1. FY15 Budget Highlights Executive HouseSenate CMH Non-Medicaid services$97,050,400$97,050,400$101,871,700  CMH Non-Medicaid FY14 was $283,688,700  1.5% increase for the Medicaid Mental Health Services – Actuarially Soundness Rate Adjustment – $54 million (gross increase from FY14). The Senate added $100 to create an item of difference for conference committee.  All three budget include $900,000 to continue Behavioral Health Homes. Healthy Michigan federal funding$205,350,300$260,200,000$260,200,000  Includes a mental health and SUD benefit. The House and Senate appropriation equals a $52 per member/per month payment.  The House and the Senate budgets included $110 million in GF to fill the HICA shortfall.  The Executive and House budget recommendations included $15.6 million in funding to implement several recommendations of the mental health and wellness commission. Initiatives included: coordination between schools and healthcare providers, increasing permanent housing, law enforcement training, information sharing and reducing stigma.  The Senate budget removed the $15.6 million in funding and replaced it with a $100 placeholder. FY15 Budget MACMHB ~ www.macmhb.org ~ 517-374-68481

2. FY 15 Budget Highlights, cont.  The Senate and House reduced the community substance use disorder prevention, education, and treatment program by $6.2 million. (These services will be provided and supported by the Healthy Michigan Plan)  The Executive and House budget recommendations included $3.3 million in funding to implement several recommendations of the Jail Diversion Council. Initiatives include: Assisted outpatient treatment, probation mental health resources, crisis intervention teams, jail behavioral health treatment, local re- entry behavioral health treatment, and data collection.  The Senate budget removed the $3.3 million in funding and replaced it with a $100 placeholder. FY15 Boilerplate FY15 Budget, cont. 2 Senate Budget  Section 428 – Local match, Each PIHP shall provide, from internal resources, local funds to be used as a bona fide part of the state match required under the Medicaid program in order to increase capitation rates for PIHPs. (INCLUDED)  Sec. 490 – Requires DCH to establish a workgroup to develop a plan to maximize uniformity and consistency in the standards required of providers contracting through PIHPs, CMHSPs, and CAs. (INCLUDED)  Section 491 – Requires DCH to explore policy changes in HSW allocation methodology to redistribute available slots to counties with greater demonstrated need. (INCLUDED) House Budget  Section 428 – Local match, Each PIHP shall provide, from internal resources, local funds to be used as a bona fide part of the state match required under the Medicaid program in order to increase capitation rates for PIHPs. (INCLUDED)  Sec. 490 – Requires DCH to establish a workgroup to develop a plan to maximize uniformity and consistency in the standards required of providers contracting through PIHPs, CMHSPs, and CAs. (NOT INCLUDED)  Section 491 – Requires DCH to explore policy changes in HSW allocation methodology to redistribute available slots to counties with greater demonstrated need. (NOT INCLUDED)

3. FY15 Budget, cont. 3 FY15 Boilerplate, cont. Senate Budget  Section 492 – Permits the use of GF/GP dollars to fund those CMHSPs that provide mental health services to inmates of county jails. (INCLUDED)  Section 494 – Directs department to work with accrediting organizations, CMHSPs, and provider agencies to reduce the numbers of gaps in the CMH accreditation process. Submit recommendations to Approps Committee by June 1. (INCLUDED)  Section 496 – Permits CMHSPs and PIHPs to offset funding reductions by limiting administrative cost of contracts with providers and case management to 9%. (NOT INCLUDED)  Section 497 – Directs the distribution of substance abuse block grant funds to be based on the most recent federal census. (INCLUDED)  Section 498 – Requires MDCH to use standard program evaluation measures to assess the effectiveness of substance use disorders treatment programs. (INCLUDED)  Section 499 – Directs the department to explore ways to use mental health funding to create a statewide system to address the mental health needs of deaf and hard-of-hearing persons. (INCLUDED)  Section 502 – Directs the department to develop an outreach program on fetal alcohol syndrome. (INCLUDED)  Section 503 – Directs the department to formally consult with CMHSPs from across the state when developing policies and procedures that will impact PIHPs or CMHSPs. (INCLUDED)  Section 504 – The department shall work to seek more statewide uniformity in capitation payments made to PIHPS. (INCLUDED) House Budget  Section 492 – Permits the use of GF/GP dollars to fund those CMHSPs that provide mental health services to inmates of county jails. (NOT INCLUDED)  Section 494 – Directs department to work with accrediting organizations, CMHSPs, and provider agencies to reduce the numbers of gaps in the CMH accreditation process. Submit recommendations to Approps Committee by June 1. (INCLUDED)  Section 495 – Directs use of $3.35 million for the mental health diversion council recommendations. (INCLUDED)  Section 496 – Permits CMHSPs and PIHPs to offset funding reductions by limiting administrative cost of contracts with providers and case management to 9%. (INCLUDED)  Section 497 – Directs the distribution of substance abuse block grant funds to be based on the most recent federal census. (NOT INCLUDED)  Section 498 – Requires MDCH to use standard program evaluation measures to assess the effectiveness of substance use disorders treatment programs. (NOT INCLUDED)  Section 499 – Directs the department to explore ways to use mental health funding to create a statewide system to address the mental health needs of deaf and hard-of-hearing persons. (NOT INCLUDED)  Section 502 – Directs the department to develop an outreach program on fetal alcohol syndrome. (INCLUDED)  Section 503 – Directs the department to formally consult with CMHSPs from across the state when developing policies and procedures that will impact PIHPs or CMHSPs. (INCLUDED)  Section 504 – The department shall work to seek more statewide uniformity in capitation payments made to PIHPS. (NOT INCLUDED)