54,327,825 54,323,572 54,905,752 1. General 73.24% 73.24% 73.45% 22. Federal 23. Medicaid 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 24. Medicare 25. Other 26. Patient/Client Fees 7,454,447 3,980,228 7,454,447 962,057 Total Salaries 74,179,004 10.05% 5.37% 10.05% 1.30% 68.79% 7,119,224 3,980,228 7,759,658 992,585 74,175,267 7,119,224 3,980,228 7,759,658 992,585 74,757,447 Other Special (Specify) 9.60% 5.37% 10.46% 1.34% 69.84% 1.33% 10.38% 5.32% 9.52% State Support Special (Specify) 69.70% 1. General 22. Federal 23. Medicaid 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 24. Medicare 25. Other 26. Patient/Client Fees 18,291 Total Travel 18,291 100.00 % 0.02% 18,200 18,200 18,200 18,200 Other Special (Specify) 100.00 % 0.02% 100.00 % State Support Special (Specify) 0.02% 2-1 REQUEST BY FUNDING SOURCE Page 1 State of Mississippi Form MBR-1-01 (2015) Specify Funding Sources As Shown Below FY 2020 Actual Amount % of Line Item % of Total Budget FY 2021 Estimated Amount % of Line Item % of Total Budget FY 2022 Requested Amount % of Line Item % of Total Budget Name of Agency : Mental Health - Mississippi State Hospital
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54,327,825 54,323,572 54,905,7521. General 73.24% 73.24% 73.45%
22. Federal
23. Medicaid
2. Budget Contingency Fund
3. Education Enhancement Fund
4. Health Care Expendable Fund
5. Tobacco Control Fund
6. Capital Expense Fund
7. Working Cash Stabilization Reserve Fund
8. BP Settlement Fund
9. Gulf Coast Restoration Fund
10. Back To Business Mississippi Grant Fund
11. MS COVID-19 Relief Payment Fund
12. DFA CARES Act COVID-19 Fund
13. MS Tourism Recovery Fund
14. MS Nonprofit Museums Recovery Fund
15. Equity in Distance Learning Fund
16. Postsecondary Education COVID-19 Relief Grant Fund
17. Independent Schools’ COVID-19 Assistance Grant Fund
18. MS Pandemic Response Broadband Availability Grant Program Fund
19. MS Emergency Management Agency COVID-19 Fund
20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund
21. COVID-19 Broadband Provider Grant Program Fund
24. Medicare
25. Other
26. Patient/Client Fees
7,454,447
3,980,228
7,454,447
962,057
Total Salaries 74,179,004
10.05%
5.37%
10.05%
1.30%
68.79%
7,119,224
3,980,228
7,759,658
992,585
74,175,267
7,119,224
3,980,228
7,759,658
992,585
74,757,447
Other Special (Specify)9.60%
5.37%
10.46%
1.34%
69.84%
1.33%
10.38%
5.32%
9.52%
State Support Special (Specify)
69.70%
1. General
22. Federal
23. Medicaid
2. Budget Contingency Fund
3. Education Enhancement Fund
4. Health Care Expendable Fund
5. Tobacco Control Fund
6. Capital Expense Fund
7. Working Cash Stabilization Reserve Fund
8. BP Settlement Fund
9. Gulf Coast Restoration Fund
10. Back To Business Mississippi Grant Fund
11. MS COVID-19 Relief Payment Fund
12. DFA CARES Act COVID-19 Fund
13. MS Tourism Recovery Fund
14. MS Nonprofit Museums Recovery Fund
15. Equity in Distance Learning Fund
16. Postsecondary Education COVID-19 Relief Grant Fund
17. Independent Schools’ COVID-19 Assistance Grant Fund
18. MS Pandemic Response Broadband Availability Grant Program Fund19. MS Emergency Management Agency COVID-19 Fund
20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund
21. COVID-19 Broadband Provider Grant Program Fund
24. Medicare
25. Other
26. Patient/Client Fees
18,291
Total Travel 18,291
100.00%
0.02%
18,200
18,200
18,200
18,200
Other Special (Specify)
100.00%
0.02%
100.00%
State Support Special (Specify)
0.02%
2-1
REQUEST BY FUNDING SOURCEPage 1
State of MississippiForm MBR-1-01 (2015)
Specify Funding SourcesAs Shown Below
FY 2020 Actual
Amount
% of Line Item
% of Total
Budget
FY 2021EstimatedAmount
% of Line Item
% of Total
Budget
FY 2022RequestedAmount
% of Line Item
% of Total
Budget
Name of Agency : Mental Health - Mississippi State Hospital
1. General
22. Federal
23. Medicaid
2. Budget Contingency Fund
3. Education Enhancement Fund
4. Health Care Expendable Fund 1,436,161 10.63% 110,639 0.85% 110,639 0.85%
5. Tobacco Control Fund
6. Capital Expense Fund
7. Working Cash Stabilization Reserve Fund
8. BP Settlement Fund
9. Gulf Coast Restoration Fund
10. Back To Business Mississippi Grant Fund
11. MS COVID-19 Relief Payment Fund
12. DFA CARES Act COVID-19 Fund
13. MS Tourism Recovery Fund
14. MS Nonprofit Museums Recovery Fund
15. Equity in Distance Learning Fund
16. Postsecondary Education COVID-19 Relief Grant Fund
17. Independent Schools’ COVID-19 Assistance Grant Fund
18. MS Pandemic Response Broadband Availability Grant Program Fund19. MS Emergency Management Agency COVID-19 Fund
20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund21. COVID-19 Broadband Provider Grant Program Fund
24. Medicare
25. Other
26. Patient/Client Fees
12,078,797
Total Contractual 13,514,958
89.37%
12.53%
459,000
12,520,375
13,090,014
12,979,375
13,090,014
Other Special (Specify) 3.51%
95.65%
12.23%
99.15%
State Support Special (Specify)
12.30%
38,6801. General 0.54%
22. Federal
23. Medicaid
2. Budget Contingency Fund
3. Education Enhancement Fund
4. Health Care Expendable Fund 1,725,722 31.62% 3,051,244 43.12% 3,051,244 42.89%
5. Tobacco Control Fund
6. Capital Expense Fund
7. Working Cash Stabilization Reserve Fund
8. BP Settlement Fund
9. Gulf Coast Restoration Fund
10. Back To Business Mississippi Grant Fund
11. MS COVID-19 Relief Payment Fund
12. DFA CARES Act COVID-19 Fund
13. MS Tourism Recovery Fund
14. MS Nonprofit Museums Recovery Fund
15. Equity in Distance Learning Fund
16. Postsecondary Education COVID-19 Relief Grant Fund
17. Independent Schools’ COVID-19 Assistance Grant Fund
18. MS Pandemic Response Broadband Availability Grant Program Fund
19. MS Emergency Management Agency COVID-19 Fund
20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund
21. COVID-19 Broadband Provider Grant Program Fund
24. Medicare
25. Other
26. Patient/Client Fees
3,731,227
Total Commodities 5,456,949
68.38%
5.06%
492,263
3,531,902
7,075,409
1,407,049
585,492
2,031,624
7,114,089
Other Special (Specify) 6.96%
49.92%
6.65%
28.56%
8.23%
19.78%
State Support Special (Specify)
6.65%
2-2
REQUEST BY FUNDING SOURCEPage 2
State of MississippiForm MBR-1-01 (2015)
Specify Funding SourcesAs Shown Below
FY 2020 Actual
Amount
% of Line Item
% of Total
Budget
FY 2021EstimatedAmount
% of Line Item
% of Total
Budget
FY 2022RequestedAmount
% of Line Item
% of Total
Budget
Name of Agency : Mental Health - Mississippi State Hospital
1. General
22. Federal
23. Medicaid
2. Budget Contingency Fund
3. Education Enhancement Fund
4. Health Care Expendable Fund
5. Tobacco Control Fund
6. Capital Expense Fund
7. Working Cash Stabilization Reserve Fund
8. BP Settlement Fund
9. Gulf Coast Restoration Fund
10. Back To Business Mississippi Grant Fund
11. MS COVID-19 Relief Payment Fund
12. DFA CARES Act COVID-19 Fund
13. MS Tourism Recovery Fund
14. MS Nonprofit Museums Recovery Fund
15. Equity in Distance Learning Fund
16. Postsecondary Education COVID-19 Relief Grant Fund
17. Independent Schools’ COVID-19 Assistance Grant Fund
18. MS Pandemic Response Broadband Availability Grant Program Fund
19. MS Emergency Management Agency COVID-19 Fund
20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund21. COVID-19 Broadband Provider Grant Program Fund
24. Medicare
25. Other
26. Patient/Client Fees 74,982
Total Capital Other Than Equipment 74,982
100.00%
0.07%
74,982
74,982
74,982
74,982
Other Special (Specify)
100.00%
0.07%
100.00%
State Support Special (Specify)
0.07%
1. General
22. Federal
23. Medicaid
2. Budget Contingency Fund
3. Education Enhancement Fund
4. Health Care Expendable Fund
5. Tobacco Control Fund
6. Capital Expense Fund
7. Working Cash Stabilization Reserve Fund
8. BP Settlement Fund
9. Gulf Coast Restoration Fund
10. Back To Business Mississippi Grant Fund
11. MS COVID-19 Relief Payment Fund
12. DFA CARES Act COVID-19 Fund
13. MS Tourism Recovery Fund
14. MS Nonprofit Museums Recovery Fund
15. Equity in Distance Learning Fund
16. Postsecondary Education COVID-19 Relief Grant Fund
17. Independent Schools’ COVID-19 Assistance Grant Fund
18. MS Pandemic Response Broadband Availability Grant Program Fund
19. MS Emergency Management Agency COVID-19 Fund
20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund
21. COVID-19 Broadband Provider Grant Program Fund
24. Medicare
25. Other
26. Patient/Client Fees 602,241
Total Capital Equipment 602,241
100.00%
0.56%
524,644
524,644
524,644
524,644
Other Special (Specify)
100.00%
0.49%
100.00%
State Support Special (Specify)
0.49%
2-3
REQUEST BY FUNDING SOURCEPage 3
State of MississippiForm MBR-1-01 (2015)
Specify Funding SourcesAs Shown Below
FY 2020 Actual
Amount
% of Line Item
% of Total
Budget
FY 2021EstimatedAmount
% of Line Item
% of Total
Budget
FY 2022RequestedAmount
% of Line Item
% of Total
Budget
Name of Agency : Mental Health - Mississippi State Hospital
1. General
22. Federal
23. Medicaid
2. Budget Contingency Fund
3. Education Enhancement Fund
4. Health Care Expendable Fund
5. Tobacco Control Fund
6. Capital Expense Fund
7. Working Cash Stabilization Reserve Fund
8. BP Settlement Fund
9. Gulf Coast Restoration Fund
10. Back To Business Mississippi Grant Fund
11. MS COVID-19 Relief Payment Fund
12. DFA CARES Act COVID-19 Fund
13. MS Tourism Recovery Fund
14. MS Nonprofit Museums Recovery Fund
15. Equity in Distance Learning Fund
16. Postsecondary Education COVID-19 Relief Grant Fund
17. Independent Schools’ COVID-19 Assistance Grant Fund
18. MS Pandemic Response Broadband Availability Grant Program Fund19. MS Emergency Management Agency COVID-19 Fund
20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund
21. COVID-19 Broadband Provider Grant Program Fund
24. Medicare
25. Other
26. Patient/Client Fees
30,848
Total Vehicles 30,848
100.00%
0.03%
45,900
45,900
45,900
45,900
Other Special (Specify)
100.00%
0.04%
100.00%
State Support Special (Specify)
0.04%
1. General
22. Federal
23. Medicaid
2. Budget Contingency Fund
3. Education Enhancement Fund
4. Health Care Expendable Fund
5. Tobacco Control Fund
6. Capital Expense Fund
7. Working Cash Stabilization Reserve Fund
8. BP Settlement Fund
9. Gulf Coast Restoration Fund
10. Back To Business Mississippi Grant Fund
11. MS COVID-19 Relief Payment Fund
12. DFA CARES Act COVID-19 Fund
13. MS Tourism Recovery Fund
14. MS Nonprofit Museums Recovery Fund
15. Equity in Distance Learning Fund
16. Postsecondary Education COVID-19 Relief Grant Fund
17. Independent Schools’ COVID-19 Assistance Grant Fund
18. MS Pandemic Response Broadband Availability Grant Program Fund
19. MS Emergency Management Agency COVID-19 Fund
20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund
21. COVID-19 Broadband Provider Grant Program Fund
24. Medicare
25. Other
26. Patient/Client Fees
Total Wireless Communication Devs.
Other Special (Specify)
State Support Special (Specify)
2-4
REQUEST BY FUNDING SOURCEPage 4
State of MississippiForm MBR-1-01 (2015)
Specify Funding SourcesAs Shown Below
FY 2020 Actual
Amount
% of Line Item
% of Total
Budget
FY 2021EstimatedAmount
% of Line Item
% of Total
Budget
FY 2022RequestedAmount
% of Line Item
% of Total
Budget
Name of Agency : Mental Health - Mississippi State Hospital
8,728,675 6,122,585 6,122,5851. General 62.52% 53.63% 53.63%
22. Federal
23. Medicaid
2. Budget Contingency Fund
3. Education Enhancement Fund
4. Health Care Expendable Fund
5. Tobacco Control Fund
6. Capital Expense Fund
7. Working Cash Stabilization Reserve Fund
8. BP Settlement Fund
9. Gulf Coast Restoration Fund
10. Back To Business Mississippi Grant Fund
11. MS COVID-19 Relief Payment Fund
12. DFA CARES Act COVID-19 Fund
13. MS Tourism Recovery Fund
14. MS Nonprofit Museums Recovery Fund
15. Equity in Distance Learning Fund
16. Postsecondary Education COVID-19 Relief Grant Fund
17. Independent Schools’ COVID-19 Assistance Grant Fund
18. MS Pandemic Response Broadband Availability Grant Program Fund19. MS Emergency Management Agency COVID-19 Fund
20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund
21. COVID-19 Broadband Provider Grant Program Fund
24. Medicare
25. Other
26. Patient/Client Fees
5,232,917
Total Subsidies 13,961,592
37.48%
12.95%
5,293,654
11,416,239
5,293,654
11,416,239
Other Special (Specify)46.37%
10.67%
46.37%
State Support Special (Specify)
10.73%
63,056,500 60,446,157 61,067,0171. General 58.47% 56.80% 57.05%
22. Federal
23. Medicaid
2. Budget Contingency Fund
3. Education Enhancement Fund
4. Health Care Expendable Fund 3,161,883 2.93% 3,161,883 2.97% 3,161,883 2.95%
5. Tobacco Control Fund
6. Capital Expense Fund
7. Working Cash Stabilization Reserve Fund
8. BP Settlement Fund
9. Gulf Coast Restoration Fund
10. Back To Business Mississippi Grant Fund
11. MS COVID-19 Relief Payment Fund
12. DFA CARES Act COVID-19 Fund
13. MS Tourism Recovery Fund
14. MS Nonprofit Museums Recovery Fund
15. Equity in Distance Learning Fund
16. Postsecondary Education COVID-19 Relief Grant Fund
17. Independent Schools’ COVID-19 Assistance Grant Fund
18. MS Pandemic Response Broadband Availability Grant Program Fund
19. MS Emergency Management Agency COVID-19 Fund
20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund
21. COVID-19 Broadband Provider Grant Program Fund
24. Medicare
25. Other
26. Patient/Client Fees
28,497,388
3,980,228
7,503,586
1,639,280
TOTAL 107,838,865
26.43%
3.69%
6.96%
1.52%
100.00%
951,263
28,465,155
3,980,228
7,823,758
1,592,211
106,420,655
26,799,302
3,980,228
8,409,250
3,623,835
107,041,515
Other Special (Specify) 0.89%
26.75%
3.74%
7.35%
1.50%
100.00%
3.39%
7.86%
3.72%
25.04%
State Support Special (Specify)
100.00%
2-5
REQUEST BY FUNDING SOURCEPage 5
State of MississippiForm MBR-1-01 (2015)
Specify Funding SourcesAs Shown Below
FY 2020 Actual
Amount
% of Line Item
% of Total
Budget
FY 2021EstimatedAmount
% of Line Item
% of Total
Budget
FY 2022RequestedAmount
% of Line Item
% of Total
Budget
Name of Agency : Mental Health - Mississippi State Hospital
Medicare EHR (3337400000) Medicare 150,782 150,782 150,782
Other (3337400000) Other 8,685,691 8,409,250 8,409,250
Patient/Client Fees (3337400000) From Patients/Clients 3,623,835 3,623,835 3,623,835
Other Special Fund TOTAL 56,357,668 57,549,801 58,501,064
59,519,551SECTIONS S + A + B TOTAL 61,662,947 61,662,947
C. TREASURY FUND/BANKACCOUNTS *
Fund/Account
(1)Reconciled
Balance
(2)
Balance
(3)
BalanceName of Fund/Account Number Name of Bank (If Applicable) as of 6/30/20 as of 6/30/21 as of 6/30/22
* MS STATE HOSPITAL CAFETERIA PLAN
8836600000 BANK PLUS 78,432 78,000 78,000
* MS STATE HOSPITAL DORMITORY DEPOSIT
8836100000 BANK PLUS 1,900 2,000 2,000
'MS STATE HOSPITAL JNH RESIDENT TRUST FUND
8836200000 BANK PLUS 339,010 339,000 339,000
'MS STATE HOSPITAL PATIENT TRUST FUND
8836300000 BANK PLUS 207,261 207,000 207,000
+MS STATE HOSPITAL CONTINGENT FUND
8836000000 BANK PLUS 369,873 370,000 370,000
+MS STATE HOSPITAL SOCIAL SECURITY CLEARING ACCOUNT
8836700000 BANK PLUS
'SPECIALIZED TREATMENT FACILITY CLIENT FUND
8837000000 HANCOCK BANK 7,352 7,300 7,300
MS STATE HOSPITAL PETTY CASH 8836500000 BANK PLUS 1,514 1,500 1,500
SPECIALIZED TREATMENT FACILITY CASH COLLECTION
8836900000 HANCOCK BANK 319,720 319,000 319,000
+MS STATE HOSPITAL UTILITIES ACCOUNT
8836800000 BANK PLUS 6,187 6,100 6,100
* Any non-federal funds that have restricted uses must be identified and narrative of restrictions attached.
3-2
SPECIAL FUNDS DETAIL
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
State of MississippiForm MBR-1-02
STATE SUPPORT SPECIAL FUNDS
Health Care Expendable Funds are used by MSH for the care and treatment of patients and are accounted for in a separate treasury fund (#623990000).
FEDERAL FUNDS
Mississippi State Hospital received Stimulus funds through the Cares Act. These funds are one-time monies.
OTHER SPECIAL FUNDS
MEDICAID
Medicaid receipts consist of the standard Medicaid payments received for patient care activities by Jaquith Nursing Home, Whitfield Medical Surgical Hospital, Oak Circle Center (Child and Adolescent Acute Psychiatric) and Specialized Treatment Facility. The amount of Medicaid receipts from the nursing home is primarily dependent on the level of Medicaid allowable costs as confirmed by the nursing home's annual Medicaid Cost Report and the number of residents who are certified to receive Medicaid assistance; Specialized Treatment Facility is reimbursed in like manner. The level of Medicaid revenues for the service units of Mississippi State Hospital is determined by the individual patient's needs and their Medicaid status. Included in Medicaid revenue is MSH's DSH and MHAP payments. Medicaid Disproportionate Share (DSH) is revenue derived from a payment system which compensates hospitals who provide care to a "disproportionate share" of indigent patients. Closely associated with DSH is a second payment called "MS Hospital Access Payment" which compensates hospitals for treating a large share of Medicaid and indigent patients at rates that are less than those paid by Medicare. Beginning in FY 2020, 10% of MSH's MHAP payment will be moving into the QIPP pool; this could affect amount MSH receives related to this program.
MEDICARE
Medicare Receipts are collections from applicable services that are covered by Medicare. The Whitfield Medical Surgical Hospital and Inpatient Services Male and Female receiving units are all certified to participate in Medicare.
OTHER
Other funds include patient fees from benefit payments, grants from the Department of Mental Health Central Office, and educational grant funds.
PATIENT/CLIENT FEES
Patient/Client fees includes monies paid to MSH by patients and/or residents to reimburse MSH for the cost of his/her treatment. Fees charged are based on the patients ability to pay and MSH's sliding fee scale approved by the Board of Mental Health.
4-1
NARRATIVE OF SPECIAL FUNDS DETAIL AND TREASURY FUND/BANK ACCOUNTS
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
TREASURY FUND / BANK
` Custodial/Trust funds for patients/residents; restrictive use
+ Used as a clearing account; restrictive use
* Employee funds; restrictive use
4-2
NARRATIVE OF SPECIAL FUNDS DETAIL AND TREASURY FUND/BANK ACCOUNTS
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FY 2020 Actual
(1) (2) (3) (4) (5)
General State Support Special Federal Other Special Total
OTHER SP. FUNDS 3,267,192 3,267,192TOTAL 7,585,662 7,585,662
POSITIONS
GENERAL FTE 69.00 69.00
ST. SUP. SPCL. FTE
FEDERAL FTE
OTHER SP. FTE 14.00 14.00
TOTAL 83.00 83.00
PRIORITY LEVEL :
8-3
PROGRAM DECISION UNITSForm MBR-1-03AState of Mississippi
Mental Health - Mississippi State Hospital 1 - MI - Institutional Care
Name of Agency Program Name
I. Program Description:The Institutional Care Program provides a comprehensive range of inpatient psychiatric services designed to serve the needs of children, adolescents and adults who reside in any of the ten community mental health regions assigned to Mississippi State Hospital’s catchment area. Mississippi State Hospital (MSH) runs an acute child/adolescent psychiatric unit designed to provide diagnostic evaluations and short-term treatment for juveniles with emotional, social, psychological and academics impairments. In addition to these services, MSH operates a chemical dependency unit for female adults, male adults and adolescents. The hospital also operates acute and continued care psychiatric units, a medical surgical hospital, and a certified nursing facility. Mississippi State Hospital functions as the statewide service facility for forensic services. Furthermore, there are many units at Mississippi State Hospital that serve as training facilities for professionals interested in the provision of services to the mentally ill.
Patients admitted to Mississippi State Hospital's Institutional Care Program may receive the following services: medical evaluation and treatment, psychiatric evaluation and treatment, psychological evaluation and treatment, social services, dietary, educational, recreational, physical therapy, music therapy, job training, vocational rehabilitation, occupational therapy, residential living, and pastoral care. Mississippi State Hospital is licensed by the State Department of Health, fully accredited by the Joint Commission and certified by the Centers for Medicare and Medicaid Services.
II. Program Objective:The objective of the Institutional Care Program is to operate a health care complex that provides a comprehensive range of high quality services to meet the needs of individuals with serious mental illnesses or who require nursing home care. While providing such care, it is important for Mississippi State Hospital to meet the standards set by regulatory, licensing, and accrediting agencies or organizations. In recent years, there has also been extensive work toward serving patients in less restrictive settings than Mississippi State Hospital. In accomplishing this objective, it has resulted in the hospital's population being the more difficult (behaviorally and medically) patients for which to care and serve.
III. Current program activities as supported by the funding in Columns 6-15 (FY 2021 & FY 2022Increase/Decrease for continuations) of MBR-1-03 and designated Budget Unit Decisions columns of MBR-1-03-A:
(D) Stimulus Funds:
MSH received Stimulus Funds through the Cares Act. Per DFA, these funds were to be classified as a Federal Grant. These one-time monies will not be available in FY 2022, therefore, the federal funds that appear in the 2021 appropriated figures must be reduced and other special funds increased by the amount received in order to continue operation at level funding.
IV. Additional program activities that will result from increased funding requested in Columns 16-25 (MBR-1-03) and specified Budget Decision Unit Columns (MBR-1-03-A):
(E) * Residency Program:
MSH is establishing a Psychiatry Residency Program. The program is designed to train psychiatrists who will aid in alleviating the shortage of psychiatrists in our state. The program will enroll up to six (6) residents in FY22. The goal is to expand the program to a maximum of 24 residents over the next six years. As a result, MSH is requesting funding for salaries and commodities.
9-1
(To Accompany Form MBR-1-03)Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994
Form MBR-1-03NA PROGRAM NARRATIVE
Mental Health - Mississippi State Hospital 2 - MI - Support Services
Name of Agency Program Name
I. Program Description:The Support Services program of Mississippi State Hospital provides a comprehensive range of services designed to serve the needs of the individuals and the employees. This program coordinates MSH’s efforts to meet the objectives of the Department of Mental Health and to report to administrative agencies (DFA, SPB, etc.) within state government. Organizational units assigned to this program component include Fiscal Services, Internal Auditor, Facility Director, Assistant Directors, Public Relations and Human Resources.
Support Services program consists of support services staff from Mississippi State Hospital and Specialized Treatment Facility.
II. Program Objective:The objective of the Support Services program is to provide for the personnel management, fiscal management and the adherence to standards for the maintenance of all licensure associated with the operation of Mississippi State Hospital.
9-2
(To Accompany Form MBR-1-03)Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994
Form MBR-1-03NA PROGRAM NARRATIVE
Mental Health - Mississippi State Hospital 3 - Specialized Treatment Facility
Name of Agency Program Name
I. Program Description:The Specialized Treatment Facility (STF) MI-Institutional Care Program provides psychiatric residential treatment services for up to 48 adolescent Mississippians who are diagnosed with a mental disorder and present a need for residential care. Adolescents are referred for treatment who meet involuntary commitment criteria. The STF program operates as a medical model and may serve adolescent offenders with mental illness. STF offers priority admissions to those adolescents who are involved in the judicial system.
The STF maintains licensure and accreditation as a Psychiatric Residential Treatment Facility for adolescents whom reside within the 82 counties of Mississippi. The Specialized Treatment Facility is a Psychiatric Residential Treatment Facility licensed by the Mississippi Department of Health and the Mississippi Division of Medicaid, accredited as a Behavioral Healthcare Facility by the Joint Commission, and accredited as a Non-Public School by the Mississippi Department of Education.
Medical (medication, physical, dental, speech) treatment is provided by a full-time psychiatric nurse practitioner, part-time contracted child adolescent psychiatrist, a contracted back-up child adolescent psychiatrist, two contracted 24- hour on-call family practitioner physicians, full-time registered nurses, a community based dentist, as well as contracted speech therapist, pharmacy, and licensed dietician.
Mental health treatment is provided through evidence based and best-practice treatment. Service models include: 1)The Mandt System, 2) Trauma Focused-Cognitive Behavior Therapy (TF-CBT), 3) Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS), and 4) The Integrated Dual Disorder Treatment (IDDT)(alcohol and drug treatment and prevention).
Educational services are provided on-site by the Specialized Treatment Facility operated accredited school for middle school, high school, GED, and college students.
II. Program Objective:The Specialized Treatment Facility MI-Institutional Care Program objective is to provide psychiatric residential treatment to adolescents who are experiencing behavioral problems in their homes, schools, and communities. Most often times, the root cause of these behavioral problems is due to the need for mental health treatment. The Institutional Care Program carries out objectives through departments of Dietary, Education, Recreation, Nursing, Residential Living, Information Systems, Housekeeping, Security, Resource Management, Psychology and Social Services.
9-3
(To Accompany Form MBR-1-03)Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994
Form MBR-1-03NA PROGRAM NARRATIVE
Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional CareName of Agency PROGRAM NAME
New Program/Activity Name: Residency Program
Amount of Funding Requested: $620,860
Description: MSH is establishing a Psychiatry Residency Program. The program is designed to train psychiatrists who will aid in alleviating the shortage of psychiatrists in our state. The program will enroll up to six (6) residents in FY22. The goal is to expand the program to a maximum of 24 residents over the next six years. As a result, MSH is requesting funding for salaries and commodities.
1) Program/Activity Premise
a) Is this request for a New Program or a New Activity in an existing Program? (specify which)
This request is for a New Program not affiliated with other programs of the agency.
b) Provide the new program/activity contact person's Name and Email.
c) What public problem is this new program/activity seeking to address?
The program is designed to train psychiatric residents to become psychiatrists who can help alleviate the shortage of mental health physicians in the state.
d) Briefly stated, how will this program/activity address the public problem identified in Question 1.c? (You will provide a more detailed description of the new program/activity in Element 3 "Program/Activity Description".)
In its infancy, this program will host 6 psychiatric residents. At its capacity, the program will serve 24 psychiatric residents. Throughout the program, the residents will be trained to be the best psychiatrists they can be by instilling professional values, using innovative teaching approaches and promoting a culture of autodidactic lifelong learning. The program is dedicated to the provision of quality care and ensuring that this quality will be left in very capable hands for generations to come.
e) What other state entities are involved in addressing this problem, and how does your proposed program/activity differ from the other programs/activities already in place to address this problem?
While the University of Mississippi Medical Center currently boasts a university-based residency program, the program at Mississippi State Hospital (MSH) will be a community-based program designed to specifically boost physician numbers in public psychiatric settings where psychiatrists are especially needed. The MSH program will also be designed to focus on retaining residents in Mississippi in order to address the shortage of mental health physicians in the state.
f) Does this proposed program/activity effort link to a statewide goal or benchmark identified in "Building a Better Mississippi: The Statewide Strategic Plan for Performance and Budgetary Success?" (yes or no)
Yes
g) If the answer to Question 1.f is “yes,” specify the statewide goal(s) or benchmark(s) to which the proposed program/activity links; if the answer is "no", answer this item with "Not Applicable."
The Higher Education section of the Strategic Plan addresses the need for this program. Specifically, page seventeen discusses retention of graduates in high-need disciplines. This program would accomplish the goal of seeking to increase the percent of medical doctor graduates in Mississippi for residency.
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Elements of Quality Program DesignForm MBR-1-03QPD
For the Evaluation of Requests to Fund New Programs or New Activity in an Existing Program(To Accompany Form MBR-1-03A)
Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional CareName of Agency PROGRAM NAME
h) Explain where this program/activity fits into your agency's strategic plan; i.e., specify the agency goal, objective, and strategy that the proposed program/activity seeks to address.
Goal 3 of the Department of Mental Health’s Strategic Plan is to provide quality services in safe settings and utilize information/data management to enhance decision making and service delivery. Objective 3.5 of this goal is to provide a comprehensive approach to address workforce recruitment and retention at DMH’s programs. Strategy 3.5.4 specifically states that to accomplish this DMH will establish a psychiatric residency program at Mississippi State Hospital that increases psychiatrists available to practice in state hospitals and mental health service providers.
2) Needs Assessment
a) What is the statewide extent of the problem identified in Question 1.c, stated in numerical and geographic terms?
According to the Office of Mississippi Physician Workforce, Mississippi has the lowest per-capita primary care physician supply in the nation. Mississippi has 65.9 active physicians per 100,000 population, whereas the national average is 90.8 physicians per 100,000 population. Furthermore, the 2019 State Physician Workforce Data Book shows that Mississippi is ranked 7th in percent of retention of medical graduates when both medical school and residency is performed in the state. That’s a 77% retention rate. The same study goes on to say that the addition of one new physician in a community or municipality can produce an economic impact of $1-2 million. Mississippi currently ranks 49 in psychiatrists per capita.
b) Stated in numerical and geographic terms, what portion of the total need identified in Question 2.a does this program/activity seek to address?
Through the development of a psychiatric residency program at Mississippi State Hospital, we aim to maintain, and hopefully increase, the retention rate of Mississippi educated and trained psychiatrists. Within four years, the program will graduate six residents. Using the 77% retention rate, four residents would remain in the state who would contribute an estimated $4,000,000 in economic growth according to the study referenced above.
3) Program/Activity Description
a) Question 7.a asks "What specific outcomes do you expect to achieve with this program/activity?" What specific tasks will be carried out to achieve each of the outcomes for this program/activity listed in the answer to Question 7.a?
Mississippi State Hospital hopes to increase the number psychiatrists in the state. Historical data indicates that less than 50% of psychiatrists stay and practice where they trained following residency. Through the relationships built during residency training, we are hopeful that recruitment to the local workforce will be commonplace. Once the training positions are filled, the program will immediately boost the psychiatrist workforce in Mississippi by 14%.
b) Over the time period for which you are requesting funding: i) How many of each of the tasks identified in Question 3.a do you intend to provide and in which geographic locations? And, ii) How many individuals do you intend to serve?
Mississippi State Hospital hopes to attract residents from all across the United States. While the home of the residency program will be at Mississippi State Hospital, there are plans for the residents to gain experience from care settings across the Jackson metro area. In its infancy, the program will serve 6 residents. At capacity, the program will serve 24 residents.
c) Once the program/activity is fully operational: i) What is the estimated ongoing annual cost of operating the program/activity? And, ii) What is the estimated cost per unit of activity?
The estimated cost per year will increase across the first five years of operation. In year 1 where Mississippi State Hospital hosts no residents, the gross start-up expenditures of the program will be an estimated $620,860. In year 2, the first residents will be welcomed into the program; the estimated gross expenditures for that year is $1,059,550. At its peak, we estimate the program will have gross expenditures of $3,120,194. Gross cost per resident will range from $137,618 (at capacity) to $176,592 (in infancy).
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Elements of Quality Program DesignForm MBR-1-03QPD
For the Evaluation of Requests to Fund New Programs or New Activity in an Existing Program(To Accompany Form MBR-1-03A)
Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional CareName of Agency PROGRAM NAME
d) List each expected benefit of this program/activity per unit provided. If known, include each benefit's monetized value, as well as a detailed explanation of the calculations and assumptions used to monetize the value of each benefit.
The program would produce six new physicians per year. Throughout the program, the residents will be encouraged to practice in the State of MS; statics show that efforts to retain are fruitful with a 77% retention rate according to the 2019 State Physician Workforce Data Book. Using that logic, the psychiatric residency program would produce at least four (possibly five) physicians to add the workforce in Mississippi each year (beginning at the end of year 4). The same study shows that the addition of these four physicians would generate an estimated $4,000,000 per year.
e) What is the expected benefit-to-cost ratio for this program/activity; i.e., total monetized benefits divided by total costs?
Assuming estimated cost projections are correct and assuming four physicians per year are retained, the benefit-to-cost ratio is 1.28. Therefore, the project is expected to deliver a positive return in terms of dollars and physicians added to the workforce.
4) Research and Evidence Filter
a) As defined in MISS. CODE ANN. Section 27-103-159 (1972), specify whether this program/activity is evidence based, research based, a promising practice, or none of the above.
The program currently falls under the description of a promising practice.
b) Explain, or provide online links to, the relevant research supporting your answer to Question 4.a, And include a short summary of the research you explain/link to in your response. Your summary should include references to specific pages of your online links, where applicable.
Given that the Office of Mississippi Physician Workforce was only created in 2012, data collection is in the early stage. Although the data is limited, it does appear that the needle is moving in the anticipated direction. MSH plans to work closely with OMPW in collecting data and providing outcome measures. https://www.ompw.org/OMPW/home.html
c) If there is no existing research supporting this program/activity, describe in detail how you will evaluate your pilot program/activity with sufficient rigor to add to the research base of evidence-based or research-based programs/activities defined in MISS. CODE ANN. Section 27-103-159 (1972). If you provided an online link to research to support this program/activity, answer this question with "Not Applicable."
MSH plans to work closely with the OMPW in collecting data and providing outcome measures.
5) Implementation Plan
a) Describe all start-up tasks needed to implement the program/activity and the cost associated with each task, or the existing resources that you will use to carry out the task.
OMPW provided initial consultation for successful completion of the ACGME sponsoring institution and psychiatry program application at no cost. MSH will require several improvements to provide adequate facilities for residency training. An office of Graduate Medical Education and Psychiatry Residency Training will be created. This will require space for record keeping and offices. Software will be required to assist with tracking resident progress and milestone completion in concordance with ACGME requirements. Residents will require adequate work space, a lounge, and areas suitable for overnight call. Other expenditure will be allocated to office supplies, lab coats, pagers, and hardware related to the educational mission. In addition, marketing funds will be required to attract residents to the program.
b) Provide a timeline showing when each start-up task will take place and the date when you expect the program/activity to be fully operational.
The start-up tasks will begin as soon as funding is received and approved by DMH. We plan to be ready to accept up to 6 psychiatry trainees on July 1, 2021.
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Elements of Quality Program DesignForm MBR-1-03QPD
For the Evaluation of Requests to Fund New Programs or New Activity in an Existing Program(To Accompany Form MBR-1-03A)
Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional CareName of Agency PROGRAM NAME
6) Fidelity Plan
a) Explain your plan for ensuring that your program/activity will be implemented with fidelity to the program/activity design. Your plan should include a checklist of the program/activity components identified in the supporting research literature that are necessary to achieve reported effect sizes.
The MSH Psychiatry Residency Program plans to be accredited by the Accreditation Council For Graduate Medical Education. As such, the program will comply with ACGME standards. Resident advancement will specifically be addressed utilizing the milestones specifically set forth by the ACGME for psychiatry. https://www.acgme.org/Portals/0/PDFs/Milestones/PsychiatryMilestones2.0.pdf?ver=2020-03-10-152105-537
b) If there is no existing research base for this program/activity, explain the key components critical to the success of your pilot program/activity and how you will ensure that these components are implemented in accordance with program/activity design.
The Clinical Competency Committee, a component of the Graduate Medical Education Committee, in concordance with the Program Evaluation Committee will monitor all aspects of resident matriculation and ensure that ACGME standards are met.
7) Measurement and Evaluation
a) What specific outcomes do you expect to achieve with this program/activity? Each outcome must be stated in measurable terms that include each of the five elements specified: 1) Targeted outcome; 2) How the outcome is calculated; 3) Direction of desired change (increase, decrease, maintain); 4) Targeted % change; 5) Date targeted to achieve desired change. (Refer to "Instructions for Preparing 5-Year Strategic Plans" for examples.)
The MSH Psychiatry Residency Program intends to increase the psychiatrist workforce in Mississippi. This outcome will be measured directly by observing the number of graduating residents retained initially by Mississippi and 3 years out of residency. Prospective data will measure the total workforce number in concert with the OMPW. If filled, the program will increase the psychiatrist workforce by 3% on July 1, 2021. The increase will move to 14% in 2024. Following the graduation of the first class, Mississippi stands to retain at least 50% of the newly board eligible psychiatrists. A conservative estimate would be a 16% bump in the number of psychiatrists in 2025, 18% increase in 2026, and 19% increase from today’s number of 171 by the year 2027. This estimate brings the total anticipated number of practicing psychiatrists from 171 to 204. This increase would be the result of our program alone and does not account for increases which may also come from UMMC.
b) In order to establish a performance baseline, for each outcome measure reported in the answer to Question 7.a, report the most recent data available at the time of your request and the reporting period for the data.
There are currently 171 practicing psychiatrists in Mississippi according to data from the OMPW. According to the American Academy of Medical Colleges, more than 75% of residents who received both their undergraduate and graduate medical education in Mississippi remain in Mississippi to practice. There has been a cap on residency training positions since 1997. Meanwhile, the interest in psychiatry and expansion of graduate medical class sizes has continued to increase. The hypothesis includes that retention of psychiatrists would be improved through the addition of more residency training positions. This information can be found on the OMPW website.
c) For each outcome measure reported in the answer to Question 7.a, explain how you arrived at the expected rate of change by the target date.
We added the total compliment of the residency program at full capacity (24) and estimated retention of 50% of graduating residents annually for the first 3 years.
d) How often will you measure and evaluate this program/activity?
The ACGME will perform site visits routinely to ensure the program is meeting the educational accreditation criteria. MSH will work closely with the OMPW to track the success our program has on expanding the physician workforce in Mississippi.
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Elements of Quality Program DesignForm MBR-1-03QPD
For the Evaluation of Requests to Fund New Programs or New Activity in an Existing Program(To Accompany Form MBR-1-03A)
Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional CareName of Agency PROGRAM NAME
e) What specific performance measures will you report to the Legislature for this program? At a minimum, you should include measures of program outputs, outcomes, and efficiencies.
MSH will be prepared to provide annual updates to the Legislature regarding ACGME accreditation status, MATCH rates, matriculation data, and Mississippi psychiatrist retention numbers.
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Elements of Quality Program DesignForm MBR-1-03QPD
For the Evaluation of Requests to Fund New Programs or New Activity in an Existing Program(To Accompany Form MBR-1-03A)
Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional CareName of Agency PROGRAM NAME
PROGRAM OUTPUTS: (This is the measure of the process necessary to carry on the goals and objectives of this program. This is the volume produced, i.e., how many people served, how many documents generated.)
FY 2020 APPRO
FY 2020 ACTUAL
FY 2021 ESTIMATED
FY 2022 PROJECTED
1 % of individuals readmitted between 0-59 days after discharge 5.39 4.30 4.00 4.00
2 Number served adult acute psychiatric 1,000.00 849.00 601.00 849.00
3 Number served continued treatment 90.00 85.00 85.00 85.00
4 Number served chemical dependency 533.00 415.00 280.00 415.00
5 Number served nursing homes 240.00 271.00 226.00 226.00
6 Number served children/adolescent 260.00 142.00 91.00 122.00
7 Number served forensics 130.00 104.00 96.00 96.00
PROGRAM EFFICIENCIES: (This is the measure of the cost, unit cost or productivity associated with a given outcome or output. This measure indicates linkage between services and funding, i.e., cost per investigation, cost per student or number of days to complete investigation.)
FY 2020 APPRO
FY 2020 ACTUAL
FY 2021 ESTIMATED
FY 2022 PROJECTED
1 Cost per person per day - acute psychiatric 470.00 545.69 669.71 516.53
2 Cost per person per day - continued treatment 498.00 494.84 538.36 515.99
3 Cost per person per day - child adolescent 747.00 1,062.86 1,414.55 1,072.07
4 Cost per person per day - chemical dependency 409.00 461.15 637.33 421.94
5 Cost per person per day - forensic 484.45 515.65 566.08 501.56
6 Cost per person per day - nursing home 382.61 411.54 465.17 423.96
7 Cost per patient day - Specalized Treatment Facility 516.00 577.72 577.00 577.00
PROGRAM OUTCOMES: (This is the measure of the quality or effectiveness of the services provided by this program. This measure provides an assessment of the actual impact or public benefit of your agency's actions. This is the results produced, i.e., increased customer satisfaction by x% within a 12-month period, reduce the number of traffic fatalities due to drunk drivers within a 12-month period.
FY 2020 APPRO
FY 2020 ACTUAL
FY 2021 ESTIMATED
FY 2022 PROJECTED
1 Maintain readmission rates within national trends (%) 5.39 4.30 4.00 4.00
2 Increase youth successfully transitioned from the Specialized Treatment Facility to communities with supportive wrap-around aftercare (% of youth)
80.00 93.90 94.00 94.00
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PROGRAM PERFORMANCE MEASURESForm MBR-1-03PI
Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994
Mental Health - Mississippi State Hospital (374-00) 2 - MI - Support ServicesName of Agency PROGRAM NAME
PROGRAM OUTPUTS: (This is the measure of the process necessary to carry on the goals and objectives of this program. This is the volume produced, i.e., how many people served, how many documents generated.)
FY 2020 APPRO
FY 2020 ACTUAL
FY 2021 ESTIMATED
FY 2022 PROJECTED
1 Support as a percent of total budget at MSH 0.00 0.00 0.00 0.00
PROGRAM OUTCOMES: (This is the measure of the quality or effectiveness of the services provided by this program. This measure provides an assessment of the actual impact or public benefit of your agency's actions. This is the results produced, i.e., increased customer satisfaction by x% within a 12-month period, reduce the number of traffic fatalities due to drunk drivers within a 12-month period.
FY 2020 APPRO
FY 2020 ACTUAL
FY 2021 ESTIMATED
FY 2022 PROJECTED
1 Support as an overall percent of total budget 0.00 0.00 0.00 0.00
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PROGRAM PERFORMANCE MEASURESForm MBR-1-03PI
Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994
Program Name: (1) MI - Institutional Care
General 55,029,403 (1,813,385) 53,216,018 (3.30%)
State Support Special 3,051,244 3,051,244
Federal 951,263 951,263
Other Special 37,330,548 37,330,548
TOTAL 96,362,458 (1,813,385) 94,549,073
Narrative Explanation:
Program Name: (2) MI - Support Services
General 1,208,923 1,208,923
State Support Special
Federal
Other Special 1,263,612 1,263,612
TOTAL 2,472,535 2,472,535
Narrative Explanation:
Program Name: (3) Specialized Treatment Facility
General 4,207,831 4,207,831
State Support Special 110,639 110,639
Federal
Other Special 3,267,192 3,267,192
TOTAL 7,585,662 7,585,662
Narrative Explanation:
Program Name: (99) Summary of All Programs
General 60,446,157 (1,813,385) 58,632,772 (3.00%)
State Support Special 3,161,883 3,161,883
Federal 951,263 951,263
Other Special 41,861,352 41,861,352
TOTAL 106,420,655 (1,813,385) 104,607,270
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Mental Health - Mississippi State Hospital (374-00)
PROGRAM 3% GENERAL FUND REDUCTION AND NARRATIVE EXPLANATIONForm MBR1-03PC
Fiscal Year 2021 Funding
Total Funds Reduced Amount Reduced Funding Amount
FY 2021 GF PERCENT REDUCED
C. Board Members City, Town, Residence Appointed By Date Appointed Length of Term
1. John Montgomery, DO Ocean Springs, MS Byrant 07/01/2014 7 years
2. Robert Landrum Ellisville, MS Bryant 07/01/2014 7 years
3. James Herzog, Ph.D. Oxford, MS Bryant 07/01/2015 7 years
4. Sampat Shivangi, MD Ridgeland, MS Bryant 07/01/2016 7 years
5. Stewart Rutledge Oxford, MS Bryant 07/01/2017 7 years
6. Courtney Phillips Indianola, MS Bryant 07/01/2018 7 years
7. Manda Griffin, LSW, FNP, RT, Ph.D.
Houlka, MS Bryant 07/01/2018 7 years
8. Alyssa Killebrew, Ph.D Madison, MS Bryant 07/01/2019 7 years
9. Teresa Mosley Clinton, MS Bryant 07/01/2020 3/4 years
A. Explain Rate and manner in which board members are reimbursed:
Each board member is entitled to $40.00 per day and all actual and necessary expenses, including mileage, incurred in the discharge of their duties.
B. Estimated number of meetings FY 2021:
Twelve (12) regular meetings are planned during FY2020 and FY2021.
Identify Statutory Authority (Code Section or Executive Order Number)*
Mississippi Code Section 41-4-3
*If Executive Order, please attach copy.
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State of MississippiForm MBR-1-04
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
MISSISSIPPI BOARD OF MENTAL HEALTH MEMBERS
A. Tuition, Rewards & Awards (61050xxx-61080xxx)
61060000 EMPLOYEE TRAINING 23,168 23,168 23,168
61070000 TRAVEL RELATED REGISTRATION 13,294 13,294 13,294
Total 36,462 36,462 36,462
B. Transportation & Utilities (61100xxx-61200xxx)
61100000 TRANSPORTATION OF GOODS 24,758 24,758 24,758
61110000 POSTAL SERVICES 3,392 3,392 3,392
61200000 UTILITIES 1,346,307 1,346,307 1,346,307
Total 1,374,457 1,374,457 1,374,457
C. Public Information (61300xxx-6131xxxx)
61300000 ADVERTISING AND PUBLIC INFORMATION 3,836 3,836 3,836
Total 3,836 3,836 3,836
D. Rents (61400xxx-61490xxx)
61400000 BUILDING AND FLOOR SPACE RENTAL 3,088 3,088 3,088
61420000 EQUIPMENT RENTAL 344,058 344,058 344,058
61490000 OTHER RENTALS 987 987 987
Total 348,133 348,133 348,133
E. Repairs & Service (61500xxx)
61500000 REPAIR AND MAINTENANCE SERVICES 790,683 754,218 754,218
Total 790,683 754,218 754,218
F. Fees, Professional & Other Services (6161xxxx-61699xxx)
68515000 TRANSFERS TO OTHER FUNDS 13,936,199 11,390,846 11,390,846
Total 13,961,592 11,416,239 11,416,239
Grand Total
(Enter on Line 1-E of Form MBR-1) 13,961,592 11,416,239 11,416,239
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State of MississippiForm MBR-1-E
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
SCHEDULE ESUBSIDIES, LOANS & GRANTS
MINOR OBJECT OF EXPENDITURE
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested for
FY EndingJune 30, 2022
The Fiscal Year 2022 budget request for Mississippi State Hospital has been prepared in accordance with the Department Finance and Administration and Legislative Budget Office Budget Preparation Instructions for Fiscal Year 2022, dated July 10, 2020. Section 3, Narrative Justification for Fiscal Year 2022, references categorical substantiation for increases and decreases in agency expenditures over Fiscal Year 2021.
The Fiscal Year 2022 Budget Request of Mississippi State Hospital is in the amount of $107,041,515 which represents a $620,860 increase to the Fiscal Year 2021 appropriation.Major Object of Expenditures
A.1 PERSONNEL SERVICES: SALARIES, WAGES, AND FRINGE BENEFITS (BASE)
Requested expenditures are submitted for the FY 2022 Budget in accordance with the Fiscal management Board and Legislative Budget Office preparation instructions. The cost projections include agency personnel authorized under FY 2021 legislative appropriation. In the FY 2021 appropriation, Mississippi State Hospital was appropriated 1,635 positions which include 1,570 permanent full-time and 65 time-limited full-time positions. The overall request of $74,757,447 represents an increase of $582,180 in General Funds from the FY 2021 estimate for the new Residency Program.
Total funding requested to support Salaries, Wages and Fringe for FY 2022 is $74,757,447. It is proposed that this request be funded by $54,905,752 in General Funds, $7,119,224 in Medicaid funding, $3,980,228 in Medicare funding, $7,759,658 in Other funding and $992,585 in Patient/Client fees funding.
Spending for additional compensation in the amount of $6,916,554 is budgeted for as follows:A. New Positions $ 523,710B. Vacant Positions $3,254,939C. Reclassifications $1,065,780D. Educational Benchmarks $ 19,624E. FLSA Overtime $2,032,148F. Stand By Pay $ 20,353
It is requested that the FY 2022 appropriation be granted with "lump sum" authority, just as the FY 2021 appropriation because this provides the agency a level of flexibility, which is invaluable in meeting the challenges of the current economic climate.
A.2 TRAVEL
The sum of $18,200 is respectfully requested to support travel needs in FY 2022. This amount represents no increase over that authorized in FY 2021. It is proposed that this request will be funded with $18,200 of Other funds.
B. CONTRACTUAL SERVICES
$13,090,014 is requested for the funding of Contractual Services FY 2022. The total FY 2022 funding request reflects no increase over the FY 2021 appropriation. It is respectfully proposed that this request be funded with $110,639 in Health Care Expendable funding and $12,979,375 in Medicaid funding.
Funds in this category are used for employee training, postage, gas, electricity, water and sewage, advertising and rental of equipment. Expenses associated with professional contract employees, as well as fees for professional services are paid from this category also. Funds in this category are utilized to repair and maintain buildings on the agency’s campuses. Seventy of the more than 100 buildings on campus were constructed between 1926 and 1935. As the program’s physical plant ages, federal and state regulations governing the provision of services to persons with mental illness place tremendous stress on the physical environment as it relates to safety, preventative maintenance and repair programs, and the general overall appearance of the program’s building and grounds.
C. COMMODITIES
The sum of $7,114,089 is respectfully requested to support continuation of services provided by the combined programs of Mississippi State Hospital and the Specialized Treatment Facility. The total FY 2022 funding request for Commodities reflects a
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2022 BUDGET REQUEST
NARRATIVE
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
small increase in expenditures over that provided for in FY 2021 because of the new Residency Program. It is proposed that these expenditures be funded with $38,680 in General Funds, $3,051,244 in Health Care Expendable funding, $1,407,049 in Medicaid funding, $585,492 in Other funding, and $2,031,624 in Patient/Client Fees funding.
Funding requested for Commodities is utilized for maintenance and care of the buildings, furniture and equipment, supplies for the persons served, personal needs such as food, clothing, medicine, educational supplies and materials, general operations maintenance, janitorial supplies and office supplies. Funds in this category are used to repair and maintain buildings on the agency’s campuses. A large portion of the square footage assigned to the agency was constructed on the Mississippi State Hospital campus prior to 1940. As the program’s physical plant ages, federal and state regulations governing the provision of services to persons with mental illness place tremendous stress on the physical environment as it relates to safety, preventative maintenance and repair programs, and the general overall appearance of the program’s building and grounds.
D. CAPITAL OUTLAY
D-1. CAPITAL OUTLAY – OTHER THAN EQUIPMENT (Schedule D-1)
Total funding requested to support Capital Outlay – Other than Equipment for FY 2022 is $74,982. It is respectfully proposed that this request be funded with $74,982 of Patient/Client Fees funding. This amount reflects no increase in expenditures over that provided for in FY 2021.
Funding requested for Capital Outlay – Other than Equipment is utilized for betterments for the buildings on the agency’s campuses.
D-2. CAPITAL OUTLAY – EQUIPMENT (Schedule D-2)
The Mississippi State Hospital FY 2022 Budget Request for Capital Outlay – Equipment totals $524,644. The total FY 2022 request for Capital Outlay – Equipment reflects no increase of the FY 2021 appropriation. It is respectfully proposed that this request is funded with $524,644 of Patient/Client Fees funding.
This funding has traditionally replaced equipment that has reached the end of its useful life expectancy and replacement is required.
D-3. PASSENGER/WORK VEHICLES (Schedule D-3)
The sum of $45,900 is respectfully requested for Passenger/Work Vehicles in the FY 2022 Budget Request. This amount reflects no increase over that requested in FY 2021. It is proposed that these expenditures be funded with $45,900 of Other funding.
This funding has traditionally replaced passenger/work vehicles that have reached the end of their useful life expectancy and replacement is required. The amount requested will replace two vans. One is assigned to the Maintenance division and the second is assigned to Information Management.
D-4. WIRELESS COMMUNICATION DEVICES (Schedule D-4)
No funding is requested in this category.
E. SUBSIDIES, LOANS AND GRANTS
The Subsidies, Loans and Grants request of the Mississippi State Hospital is in the amount of $11,416,239. This amount represents no increase of the FY 2021 appropriation. It is respectfully proposed that this request is funded with $6,122,585 of General Funds and $5,293,654 of Medicaid funding.
Funding provided in the Subsidies, Loans and Grants category support expenditures including, but are not limited to, Transfers to Other Funds for Medicaid Match, Cost Allocation, and Bed Taxes.
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2022 BUDGET REQUEST
NARRATIVE
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
MADDUX ROBERT FINLEY JR
NEW ORLEANS LA LOUISIANA PSYCHIATRIC MEDICAL ASSOCIATION/MISSISSIPPI PSYCHIATRIC ASSOCIATION SPRING MEETING
990 3374
MCBETH LAPORSHIA ANTIONETTE
NEW ORLEANS LA AMERICAN PSYCHIATRIC NURSES ASSOCIATION ANNUAL CONFERENCE
729 3374
PERRY VIRGINIA D NEW ORLEANS LA AMERICAN PSYCHIATRIC NURSES ASSOCIATION ANNUAL CONFERENCE
500 3374
RECORE THOMAS VINCENT
NEW ORLEANS LA LOUISIANA PSYCHIATRIC MEDICAL ASSOCIATION/MISSISSIPPI PSYCHIATRIC ASSOCIATION SPRING MEETING
715 3374
SHAW MIKE NEW ORLEANS LA ASSOCIATION OF NURSES IN AIDS CARE CONFERENCE
680 3374
$ 3,614Total Out of State Cost
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Name of Agency
Mental Health - Mississippi State Hospital (374-00)
OUT-OF-STATE TRAVEL
FISCAL YEAR 2022
Note: All expenditures recorded on this form must be totaled and said total must agree with the out-of-state travel amount indicated for FY 2020 on Form Mbr-1, line 1.A.2.b.
Employee's Name Destination Purpose Travel Cost Funding Source
61600000 INTER-AGENCY FEES
Department of Finance and Administration/MMRS
Comp. Rate: $127096 per year 127,096 143,561 143,561 3337400000
Total 61600000 INTER-AGENCY FEES 127,096 143,561 143,561
61610000 CONTRACT WORKER PAYROLL - EFT
ALDRIDGE CHELSEA/Patient Care
Comp. Rate: $37 per hour 6,281 6,281 6,281 3337400000
ALLEN JESSICA/Patient Care
Comp. Rate: $30 per hour 11,513 11,513 11,513 3337400000
AMOS LIZZIETTA/Patient Care
Comp. Rate: $12 per hour Y 198 198 198 3337400000
ANDERSON LARRY/Information Management
Comp. Rate: $20 per hour Y 20,910 20,910 20,910 3337400000
ANDERSON TEENA/Patient Care
Comp. Rate: $12 per hour 12,783 12,783 12,783 3337400000
ATKINS TARVIN/Patient Care
Comp. Rate: $12 per hour 17,830 17,830 17,830 3337400000
ATKINSON MONTORIA/Patient Care
Comp. Rate: $12 per hour 2,859 2,859 2,859 3337400000
AUBERT RICHARD/Physician
Comp. Rate: $150 per hour Y 29,100 29,100 29,100 3337400000
BAILEY ANITA/Patient Care
Comp. Rate: $37 per hour 23,273 23,273 23,273 3337400000
BALLARD KHAMARI/Patient Care
Comp. Rate: $12 per hour 2,673 2,673 2,673 3337400000
BANES PENCY/Patient Care
Comp. Rate: $19 per hour 13,911 13,911 13,911 3337400000
BELL RUTHIE/Patient Care
Comp. Rate: $12 per hour Y 11,610 11,610 11,610 3337400000
BENSON ANITRA/Patient Care
Comp. Rate: $37 per hour 33,559 33,559 33,559 3337400000
BLUE CECIL/Patient Care
Comp. Rate: $12 per hour 429 429 429 3337400000
BOLDEN LARISSA/Patient Care
Comp. Rate: $37 per hour 14,550 14,550 14,550 3337400000
BOWERS ROBERT/Maintenance
Comp. Rate: $20 per hour 24,938 24,938 24,938 3337400000
BRADFORD AURELIA/Patient Care
Comp. Rate: $32 per hour 22,092 22,092 22,092 3337400000
BRENT VERA/Patient Care
Comp. Rate: $37 per hour 50,427 50,427 50,427 3337400000
BRIDGES RODGERICK/Patient Care
Comp. Rate: $15 per hour 12,660 12,660 12,660 3337400000
BROKMAN SUMMER/Patient Care
23-1
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FEES, PROFESSIONAL AND OTHER SERVICES
TYPE OF FEE AND NAME OF VENDORRetired
w/ PERS
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested Expenses
FY EndingJune 30, 2022
Fund Source
Comp. Rate: $25 per hour 14,541 14,541 14,541 3337400000
BROOKS ASHLEY/Patient Care
Comp. Rate: $12 per hour 9,840 9,840 9,840 3337400000
BROWN BAILEY/Police
Comp. Rate: $13 per hour Y 8,348 8,348 8,348 3337400000
BROWN BRITNEY/Patient Care
Comp. Rate: $25 per hour 3,444 3,444 3,444 3337400000
BROWN MELISSA/Patient Care
Comp. Rate: $37 per hour 19,203 19,203 19,203 3337400000
BROWN MELVIN/Patient Care
Comp. Rate: $15 per hour Y 7,744 7,744 7,744 3337400000
BROWN PRECIOUS/Patient Care
Comp. Rate: $13 per hour 14,853 14,853 14,853 3337400000
BROWN WILLIE/Patient Care
Comp. Rate: $12 per hour 5,088 5,088 5,088 3337400000
BROWN-WILSON PATRICE/Patient Care
Comp. Rate: $37 per hour 31,940 31,940 31,940 3337400000
BRUNELLE REGINA/Patient Care
Comp. Rate: $12 per hour 503 503 503 3337400000
BUCKNER KESHIA/Patient Care
Comp. Rate: $25 per hour 10,981 10,981 10,981 3337400000
BULLIE RENSSELAER/Patient Care
Comp. Rate: $12 per hour 8,277 8,277 8,277 3337400000
BULLOCK RICKY/Patient Care
Comp. Rate: $12 per hour 4,737 4,737 4,737 3337400000
BURKETT DAVID/Patient Care
Comp. Rate: $11 per hour 273 273 273 3337400000
BURKS ANTOINE/Patient Care
Comp. Rate: $11 per hour 4,271 4,271 4,271 3337400000
BYRD MATTHEW/Patient Care
Comp. Rate: $12 per hour 2,156 2,156 2,156 3337400000
CAMPBELL CHRISANN/Patient Care
Comp. Rate: $11 per hour 12,076 12,076 12,076 3337400000
CARSON FREDERICA/Patient Care
Comp. Rate: $37 per hour 14,310 14,310 14,310 3337400000
CARSON FREDETRIA/Patient Care
Comp. Rate: $37 per hour 712 712 712 3337400000
COMEAUX REBEKAH/Patient Care
Comp. Rate: $32 per hour 2,336 2,336 2,336 3337400000
COMMISKEY STEPHEN/Physician
Comp. Rate: $300 per hour 18,300 18,300 18,300 3337400000
CONNELLY LAUREN/Patient Care
Comp. Rate: $11 per hour 8,804 8,804 8,804 3337400000
CRAFT AMANDA/Patient Care
Comp. Rate: $25 per hour 706 706 706 3337400000
CROSBY DELISA/Patient Care
23-2
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FEES, PROFESSIONAL AND OTHER SERVICES
TYPE OF FEE AND NAME OF VENDORRetired
w/ PERS
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested Expenses
FY EndingJune 30, 2022
Fund Source
Comp. Rate: $12 per hour 102 102 102 3337400000
DAKHLALLA SALAAHODDIN/Patient Care
Comp. Rate: $26 per hour 41,942 41,942 41,942 3337400000
DALLAS LAQUANIA/Patient Care
Comp. Rate: $11 per hour 7,850 7,850 7,850 3337400000
DAY OCTAVIA/Patient Care
Comp. Rate: $10 per hour 8,590 8,590 8,590 3337400000
DIEZ JENNIFER/Lab Director
Comp. Rate: $35 per hour 31,903 31,903 31,903 3337400000
DRAIN ASHALEY/Patient Care
Comp. Rate: $37 per hour 15,374 15,374 15,374 3337400000
DUNN TALYN/Patient Care
Comp. Rate: $32 per hour 3,040 3,040 3,040 3337400000
DUNSON ALBERTA/Patient Care
Comp. Rate: $25 per hour 29,013 29,013 29,013 3337400000
DURHAM ADLENE/Patient Care
Comp. Rate: $25 per hour Y 15,056 15,056 15,056 3337400000
EMMANUEL VIVIAN/Patient Care
Comp. Rate: $11 per hour 15,134 15,134 15,134 3337400000
EVANS CYNTHIA/Patient Care
Comp. Rate: $30 per hour Y 15,015 15,015 15,015 3337400000
FISHER LEE/Patient Care
Comp. Rate: $15 per hour 5,236 5,236 5,236 3337400000
FLETCHER-LEWIS MONTINA/Patient Care
Comp. Rate: $50 per hour 53,396 53,396 53,396 3337400000
FLOWERS ELLA/Patient Care
Comp. Rate: $9 per hour 9,790 9,790 9,790 3337400000
FLOYD JOHN/Physician
Comp. Rate: $300 per hour 28,650 28,650 28,650 3337400000
FOREMAN VERSHENDA/Patient Care
Comp. Rate: $25 per hour 20,763 20,763 20,763 3337400000
FURBY DORIS/Patient Care
Comp. Rate: $32 per hour 3,568 3,568 3,568 3337400000
FYKE DEBORAH/Payroll
Comp. Rate: $25 per hour Y 28,481 28,481 28,481 3337400000
GEE KENNETH/Police
Comp. Rate: $11 per hour 7,513 7,513 7,513 3337400000
GIBSON MARY/Patient Care
Comp. Rate: $55 per hour 44,605 44,605 44,605 3337400000
GILL NATALIE/Patient Care
Comp. Rate: $37 per hour 13,394 13,394 13,394 3337400000
GIVENS LORI/Patient Care
Comp. Rate: $11 per hour 8,100 8,100 8,100 3337400000
GORDON ANDREA/Patient Care
Comp. Rate: $15 per hour 3,868 3,868 3,868 3337400000
GORDON GERALD/Patient Care
23-3
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FEES, PROFESSIONAL AND OTHER SERVICES
TYPE OF FEE AND NAME OF VENDORRetired
w/ PERS
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested Expenses
FY EndingJune 30, 2022
Fund Source
Comp. Rate: $20 per hour 13,890 13,890 13,890 3337400000
GRANDBERRY MARY/Patient Care
Comp. Rate: $12 per hour 9,990 9,990 9,990 3337400000
GRANGER DEMETERIUS/Patient Care
Comp. Rate: $13 per hour Y 504 504 504 3337400000
GRAY WANDA/Patient Care
Comp. Rate: $37 per hour 11,960 11,960 11,960 3337400000
GREER EULA/Librarian
Comp. Rate: $25 per hour Y 27,994 27,994 27,994 3337400000
GRIFFITH NANETTE/Patient Care
Comp. Rate: $37 per hour 35,788 35,788 35,788 3337400000
GRINSTEAD LAKEISHA/Patient Care
Comp. Rate: $12 per hour 13,605 13,605 13,605 3337400000
HALL EBONI/Patient Care
Comp. Rate: $10 per hour 5,000 5,000 5,000 3337400000
HARRIS SANDRA/Patient Care
Comp. Rate: $37 per hour 14,088 14,088 14,088 3337400000
HAYES KIMBERLY/Patient Care
Comp. Rate: $37 per hour 10,147 10,147 10,147 3337400000
HEATH MILTORIA/Patient Care
Comp. Rate: $12 per hour 4,365 4,365 4,365 3337400000
HERRIN VINCENT/Physician
Comp. Rate: $75 per hour 92,719 92,719 92,719 3337400000
HEWITT CHENILLE/Patient Care
Comp. Rate: $25 per hour 19,893 19,893 19,893 3337400000
HILL ERIKA/Patient Care
Comp. Rate: $37 per hour 361 361 361 3337400000
HINSON WILLIAM/Patient Care
Comp. Rate: $13 per hour Y 12,951 12,951 12,951 3337400000
HOLDER BRENDA/Patient Care
Comp. Rate: $25 per hour Y 24,222 24,222 24,222 3337400000
HORHN SANDRA/Patient Care
Comp. Rate: $12 per hour 3,635 3,635 3,635 3337400000
HORN BETHANI/Patient Care
Comp. Rate: $25 per hour 1,288 1,288 1,288 3337400000
HUDSON ANGELA/Patient Care
Comp. Rate: $37 per hour 46,509 46,509 46,509 3337400000
HUTCHINS COURTNEY/Patient Care
Comp. Rate: $12 per hour 14,655 14,655 14,655 3337400000
HUTCHINS LAVINIA/Patient Care
Comp. Rate: $12 per hour 8,697 8,697 8,697 3337400000
JACKSON JACQUELYN/Patient Care
Comp. Rate: $37 per hour 37,167 37,167 37,167 3337400000
JACKSON JANICE/Patient Care
Comp. Rate: $37 per hour Y 38,735 38,735 38,735 3337400000
23-4
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FEES, PROFESSIONAL AND OTHER SERVICES
TYPE OF FEE AND NAME OF VENDORRetired
w/ PERS
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested Expenses
FY EndingJune 30, 2022
Fund Source
JACKSON TAMIA/Patient Care
Comp. Rate: $37 per hour 18,866 18,866 18,866 3337400000
JAMES EVMANDA/Patient Care
Comp. Rate: $25 per hour 27,538 27,538 27,538 3337400000
JAMES YOLANDA/Patient Care
Comp. Rate: $12 per hour 237 237 237 3337400000
JENKINS DEAMBERLEE/Patient Care
Comp. Rate: $12 per hour 13,952 13,952 13,952 3337400000
JENKINS JOSEPH/Patient Care
Comp. Rate: $15 per hour Y 3,064 3,064 3,064 3337400000
JOHNSON ANTONIO/Patient Care
Comp. Rate: $15 per hour 3,964 3,964 3,964 3337400000
JOINER MARY/Patient Care
Comp. Rate: $37 per hour 2,072 2,072 2,072 3337400000
JONES RASHETTA/Patient Care
Comp. Rate: $37 per hour 8,408 8,408 8,408 3337400000
KEEN CHRISTOPHER/Patient Care
Comp. Rate: $19 per hour 1,447 1,447 1,447 3337400000
KELLER GARY/Patient Care
Comp. Rate: $26 per hour 13,715 13,715 13,715 3337400000
KENDRICK HOLLIS/Patient Care
Comp. Rate: $25 per hour 625 625 625 3337400000
KENNEDY JOHN/Physician
Comp. Rate: $300 per hour 28,800 28,800 28,800 3337400000
KENT TRINDA/Patient Care
Comp. Rate: $37 per hour 11,128 11,128 11,128 3337400000
KINDREX ROBERT/Maintenance
Comp. Rate: $11 per hour 9,775 9,775 9,775 3337400000
KING SHARRON/Patient Care
Comp. Rate: $37 per hour 40,571 40,571 40,571 3337400000
KIRK ASHISLEN/Patient Care
Comp. Rate: $25 per hour 30,863 30,863 30,863 3337400000
KUTNER RICHARD/Physician
Comp. Rate: $250 per hour 226,500 226,500 226,500 3337400000
LADNER CORY/Patient Care
Comp. Rate: $11 per hour 2,698 2,698 2,698 3337400000
LADNER MARK/Physician
Comp. Rate: $150 per hour 7,875 7,875 7,875 3337400000
LANG BETTY/Patient Care
Comp. Rate: $55 per hour Y 19,333 19,333 19,333 3337400000
LEBLANC STEPHEN/Physician
Comp. Rate: $75 per hour 39,900 39,900 39,900 3337400000
LEE MACKINZIE/Patient Care
Comp. Rate: $37 per hour 41,722 41,722 41,722 3337400000
LEE PERCY/Patient Care
Comp. Rate: $9 per hour 9,756 9,756 9,756 3337400000
23-5
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FEES, PROFESSIONAL AND OTHER SERVICES
TYPE OF FEE AND NAME OF VENDORRetired
w/ PERS
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested Expenses
FY EndingJune 30, 2022
Fund Source
LEE ROSETTA/Patient Care
Comp. Rate: $30 per hour 12,578 12,578 12,578 3337400000
LEFLORE ANETRA/Patient Care
Comp. Rate: $37 per hour 15,938 15,938 15,938 3337400000
LENARD JOEY/Patient Care
Comp. Rate: $12 per hour 3,840 3,840 3,840 3337400000
LEWIS LASHUNDA/Patient Care
Comp. Rate: $37 per hour 47,175 47,175 47,175 3337400000
LUCKEY NORMAN/Police
Comp. Rate: $14 per hour Y 14,882 14,882 14,882 3337400000
MAGEE LASHANTEE/Patient Care
Comp. Rate: $11 per hour 3,277 3,277 3,277 3337400000
MALONE WILLIAM/Patient Care
Comp. Rate: $20 per hour 1,115 1,115 1,115 3337400000
MARTIN JAMES/Patient Care
Comp. Rate: $25 per hour 2,188 2,188 2,188 3337400000
MARTIN ZIPORA/Patient Care
Comp. Rate: $37 per hour 2,784 2,784 2,784 3337400000
MAXWELL MARY/Patient Care
Comp. Rate: $12 per hour 18,556 18,556 18,556 3337400000
MAXWELL WILBURN/Physician
Comp. Rate: $300 per hour 8,925 8,925 8,925 3337400000
MCBEATH ALEXIS/Patient Care
Comp. Rate: $12 per hour 875 875 875 3337400000
MCBRIDE-HALL SHARON/Patient Care
Comp. Rate: $12 per hour 7,980 7,980 7,980 3337400000
MCDONALD DESMOND/Patient Care
Comp. Rate: $11 per hour 7,326 7,326 7,326 3337400000
MCDONALD L'CHARLES/Patient Care
Comp. Rate: $15 per hour 20,396 20,396 20,396 3337400000
MCDOWELL RACHEL/Patient Care
Comp. Rate: $15 per hour Y 11,438 11,438 11,438 3337400000
MCGEE BRENYETTA/Patient Care
Comp. Rate: $12 per hour 12 12 12 3337400000
MCINNIS BRAGGIO/Patient Care
Comp. Rate: $12 per hour 9,569 9,569 9,569 3337400000
MCNEECE TERESA/Personnel
Comp. Rate: $15 per hour Y 16,298 16,298 16,298 3337400000
MOCK BRANDI/Patient Care
Comp. Rate: $37 per hour 6,864 6,864 6,864 3337400000
MOHA ROBIN/Patient Care
Comp. Rate: $8 per hour 3,298 3,298 3,298 3337400000
MONTGOMERY DEWERY/Patient Care
Comp. Rate: $37 per hour Y 629 629 629 3337400000
MOORE JASON/Patient Care
Comp. Rate: $12 per hour 2,664 2,664 2,664 3337400000
23-6
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FEES, PROFESSIONAL AND OTHER SERVICES
TYPE OF FEE AND NAME OF VENDORRetired
w/ PERS
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested Expenses
FY EndingJune 30, 2022
Fund Source
MOORE KIMBERLY/Patient Care
Comp. Rate: $28 per hour Y 24,409 24,409 24,409 3337400000
MOORE LATERRICA/Patient Care
Comp. Rate: $11 per hour 10,409 10,409 10,409 3337400000
MOORE MONIQUE/Patient Care
Comp. Rate: $37 per hour 31,136 31,136 31,136 3337400000
MORGAN JARRETT/Physician
Comp. Rate: $75 per hour 16,725 16,725 16,725 3337400000
MORRIS MELBA/Billing and Coding
Comp. Rate: $85 per hour 73,185 73,185 73,185 3337400000
MYERS MARCUS/Patient Care
Comp. Rate: $12 per hour 11,682 11,682 11,682 3337400000
NEWELL RAYMOND/Police
Comp. Rate: $14 per hour 17,312 17,312 17,312 3337400000
NICKS-LYLE GWENDOLYN/Patient Care
Comp. Rate: $37 per hour Y 32,597 32,597 32,597 3337400000
PAGE SHERMAIN/Patient Care
Comp. Rate: $10 per hour 128 128 128 3337400000
PARKER LAKYSHA/Patient Care
Comp. Rate: $37 per hour 9,435 9,435 9,435 3337400000
PATE JONAE/Patient Care
Comp. Rate: $12 per hour 6,252 6,252 6,252 3337400000
PERKINS FRANK/Patient Care
Comp. Rate: $27 per hour 55,976 55,976 55,976 3337400000
PHILLIPS REGINA/Patient Care
Comp. Rate: $37 per hour 7,039 7,039 7,039 3337400000
PHILSON KENDRICK/Patient Care
Comp. Rate: $13 per hour 15,350 15,350 15,350 3337400000
POWELL KEVAN/Patient Care
Comp. Rate: $11 per hour 897 897 897 3337400000
PUCKETT STEPHANIE/Patient Care
Comp. Rate: $28 per hour 15,992 15,992 15,992 3337400000
QUALLS KEMYATTA/Patient Care
Comp. Rate: $37 per hour 10,406 10,406 10,406 3337400000
RAMSAY CATHY/Patient Care
Comp. Rate: $50 per hour 2,200 2,200 2,200 3337400000
RATCLIFFE LATRICIA/Patient Care
Comp. Rate: $30 per hour 9,518 9,518 9,518 3337400000
RAWLS BREAUNA/Patient Care
Comp. Rate: $12 per hour 1,806 1,806 1,806 3337400000
REED DEMETRIA/Patient Care
Comp. Rate: $37 per hour 6,586 6,586 6,586 3337400000
ROBINSON BRITTANY/Patient Care
Comp. Rate: $12 per hour 1,584 1,584 1,584 3337400000
ROBINSON SHAYLA/Patient Care
Comp. Rate: $37 per hour 11,609 11,609 11,609 3337400000
23-7
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FEES, PROFESSIONAL AND OTHER SERVICES
TYPE OF FEE AND NAME OF VENDORRetired
w/ PERS
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested Expenses
FY EndingJune 30, 2022
Fund Source
ROPER ROKOYIA/Patient Care
Comp. Rate: $11 per hour 3,560 3,560 3,560 3337400000
SANDERS TAMIKA/Patient Care
Comp. Rate: $25 per hour 8,038 8,038 8,038 3337400000
SELLS BRENDA/Patient Care
Comp. Rate: $25 per hour 22,588 22,588 22,588 3337400000
SHEARER KATHERINE/Patient Care
Comp. Rate: $23 per hour 4,532 4,532 4,532 3337400000
SISTRUNK CURTIS/Maintenance
Comp. Rate: $18 per hour 8,028 8,028 8,028 3337400000
SKINNER DENORRIS/Patient Care
Comp. Rate: $24 per hour Y 12,924 12,924 12,924 3337400000
SLAUGHTER TONYA/Accounting
Comp. Rate: $12 per hour 6,775 6,775 6,775 3337400000
SMITH DANA/Patient Care
Comp. Rate: $30 per hour 16,898 16,898 16,898 3337400000
SMITH GARY/Physician
Comp. Rate: $300 per hour 22,650 22,650 22,650 3337400000
SMITH R/Physician
Comp. Rate: $175 per hour Y 4,725 4,725 4,725 3337400000
SMITH SUZANNE/Patient Care
Comp. Rate: $28 per hour 15,995 15,995 15,995 3337400000
SMITH WANDA/Patient Care
Comp. Rate: $30 per hour Y 23,595 23,595 23,595 3337400000
SNELL ANGELIQUE/Patient Care
Comp. Rate: $37 per hour 5,347 5,347 5,347 3337400000
SPANN JAMES/Police
Comp. Rate: $14 per hour Y 14,625 14,625 14,625 3337400000
SPEARS COURTNEY/Patient Care
Comp. Rate: $25 per hour 18,563 18,563 18,563 3337400000
STEEL BRITNEY/Patient Care
Comp. Rate: $11 per hour 1,426 1,426 1,426 3337400000
STOCKMEYER CORY/Patient Care
Comp. Rate: $12 per hour 5,260 5,260 5,260 3337400000
STONE RONALD/Patient Care
Comp. Rate: $25 per hour 4,544 4,544 4,544 3337400000
STRONG CLIFTON/Patient Care
Comp. Rate: $37 per hour Y 5,513 5,513 5,513 3337400000
STURGIS DANISHA/Patient Care
Comp. Rate: $25 per hour 213 213 213 3337400000
STYLES CAREY/Patient Care
Comp. Rate: $12 per hour 7,914 7,914 7,914 3337400000
TANNER CYNTHEIA/Medical Records
Comp. Rate: $10 per hour 2,859 2,859 2,859 3337400000
TAYLOR JARED/Physician
23-8
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FEES, PROFESSIONAL AND OTHER SERVICES
TYPE OF FEE AND NAME OF VENDORRetired
w/ PERS
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested Expenses
FY EndingJune 30, 2022
Fund Source
Comp. Rate: $150 per hour 15,375 15,375 15,375 3337400000
TAYLOR JASON/Physician
Comp. Rate: $75 per hour 62,625 62,625 62,625 3337400000
THOMAS DENTASIA/Patient Care
Comp. Rate: $10 per hour 595 595 595 3337400000
THOMAS MYCHELL/Patient Care
Comp. Rate: $25 per hour 17,078 17,078 17,078 3337400000
THOMAS TONIA/Patient Care
Comp. Rate: $25 per hour 22,875 22,875 22,875 3337400000
THOMPSON DOROTHY/Transcriptionist
Comp. Rate: $30 per hour Y 10,988 10,988 10,988 3337400000
THORNHILL SONYA/Medical Records
Comp. Rate: $24 per hour Y 17,364 17,364 17,364 3337400000
THORNTON JOE/Patient Care
Comp. Rate: $27 per hour Y 28,534 28,534 28,534 3337400000
VAUGHN TANNER/Medical Records
Comp. Rate: $10 per hour 2,570 2,570 2,570 3337400000
WALKER NATASHA/Patient Care
Comp. Rate: $37 per hour 2,618 2,618 2,618 3337400000
WARD CARMEN/Patient Care
Comp. Rate: $10 per hour 38,397 38,397 38,397 3337400000
WARNER PATRICIA/Patient Care
Comp. Rate: $37 per hour 10,351 10,351 10,351 3337400000
WATSON MICHAEL/Police
Comp. Rate: $14 per hour Y 15,233 15,233 15,233 3337400000
WEIR HANNAH/Patient Care
Comp. Rate: $11 per hour 2,005 2,005 2,005 3337400000
WILBURN CARISA/Patient Care
Comp. Rate: $37 per hour 10,434 10,434 10,434 3337400000
WILLIAMS ELAINE/Patient Care
Comp. Rate: $37 per hour 10,360 10,360 10,360 3337400000
WILLIAMS LATASHA/Patient Care
Comp. Rate: $12 per hour 636 636 636 3337400000
WILLIAMS TIESHA/Patient Care
Comp. Rate: $37 per hour 13,403 13,403 13,403 3337400000
WILLIAMS TYRONE/Patient Care
Comp. Rate: $12 per hour 4,115 4,115 4,115 3337400000
WILLIS ARIEL/Patient Care
Comp. Rate: $11 per hour 14,204 14,204 14,204 3337400000
WOO MACK/Physician
Comp. Rate: $300 per hour 15,000 15,000 15,000 3337400000
WRIGHT KAITLYNN/Patient Care
Comp. Rate: $37 per hour 14,837 14,837 14,837 3337400000
YOSTE GEOFFREY/Patient Care
Comp. Rate: $23 per hour 4,485 4,485 4,485 3337400000
YOUNG KEWANZA/Patient Care
23-9
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FEES, PROFESSIONAL AND OTHER SERVICES
TYPE OF FEE AND NAME OF VENDORRetired
w/ PERS
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested Expenses
FY EndingJune 30, 2022
Fund Source
Comp. Rate: $37 per hour 24,300 24,300 24,300 3337400000
YOUNG LORENZO/Patient Care
Comp. Rate: $15 per hour 2,858 2,858 2,858 3337400000
Total 61610000 CONTRACT WORKER PAYROLL - EFT 3,105,046 3,105,046 3,105,046
Comp. Rate: $2494 per month 29,933 29,933 29,933 333740000
REG XIII COMM FOR MH/MR DBA THE COUNSELING CENTER/EAP ServicesComp. Rate: $367 per year 367 367 367 333740000
REPUBLIC SERVICES INC DBA REPUBLIC SERVICES OF GA/Waste ServicesComp. Rate: $2370 per month 28,439 28,439 28,439 333740000
RYDER TRANSPORTATION SERVICES/Mileage
Comp. Rate: $344 per year 344 344 344 333740000
SCARBOROUGH SUSAN M SHEAR ILLUSIONS/Cosmetology ServicesComp. Rate: $3060 per year 3,060 3,060 3,060 333740000
SEFCO ELECTRIC SUPPLY/Late Fees
Comp. Rate: $56 per year 56 333740000
SMITH BRIAN UNITED BIOMEDICAL/Biomedical Services
Comp. Rate: $1010 per year 1,010 1,010 1,010 333740000
SOUTHERN CHLORINATOR/Fuel Surcharge
Comp. Rate: $40 per year 40 40 40 333740000
SOUTHERN FIRE SPRINKLER INC/Inspection of Fire Sprinkler SystemComp. Rate: $450 per year 450 450 450 333740000
STERICYCLE INC/Medical Waste Disposal
Comp. Rate: $4076 per year 4,076 4,076 4,076 333740000
SUNBELT RENTALS INC/Portable AC Rental
Comp. Rate: $1361 per year 1,361 1,361 1,361 333740000
SYSTRONIC TIME SYSTEMS/Labor, Travel and Mileage
Comp. Rate: $1270 per month 15,241 15,241 15,241 333740000
T L WALLACE CONST CO INC/Leak and Cathodic
Comp. Rate: $1824 per year 1,824 1,824 1,824 333740000
TAPPER SECURITY INC/Security
Comp. Rate: $360 per year 360 360 360 333740000
TERMINIX PROCESSING CENTER/Pest Control Services
Comp. Rate: $418 per year 418 418 418 333740000
THE JOINT COMMISSION/Patient Care
Comp. Rate: $1327 per month 15,920 15,920 15,920 333740000
THE MANDT SYSTEM INC THE MANDT SYSTEM/Re-CertificationComp. Rate: $4740 per year 4,740 4,740 4,740 333740000
THE SEVEN CHALLENGES LLC DBA VIVA PRESS/Fidelity FeeComp. Rate: $417 per month 5,000 5,000 5,000 333740000
TPG CONSTRUCTION & MASONRY/Installation of Bathroom Partition WallsComp. Rate: $4500 per year 4,500 4,500 4,500 333740000
23-25
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
FEES, PROFESSIONAL AND OTHER SERVICES
TYPE OF FEE AND NAME OF VENDORRetired
w/ PERS
(1)Actual Expenses
FY EndingJune 30, 2020
(2)Estimated Expenses
FY EndingJune 30, 2021
(3)Requested Expenses
FY EndingJune 30, 2022
Fund Source
UMB BANK NA CARD SERVICES/Certifications
Comp. Rate: $2275 per year 2,275 2,275 2,275 333740000
UTILITY ANALYSTS INC/Utility Rate Cost Evaluation
Comp. Rate: $750 per month 9,000 9,000 9,000 333740000
VALLEY SERVICES INC/Patient Meals
Comp. Rate: $56985 per month 683,817 420,843 420,843 333740000
V-ELECTRIC INC./Install Disconnect/E-Stop Button on Boiler
Comp. Rate: $3454 per month 41,450 41,450 41,450 333740000
VITAL RECORDS CONTROL/Storage and Retrieval of Records
Comp. Rate: $780 per month 9,362 9,362 9,362 333740000
VITAL RECORDS HOLDINGS LLC VRC CO LLC DBA VITAL RECORDS CONTRO/Storage and Retrieval of RecordsComp. Rate: $1134 per month 13,612 13,612 13,612 333740000
WORLD WIDE DICTATION SERVICES OF NEW YORK INC/Dictation ServicesComp. Rate: $740 per year 740 740 740 333740000
Total 61690000 FEES AND SERVICES - PROFESSIONAL FEES CHARGED 3,113,196 2,709,807 2,709,807
GRAND TOTAL 9,301,885 8,914,961 8,914,961
23-26
Name of Agency
Mental Health - Mississippi State Hospital (374-00)
State Support Sources Amount Received General Funds 63,056,500$
State Support Special Funds: Amount Received Education Enhancement Funds Health Care Expendable Funds 3,161,883$ Tobacco Control Funds Capital Expense Funds Budget Contingency Funds Working Cash Stabilization Reserve Funds BP Settlement Fund Gulf Coast Restoration Fund SSSF new 1 SSSF new 2 SSSF new 3 SSSF new 4 SSSF new 5
List all Federal Funds at its most specific level, such as an office or division, include name of grant, grantor, not the federal department.Federal Funds Amount Received Action or results promised in order to receive funds HHS Stimulus Funds 951,263$ Stimulus Funds received through the Cares Act Federal Fund #2Description of any Maintenance of Effort agreements entered into with any N/Afederal agency or subdivision thereof
Special Funds Amount Received Medicaid 28,465,155$ Medicare 3,980,228$ Patient/Client Fees 1,592,211$ Other 7,823,758$
Revenue from Tax, Fine or Fee Assessed Private Pay Patient Fees Amount Assessed
Amount CollectedAuthority to Collect §41-4-7
Method of Determining Assessment
Based on cost of adequate paitent care and length of stay required fo rdiagnosis, as well as patient's ability to pay.
Method of CollectionPrivate pay billing following the month of services are rendered.
Amt. & Purpose for which ExpendedAmount Purpose
3,426,545$
To reimburse Mississippi State Hospital fo rservices rendered in the treatment of and stay of patients not covered by a third party provider.
Amount Transferred to General Fund -$ Authority for Transfer to General Fund N/A Amount Transferred to Another Entity -$ Authority for Transfer to Other Entity N/A Name of Other Entity N/A Fiscal Year-Ending Balance -$
Revenue from Tax, Fine or Fee Assessed Medical Record Photocopies Amount Assessed 779$
Amount Collected 779$ Authority to Collect
Method of Determining AssessmentBased on medical record requests from third parties and volume of requests.
Method of Collection At the time medical record copies are requestedAmt. & Purpose for which ExpendedAmount Purpose
779$ To reimburse MSH for the actual cost of searching, reviewing, duplicating and method of delivery.
Amount Transferred to General FundAuthority for Transfer to General FundAmount Transferred to Another EntityAuthority for Transfer to Other EntityName of Other Entity Fiscal Year-Ending Balance
Revenue from Tax, Fine or Fee Assessed P. O. Box Rental Amount Assessed 1,600$
Amount Collected 1,600$ Authority to Collect 39 U.S. Code §404
Method of Determining AssessmentBased on requests made by general public for post office boxes and by volume
Method of Collection At the time of post office box rentalAmt. & Purpose for which ExpendedAmount Purpose
1,600$ To cover the cost of maintaining and developing postal services to meet the need of Mississippi State Hospital
Amount Transferred to General Fund -$ Authority for Transfer to General Fund N/AAmount Transferred to Another Entity -$ Authority for Transfer to Other Entity N/AName of Other Entity N/AFiscal Year-Ending Balance -$
Revenue from Tax, Fine or Fee Assessed Employee Physical Fee Amount Assessed 893$ Copy Entire Section to Add New Item Amount Collected 893$
Authority to Collect §41-4-7
Method of Determining AssessmentBased on employee turnover, new hires, and volumne of requests for employee physicals
Method of Collection $ 893 Amt. & Purpose for which ExpendedAmount Purpose
893$ To reimburse Mississippi State Hospital for services rendered in performing employee physicals
Amount Transferred to General Fund - Authority for Transfer to General Fund N/AAmount Transferred to Another Entity - Authority for Transfer to Other Entity N/AName of Other Entity N/AFiscal Year-Ending Balance -