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House Social Services Budget Committee Meeting February 6, 2013 Overview of the Kansas Department for Aging And Disability Services. Presented by: Shawn Sullivan, Secretary Kansas Department for Aging and Disability Services. Agency Overview. - PowerPoint PPT Presentation
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House Social Services Budget Committee MeetingFebruary 6, 2013
Overview of the KansasDepartment for Aging And Disability Services
Presented by:
Shawn Sullivan, Secretary
Kansas Department for Aging and Disability Services
April 19, 2023
Agency Overview
• Established on July 1, 2012 through Executive Reorganization Order
• 2,650 people employed by the Agency.
• Formerly known as the Kansas Department on Aging
• Goal of reorganization was to streamline state services and provide structure to allow affected agencies to operate more efficiently and effectively.
• Paved the way for reforming Medicaid system, now known as KanCare
April 19, 2023
Mission & Vision
• Mission: The Kansas Department for Aging and Disability Services mission is to foster an environment that promotes security, dignity and independence, while providing the right care at the right time in a place called home.
• Vision: The Kansas Department for Aging and Disability Services envisions a community that empowers Kansas older adults and persons with disabilities to make choices about their lives.
April 19, 2023
Budget
FY 2013 budget: Approved budget totals $1.541 billion, including $642
million from State General Fund (SGF)
FY 2014 budget: Proposed budget totals $1.499 billion, including $628
million from SGF.
April 19, 2023
Agency Responsibilities
• Programs and services to assist older adults
• Behavioral health and disability services formerly housed in the KS Department of Social and Rehabilitation Services
• Oversight of the 5 State Hospitals
• Some licensure programs previously part of the Kansas Department of Health and Environment
April 19, 2023
Office of the Secretary
• Includes:
-Chief Counsel
-Communications Director
-Human Resources
-Legislative/Policy Director
-Special Assistant to the Secretary
• Supervision of State Hospitals
• Administratively supports the KanCare Consumer Ombudsman
April 19, 2023
Organizational Structure
Department Commissions:– Commission on Aging– Community Services and Programs
Commission– Survey, Certification, and Credentialing
Commission– Financial and Information Services
Commission
April 19, 2023
Commissionon Aging
Administer a variety of community-based programs for the aging population through contracts and grants of state and federal funds
Older Americans Act
-Quality Assurance programs Congregate and home-delivered meals Caregiver programs In-home Services Senior Care Act Services
-Quality Assurance programs Client Assessment, Referral and Evaluation (CARE) program Aging and Disability Resource Centers (ADRCs)
April 19, 2023
Commissionon Aging
Oversee and implement grants:
Senior Health Insurance Counseling for Kansas (SHICK)
-Assist individuals with questions related to Medicare
Senior Medicare Patrol (SMP)
-Educates community about reporting Medicare/Medicaid fraud and how to identify scams
Lifespan Respite
Community Transition Opportunities
-Works with nursing facilities to identify residents who desire to return to living in a community setting
April 19, 2023
Commissionon Aging
Budget Proposal
• Shifting of $1.5 million to fund ADRC contract
• Sequestration possibility of 8% cut or $1.48 million dollars
– Will be able to cover between March 1 and Oct. 1 if sequestration happens to prevent cuts to programs
– Will be working with stakeholders for July bids for OAA changes
April 19, 2023
Community Services and Programs Commission
• Provides care and services to 157,000 clients
• Responsible for: Behavioral health programs
-mental health, substance abuse, addiction and prevention Home and Community Based Services PACE Managed Care division
-Coordinates intra-agency KDADS activity around managed care.
-Coordinates with all three KanCare Managed Care Organizations regarding KDADS-specific program areas
April 19, 2023
Community Services and Programs Commission
Budget Proposal for CSP Commission
• HCBS Waivers
• Behavioral Health Programs• Problem Gambling and Addictions Fund• Mental Health Initiative
• PACE
April 19, 2023
Community Services and Programs Commission
Budget Proposal for HCBS Waivers
• I/DD Waiver– 7,825 served– 3,176 on waiting list– Caseload is flat. SGF is lower due to FMAP change. All funds budget is flat.
• PD Waiver– 5,685 served– 2,385 on waiting list– Caseload is flat. SGF is lower due to FMAP change. All funds budget is flat.
• FE Waiver– 5,012 served– KDADS proposed, and the Governor recommended, a reduction in funding for the HCBS/FE Waiver
program of $7,490,205, including $3,250,000 from the State General Fund. – This amount represents savings already gained through program efficiencies and WILL NOT affect
the services provided. – There is no wait list for FE waiver services, nor do we anticipate establishing one.
April 19, 2023
Community Services and Programs Commission
Budget Proposal for HCBS Waivers
• TBI waiver– 454 served– Caseload is flat. SGF is lower due to FMAP change. All funds budget is flat.
• Autism Waiver– 45 persons served– 283 on waiting list– Caseload is flat. SGF is lower due to FMAP change. All funds budget is flat.
• TA Waiver– 391 served– Caseload is flat. SGF is lower due to FMAP change. All funds budget is flat.
16
Problem Gamblingand Addictions Fund
• Problem Gambling and Addictions Fund (PGAF) receives 2 percent of state gaming revenues.
• Less state gaming revenues than projected have led to decreased resources.
• Governor’s Budget keeps funding level for FY 13 but reduces funds in FY 14 for the Substance Use Disorder Grants, which are funded through PGAF.– $946,336 is proposed reduction.
• KDADS is exploring options to backfill the revenue.
17
Governor’s Mental Health Initiative Funding
• $10 million dollar initiative $5 million of grants Community Mental Health Centers (CMHCs) receive
will be re-focused to support at-risk consumers.
• Administration proposal will stabilize funding resources for CMHCs Proposal recognizes the loss of Children Initiatives Fund (CIF) dollars
that will occur this year that impacts CMHCs. As a result, Administration proposes to preserve the $5 million CIF
dollars with special revenue funds
• Proposal ensures no overall loss of resources to public mental health system in FY 2014
18
Regional RecoverySupport Centers
Creation of regional recovery support centers
• 5-7 community mental health centers will be chosen to serve as the regional recovery support center – The regional system will allow CMHCs to have access to
resources that they can not always afford to provide.
• $5 million will be used to enhance or develop programs for target at-risk populations.
19
Increased effectivenessfor at-risk consumers
More effective programs for at-risk consumers
• $5 million will continue to be allocated to the 27 Kansas Community Mental Health Centers to support at-risk consumers.
• CMHCs must demonstrate outcomes for this targeted population– Tax dollars must support effective programs
20
Mental Health Task Force
Creation of a taskforce to comprehensively study Kansas’ mental health system
• New taskforce will comprehensively evaluate our current mental health system and make recommendations to transform the system.
• Taskforce will look at best practices to increase protective factors for person with or at risk of mental illness
• Taskforce members will include persons who have experienced recovery as well as professionals from broad multi-disciplinary expertise.
April 19, 2023
Community Services and Programs Commission
Budget Proposal for PACE
• Two programs through Via Christi Hope and Midland Cares
• Working towards PACE expansion as dual enrollment option to KanCare
• Budget Neutral
April 19, 2023
Survey, Certification, and Credentialing Commission
• Key function is to protect public health through the licensure and inspection of adult care homes.
• Develop and enforce state regulations related to adult care homes
• Implement federal certification activities for Medicaid or Medicare-certified nursing homes
• Conduct Inspections
-Annual Inspections
-Unannounced Inspections resulting from consumer or provider complaints
• Credentialing of various licensed and certified health professions.
-Adult care home administrators
-Certified nurses aides
-Dieticians
-Other professions
April 19, 2023
Financial & InformationServices Commission
• Responsible for various administrative functions that support other KDADS commissions Accounting Budgeting Information Technology
• Technical Support to Agency staff and business partners. Fiscal and Program Evaluation Division is KDADS’
auditing, reporting, and data analysis group. Manages nursing facility reimbursement programs
April 19, 2023
Financial & InformationServices Commission
Budget proposal for FISC and Administration
• Reduction in salaries and wages expenditures of $659,760 from all funding sources in FY 2013 and $1,551,131 in FY 2014 resulting from elimination of duplicative positions in reorganization, implementation of KanCare, and other restructuring within KDADS.
• Budget includes a reduction in rent expenditures totaling $250,000, of which $125,000 is from the State General Fund, due to reorganization.
26
Nursing Facility Provider Assessment
• Nursing facility Provider Assessment rate is scheduled to drop to 60 percent in FY14 and be eliminated in FY15.
• A reduction rate in the assessment rate would result in a decrease of $7.5 million in receipts to the Quality Care Fund in FY 14, which could result in corresponding payment cuts to nursing homes of $16.6 million.
• Allowing the Assessment to sunset would require and increase in SGF to maintain NF rates.
• Alternately, NF rates would be reduced by 2.2 percent.