 Maggie Anderson, Executive Director Deb McDermott, Chief Financial Officer

Total Funds - $3.5 Billion General Fund - $1.3 Billion

* Includes Temporary Assistance for Needy Families (TANF), Job Opportunity Basic Skills, (JOBS) Child Care, Supplemental Nutritional Assistance Program (SNAP), Low Income Home Energy Assistance Program (LIHEAP), IV-D Judicial, Regional Child Support Units, Child Welfare, Aging, Mental Health, Substance Abuse, Vocational Rehabilitation, Autism Voucher Program, and Non-Medical Developmental Disability grants and services.

Medical Assistance Grants $2,409,432,376

Behavioral Health - Increases Total General Other Increase Extended Services - Seriously Mentally Ill by 35 Slots - Statewide 388,492 Increase Prevocational Skills -Traumatic Brain Injury by 26 Slots - Statewide 302,109 Increase Extended Services - Traumatic Brain Injury by 35 Slots - Statewide 180, Bed Crisis Residential Unit/Transitional Living Unit North Central Region (serving Minot & Williston) 903, , ,088 4 bed Alternative Care Unit - West Central Region (Bismarck) 283, Bed Expansion Tompkins Rehabilitation Program (11 FTE) (Addiction Treatment Program Through a Contract with Department of Corrections)- Statewide 1,520,369 - Telemedicine Residency Program - Statewide 146,459 ND Cares - Statewide 130,000 Increase Funding for Robinson Recovery - Statewide 237,500 Mobile On-Call Crisis Response West Central Region (Bismarck) 250,000 Total 4,343,195 2,604,738 1,738,457

Home and Community-Based Services Total General Other Increase Funding for Vulnerable Adult Protective Services Southeast Region (Fargo) 464,894 Increase Guardianship Establishments for Vulnerable Adults by 39 Slots - Statewide 97,500 Increase for Senior Meals - Statewide 502,300 Increase Autism Waiver by 25 Slots - Statewide 1,468, ,006 Increase Autism Voucher Slots by 10 - Statewide 250,001 Increase Autism Waiver Age Limit Through 9 yrs of age (12 Slots) - Statewide 704, ,320 Total 3,487,347 2,401,021 1,086,326 Additional Information Total Increase in Autism from above 2,422,653 1,336,327 1,086,326

Inflationary Increases for Providers - 3% Each Year of the Biennium Total General Other Medicaid Provider Inflation - Statewide 19,316,597 9,433,914 9,882,683 Long Term Care Provider Inflation - Statewide 15,519,858 8,258,171 7,261,687 Program & Policy Other Inflation - Statewide 1,751,915 1,657,007 94,908 Foster Care and Adoption Provider Inflation - Statewide 5,129,103 2,980,825 2,148,278 DD Provider Inflation - Statewide 23,872,534 11,906,769 11,965,765 Autism Provider Inflation - Statewide 157,356 78,678 HSC Contracted Provider Inflation - Statewide 1,694,967 Total 67,442,330 36,010,331 31,431,999 Ambulance Provider Rate Increase - Statewide 1,250, ,000

SB 2043 DHS to cover Community Paramedics under Medicaid. SB 2046 DHS to cover Licensed Marriage and Family Therapists under Medicaid. HB 1046 Appropriates $375,000 for Return to Work Services for People with Traumatic Brain Injury (TBI) and $50,000 to increase funding to increase statewide TBI services.

SB 2048 Appropriates $750,000 to Implement a Substance Abuse Treatment Services Voucher Program and $150,000 for Consultant Services to Implement Behavioral Health Changes. SB 2289 Appropriates $160,000 for Interagency Program for Assistive Technology (IPAT). Total IPAT funding is nearly $1.4 Million.

Eligibility Systems Modernization Project SB 2177 Determines eligibility for: Medicaid Children’s Health Insurance Program Supplemental Nutrition Assistance Program Low Income Home Energy Assistance Program Child Care Assistance Program Basic Care Program Temporary Assistance for Needy Families Contract Signed! Project Underway!

Jan to May 2015

Guardianship Establishment 141 Slots - $352,500 Human Services Budget (SB 2012) Public Guardianship $1,328,600 Office of Management and Budget (SB 2015)

Vulnerable Adults Protective Services Statewide Coverage Statewide Central Intake – Aging Services Office 1 NW & NC (Mountrail Co. Social Services) Contract1 Lake Region Human Service Center1 Northeast Human Service Center2 Southeast (Cass Co. Social Services) Contract3 South Central (Hart Counseling) Contract2 West Central Human Service Center2 Badlands Human Service Center1

Property Tax Relief SB 2206 Effective January 1, 2016, the State will assume the County share of: Foster Care and Adoption Therapeutic Foster Care Service Payments for the Elderly and Disabled (SPED) Program Family Preservation Services (current contracts) Supplemental Nutrition Assistance Program (SNAP) Electronic Benefits Transfer (EBT) Card Costs Computer Costs $19.3 Million

Property Tax Relief SB 2206 Budget Limit Calendar Year 2015 Budget Calendar Year 2014 (County Billing) % Salary Fringe Benefit $19.3 Million

Emergency Levy Grant Program SB 2206 Eligible Counties: Historical use of Emergency Human Services Mill Levy Adjacent to or part of an Indian Reservation Includes Stutsman County (State Hospital in Jamestown) $3.9 Million

 Maggie Anderson, Executive Director Deb McDermott, Chief Financial Officer