FISCAL YEAR 2013 BUDGET PRESENTATION DEPARTMENT OF HEALTH AND SENIOR SERVICES

MARGARET T. DONNELLY, D IRECTOR

 

Principal Units Comprising DHSS

Director’s Office

Division of Administration

Division of Community and Public Health

Division of Senior and Disability Services

Division of Regulation and Licensure

What DHSS Does: Division of Community and Public Health (DCPH)

Genetics and Healthy Childhood Newborn Screening

Immunization Assessment and Assurance

Immunizations Registry (ShowMeVax)

Special Health Care Needs Adult Head Injury Cancer and Chronic Disease Control

Organ Donor Program Show Me Healthy Women

Health Promotion Comprehensive Tobacco Control

Program Injury & Violence Prevention/ Safe Kids

Coalition

Community Food and Nutrition Assistance

Summer Food Service Program

Supplemental Nutrition for Women, Infants and Children (WIC)

Bureau of Environmental Epidemiology

Healthy Indoor Environments

Bureau of Environmental Health Services

Food Safety

Communicable Disease Control and Prevention

Veterinary Public Health Bureau of HIV, STD and Hepatitis Office of Epidemiology

Cancer Registry

Vital Records Birth and Death Certificates Marriage and Marriage Dissolution

Records

What DHSS Does: Division of Regulation and Licensure

The Section for Child Care Regulation licenses, regulates and inspects 4,147 child care facilities.

The Section for Long Term Care licenses and inspects 1,141 Long Term Care Facilities, including 499 Skilled Nursing Facilities (SNFs) 31 Intermediate Care Facilities (ICFs) 420 Residential Care Facilities (RCFs) 191 Assisted Living Facilities (ALFs)

The Section for Health Standards and Licensure Bureau of Hospital Standards licenses and inspects 165 hospitals.

What DHSS Does: Division of Senior and Disability Services

In FY 2011, 60,423 Missourians received Home and Community Based Services (HCBS).

In FY 2011, DSDS took 26,114 hotline call reports of abuse, neglect or exploitation.

 The department is currently using a combination of existing staff and new, temporary hires to provide necessary services for individuals eligible for HCBS. 

The Governor’s FY 2013 recommended budget includes funding for 90 staff to provide prescreening, level of care assessments, authorizations and care planning.

How DHSS Delivers Services

DHSS directly performs some functions

The department works with local partners and through contracts with private sector companies to provide services. Examples include:

  DHSS contracts with the 115 Local Public Health Agencies.

DHSS contracts with the 10 Area Agencies on Aging.

DHSS contracts with institutions of higher education.

DHSS works with home and community based service providers.

DHSS works with not-for-profits and schools to provide a variety of services.

Sources/Uses of DHSS Funds

Federal

Funds

71.4%

Other

Funds

1.8%

General Revenu

e

26.8%

•71.4 percent of all DHSS funding comes from federal funds.

•26.8 percent of DHSS funding comes from General Revenue.

Funding by Division, FY 2010-2013

2010 2011 2012 2013*0

100

200

300

400

500

600

700

Director's Office/Support Services Division of Community and Public HealthDivision of Senior and Disability Services Division of Regulation and Licensure

Fiscal Years

Mill

ions

of

Dol

lars

*Governor's recommendations

DHSS General Revenue Funding History

FY-09 FY-10 FY-11 FY-12 FY-13 Gov. Rec.50,000,000

70,000,000

90,000,000

110,000,000

130,000,000

150,000,000

170,000,000

190,000,000

210,000,000

230,000,000

159,590,239

172,438,881 186,238,071

204,090,950

220,918,787

84,017,75574,808,136

61,167,64956,540,886 54,464,616

GR Medicaid In-Home Services Budget GR Budget excluding Medicaid In-Home Services

38% Increase

35% Decrease

Fiscal Year 2013 Budget Core Reductions

The $4.1 million dollar General Revenue core reduction is an 8 percent reduction to DHSS (excluding Medicaid Home and Community-Based Services).

Staff and expenses were reduced in each unit of the department, including: $742,317 for 21.71 FTE; and $103,802 (a 5 percent reduction) to selected expense and

equipment categories.

DHSS programs were also reduced significantly ($3.8 million General Revenue).

DHSS Budget Sources: Overall Breakdown

Governor's Recommended FY2013 Budget for DHSS is:

$1,026,538,178

Sources: $275,383,403 General Revenue$732,526,785 Federal Funding $18,627,990 Other Sources

Division/Program AmountPercent of

Total FTE

Director's Office $2,611,753 0.3% 44.29

Center for Health Equity $6,160,260 0.6% 25.98

Division of Administration $6,238,575 0.6% 70.73

Federal Grants and Donated Funds $3,449,989 0.3%  

Disaster Fund $1 0.0%  

Division of Community and Public Health Program Operations $27,464,250 2.7% 548.63

Aid to Local Public Health Agencies $5,665,842 0.6%  

Division of Community and Public Health Programs and Contracts $62,806,481 6.1%  

Nutrition Services $178,761,640 17.4%  

Center for Emergency Response and Terrorism $23,345,020 2.3% 61.51

State Public Health Laboratory $9,064,818 0.9% 93.52

Division of Senior and Disability Services Program Operations $20,226,377 2.0% 485.59

Naturalization Assistance $200,000 0.0%  

Adult Protective Services and NME Programs $2,309,546 0.2%  

Medicaid Home and Community Based Services $610,820,562 59.5%  

Alzheimer Grants $517,000 0.1%  

Senior Programs - Area Agencies on Aging Contracts and Grants $42,084,040 4.1%  

Naturally Occurring Retirement Communities $127,500 0.0%  

Missouri Quality Home Care Council $150,000 0.0%  

Division of Regulation and Licensure Program Operations $23,937,484 2.3% 460.96

Childcare Improvement Program $461,675 0.0%  

Missouri Health Facilities Review Committee $135,365 0.0% 2.00

Total $1,026,538,178 100.0% 1,793.21

FY 2013 DHSS Budget by Division/ProgramGovernor’s Recommendations