Productive Living Board 01/09/2017

Budget Update FY 2017 Consensus Revenue Estimate 4.1% Growth - $9,633.7B FY 2017 Revised Consensus Revenue Estimate Not known FY 2017 Actual Revenue Growth - December Collections Increased 2.2% compared to 2015 (year), 0.3% for the month. From $4.17B to $4.26B Individual Income and Sales tax continue to increase Corporate continues to decline For the year by 26.5% or from $244.9M to $179.9M ($65M decrease)

Division Current Areas of Concentration Empowering through Employment

Division Current Areas of Concentration St. Louis County: - Has 1,217 people in the range/eligible - Needs 426 people to achieve purple ribbon level - Currently has 16 individuals with employment service authorizations

Division Current Areas of Concentration Provider rates/Staff stability Residential Service Rates Direct Care and other program staff wages Employee-related expenses (ERE) Productivity Other service related costs Administration/overhead Community Life Engagement

13th National State of the States Study In Intellectual & Developmental Disabilities

Division Current Areas of Concentration Targeted Case Management/Support Coordination Conflict-Free Case Management St. Louis County Challenges Future of non Medicaid case management OIG Audit/TCM Rate

Division Current Areas of Concentration Support Coordination – St. Louis County # of consumers in case management 6,934 # of consumers Medicaid eligible in case management 4,113 # of consumers not Medicaid eligible in case management 2,821 # of St. Louis County (not region) case managers 107 # of St. Louis County case manager positions filled  103 # of St. Louis County Case manager positions vacant  3 # of St. Louis County Case management supervisors  8 # other mgmt positions in St. Louis County related to case management  0 # avg caseload per case manager 64.8 # avg residential caseload per case manager 32.9 # avg in-home caseload per case manager 75.6 # caseload ending June 30, 2014 6202 67.4 #caseload ending June 30, 2015 6237 67.1 # caseload ending June 30, 2016 6505 62.5

Fast Facts/Fiscal year 2016   Division at a Glance Fast Facts/Fiscal year 2016 Residential Services Behavioral Services 3,814 new individuals became eligible for services.   Day Activities Employment Supports Respite Services Home Modifications Personal Assistance In Fiscal Year 2016, DDD served approximately 35,136 individuals. 13,957 individuals were served in DDD Medicaid waiver. 2,683 individuals were served in the Partnership for Hope Waiver. 323 individuals were served in the Missouri Children’s Developmental Disabilities (MOCDD) Waiver or Sarah Jian Lopez Waiver. 8,575 individuals were served in the Comprehensive Waiver. 2,256 individuals were served in the Community Waiver. 120 individuals were served in the Autism Waiver. 348 individuals were served in State Operated Habilitation Centers 222 individuals were served in State Operated Community Waiver Homes 21,179 individuals received case management services.

Fast Facts/Fiscal year 2016   St. Louis Region at a Glance Fast Facts/Fiscal year 2016 1,384 or 10.1% individuals were served in DDD Medicaid waiver. 16 or .6% individuals were served in the Partnership for Hope Waiver. 68 or 21.3% individuals were served in the Missouri Children’s Developmental Disabilities (MOCDD) Waiver or Sarah Jian Lopez Waiver. 1,030 or 12.3% individuals were served in the Comprehensive Waiver. 253 or 11.6% individuals were served in the Community Waiver. 17 or 13.6% individuals were served in the Autism Waiver. 348 individuals were served in State Operated Habilitation Centers 222 individuals were served in State Operated Community Waiver Homes

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