Summary of Human Services Budget Proposal

Not just the Tenant Resource Center but a description of all the cuts and adds that they proposed. This was just sent out yesterday, despite the date on it.

2014 Budget Proposal
Detailed Summary
8-22-13

Department GPR target: $0
Living Wage GPR cost: $412,070; not funded in this proposal.
Budget submitted to County Executive: August 22
County budget public hearing on Human Services: September 3

Note: All budget figures in parenthesis, whether increase or decrease. Statement before it indicates which it is.

Administration
 Backfills Bastean position to eliminate CDBG funds ($17,761)
 Covers Community Aids sequestration loss with increased IMAA/PPACA revenues ($122,200)

Adult Community Services
Aging LTC:
 Increase of $1.2 million in system due to increased CIP2, COP-W, COP & MA Personal Care revenues
 Reduction in home care & chore caseload through attrition ($7,521)
 Preserves County funded adult day care services at 2013 funding level
Alternate Sanctions:
 Nothing reflected in this proposal regarding Judge O’Brien and Criminal Justice Council studies of alternate sanctions.
 Increase in non-contracted drug testing line ($10,000)
 Reduces ATTIC Drug Court case management due to OJA JAG Grant cut ($763)
 Reduces Tellurian outpatient – did not respond to RFP ($9,338)
 Awards outpatient RFP to Jessie Crawford Recovery Center ($9,338) & reallocate additional CYF GPR to Center ($25,000)
Area Agency on Aging:
 Reduction of $16,578 or 3.23% to fifteen focal point nutrition site management & reduced caterer utilization due to sequestration and nutrition donations decrease
 Fully funds at 2013 adopted budget level the focal points case management services
 Increase to Home Health United for increased home delivered meal utilization ($5,122)
 Reduces Independent Living ($2,851) and RSVP ($2,259) volunteer programs due to OAA cut
 Reduces Safe Communities due to loss of Falls Prevention Grant ($16,000) and 30% reduction in Living Well with Chronic Conditions Grant ($10,818); Safe Communities aware of these decreases.
 Reduces RSVP DANE Advocacy training due to OAA cut ($353)
 Reduces Northeast Side Coalition cultural diversity services due to OAA cut ($1,407)
 Reduces DeForest Peer supports due to OAA cut ($234)
 Reduces Alzheimer Alliance ($279) and non-contracted services in caregiver supports ($11,168) due to cut in OAA funds
 Reduces Family Service AODA Education & intervention due to OAA cut ($1,378)
 Adjusts Senior case management fund levels over the course of 3 years per new formula
 Funds RSVP Bus Buddy services with Mobility Mgmt./53.10 funds ($15,000)
 Increases Madison Metro allocation of 85.21 funds per prior agreement ($18,601)
DD Adult:
 Loss of MA Personal Care revenue due to reduced prior authorizations ($500,000)
 Annualizes 2013 high school grads – 62 ($230,748 GPR, $331,094 revenue = $561,842)
 Annualizes other 2013 service enhancement/changes ($262,326 GPR, $628,450 revenue = $890,776)
 Funds 2014 high school grads – 52 ($237,385 GPR, $340,615 revenue = $578,000)
 Increases GPR to cover FMAP reduction estimate, less revenue for match & more GPR needed ($250,000 GPR)
 2012 & 2013 additional crisis funds from DHS
 Additional MA case management/LTC expansion ($15,000 revenue)
 Funds increases in rates at ODTC for Prader Willi care and increase in adult family home expenses
 GPR transferred from other systems to lower impact of increased caseload and annualizations on current DD consumers
 Reduction in current SDS grants on average 2.65% ($512,652 GPR & $1.655 million total reduction to pay for some of the new caseload and annualizations)
 2014 DD Adult: Increase of $938,632 over 2013 adopted budget ($60,705 GPR, $877,927 revenue)
DD Child:
 Funds FMAP reduction and foster care increases
 2014 DD Children: Increase of $316,626 over 2013 adopted budget ($47,600 GPR, $269,026 revenue)
Adult Mental Health:
 New revenues from waivers, SSI, MA, CCS ($976,505)
 Chrysalis increase in supported employment due to increase in CRS billing ($10,000)
 Chrysalis increase in certified peer supports due to increase in CRS billing ($10,000)
 Community Partnerships increase to cover court ordered evaluations ($50,000 GPR)
 Revenue adjustments in several programs with no impact – Jamestown, Northport, Offshore, Crawford, MOST, Yahara House, prescriber services, Bayside, DC3, Recovery House, CSP’s, PACT, Opportunities Inc., SOAR
 Porchlight increase from MA Crisis funds increase ($3,500)
 Increase to Journey ESU to offset most of CYF cut ($107,503)
 Johnson Street and Parkside residential units closed; happened already; consumers re-located
 Recovery Dane position added ($31,666)
 Increase staffing at Women in Transition ($47,700)
 Placeholder for CCS implementation – new revenue line ($50,000)
Physical Disabilities:
 GPR & Community Aids replaced with increased waiver revenues

Transportation:
 Increases 85.21 funds ($35,118)
 Increases Mobility Mgmt./53.10 funds ($7,885)
 Increases Mobility Training ($9,000)
 Increases Time Bank Dialysis ($5,500)
 Increases Dryhootch ($40,148)
 Assuming that Metro will give us $130,000 of Mobility Management Grant funds (formerly New Freedom)
 Loss of NCST Grant – already dealt with in 2013 by reduced expenses; no 2014 impact

Badger Prairie Health Care Center
 Realigns some expenses and revenues to reality: laundry, therapy services, Psychologist, transportation, resident equipment repairs, medical supplies, janitorial supplies
 Census remains 115
 Private pay rate increased $12/day; ADP lowered from 6 to 4
 Increases Medicaid & Intergovernmental Transfer revenue
 Creates new Resident Medical Service Coordinator
 Eliminates a vacant .5 FTE Activity Assistant and creates a 1.0 FTE Recreational Therapist

Children, Youth & Families
 Budget reflects increased Youth Aids revenues that were a result of an increase in 2012; Youth Aids actually flat in 2013 and 2014 at $384,835
 ECI: decreases Supervisor to .8 FTE; funds allocated to Dane County Parent Council to increase Home Visitor to lead position and annualize 2013 position ($22,010); about $9,200 additional GPR in ECI
 Expands Clerk-Typist I-II position from .2 to 1.0 FTE
 Expands .875 FTE social worker in Kinship Unit to 1.0 FTE
 Decrease in IDP funds: reductions to 5 providers – ARC, Journey MHC (2 programs), Meriter NewStart, Tellurian ($40,000 total)
 Increase in Children’s Service Society due to Safe Havens Grant ($56,363)
 Increase in DAIS due to Safe Havens Grant ($13,960)
 Covers JFF loss of CDBG funding to avoid reduction in JFF staffing ($23,313)
 Covers other revenue cuts that support positions – SSF, DMC, OJA, KC, IL
 Reduces Hope Haven contract for residential services ($285,417)
 Continues to fund additional Treatment Readiness bed at Detox that was started in 2013 ($40,567)
 Proposes an initiative to address consumers with AODA & mental health concerns ($116,160)
 Increases outpatient AODA services at Journey MHC ($25,000)
 Increases State CIP-II funds for services to chronic AODA consumers ($100,906)
 Increases AODA screens ($30,000)
 Reflects FSAT merger to Canopy
 Increases Protective child care due to increased demand ($15,000)
 Increases NIP program services due to increased CIP revenues ($13,800)
 Outpatient therapy RFP: decrease in Journey MHC & addition of ADDAIP ($135,000); Rainbow and Canopy at 2013 budget level
 Decreases Journey MHC ESU contract ($125,000)
 Increase in Alternate Care due to increased foster care & group home use and rate increases ($372,396)
 Increase in Community Partnerships court ordered evaluations due to increased demand ($27,500)
 Contract with UW-Extension for Youth Governance Program ($19,783)
 Increase in Wisconsin Family Ties ($2,000)
 Increase in Kennedy Heights Asian Outreach Project ($1,000)
 Reflects Focus closure which occurred in 2013
 Funds Youth Resource Centers at 2013 level

Economic Assistance & Work Services
 Assumes hire of 34 new project positions continues until reduction of 16 of them on July 1st
 Cost of rental of new space offset by rent revenues from Dane County Library & PPACA funds
 Continues W-2 contract with Forward Service at 2013 rate
 Eliminates Tenant Resource Center funding ($95,000)
 Homeless/housing TBD line created to meet priority need ($95,000)
 Day Resource Center line remains at $30,000

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