1 Department of Human Services (DHS) Board Meeting Presentation Revised Lynn Vellinga, CFO August 24, 2011
Dec 31, 2015
1
Department of Human Services (DHS)
Board Meeting Presentation RevisedLynn Vellinga, CFO
August 24, 2011
2
Department of Human Services (DHS)August Board Meeting
Attached for your review and approval are our FY12 Amended & FY13 budget proposals, presented as follows:
Topic / Content Slides
DHS Budget Reductions: Calculation of Required Reduction Amounts 5
Budget Reduction Plan: Specific Activity Reductions for FY12A 6 - 30
Budget Reduction Plan: Specific Activity Reductions for FY13 32 - 56
Reduction Summary: 2% Reductions by Program 31 & 57
3
The Governor’s Office of Planning & Budget (OPB) has issued the following directive for all State Agencies:
Submit a Budget Request Proposal to reduce state funds by 2% of the FY 2012 Appropriation for the FY 2012 Amended and FY 13 budget. The 2% directive exempts Medicaid recipients.
The Governor’s Office of Planning & Budget (OPB) has issued the following directive for DHS:
Submit Budget Request Proposals for new State Funding for Workload Adjustments that result from changes in the FMAP Rate and increases in EBT processing cost resulting from growth in SNAP clients.
OPB Guidance for FY 2012 Amended & FY 2013 Budget
4
Department of Human Services Response
Over the last 3 budget cycles we have reduce our programs to the must-do work. We have removed discretionary services or what we have called nice-to do and many should-do activities.
We have focused on protecting the Maintenance of Effort (MOE) for TANF, Older Americans Act and Child Support to avoid significant losses of federal funds that support the citizens of Georgia.
Any additional cuts were again weighed on impacts to clients and protecting MOE. However, with little flexibility left any additional reductions will impact services provided.
We continue to monitor operations to reduce or control cost where possible which include personnel cost, contracts, operating cost and travel.
Additional actions will be described in the 2% budget reduction section.
5
Department of Human ServicesCalculation of Reductions per OPB
State Funds Only (w/o Attached Agencies)
FY 12 Amended Reductions FY 13 Reductions
FY12 Appropriations
(Base)excluding Tobacco $479,469,398 $479,469,398
Medicaid Funds $(41,226,277) $(41,226,277)Budget from
which Reductions are
Taken $438,243,121 $438,243,121
2% Reduction $(2,013,121) $(2,013,121)Workload
Adjustments $0 $5,559,817Revised Budget
Request $436,230,000 $441,789,817
66
DHS: 2% Reduction by Program
FY2012 Current Budget (State Funds) $34,059,119
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $34,059,119 State funds primarily tied to ongoing adoption assistance. Once
committed adoptions assistance is legally binding until child turns 18 and cannot be eliminated or reduced. Any reductions would limit ability to do new state funded adoptions. It is not feasible to run adoptions program for only IV-E eligible children. Reductions in Adoption Services would likely increase cost in Out of Home Care at a higher total cost to the state.
No reduction recommended to this program.
Highlights of the FY2012 Amended Budget Reductions Adoption Services
7
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget Reductions After School Care
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $0 100% Federally Funded Program
8
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget Reductions Child Care Licensing (RCC)
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $0 100% Federally Funded Program
99
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget Reductions Child Care Services
FY2012 Current Budget (State Funds) $54,234,300
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $54,234,300
Per OPB Instructions, no cuts are required in Child Care Services
1010
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget Reductions Child Support Services
FY2012 Current Budget (State Funds) $25,142,438
Proposed Reductions (502,849)
FY2012 Budget After Proposed Reductions
$24,639,589
State reductions will result is a loss of federal funds of $976,119.
These reductions will be offset with incentive funds of $1,478,968.
1111
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget Reductions Child Welfare Services
FY2012 Current Budget (State Funds) $89,712,644
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $89,712,644
The efforts to improve child welfare services and the use of
differential response will require investments in data systems and intake systems.
Any cuts would impact TANF MOE.
No reduction recommended to this program.
12
DHS: 2% Reduction by Program
Number of Child Protective Services Cases (includes Investigations and Family Preservation cases).
SFY Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May JunSFY 11 8,103 7,855 7,895 7,765 7,410 6,969 6,189 6,542 7,696 7,768 8,098 8,163SFY 10 9,624 9,796 10,489 10,734 10,165 10,357 9,833 9,856 9,834 9,950 9,479 9,105SFY 09 11,345 11,679 12,556 12,713 12,279 11,990 11,391 10,999 11,556 11,324 10,866 10,372SFY 08 18,115 17,033 16,090 15,801 14,105 12,142 12,428 11,703 12,122 11,769 11,719 11,380
SAFETY-RELATED OUTCOMES
0
5000
10000
15000
20000
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May JunDef: Count of unique CPS Investigations or Family Preservation (Ongoing) stages open at any point during the month.
SFY 2011: 0.7%increase
Sources: IDS, SHINES
SFY 2008:37.2%decrease
SFY 2010: 5.4%
decrease
SFY 2009: 8.6%
decrease
1313
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget Reductions Community Services
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
Total FY2012 Budget After Proposed Reductions $0
100% Federally Funded Program
1414
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget Reductions Departmental Administration
FY2012 Current Budget (State Funds) $34,666,911
Proposed Reductions (668,757)
FY2012 Budget After Proposed Reductions
$33,998,154
Administration continues to struggle with staffing levels to support the critical functions of the department. Reductions would be made in personnel services, regular operating cost and contracts. Impact in contracts would mostly be in IT support. This may impact the ability to upgrade or replace outdated systems, and provide IT support for the department.
1515
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsElder Abuse Investigation and Prevention
FY2012 Current Budget (State Funds) $12,287,841
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $12,287,841
Investigation caseloads continue to grow. Any cut would require reduction in force and impede ability to respond to reports of abuse, neglect and exploitation.
No reduction recommended to this program.
16
Adult Protective ServicesAverage Cases per Month
1717
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsElder Community Living Services
FY 2012 Appropriated Budget (State Funds)$66,401,043
Less: Exemption for Medicaid $(41,226,277)FY2012 Current Budget (State Funds)
$25,174,766
Proposed Reductions (808,415)
FY2012 Budget After Proposed Reductions $24,366,351Center for Visually Impaired $177,859 - cancels entire contract does not impact MOE. Alzheimer Services $225,000 - loss of estimated 20,500 hours of day and mobile care. Respite Care $405,556 - loss of 40,556 units of respite care services. Alzheimer and Respite cuts have an impact on Older American Act MOE but does not take it below minimum.
Medicaid exempted from reductions by OPB.
1818
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsElder Support Services
FY2012 Current Budget (State Funds) $1,729,095
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $1,729,095
Mostly federally funded program. State funds leveraged to increase federal funds for meals.
No reduction recommended to this program.
1919
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget Reductions Energy Assistance
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $0
100% Federally Funded Program
2020
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsFamily Violence Services
FY2012 Current Budget (State Funds) $1,655,000
Proposed Reductions (33,100)
FY2012 Budget After Proposed Reductions $1,621,900
Will result in modest reduction to existing GOCF contract.
2121
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsFederal Eligibility Benefit Services
FY2012 Current Budget (State Funds) $99,903,637
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $99,903,637
Continued record growth in food stamp and moderate growth in Medicaid caseloads. Staffing levels have been reduced, including loss of support staff provided with ARRA funds. Not feasible to make additional reductions to staffing. DFCS IT cost covers GETS contract which has a projected increase cost.
No reduction recommended to this program.
22
DHS: 2% Reduction by ProgramFood Stamp Cases
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
435,804 446,050 456,274 468,848 480,103 493,228 500,954 509,986 521,253 535,605 551,498 568,542
581,710 598,126 609,475 624,308 637,514 650,005 658,911 666,885 677,503 685,252 695,062 705,734
716,749 729,470 736,976 747,818 759,277 766,565 767,530 771,191 781,487 787,080 799,688 812,078
Def: Includes all cases active at some time during the month.
350,000
400,000
450,000
500,000
550,000
600,000
650,000
700,000
750,000
800,000
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
SFY 2009 SFY 2010 SFY 2011Source: SUCCESS DMD 6929I
23
DHS: 2% Reduction by ProgramMedicaid Cases
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
624,150 627,369 634,654 641,789 643,827 647,760 652,838 657,302 663,485 671,324 678,214 685,321
689,390 693,057 696,432 701,695 702,853 705,042 706,868 707,691 712,663 715,310 715,248 715,924
714,652 717,946 720,780 721,727 721,006 720,000 716,176 715,649 720,723 723,136 725,743 729,014
Def: Includes case active at the end of the month.
400,000
450,000
500,000
550,000
600,000
650,000
700,000
750,000
800,000
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
SFY 2009 SFY 2010 SFY 2011Source: SUCCESS DMF8031I
2424
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsFederal Funds Transfer to Other Agencies
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $0
100% Federally Funded Program
2525
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsOut of Home Care
FY2012 Current Budget (State Funds) $59,577,370
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions
$59,577,370
The FY 2012 budget was built based on projected continued decline in caseloads. As of January 2011, began to see modest growth in caseloads. If caseloads stay constant or growth continues we will need to seek additional funding.
Any cuts would impact TANF MOE.
No reduction recommended to this program.
26
DHS: 2% Reduction by Program
Number of Child Placement Services Cases
SFY Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May JunSFY 11 9,985 9,853 10,215 10,234 9,758 9,660 9,572 9,698 10,047 10,526 10,355 10,419SFY 10 11,437 11,362 11,260 11,676 10,708 10,625 10,552 10,462 10,446 10,687 9,997 10,041SFY 09 13,739 13,479 14,417 14,499 13,292 13,198 13,014 12,632 13,201 13,086 12,081 11,898SFY 08 13,935 13,839 13,568 13,398 13,595 12,985 12,793 12,891 12,886 13,230 13,315 13,409
PERMANENCY- RELATED OUTCOMES
8,000
9,000
10,000
11,000
12,000
13,000
14,000
15,000
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
SFY 2011: 4.3%
increase
Notes: Count of unique childrenin foster care or adoptions stages open at any point during the month and cases active at some time during the month. Total count includes all cases active at some time during the month. Ofthe total number of placement cases: 7,844 children are in legal custody of DFCS under the age of 18; 502 children are in care of DFCS age 18 and over; 2,073 were Relative Placements and ICPC Children in placement at any point in time during the month. Percentages show increase/ decrease during each SFY.
Sources: IDS, SHINES
SFY 2008: 3.8%
decrease
SFY 2010: 12.2%
decrease
SFY 2009: 13.4%
decrease
2727
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsRefugee Assistance
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $0
100% Federally Funded Program
2828
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsSpecial Project – Child Welfare Services
FY 2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $0
100% Federally Funded Program
2929
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsSupport for Needy Families – Basic Assistance
FY2012 Current Budget (State Funds) $100,000
Proposed Reductions (0)
FY2012 Budget After Proposed Reductions $100,000
State funds are needed to fund two parent work participation. If funded with TANF would require significant increase in TANF MOE.
No reduction recommended to this program.
3030
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsSupport for Needy Families – Work Assistance
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0) FY2012 Budget After Proposed Reductions $0 100% Federally Funded Program
3131
DHS: 2% Reduction by Program
Highlights of the FY2012 Amended Budget ReductionsTotal - All DHS Programs
FY2012 Total DHS - Current Budget (State Funds)$438,243,121
Total 2% Reductions in State Dollars Required ($2,013,121)
FY 2012 Budget After Proposed Reductions $436,230,000
3232
DHS: 2% Reduction by Program
FY2012 Current Budget (State Funds) $34,059,119
Proposed Reductions (0)
Workload Adjustment - FMAP 642,109
FY2013 Budget After Proposed Adjustment $34,701,228 State funds primarily tied to ongoing adoption assistance. Once
committed adoptions assistance is legally binding until child turns 18 and cannot be eliminated or reduced. Any reductions would limit ability to do new state funded adoptions. It is not feasible to run adoptions program for only IV-E eligible children. Reductions in adoptions would likely increase cost in out of home care at higher total cost to the state.
No reduction recommended to this program.Workload increase is to offset reductions in the FMAP rate.
Highlights of the FY2013 Budget Reductions Adoption Services
33
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget Reductions After School Care
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $0 100% Federally Funded Program
34
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget Reductions Child Care Licensing (RCC)
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $0 100% Federally Funded Program
3535
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsChild Care Services
FY2012 Current Budget (State Funds) $54,234,300
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $54,234,300
Per OPB Instructions, no cuts are required in Child Care Services
3636
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget Reductions Child Support Services
FY2012 Current Budget (State Funds) $25,142,438
Proposed Reductions (502,849)
FY2013 Budget After Proposed Reductions $24,639,589
State reductions will result is a loss of federal funds of $976,119.
These reductions will be offset with incentive funds of $1,478,968.
3737
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget Reductions Child Welfare Services
FY2012 Current Budget (State Funds) $89,712,644
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $89,712,644
The efforts to improve child welfare services and the use of differential response will require investments in data systems and intake systems.
Any cuts would impact TANF MOE.
No reduction recommended to this program.
3838
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget Reductions Community Services
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
Total FY2013 Budget After Proposed Reductions $0
100% Federally Funded Program
3939
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsDepartmental Administration
FY2012 Current Budget (State Funds) $34,666,911
Proposed Reductions (668,757)
Workload Increases EBT 3,000,000
FY2013 Budget After Proposed Adjustments
$36,998,154 Administration continues to struggle with staffing levels to support the
critical functions of the department. Reductions would be made in personnel services, regular operating cost and contracts. Impact in contracts would mostly be in IT support. This may impact the ability to upgrade or replace outdated systems, and provide IT support for the Department.
Workload increase is to provide funding for growth in EBT cost related to Food Stamps (SNAP)
4040
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsElder Abuse Investigation and Prevention
FY2012 Current Budget (State Funds) $12,287,841
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $12,287,841
Investigation caseloads continue to grow. Any cut would require reduction in force and impede ability to respond to reports of abuse, neglect and exploitation.
No reduction recommended to this program.
4141
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsElder Community Living Services
F FY 2012 Appropriated Budget (State Funds) $66,401,043Less: Exemption for Medicaid $(41,226,277)FY2012 Current Budget (State Funds)
$25,174,766
Proposed Reductions (808,415)Workload Adjustment-FMAP 1,413,194
FY2013 Budget After Proposed Adjustments
$25,779,545 Center for Visually Impaired $177,859 - cancels entire contract does not
impact MOE. Alzheimer Services $225,000 - loss of estimated 20,500 hours of day and mobile care. Respite Care $405,556 - loss of 40,556 units of respite care services. Alzheimer and Respite cuts have an impact on Older American Act MOE but does not take it below minimum.
Medicaid exempted from reductions by OPB
4242
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget Reductions Elder Support Services
FY2012 Current Budget (State Funds) $1,729,095
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $1,729,095
Mostly federally funded program. State funds leveraged to increase federal funds for meals.
No reduction recommended to this program.
4343
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget Reductions Energy Assistance
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $0
100% Federally Funded Program
4444
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsFamily Violence Services
FY2012 Current Budget (State Funds) $1,655,000
Proposed Reductions (33,100)
FY2013 Budget After Proposed Reductions $1,621,900
Will result in modest reduction to existing GOCF contract.
4545
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsFederal Eligibility Benefit Services
FY2012 Current Budget (State Funds) $99,903,637
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $99,903,637
Continued record growth in food stamp and moderate growth in Medicaid caseloads. Staffing levels have been reduced, including loss of support staff provided with ARRA funds. Not feasible to make additional reductions to staffing. DFCS IT cost covers GETS contract which has a projected increase cost.
No reduction recommended to this program.
4646
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsFederal Funds Transfer to Other Agencies
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $0
100% Federally Funded Program
4747
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsOut of Home Care
FY2012 Current Budget (State Funds) $59,577,370
Proposed Reductions (0)
Workload Adjustment – FMAP 504,514
FY2013 Budget After Proposed Reductions $60,081,884
The FY 2012 budget was built based on projected continued decline in caseloads. As of January 2011, began to see modest growth in caseloads. If caseloads stay constant or growth continues we will have to seek additional funding.Any cuts would impact TANF MOE
No reduction recommended to this program.
4848
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsRefugee Assistance
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $0
100% Federally Funded Program
4949
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsSpecial Project – Child Welfare Services
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $0
100% Federally Funded Program
5050
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsSupport for Needy Families – Basic Assistance
FY2012 Current Budget (State Funds) $100,000
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $100,000
State funds are needed to fund two parent work participation. If funded with TANF would require significant increase in TANF MOE.
No reduction recommended to this program.
5151
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsSupport for Needy Families – Work Assistance
FY2012 Current Budget (State Funds) $0
Proposed Reductions (0)
FY2013 Budget After Proposed Reductions $0 100% Federally Funded Program
5252
DHS: 2% Reduction by Program
Highlights of the FY2013 Budget ReductionsTotal - All DHS Programs
FY2012 Total DHS - Current Budget (State Funds)$438,243,121
Total 2% Reductions in State Dollars Required ($2,013,121)
Total State Dollar Amount of Workload Adjustments $5,559,817
FY 2013 Budget After Proposed Reductions $441,789,817and Adjustments