.33 $88.66 $1,693,446

$3,033,220


TOC


Table of Contents

Table of Contents

Appendix







FY15 DHS Overview5



Services Provided21










&9&F, &A&9Pg &P of &N&9&D

People Served






Total27876


DHS Pie Total Sum


General$79,025,58639%General$79,478,30240%

Federal$115,689,42357%Federal$111,622,74256%

Other$9,699,7495%Other$9,727,6445%

Total$204,414,757Total$200,828,688



FY17 Operating545.4$79,478,302$111,622,742$9,727,644$200,828,688

FY18 Recommended533.4$79,025,586$115,689,423$9,699,749$204,414,757


&9&F, &A&9Pg &P of &N&9&D



General Fund % Inc


9.36%


Change in FMAP$ (1,720,373)380.01%








$ (452,716)


$(1,720,373)

$(53,794)

$(162,949)

$(56,135)


DHS 15 Changes


General$6,256,305

Federal$433,497

Other$11,261,010

Total$17,950,812

&9&F, &A&9Pg &P of &N&9&D

General$5,203,203

Federal

$1,080,224

Other

$0




FY2014 Budget Base550.4$66,851,171$99,953,054$3,834,746$170,638,971





FMAP Rate Change$1,782,793($1,782,793)$0$0













Sec Increase

FY17 Base$1,741,299


FY17 Base1898037075949914301741299





FY17 Base$1,741,299



Sec MajorItems

Secretariat




$276$263$0$539

&9&F, &A&9Pg &P of &N&9&D

DDD MajorItems




FMAP:$533,267($651,999)$118,732$0








Totals:$3,962,014$2,137,717$11,379,517$17,479,248

&9&F, &A&9Pg &P of &N&9&D

DDD HCBS Growth




IndividualsTotals

Discharges:(97)($4,486,841)


Kids Turning 21:45$2,131,472

LifeScape (CCHS) KT21:3$487,647


Totals:12$1,148,015


From SDDC8.24$445.34$1,339,774365

Other Admits52.33$88.66$1,693,446365

$3,033,220

&9&F, &A&9Pg &P of &N&9&D

DD Increase

FY16 Base$145,073,210


FY16 Base20.560,214,040.0073,199,730.0011,659,440.00145,073,210.00


Change in FMAP0.0$ (2,855,570)$ 3,314,706$ (459,136)$ - 0








DDD Pie Total Sum


General$60,592,595

Federal$77,021,014

Other$5,687,734

Total$143,301,343

&9&F, &A&9Pg &P of &N&9&D





Medicaid$76,293,581



Total$77,021,014

&9&F, &A&9Pg &P of &N&9&D


SDDC MajorItems




FMAP:$439,684($439,684)$0$0

Utilities:$80,027$87,115$0$167,142



Totals:$588,590($276,855)$0$311,735

&9&F, &A&9Pg &P of &N&9&D

SDDC Pie Total Sum


General$11,499,131

Federal$13,638,720

Other$794,724

Total$25,932,575

&9&F, &A&9Pg &P of &N&9&D


SDDC Increase


FY16 Base$26,003,265


Total$26,003,265

FY16 Base379.612,152,713.0013,058,407.00792,145.0026,003,265.00


Change in FMAP0.0$ (618,267)$ 618,267$ - 0$ - 0






&9&F, &A&9Pg &P of &N&9&D


FY13 Base

$24,146,398






Medicaid$13,435,092


Total$13,638,720

&9&F, &A&9Pg &P of &N&9&D


SDDC Bar Other

Other Fund Sources


SDDC Other$129,208

Total$794,724

&9&F, &A&9Pg &P of &N&9&D


RS MajorItems




FMAP:$79,200($79,200)$0$0



Totals:$163,786($6,727)$0$157,059

&9&F, &A&9Pg &P of &N&9&D

DRS Increase

FY16 Base$23,176,468


FY16 Base99.14,439,332.0015,942,032.002,795,104.0023,176,468.00


Change in FMAP0.0$ (97,434)$ 97,434$ - 0$ - 0








RS 14 Pie Total Sum


General$4,643,075

Federal$16,354,531

Other$2,795,104

Total$23,792,710

&9&F, &A&9Pg &P of &N&9&D






Medicaid$2,432,405




Total$16,354,531

&9&F, &A&9Pg &P of &N&9&D


RS Bar Other

Other Fund Sources



TRS$1,569,653

Total$2,795,1042795104

&9&F, &A&9Pg &P of &N&9&D



Impairments

Cognitive41%

Sensory4%

Mental Illness31%

Physical24%

Total100%

&9&F, &A&9Pg &P of &N&9&D


SBVI MajorItems





Totals:$636$1,370$225$2,231

&9&F, &A&9Pg &P of &N&9&D

SBVI Increase

FY16 Base$3,949,249


FY16 Base29.2953,407.002,614,287.00381,555.003,949,249.00







Services Provided

Job Placement7%

Maintenance10%





Other3%

Assessment7%

Total100%

&9&F, &A&9Pg &P of &N&9&D

Job Placement7%





Sales3%

Service35%


Admin Support12%

Managerial6%


Professional21%

Total100%

&9&F, &A&9Pg &P of &N&9&D




Age 55-5911

Age 60-6430

Age 65-6924

Age 70-7427

Age 75-7958

Age 80-84843020.6681415929

Age 85-89105

Age 90-9481

Age 95-9928

Age 100+4

Total452

&9&F, &A&9Pg &P of &N&9&D




General$953,407

Federal$2,614,287

Other$381,555

Total$3,949,249

&9&F, &A&9Pg &P of &N&9&D







Total$2,608,689

&9&F, &A&9Pg &P of &N&9&D



SBVI 16 Other

Other Fund Sources



SBVI Other$206,405

Total$381,555

&9&F, &A&9Pg &P of &N&9&D


TOC


Table of Contents

Table of Contents

Appendix







FY15 DHS Overview5



Services Provided21










&9&F, &A&9Pg &P of &N&9&D

People Served






Total27876


DHS Pie Total Sum


General$79,025,58639%General$79,478,30240%

Federal$115,689,42357%Federal$111,622,74256%

Other$9,699,7495%Other$9,727,6445%

Total$204,414,757Total$200,828,688



FY17 Operating545.4$79,478,302$111,622,742$9,727,644$200,828,688

FY18 Recommended533.4$79,025,586$115,689,423$9,699,749$204,414,757


&9&F, &A&9Pg &P of &N&9&D



General Fund % Inc


9.36%


Change in FMAP$ (1,720,373)380.01%








$ (452,716)


$(1,720,373)

$(53,794)

$(162,949)

$(56,135)


DHS 15 Changes


General$6,256,305

Federal$433,497

Other$11,261,010

Total$17,950,812

&9&F, &A&9Pg &P of &N&9&D

General$5,203,203

Federal

$1,080,224

Other

$0




FY2014 Budget Base550.4$66,851,171$99,953,054$3,834,746$170,638,971





FMAP Rate Change$1,782,793($1,782,793)$0$0













Sec Increase

FY17 Base$1,741,299


FY17 Base1898037075949914301741299





FY17 Base$1,741,299



Sec MajorItems

Secretariat




$276$263$0$539

&9&F, &A&9Pg &P of &N&9&D

DDD MajorItems




FMAP:$533,267($651,999)$118,732$0








Totals:$3,962,014$2,137,717$11,379,517$17,479,248

&9&F, &A&9Pg &P of &N&9&D

DDD HCBS Growth




IndividualsTotals

Discharges:(97)($4,486,841)


Kids Turning 21:45$2,131,472

CCHS KT21:3$487,647


Totals:12$1,148,015


From SDDC8.24$445.34$1,339,774365

Other Admits52.33$88.66$1,693,446365

$3,033,220

&9&F, &A&9Pg &P of &N&9&D

DD Increase

FY16 Base$145,073,210


FY16 Base20.560,214,040.0073,199,730.0011,659,440.00145,073,210.00


Change in FMAP0.0$ (2,855,570)$ 3,314,706$ (459,136)$ - 0








DDD Pie Total Sum


General$60,592,595

Federal$77,021,014

Other$5,687,734

Total$143,301,343

&9&F, &A&9Pg &P of &N&9&D





Medicaid$76,293,581



Total$77,021,014

&9&F, &A&9Pg &P of &N&9&D


SDDC MajorItems




FMAP:$439,684($439,684)$0$0

Utilities:$80,027$87,115$0$167,142



Totals:$588,590($276,855)$0$311,735

&9&F, &A&9Pg &P of &N&9&D

SDDC Pie Total Sum


General$11,499,131

Federal$13,638,720

Other$794,724

Total$25,932,575

&9&F, &A&9Pg &P of &N&9&D


SDDC Increase


FY16 Base$26,003,265


Total$26,003,265

FY16 Base379.612,152,713.0013,058,407.00792,145.0026,003,265.00


Change in FMAP0.0$ (618,267)$ 618,267$ - 0$ - 0






&9&F, &A&9Pg &P of &N&9&D


FY13 Base

$24,146,398






Medicaid$13,435,092


Total$13,638,720

&9&F, &A&9Pg &P of &N&9&D


SDDC Bar Other

Other Fund Sources


SDDC Other$129,208

Total$794,724

&9&F, &A&9Pg &P of &N&9&D


RS MajorItems




FMAP:$79,200($79,200)$0$0



Totals:$163,786($6,727)$0$157,059

&9&F, &A&9Pg &P of &N&9&D

DRS Increase

FY16 Base$23,176,468


FY16 Base99.14,439,332.0015,942,032.002,795,104.0023,176,468.00


Change in FMAP0.0$ (97,434)$ 97,434$ - 0$ - 0








RS 14 Pie Total Sum


General$4,643,075

Federal$16,354,531

Other$2,795,104

Total$23,792,710

&9&F, &A&9Pg &P of &N&9&D






Medicaid$2,432,405




Total$16,354,531

&9&F, &A&9Pg &P of &N&9&D


RS Bar Other

Other Fund Sources



TRS$1,569,653

Total$2,795,1042795104

&9&F, &A&9Pg &P of &N&9&D



Impairments

Cognitive41%

Sensory4%

Mental Illness31%

Physical24%

Total100%

&9&F, &A&9Pg &P of &N&9&D


SBVI MajorItems





Totals:$636$1,370$225$2,231

&9&F, &A&9Pg &P of &N&9&D

SBVI Increase

FY16 Base$3,949,249


FY16 Base29.2953,407.002,614,287.00381,555.003,949,249.00







Services Provided

Job Placement7%

Maintenance10%





Other3%

Assessment7%

Total100%

&9&F, &A&9Pg &P of &N&9&D

Job Placement7%





Sales3%

Service35%


Admin Support12%

Managerial6%


Professional21%

Total100%

&9&F, &A&9Pg &P of &N&9&D




Age 55-5911

Age 60-6430

Age 65-6924

Age 70-7427

Age 75-7958

Age 80-84843020.6681415929

Age 85-89105

Age 90-9481

Age 95-9928

Age 100+4

Total452

&9&F, &A&9Pg &P of &N&9&D




General$953,407

Federal$2,614,287

Other$381,555

Total$3,949,249

&9&F, &A&9Pg &P of &N&9&D







Total$2,608,689

&9&F, &A&9Pg &P of &N&9&D



SBVI 16 Other

Other Fund Sources



SBVI Other$206,405

Total$381,555

&9&F, &A&9Pg &P of &N&9&D


FY18 Funding Sources



16

General $61,122,677

Federal $80,775,963

Other $5,663,174

Medicaid $80,047,972

DD Basic Support

$592,241

Respite Care $135,750

Key Initiatives, Successes, Challenges Initiatives and Success: • South Dakota’s Community-based I/DD system

ranked 9th nationally • Implementation of federally

Documents

FY2018 BUDGET RECOMMENDATION - sdlegislature.govsdlegislature.gov/docs/budget/BoardPapers/2017/2... · FY2018 BUDGET RECOMMENDATION For Period of: July 1, 2017 to June 30, 2018 1