Presentation on theme: "CMHDA Update for NAMI Leadership Institute: County Implementation of MHSA in the New Environment August 18, 2011."— Presentation transcript:
CMHDA Update for NAMI Leadership Institute: County Implementation of MHSA in the New Environment August 18, 2011
List of Major 2011-12 State Budget Actions of interest to Community Mental Health Per AB 100, $862 million in MHSA being used instead of SGF for Medi-Cal and Special Education Students. Also removed “state approval” of MHSA plans, streamlined fund distributions to counties, and decreased state admin. expenditures. Per AB 118, “Realignment 2011” specifies the programs and account structure. AB 109 specifies public safety realignment. The AB 3632 mandate on county MH is now permanently repealed. Medi-Cal functions are being transferred to DHCS.
What Has Changed for MHSA State administers the Mental Health Services Fund (MHSF), issues regs. County MHSA plans must include local stakeholder process, 30-day review, approval by local MH Board MHSA statute and regulations still in effect $861 million loss in 2011- 12 DMH/OAC does not approve plans MHSA state admin. cap is now 3.5% Funds distributed monthly as deposits are made into the MHS Fund STAYED THE SAMECHANGES
2011 Public Safety Realignment Funding Source (~$5.5 billion/year) 1.0625% of existing sales tax revenue Continuously appropriated to counties Account Structure for FY 2011-12 at state and county levels Eight accounts, nine subaccounts One account is a “Mental Health Account” Intent language that new allocation formulas to be developed for 2012-13, forward.
Realignment Funding for Mental Health 2011-122012-13 (Forward) EPSDT0 (AB 100)$629 million Medi-Cal MH Managed Care 0 (AB 100)$183.7 million 1991 Community MH Realignment $1.083 billion $1.119 billion Since AB 100 is providing MHSF in 2011-12, Medi-Cal Specialty Mental Health not realigned until 2012-13. Only the funding source for 1991 community mental health realignment is changing. Funds will be deposited monthly. The 2011-12 amount is 5.9% higher than would be anticipated without the 2011 Public Safety Realignment.
AB 109 Criminal Justice Realignment Effective October 1, 2011. Statewide $354.3 million available in FY 2011-12 for “Local custody” of non-non-non offenderss, as well as “Post-release community supervision” for adults paroled out of state prison. Each count has a Community Corrections Partnership (CCP) to recommend to the Board of Supervisors an implementation plan. Led by Chief Probation Officer. CCP must include the county mental health director Meetings are subject to the Brown Act’s posting and open meeting requirements.
Other Health/Social Services Reductions that will affect MH Consumers More Medi-Cal co-pays on doctor and ER visits, and prescriptions. Soft cap on doctor visits. Provider rate cuts to doctors, pharmacies, hospitals. Eliminate Adult Day Health Care. SSI/SSP grants are now at federal minimum levels. Reductions to IHSS totaling $486 million