1. February 25-27, 2014 Rita Landgraf Cabinet Secretary Fiscal Year 2015 JFC Hearing Legislative Hall Senate Hearing Room

2. Delaware Health and Social Services Overview of Format for DHSS Presentations Secretary’s Overview –Focus, Emerging Issues and DHSS FY 15 GRB at a Glance Division Presentations –Maintaining FY 14 Funding Levels –New Funding Recommended –All will receive our customary power point presentations with more details relative to division focus and these will be on our website.

3. Delaware Health and Social Services Office of the Secretary State Service Centers Social Services Aging and Adults with Physical Disabilities Substance Abuse and Mental Health Long Term Care Residents Protection Developmental Disabilities Public Health Medical Examiner Child Support Enforcement Medicaid and Medical Assistance Management Services Visually Impaired Improve the quality of life for Delaware’s residents by promoting health and well-being, fostering self sufficiency and protecting vulnerable populations

4. Delaware Health and Social Services Moving Forward Continued Focus  Affordable Care Act mandates  US DOJ Settlement  LTC Transition DHSS Mission Best Practices Process Quality Initiative

5. Delaware Health and Social Services Addiction Services We know that untreated, or poorly treated, substance use disorders cause suffering, illness, loss of human potential, damaged families, weakened communities, and extraordinary costs to the state and the nation. HEALTH CONDITIONS US COSTS Cancer (15% tobacco)$128.0 billion Diabetes$245.0 billion Heart Disease & Stroke$444.0 billion (30% tobacco and drugs) Substance Abuse$559.0 billion Moving Forward Emerging Issues

6. Delaware Health and Social Services EMERGING ISSUES Community Based Services –DSAMH –DDDS –Nurse Family Partnership Health Innovation

7. Delaware Health and Social Services

8. Budget Overview FY 14 GF Budget $1,089,592.7 FY 15 GRB New Dollars$ 32,484.2 –Resources needed for increased volume, annualizations, structural changes –New/Expanded Programs FY 15 Total GRB$1,122,076.9 [3% Increase over FY 14]

9. Delaware Health and Social Services FY 15 GRB - $1,122,076.9 Base Adjustments DPH Office of Animal Welfare (FYF)$ 300.0 DDDS FY 14 Placements (FYF)$2,283.7 DHSS FY 14 Salary Policy$2,280.6

10. Delaware Health and Social Services FY 15 GRB - $1,122,076.9 Inflation and Volume DMMA – Medicaid $23,976.0 Inflation/Volume$20,676.0 Structural transfer from $ 3,300.0 DSS-Child Care DDDS Residential Placements $ 1,874.7

11. Delaware Health and Social Services FY 15 GRB - $1,122,076.9 New/Expanded Programs Secretary’s Office Financial Empowerment$ 124.0 DPH Medical Marijuana$ 70.0 DPH Nurse Family Partnership$1,300.0 DDDS Special School Grads $1,420.7

12. Delaware Health and Social Services FY 15 GRB - $1,122,076.9 New/Expanded Programs USDOJ/DPC Settlement Assertive Community Treatment$1,650.0 Crisis Services$1,240.0 Peer Supports*$ 325.0 Targeted Case Management$ 300.0 Supported Employment$ 100.0 Housing Vouchers**$ 0.0 Total$3,615.0 *Peer Supports to be supported with $50.0 from the FY14 Housing Continuing appropriation **Housing Vouchers to be supported with $750.0 from the FY14 Housing Continuing appropriation

13. Delaware Health and Social Services Important Partnerships CROSS CABINET INITIATIVES  Delaware State Housing Authority – State Rental Assistance Program (SRAP)  Early Childhood Education  I-ADAPT-Individual Assessment & Discharge Planning Teams  Health Care Reform and Transformation  Behavioral Health – Education & Prevention / Treatment & Recovery  Financial Empowerment & Security  Employment of Persons with Disabilities COMMUNITY PARTNERS CAREGIVERS

14. Delaware Health and Social Services