1. B RIAN K INKADE D EPARTMENT D EPUTY D IRECTOR photos ©JUPITERIMAGES 2009 M ARCH 25, 2011

2. Charge Missouri charges the Department of Social Services (DSS) with the following broad responsibilities. The health and general welfare of the people are matters of primary public concern; and to secure them there shall be established a department of social services... Missouri Constitution Article IV Section 37 and,... To provide appropriate public welfare services to promote, safeguard and protect the social well- being and general welfare of children... to help maintain and strengthen family life, and to provide such public welfare services to aid needy persons who can be so helped to become self-supporting or capable of self-care; Section 207.020.1 (15) RSMo Mission Maintain or improve the quality of life for Missouri citizens Guiding Principles RESULTS for the people of Missouri EXCELLENCE in customer service PROFICIENCY of performance INTEGRITY of stewardship ACCOUNTABILITY Core Functions Child protection and permanency Youth rehabilitation Access to quality health care Maintaining and strengthening families 2 W HO W E A RE

3. 3 B UDGET S UMMARY

4. FY 12 B UDGET 4 Governor’s Recommendations by Division

5. Programs and Functions Needs Based Programs  Temporary Assistance  Food Stamps  Low Income Home Energy Assistance  MO HealthNet Eligibility  Child Care Eligibilit y Child Support Enforcement Rehabilitation Services for the Blind F AMILY S UPPORT D IVISION 5 Budget Summary

6. FY 12 Governor’s Recommendations Major Increases None Major Decreases Restructuring Business Operations – $0 GR (182 FTE)  Reinvested in IM Call Center  Reinvested in Child Support Intake Center Cutting Current Year Restrictions – ($2.0) M GR F AMILY S UPPORT D IVISION 6 FY 12 House Actions Major Increases Domestic Violence – $710,000 GR Major Decreases None

7. Programs and Functions Case Management Residential Treatment Day Treatment Juvenile Court Diversion D IVISION OF Y OUTH S ERVICES 7 Budget Summary

8. FY 12 Governor’s Recommendations D IVISION OF Y OUTH S ERVICES 8 Major Increases Youth Services Education Initiatives – $1.1 M DYS Ed Fund Major Decreases Restructuring Business Operations – ($0.3) M GR (32.5 FTE)  Reinvested in Contracted Services Administrative Staff Reductions – ($0.4) M GR Restructuring Facility Maintenance – ($1.6) M GR FY 12 House Actions Major Increases None Major Decreases None

9. Programs and Functions Child Safety and Permanency  Child Abuse and Neglect Investigation  Foster Care and Treatment Services  Adoption/ Guardianship  Independent/ Transitional Living Child Care and Early Childhood Education C HILDREN ’ S D IVISION 9 Budget Summary

10. FY 12 Governor’s Recommendations C HILDREN ’ S D IVISION 10 Major Increases Child Welfare Supplemental and Caseload Growth – $3.3 M GR Increase in Foster Care Tuition Waivers – $100,000 GR Major Decreases Restructuring Business Operations – $0 GR (38 FTE)  Reinvested in Contracted IIS Cutting Current Year Restrictions – ($1.5) M GR Administrative Staff Reductions – ($520,000) GR FY 12 House Actions Major Increases None Major Decreases None

11. Programs and Functions MO HealthNet (Medicaid) Benefit Administration Medicaid Provider Taxes Missouri RX Plan MO H EALTH N ET D IVISION 11 Budget Summary

12. FY 12 Governor’s Recommendations MO H EALTH N ET D IVISION 12 Major Increases Medicaid Supplemental and Caseload Growth – $180.5 M GR Medicaid Rate Adjustments – $44.7 M GR (Medicare Premiums, Hospice, Pharmacy, Managed Care) Health Information Technology Grants – $60 M FF Mental Health Care Home Model – $9.0 M FF Medicaid Audit Expansion – $0.3 M GR Major Decreases Cutting Current Year Restrictions – ($8.9) M GR  CCIP Reduction  FQHC Grant Reductions Medicaid Cost Containment – ($38.6) M GR  Nursing Facility Lapse ($10.0) M GR  Health Care Home ($4.1) M GR  Audit/Compliance Initiatives ($4.3) M GR  Cut Hospital Payments ($13.4) M GR  DME 80% of Medicare ($1.8) M GR (FY 11)  Managed Care Rates ($5.0) M GR (FY 11) One-Time MMIS Modernization Costs – ($11.8) M FF

13. MO H EALTH N ET D IVISION 13 FY 12 House Actions Major Increases MMAC: Case Management/Provider Enrollment Systems – $2.0 M GR MMAC: Provider Education– $5.0 M Recovery Audit & Compliance Fund Major Decreases Medicaid Supplemental and Caseload Growth – ($26.3) M GR