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HomeMy WebLinkAboutResolutions - 1988.10.13 - 17387. :..„ "1 "Auns), *awl .6Z Date MISCELLANEOUS RESOLUTION NO. 88311 December I, 1988 BY: HEALTH AND HUMAN SERVICES COMMITTEE - SUSAN KUHN, CHAIRPERSON IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES - COMMUNITY MENTAL HEALTH 1988-1989 NEW PROGRAM APPLICATION TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS: Mr. Chairperson, Ladies and Gentlemen: Whereas the Michigan Department of Mental Health, in conformance with State law, requires the Community Mental Health Services Board to submit an annual assessment of unmet mental health needs of Oakland County citizens, with program application proposals addressing the most significant of these needs; and Whereas the Community Mental Health Services Board has submitted the attached proposals for State funding consideration for fiscal year 1988 - 1989 in response to identified needs of Oakland residents; and Whereas these proposals are for expansion of both directly operated and contractual services of the Community Mental Health Division, and would require County matching funds; and Whereas it is likely that, because of budget constraints at the State level, only a few, if any, of the proposals submitted will be funded, but the Community Mental Health Services Board believes that it is important to document unmet needs and take all possible steps to secure the resources required in Oakland County; and Whereas Commissioners Resolution No. 86186 requires that all new program applications receive Board of Commissioners approval: NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners approve the Community Mental Health 1988 - 1989 New Program Application Requests as recommended by the Community Mental Health Services Board, for submission to the Michigan Department of Mental Health. Mr. Chairperson, on behalf of the Health & Human Services Committee, I move the adoption of the foregoing resolution. HEALTH & HUMAN SERVICES COMMITTEE REBY it!,PROVE THE FOREGOING RESOLUTION RESOLUTION # 88311 December 1, 1988 Moved by Susan Kuhn supported by Gosling the resolution be adopted. AYES: Skarritt, Wilcox, Aaron, Caddell, Calandro, Crake, Gosling, Hobart, Jensen, R. Kuhn, S. Kuhn, Lanni, Law, Luxon, McConnell, McDonald, R. McPherson, Moffitt, Oaks, Page, Pernick, Price, Rewold, Rowland. (24) NAYS: None. (0) A sufficient majority having voted therefor, the resolution was adopted. STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lynn D. Allen, Clerk of the County of Oakland and having a seal, do hereby certify that I have compared the annexed copy of the attached resolution, adopted by the Oakland County Board of Commissioners at their regular meeting held on December 1 , 19 88 with the original record thereof now remaining on file in my office, and that it is a true and correct transcript therefrom, and of the whole thereof. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County at Pontiac,Michigan this 1st day of December , 1988 LYNYD. ALLEN, County "Clerk Register of Deeds OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES FY 1988-89 PROGRAM REVISION REQUESTS MI-ADULT SERVICES ANNUAL SERVICE PRIORITY PROGRAM BUDGET OUTPUT 1. Mobile Crisis Team: $ 299,373 100 citizens served contract with Common Ground to operate a mobile team in cooperation with the Sheriff's Department, to respond to psychiatric crises any- where in the county. This requires 4 clinicians, a supervisor, psy- chiatric backup and clerical support. 2. CVC Screening - Psychiatric Support: 366,660 1,000 citizens combined on-duty and on-call served psychiatric backup 24 hours a day for the CMH Admission Screening Unit at CVC, to allow us to act as true gatekeepers for the State hospital. 3. PRC Coordinator/General AFC Placement 41,403 400 citizens Specialist: served additional clinician for Admission Screening/Discharge Planning Unit, to chair all Placement Review Committee (PRC) meetings on citizens considered for dependent living, and to develop placements in general AFC homes for those exiting Clinton Valley Center. 4. Discharge Planning Client Services 124,402 500 citizens Manager/Probate Court Liaison: served add 2 clinicians and 1 clerical support to the Admission Screening/ Discharge Planning Unit, to monitor post-discharge treatment for all CVC patients who are not referred to a CMH program (approx. 50% of all dis- charges); staff would also complete reports for Probate Court on public patients in contractual private hospital beds. ANNUAL SERVICE PRIORITY PROGRAM BUDGET OUTPUT 5. POE Psychiatric Consultant Hours: 176,800 896 citizens served increase psychiatric consultant time in the Pontiac General outpatient clinic and case management units by a total of 68 hours per week, to provide appropriate clinical care and meet JCAH standards. 6. Substance Abuse-Certified Admission 40,503 500 citizens Screener: served add a clinician on the Admission Screening Unit at CVC who is certified in substance abuse counseling, to assist with the over 1/3 of patients who are dually diagnosed. 7. Southeast CMH Clinic Enhancement: 271,835 200 citizens served expand the Southeast Clinic by 2 clinicians, 1 staff psychiatrist and clerical support, to reduce the waiting list and more adequately serve this most populous section of the county. 8. Central Case Management Expansion: 125,078 80 citizens served two Case Managers and additional psychiatric consultant time for the CCM Pontiac and Huntington Woods offices, to accommodate the expanding clientele and keep caseloads at the desired d:40 ratio. 9. OFS Family Support Services Expansion: 87,319 60 families served replicate the present family psycho- educational program of Oakland Family Services, to reach families in the northern part of the county. 10. South Oakland Community Activity 133,087 250 citizens Center: served a day activity program for chroni- cally mentally ill adults living in the south Oakland area, offering resocialization and peer interaction. Program to be located in 111 Hendrie facility in Royal Oak. ANNUAL SERVICE BUDGET OUTPUT PRIORITY PROGRAM [ADDITIONAL PRR's FOR RESIDENTIAL SERVICES:] 11. S.I.P. Expansion: 591,826 24 citizens served increase Supported Independence Program by 24 beds, plus support costs and 1 Case Manager. 12. Geriatric CLF Home (1): 327,257 6 citizens served one six-bed Level III home for older adults with major mental illness or degenerative dementia, to reduce the census at Clinton Valley Center. 13. Geriatric CLF Home (2): 327,257 6 citizens served another six-bed Level III home for older adults, to reduce the census of Oakland patients in Walter Reuther Psychiatric Hospital. 14. Geriatric Specialized Nursing Care: 85,775 10 citizens served funds to supplement Medicaid payment to nursing homes for care of older adults, often physically fragile, with major mental illnesses or degenerative dementia. 15. Type A CLF Homes Transfer: 313,459 35 citizens served transfer funding, plus case manager and support costs, from YRPH Community Residential Services for 35 Type A contract beds in licensed Adult Foster Care homes. 412,770 16. Hearing-Impaired Residential Services 6 citizens served a specialized, six-bed Level IV CLF home to serve mentally ill, hearing- impaired adults exiting inpatient care at the Center for Deaf Treatment Services in Northville, or who need residential care as an alternative to hospitalization. MI-CHILDREN SERVICES ANNUAL SERVICE PRIORITY PROGRAM BUDGET OUTPUT I. Crisis Diagnostic and Treatment Unit: 438,453 40 citizens served short-term residential unit for diagnosis and crisis treatment of children and adolsecents, to avoid the need for hospitalization. Referrals would come from other residential programs, hospital ER's and day treatment programs. 2. In-Home Treatment Expansion: 90,593 12 families served add staff to the Child & Adolescent Clinics to provide in-home family treatment, similar to that offered through our existing Judson Center program, to avoid the need for out-of- home placement of a child. 3. Family Life Skills Training: 129,086 125 families served build-in a training component for the Child and Adolescent Clinics, for parents of clients, to teach emotional nurturance, problem -solving and communication skills. SERVICES FOR DEVELOPMENTALLY DISABLED . ANNUM, SERVICE PRIORITY PROGRAM BUDGET OUTPUT 1. Nursing Services: 67,723 280 citizens served add 1.5 FTE nurses to DD Counseling, Evaluation & Social Work Services, to provide health consultation and moni- toring, for group homes and families of DD citizens. 2. Social Services Expansion: 456,127 180 citizens served enhance Counseling, Evaluation & Social Work Services by 6 clinicians plus operating costs, to deal with the long waiting list -- up to three years' wait for families to receive service. 3. Dually Diagnosed Residential Care: 30,186 8 citizens served 1.5 direct care staff to enhance care at University Place, our treat- ment program for aggressive, assaultive MI-DD citizens. 4. Respite-and-Recreation Specialist: 30,585 300 citizens served a coordinator for the program, which offers group respite care and recreation for Severely Multiply Impaired (SXI) citizens at five community sites. 5. Respite care Enhancement: funds to purchase additional respite care for families on the waiting list, and to permit more days of care per year for families already receiving the service. 335,500 140 families served 6. Fragile X Syndrome - Diagnosis and 69,895 200 citizens Evaluation: served two clinicians, consultant physician time, clerical support and operating costs to evaluate families for Fragile X Syndrome and provide appropriate genetic counseling. ANNUAL SERVICE PRIORITY PROGRAM BUDGET OUTPUT 7. DD Parent Trainer Services: 115,200 20 families served expand support services for families of behaviorally disturbed DD children, to avoid the need for out-of-home placement. 8. SX1 Day Program Expansion: 168,218 6 citizens served add 4.5 staff, plus speech, O.T. and P.T. consultants and special equipment, to increase the capacity of the Adult Day Program's unit for EXI (Severely Multiply Impaired) adults. 9. OD Specialized Helpers: 16,:762 10 citizens served to provide one-on-one help to control behaviors of dually diagnosed (MI-DD) citizens, and to assist those with medical problems (e.g., hip replacement, cataract surgery or heart bypass). [ADDITIONAL PRR's FOR RESIDENTIAL SERVICES:] 10. Residential Care - Critical Needs: 4,332,769 120 citizens served develop 100 Level II CLF beds and 20 S.I.P. (semi-independent apartment) beds to meet the most critical needs for placement from the CMH waiting list -- those living with natural parents who are elderly or infirm, or unable to provide continued care due to the citizen's behavioral problems. 11. Residential Care - Moderate Needs: develop 80 Level II CLF beds and 20 S.I.P. beds to meet placement needs from our waiting list for those living with natural families who need intensive support services to keep their offspring at home, or whose age and health will soon place them in the Critical" category of need (above). 3,846,950 100 citizens served PRIORITY PROGRAM 12. Residential Care - Average Status of Need: ANNUAL SERVICE BUDGET OUTPUT 2,633,982 73 citizens served develop 33 Level II CLF beds and 40 S.I.P. beds to meet placement needs of the remaining citizens on the CMH community-based waiting list. 13. Children's Respite Home Transfer: 289,755 60 families served transfer funding and support costs for one 6-bed, Level. IV CLF home from Macomb-Oakland Regional Center. This facility provides respite care for DD children. 14. DO Children's Respite Home: 255,293 60 families served develop one 6-bed Level III CLF home to provide respite care for develop- mentally disabled children. 15. Commerce Township Home (2): 269,720 6 citizens served funding for Commerce Community Homes to develop a second 6-bed1 Level III residential facility for citizens from the CMH waiting list. 16. Commerce Township Home (3): 269,720 6 citizens served funding for a third 6-bed, Level III facility to be developed by Commerce Community Homes. 2. Training Specialists: 50,000 5. MTS Account: 1 ,00 0 BOARD ADMINISTRATION ANNUAL PRIORITY PROGRAM BUDGET 1. Personnel and MIS Technical Support: 97,614 a Personnel Technician and an Employee Records Specialist to assist Admini- stration with selection, hiring, and maintenance of records; and an Office Leader to provide clerical support for the Management Information System staff_ funds to purchase 1,500 hours/year of consultant time, to train all CMH staff in clinical recordkeeping, client rating scales and MIS data reporting, and upgrade their skills periodically. 3. Outcome Measurement Program: 30,000 stipends at $15 per hour for graduate students in psychology, to assist individual CMH programs in development of outcome measures for services; data will then be reported to the MIS for analysis. 4. MIS-Computer Services Division Contract: 63,600 funds for additional central proces- sing time and software maintenance, beyond what is already budgeted, to cover cur'rent cost overruns in Computer Services. purchase processing time from the Michigan Time Sharing system of univer- sity computers ! to supplement the capacity of County Computer Services and provide additional data analysis and research. 6. Clerical Support Enhancement: add 3 Typists to provide clerical support for the Chiefs of Service and the Management Information System. 71,635 ANNUAL PRIORITY PROGRAM BUDGET 1 7. MIS Scanning Specialist: 46,490 one Data Entry Clerk to operate optical scanner for data entry from various Quality Assurance scales and needs assessment reports. 8. Mental Health Information Series: 18,648 purchase 520 hours per year of MSW/MA consultant time, to offer mental health informational lecture-discussion programs at the Board offices, on a variety of topics of interest to clients, families and the general public. 9. Voucher Contracting for Specialized 31,200 Services: funds to purchase consultant services for CMH clients when special needs are identified, such as psychometric testing, neuropsychiatric assessments, or inter- vention with dually diagnosed MI- substance abuse cases. 10. Psychiatric Salary Equity Adjustment: 95,100 adjust salary range for CMH Staff Psychiatrists upward to coincide with comparable State range for psychiatrists. County Staff Chief CMH Adult Services Mental Health Clinic Supervisor Mental Health Clinicians Secretary I Mental Health Clinicians Mental Health Clinicians Personnel Tech. II Employees Record Specialist (Grade 7) Office Leader Mental Health Clinicians Casework Supervisor Mental Health Clinicians Typists I Psychiatric/Physician/M.D. Mental Health Clinicians Typist I Training Leader (1) (1) (4) (1) (2) (2) (1) (1) (1) Hone (2) (1) (6) (3) (1) (2) (1) (2) None None (1) Mental Health Clinician OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD 1988-1989 County Staff Per Grant Application Program Enhancement and Expansion Needs PRR Number 88-03R 88-11R 89-21 89-33 89-48 89-27 89-47 88-06 88-28R 88-14 89-29 89-49 89-18 PRR Title Mobile Crisis Nurse Crisis Day Treatment Unit Pers. Tech. Sup/MIS Sec. Pers. Tech. Sup/MIS Sec. Training Specialist ASD Psychiatric Supp. Social Service Expansion In-Home Treatment Dually Diagnosed Outcome Measurement MIS/CSD Contract PRC Coord/AFC Specialist F.T.E's Full Part .5 1.0 4.0 .5 1.0 2.0 1.0 1.0 1.0 -0- 2.0 1.0 6.0 3.0 .2 2.0 1.0 1.0 -0- -0- 1.0 .5 PRR PRR F.T.E's Humber Title County Staff Full Part 89-32 CSM/Discharge/Probation (2) Mental Health Clinician 2.0 1.0 88-48R PGH Psych. Salary Inc. None '-0- 89-02 Respite/Rec. Specialist (1) Recreation Specialist 1.0 89-39 Substance Abuse Cert./ASD (1) Mental Health Clinician 1.0 89-28 MIS Account None -0- 88-07R Clerical Enhance. Adm. (3) Typists 3.0 89-04 Respite Care Increase None -0- 88-55R South Oakland Expansion (1) Psychiatrist/M.D./Staff Physician 1.0 (1) Mental Health Clinician 1.0 (1) R.N. Nurse - Masters 1.0 (1) Clerk/Typist 1.0 89-31 MIS Scanning Specialist (1) Data Entry II 1.0 89-13 CCM Expansion (2) Mental Health Clinician 2.0 (1) Psychiatrist (may be contractual) .4 89-08 Fragile "X" Syndrome (1) Mental Health Clinician 1.0 (1) Nurse 1.0 (1) Typist .5 89-05 Parent Trainer None -0- 89-11 Family Support Expansion (2) Mental Health Clinicians 2.0 89-14 South Activity Center (1) Recreational Therapist 1.0 (1) Recreational Aide 1.0 (1) Clerical 1.0 89-09 SXI Expansion 6-slots (4) Training Leaders 4.0 (1) Staff Nurse .5 89-26 Public Info. Specialists None -0- (1) Clerk I PRR PRR F.T.E's Number Title County Staff Full Part 89-19 Family Life Skills (2) Mental Health Clinicians 2.0 (I) Clerical 1.0 88-34 Specialized Help None -0- 89-24 Voucher Contracting None -0- 88-22 Psychiatric Sal. Equity Adj. None -0- TOTAL 57 RESIDENTIAL PRR's 88-378 Whole Life - SIP (1) Program Specialist CMH 1.0 (1) Head Start Instructor 1.0 (7) Training Leaders 6.0 .5 (I) Case Management Coord. - CMH 1.0 (I) Mental Health Clinician .8 88-72R Type A CLF Transfer (I) Clerk I 1.0 (1) Case Management Coord. - CMH 1.0 (1) R.N. Nurse 1.0 (I) Program Specialist I - CMH 1.0 (I) Account Clerk 1.0 89-15 GMHS Level III Home (1) Mental Health Clinician .5 (I) Clerk I .4 88-16 GMHS Level III CLF (I) Mental Health Clinician .5 (I) Clerk I .4 89-17 GMHS Spec. Nursing Care None -0 - 89-23 Fearing Impaired Res. (I) Mental Health Clinician 1.0 (1) Service Supervisor 1.0 (I) Administrative Assistant 1.0 89-35 Residential - Critical None -0- 89-36 Residential - Moderate None -0- 89-34 Residential - Average None -0- 3.5 Number Title County Staff Full Part 89-61 Respite Care Home - Child None -0- 89-01 Respite Home Chid. Trans. None -0- 89-37 Residential-Comm. Town. 11 None -0- 89-38 Residential-Comm. Town. III None -0- TOTAL 17 3.1 HLY/pab 10-12-88 REPORT TO THE HEALTH AND HUMAN SERVICES a:1I-7:1'1LT BY: FINANCE COMMITTEE, DR. G. WILLIAM CADD71-7 ,, CHAIRPERSON IN RE: DEPAR7VENT OF INSTITUTIONAL AND HUMAN SERVICES - COMMUNITY MENTAL HEALTH 1988-1989 NEW PR,,RAY APPLICATION In accordance with Miscellaneous Resolution #86186, revised Federal and State grant application and reimbursement contract procedures, the Finance Committee has reviewed the comprehensive application for new or enhanced 'Community Mental Health Programs and finds: 1) The application consists of 45 program components of which 28 are for new or enhanced County-operated programs and 17 are for contracted programs. These programs are targeted to serve 5,219 Oakland County citizens and would require an additional 74 full-time and 6.7 part-time County personnel. 2) Total annual costs for the programs are .estimated to be $18,076,608 of which $453,889 would be provided by the County. 3) A schedule of anticipated revenues and expenditures is attached. 4) Application for the funds does not obligate the County to any future commitment. Mr. Chairperson, on behalf of the Finance Committee, I move the acceptance of the foregoing report. FINANCE COMMTTT-77 G. William Caddell, Chairperson reportinst $ 835,327 $ 219,679 438,453 831,133 $1,091,792 168,218 30,186 505,287 2,146,798 168,218 4.68,639 831,133 OAKLAND COU_tilY CC'..inuNITY MENTAL HEALTH SLR .CEi BOARD 2986 —2989 Program Revision - Requests , Financial Summary Administration $505,287 $505,287 Program Element Administration Outpatient Partial Day Residential Case Management Inpatient TOTAL MIA MIC L.,1) $1,666,460 $ 658,132 $1,290,196 $4,120,075 SOURCE OF REVENUE Fees Medicaid-Federal $ 67,254 $ 30,091 Medicaid-State 55,586 24,869 State Match $454,758 1,383,704 540,370 County Match 50,529 159,916 62,802 Total $505,287 $1,666,460 658,132 $ 57,985 $ 155,330 50,924 131,379 1,061,089 3,439,921 120,198 393,445 $1,290,196 $4,120,075 12% 41% 16% 31% Approved by Budget Division 10/28/88 HLY/pab 8-23-88 $11,898,189 $13,956,533 PRR Number 88-37R 88-61 88-72R 89-01 89-15 89-16 89-17 89-23 89-34 89-35 89-36 89-37 89-38 TOTAL DD $ 255,293 289,755 2,633,982 4,332,769 3,846,950 269,720 269,720 MIA $ 591,826 313,459 327,257 ;J27,257 85,775 412,770 $2,058,344 Total $ 591,826 255,293 313,459 289,755 327,257 327,257 85,775 412,770 2,633,982 4,332,769 3,846,950 269,720 269,720 - OAKLAND COUNTY COMMJNITY MENTAL HEALTH SERVICES BOARD FY 1988-89 Program Revision Requests - Residential Financial Summary SOURCE OF REVENUE Fees $ 69,393 $ 69,393 551 $ 147,699 988,238 1,135,937 Medicaid-Federal 51,056 812,329 863,385 Medicaid-State 36,719 668,898 705,617 / State Match 1.,766,776 9,354,981 11,121,757 County Match 56,094 4,350 60,444 Total $2,058,344 $11,898,189 $13,956,533 Approved by Budget Division 10/28/88 HLY/pab 8-23-88 $140,745 16,915 10,643 8,797 0 0 $176,800 $36,453 4,050 0 0 0 $40,503 COMMUNITY MENTAL HEALTH 1988/89 PROGRAM APPLICATION REQUEST MENTALLY ILL ADULT SERVICES CVC SCREENING ADULT FOSTER DISCHARGE PGH SUBSTANCE MOBILE CRISIS PSYCHIATRIC CARE PLACEMENT PLANNING CONSULTANT ABUSE-CERTIFIED TEAM SUPPORT SPECIALIST CLIENT SERVICES HOURS SCREENER SOURCES OF FUNDING STATE MATCH • $269,4,36 $296,911 $37,263 $111,962 COUNTY MATCH 29,937 ' 34,749 4,140 12,440 MEDICAID - FEDERAL 0 19,162 0 0 MEDICAID - STATE , 15,838 0 0 SOCIAL SECURITY SUPPLEMENT 0 0 0 0 FEES , , 0 0 0 TOTAL FUNDING $299,373 $366,660 $41,403 $124,402 EXPENDITURES $299,373 $366,660 $41,403 $124,402 $176,800 $40,503 MENTALLY ILL ADULT SERVICES SOUTHEAST CENTRAL CASE FAMILY SOUTH OAKLAND SUPPORTED CLINIC MANAGEMENT SUPPORT COMMUNITY INDEPENDENCE GERIATRIC ENHANCEMENT EXPANSION EXPANSION ACTIVITY CENTER EXPANSION HOME (1) SOURCES OF FUNDING STATE MATCH $208,354 $93,666 $78,588 $110,326 $433,564 $293,984 COUNTY MATCH 25,081 11,412 8,731 12,761 8,532 5,753 MEDICAID - FEDERAL 21,024 10,950 0 5,475 24,654 9,592 MEDICAID - STATE 17,376 9,050 0 4,525 14,897 7,92 SOCIAL SECURITY SUPPLEMENT 0 0 0 0 110,179 10,000 FEES 0 0 0 0 0 0 TOTAL FUNDING $271,835 $125,078 $87,319 $133,087 $591,826 $327,257 EXPENDITURES $272,835 $125,078 $87,319 $133,087 $591,826 $327,257 MENTALLY ILL ADULT SERVICES MENTALLY ILL CHILDREN SERVICES GERIATRIC HEARING- IN -HOME GERIATRIC SPECIALIZED TYPE A HOMES IMPAIRED TREATMENT HOME (2) NURSING CARE TRANSFER RESIDENTIAL . CRISIS UNIT EXPANSION SOURCES OF FUNDING STATE MATCH $293,984 $77,198 $298,631 $369,415 $366,251 $57,941 COUNTY MATCH 5,753 8,577 14,823 12,651 42,202 7,692 MEDICAID - FEDERAL 9,592 0 0 7,218 16,425 13,666 MEDICAID - STATE 7,928 0 0 5,966 13,575 11,294 SOCIAL SECURITY SUPPLEMENT 10,000 0 0 17,520 0 0 FEES 0 0 0 0 0 0 TOTAL FUNDING $327257 $85,775 $313,459 $412,770 $436,453 $90,593 $412,770 EXPENDITURES $327,2S7 $85,775 $313,459 $438,453 $90,5 93 MI CHILDREN SERVICES FOR DEVELOPMENTALLY DISABLED FAMILY LIFE SKILLS TRAINING SOURCES OF FUNDING NURSING SERVICES SOCIAL SERVICES EXPANSION DUALLY RESPITE AND DIAGNOSED RECREATION RESPITE: CARE RESIDENTIAL SPECIALIST ENHANCEMENT STATE MATCH $116,178 $60,953 $307,404 $30,186 $27,527 $301,950 COUNTY MATCH 12,908 6,770 39,814 0 3,058 33,550 MEDICAID - FEDERAL 0 0 57,985 0 0 0 MEDICAID - STATE 0 0 50,924 0 0 0 SOCIAL SECURITY SUPPLEMENT 0 0 0 0 0 0 FEES 0 0 0 0 0 0 TOTAL FUNDING $129,086 $67,723 $456,127 $30,186 $30,585 $335,500 EXPENDITURES $129,086 $67,723 $456,127 $30,186 $30,585 $335,500 TRAINING SPECIALISTS SOURCES OF FUNDING ADMINISTRATION OUTCOME COMPUTER MICHIGAN TIME CLERICAL MEASUREMENT SERVICES SHARING SUPPORT MIS SCANNING PROGRAM CONTRACT ACCOUNT ENHANCEMENT SPECIALIST STATE MATCH $45,000 $27,000 $57,240 $900 • $64,471 $41,841 COUNTY MATCH 5,000 3,000 6,360 100 7,164 4,649 MEDICAID - FEDERAL 0 w 0 0 0 0 MEDICAID - STATE 0 0 0 0 i v, 0 SOCIAL SECURITY SUPPLEMENT 0 , 0 0 0 r,/, FEES 0 0 0 0 0 0 TOTAL FUNDING $50,000 $30,000 $63,600 $1,000 $71,635 $4,190 EXPENDITURES $50,000 $30,000 $63,600 $1,000 $71,635 846,450 ADMINISTRATION MENTAL HEALTH CONTRACTS FOR PSYCHIATRISTS' INFORMATION SPECIALIZED SALARY EQUITY SERIES SERVICES ADJUSTMENT TOTAL SOURCES OF FUNDING STATE MATCH $16,783 $28,080 $85,590 $14,561,678 COUNTY MATCH 1,865 3,120 9,510 453,889 MEDICAID - FEDERAL 0 0 0 1,018,715 MEDICAID - STATE 0 0 0 836,996 SOCIAL SECURITY SUPPLEMENT 0 0 0 1,135,937 FEES 0 0 0 69,393 TOTAL FUNDING $18,648 $31,200 $95,100 $18,076,608 EXPENDITURES $18,648 $31,200 $95,100 $18,076,608 Prepared by Budget Division, 10/28/F3B SERVICES FOR DEVELOPMENTALLY DISABLED SXI DAY RESIDENTIAL RESIDENTIAL FRAGILE X PARENT TRAINER PROGRAM SPECIALIZED CARE CARE SYNDROME SERVICES EXPANSION HELPERS CRITICAL NEEDS MODERATE NEEDS SOURCES OF FUNDING _ STATE MATCH $62,906 $103,680 $151,397 $15,086 $3,229,69') $3, 0D,417 COUNTY MATC11 6,989 11,520 16,821 1,676 0 1 00 MEDICAID FEDERAI, 0, 0 0 0 383,838 201,076 MEDICAID - STATE 0 0 0 0 317,236 166,187 SOCIAL SECURITY SUPPLEMENT 0 0 0 0 378,797 :,1 1,071 FEES 0 0 0 0 23,193 23.199 $16,762 TOTAL FUNDING $69,895 $115,200 $168,218 $1,332,76 EXPENDITURES $69,395 $115,200 $168,218 $16,762 $4,332,769 $3,846,950 SERVICES FOR DEVELOPMENTALLY DISABLED ADMINISTRATION RESIDENTIAL CHILDREN'S COMMERCE COMMERCE PERSONNEL AND CARE, AVERAGE RESPITE HOME CHILDREN'S TOWNSHIP TOWNSHIP MIS TECHNICAL STATUS OF NEED . TRANSFER RESPITE HOME HOME (2) HOME (3) SUPPORT SOURCES OF FUNDING STATE MATCH $2,149,553 $226,002 $232,298 $206,006 $206,006 $87,853 COUNTY MATCH 0 350 0 0 0 9,761 MEDICAID - FEDERAL 148,520 25,313 0 25,291 25,291 0 MEDICAID - STATE 122,749 20,920 0 20,903 20,903 0 SOCIAL SECURITY SUPPLEMENT 213,160 17,170 0 17,520 17,520 0 FEES 0 0 22,995 0 0 0 TOTAL FUNDING $2,633,982 $289,755 $255,293 $269,720 $269,720 $97,614 EXPENDITURES $2,633,982 $289,755 $255,293 $269,720 $269,720 $97,614