1. Productive Living Board
01/09/2017

2. 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)

3. Division Current Areas of Concentration
Empowering through Employment

4. 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

5. 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

6. 13th National State of the States Study
In Intellectual & Developmental
Disabilities

7. 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

8. 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

9. 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.

10. 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

11. Save the Date

14. Tiered Supports Training
Save the Date
Tiered Supports Training
Capitol Plaza Hotel
Jefferson City
Share and learn positive ways to support staff and individuals with intellectual and developmental disabilities.