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Delaware Health and Social Services Fiscal Year 2016 Budget Hearing Office of Management and Budget Legislative Hall Senate Chambers Thursday, November.

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Presentation on theme: "Delaware Health and Social Services Fiscal Year 2016 Budget Hearing Office of Management and Budget Legislative Hall Senate Chambers Thursday, November."— Presentation transcript:

1 Delaware Health and Social Services Fiscal Year 2016 Budget Hearing Office of Management and Budget Legislative Hall Senate Chambers Thursday, November 20, 2014 Rita Landgraf Cabinet Secretary

2 Delaware Health and Social Services OFFICE OF THE SECRETARY State Service Centers Social Services Aging and Adults with Physical Disabilities Substance Abuse and Mental Health Long Term Care Residents Protection Developmental Disabilities Public Health Child Support Enforcement Medicaid and Medical Assistance Management Services Visually Impaired Improve the quality of life for Delaware’s residents by promoting health and well-being, fostering self sufficiency and protecting vulnerable populations

3 Delaware Health and Social Services DHSS Accomplishments Health Care Reform (ACA) –Medicaid Expansion and Health Insurance Marketplace –DHSS and Dept. of Insurance Policy Changes –Information Technology –Outreach and Marketing

4 Delaware Health and Social Services DHSS Accomplishments State of Delaware and US DOJ Settlement Reforming Delaware’s Mental Health System

5 Delaware Health and Social Services DHSS Accomplishments

6 Delaware Health and Social Services Employing People With Disabilities To promote an open atmosphere statewide in which our employees feel comfortable in disclosing their disability. To provide education and support on accommodating people with disabilities and the benefits of doing so. To provide individuals with disabilities with the same opportunities and environment to succeed as everyone else.

7 Delaware Health and Social Services Why This Focus Is Critical: Highest unemployment/ under-employment rate of any minority population; Individuals with disabilities face a high level of poverty; and Individuals with disabilities are an untapped, under- tapped resource.

8 Delaware Health and Social Services Expectation Is for World of Work U.S. employment rates for people age 20-24 (March 2013) 24.7% people with disabilities 61.1% people without disabilities

9 Delaware Health and Social Services Employment Focus Collaboration with the Healthcare Association to develop internships. UD conducted comprehensive survey of state employees. Governor launched a partnership between Specialisterne and CAI. SAP, GlaxoSmithKline and Walgreens all made hiring commitments. Employment for individuals with disabilities increased 8.6% between 2011 and 2013.

10 Delaware Health and Social Services Changing State Government Culture New OMB training module: Message from Governor. A snapshot of the Americans with Disabilities Act. Information on interacting with colleagues who have disabilities. Resources, including delaware.gov employment page. Information on hidden disabilities. Statistics and studies.

11 Delaware Health and Social Services DHSS Accomplishments Increased education and awareness about the dangers of smoking and the importance of cancer screening. Modernized the Mental Health Commitment Law. Development of a medical marijuana compassion center. Established the Office of Animal Welfare into DPH. Created a background check dashboard for employers and law enforcement.

12 Delaware Health and Social Services DHSS Accomplishments I-ADAPT team Volunteerism Telehealth Community Garden

13 Delaware Health and Social Services DHSS Accomplishments Expanded uses of Stockley Center’s state-of-the-art medical facility and 750 acres. Developed a plan to serve people who will be diagnosed with Alzheimer’s disease. Launched PEDS Online. Implemented the Civil Union and Marriage Equality laws. Strengthened patient safety laws in partnership with the Department of State.

14 Delaware Health and Social Services Moving Forward Build Upon Our Successes: Affordable Care Act mandates US DOJ Settlement LTC Transition DHSS Mission Best Practices

15 Delaware Health and Social Services Moving Forward Emerging Issues Addictions Services We know that untreated, or poorly treated, substance use disorders cause suffering, illness, loss of human potential, damaged families, weakened communities, and extraordinary costs to the state and the nation at a higher rate than other serious illnesses. U.S. COSTS ✓ Cancer (15% tobacco) $128B ✓ Diabetes $245B ✓ Heart Disease & Stroke (30% tobacco and drugs) $444B Substance Abuse $559B

16 Delaware Health and Social Services Continued Focus Community-Based Services: –DSAMH –DDDS –DSAAPD Coalition of Caring

17 Delaware Health and Social Services Continued Focus Delaware’s Health Care Innovation Work

18 Delaware Health and Social Services Continued Focus Staff and Client Security Continued Efficiencies Physical Plant

19 Delaware Health and Social Services Medicaid Growth

20 Delaware Health and Social Services

21 Budget Process (in thousands) FY 15 GF Budget $1,113,633.8 Requested New Dollars$ 21,696.1 –FY 16 Door Openers –Resources needed for increased volume, annualizations FY 16 Total GF Request $1,135,329.9 [1.9% Increase over FY 15]

22 Delaware Health and Social Services FY 16 GF Budget Request - $1,135,329.9 Door Openers USDOJ/DPC Settlement $3,214.0 Housing Vouchers [$1,125.0] Coordinated Care Management [$100.0] Supported Employment [$100.0] Assertive Community Treatment [$954.0] Peer Supports [$175.0] Crisis Services [$760.0]

23 Delaware Health and Social Services FY 16 GF Budget Request - $1,135,329.9 Door Openers (Cont’d) DDDS - FY 15 Placements (FYF)$2,124.8 DDDS - New Community Placements/$3,111.6 Special School Grads DDDS - Rebase Direct Support $1,169.9 Professional Rates DSAAPD - Community Svcs. Wait List$ 910.0 DHSS - Lease Escalators$ 119.1 DHSS - FY 15 Salary Policy Contingency$ 447.6

24 Delaware Health and Social Services FY 16 GF Budget Request - $1,135,329.9 Enhancements Substance Use Disorder Programs (DSAMH)$3,635.0 Addiction Prevention & School Based Educations (DPH)$ 100.0 Eligibility Modernization System Maintenance & $2,358.3 Operations (DMS) Data Warehouse Maintenance & Operations (DMMA)$ 275.0 Child Care Sliding Fee Scales (DSS)$1,139.3 Department-wide Security Initiatives (DMS)$ 193.0 SIM Care Coordination Fees (DMMA)$1,300.0 Family Support Waiver (DDDS)$ 944.2

25 Delaware Health and Social Services FY 16 GF Budget Request - $1,135,329.9 One-Time Substance Use Disorder Programs (DSAMH) $815.0 Department-wide Telephone $288.5 Upgrades (DMS)

26 Delaware Health and Social Services FY 16 GF Budget Request – $1,135,329.9 Structural Changes Reallocate Child Care funding to the Dept. ($500.0) of Education Reallocate Medical Examiner operational funds to ($ 37.2) OMB in support of the Dept. of Safety Homeland Security, Forensic Sciences unit

27 Delaware Health and Social Services FY 16 Capital Budget Request Project Name Maintenance & Restoration $4,750.0 Minor Capital Improvements $6,000.0 Roof Repair/Replacement $2,300.0 Holloway Campus Electrical System Replacement $3,460.0 IT Projects$7,490.8

28 Delaware Health and Social Services FY 16 Capital Budget Request (cont’d) Project Name Drinking Water State $1,850.0 Revolving Loan Program Critical Equipment $ 150.0 Replacement Program

29 Delaware Health and Social Services Important Partnerships CROSS CABINET INITIATIVES –Delaware State Housing Authority - SRAP –Early Childhood Education –I-ADAPT - Individual Assessment and Discharge Planning Teams –Health Care Reform –Behavioral Health - Education and Prevention - Treatment and Recovery COMMUNITY PARTNERS

30 Delaware Health and Social Services


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