HomeMy WebLinkAboutResolutions - 1994.04.14 - 23965REPORT (Misc. #94098) April 14, 1994
BY: General Government Committee, Donald Jensen, Chairperson
RE: Dept. of Institutional and Human Services/Community Mental
Health-1994 Budget Adjustment
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
The General Government Committee, having reviewed the above-
referenced Finance Committee resolution on March 28, 1994, reports
with the recommendation that the resolution be adopted.
Chairperson, on behalf of the General Government Committee, I
move acceptance of the foregoing report.
General Govern t Committee
i:\tim\cmh\budget.mr
. April 14, 1994
MISCELLANEOUS RESOLUTION 194098
BY: FINANCE COMMITTEE, JOHN P. McCULLOCH, CHAIRPERSON
IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES/COMMUNITY
MENTAL HEALTH - 1994 BUDGET ADJUSTMENT
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
WHEREAS pursuant to Miscellaneous Resolution #93269, the Board
of Commissioners approved the 1994/1995 Biennial Budget including
a governmental fund allocation of $100,259,545 for Community Mental
Health (CMH) programs (grants equal $149,846), the CMH governmental
budget includes $85,606,381 in state funding, $5,433,576 in other
revenue and $9,219,588 in County match; and
WHEREAS on March 9, 1994, the Michigan Department of Mental
Health (MDMH) submitted a revised Fiscal Year (FY) 1993/1994
authorization for Oakland County CMH programs, which due to new
rates for state facilities and crediting of FY 1992/1993 "trade-off
dollars", increased the state authorization to $87,706,426 and
other revenues by $149,950, increasing the total program funding to
$102,877,656, including grants, as detailed on Attachment A; and
WHEREAS the MDMH requires the CMH Board Chairperson to sign a
new financial attachment to the full management contract which
includes the new authorization; the contract attachment includes
provision for the Chairperson of the Board of Commissioners to
concur with the new authorization; and
WHEREAS this new authorization increases the governmental
budget to $102,727,810 (grants remain unchanged), an increase of
$2,468,265 that must be reflected in the County budget in order for
the Chairperson to sign the full management contract concurrence;
and
WHEREAS a County match of $9,437,858 would be required should
all FY 1993/1994 funds be spent before the end of the fiscal year;
this match is $218,270 higher than the current 1994 budget; and
WHEREAS due to uncertainty as to whether all authorized funds
will be spent by the end of the fiscal year, it is not recommended
to increase the level of County match at this time; a more
accurate assessment of expenditures could be obtained and a
recommendation submitted with the second quarter forecast.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners amends the 1994 Community Mental Health Budget, as
reflected in Attachment B, to coincide with the revised State
authorization.
BE IT FURTHER RESOLVED that the Chairperson of the Board of
Commissioners is authorized to sign the full management contract
concurrence.
BE IT FURTHER RESOLVED that the second quarter forecast will
include a recommendation as to whether the level of budgeted County
match should be increased.
Chairperson, on behalf of the Finance Committee, I move
adoption of the foregoing resolution.
ATTACHMENT A
COMMUNITY MENTAL HEALTH ANNUAL ALLOCATION
1994 Annual
County FY 93/94
Agency Budget Allocation Variance
MINISTRATION
d. Administration $2,113,998 $2,198,022 $84,024
ervice Enhancements 0 0
TOTAL ADMINISTRATION $2,113,998 $2,198,022 $84,024
ERVICES FOR MI-ADULTS
d. Admission/Screening Services $973,840 $1,008,282 $34,442
d. Central Case Management-North 1,571,017 1,559,160 (11,857)
d. Central Case Management-South 1,344,638 1,357,937 13,299
d. Clozaril Fund 15,000 15,000 0
d. El Centro La Familia 319,411 322,648 3,237
d Geriatric Outpatient 1,161,197 1,145,172 (16,025)
Ed. Jail Services 149,486 149,486 0
3d. Southeast CMH Clinic 918,685 922,912 4,227
5d. Southwest CMH Clinic 829,668 822,084 (7,584)
Alternative Community Living 50,700 217,003 166,303
Arab-Chaldean Services 307,390 291,585 (15,805)
Catnolic Social Services 17,978 20,978 3,000
Common Ground 384,181 405,024 20,843
:AR-Consumer Run 76,077 101,113 25,036
300C:Will Industries - South Clubhouse 401,394 401,394 0
.lorth Oakland Medical Center-Clubhouse 384,058 384,058 0
r\,:orth Oakland Medical Center-Clinic 929,279 1,084,405 155,126
'slorth Oakland Medical Center-ACT 516,150 516,150 0
North Oakland Medical Center-ATP 233,511 233,511 0
Oakland Family Services-Respite Svs. 127,405 107,472 (19,933)
Residential Apt - Kadima 50,460 45,078 (5,382)
'Residential Aprt. - SIP 359,984 351,211 (8,773)
Supported Employment - MRS 125,000 146,000 21,000
DE:RA Group Home 87,993 87,993
OBRA Group (one-time) 36,250 36,250
Service Enhancements 2,118,246 2,118,246
TOTAL SERVICES FOR MI-ADULTS $11,246,509 $13,850,152 $2,603,643
'lew Authorized Programs - State
CHILDREN - EMOTIONALLY IMPAIRED
Bd. CAC Pontiac $1,290,801 $1,303,732 $12,931
-17'2 r'1?) ' 1 6 457. 133c
5'd. ChiId/Adol. Day Treatment 848,204 855,823 7,619
Residential Placements 68,652 68,652 0
Nrap Around Services 500,000 500,000
Transition Support 10,000 10,000
Service Enhancements 290,284 290,284
TOTAL CHILDREN-El SERVICES $3,380,720 $4,214,948 $834,228
SERVICES FOR THE DEV. DISABLED
3d. Adult Day Program $1,700,607 $1,756,818 $56,211
5d. Counseling & Evaluation 1,210,816 1,220,750 9,934
3d. DD Case Management 466,758 471,338 4,580
5d. DD Health 304,509 306,354 1,845
..ommunity Supportive Living Arrgmts. 369,264 369,264
'ewish Vocational Services 1,784,759 1,784,759 0
,Jew Horizons 2,342,203 2,482,203 140,000
Redirections 223,000 223,000
Res. Apartment Living (Type G) 296,966 255,960 (41,006)
Res. Foster Care (Type A) 541,891 334,728 (207,163)
Res. Group Homes (Type B) 2,199,782 1,841,618 (358,164)
JCP - Rent Subsidy 37,420 37,420
Res. Model Waviers 446,927 528,657 81,730
Respite Care Home - Cornwall 213,367 212,638 (729)
Respite Care Placements 796,838 410,364 (386,474)
Dne-Time Respite Care 292,320 292,320
Shared Parenting Program-ARC 0 127,000 127,000
Supportive Employment - MRS 50,000 50,000
Epifpsey Center 3,900 3,900
Service Enhancements 215,217 215,217
TOTAL SERVICES FOR DVP. DISABLED $12,305,423 $12,924,308 $618,885
.lew Authorized Programs - State
DTHER SERVICES
)BRA Evaluations
Hprneless Assistance Grant
-,cioption Services Grant
7AR Grant
'-OTAL OTHER SERVICES
'DTATE & PRIVATE FACILITY SERVICES
$300,000 $300,000 $0 .
109,539 109,539 0
30,000 . 30,000 0
10,307 10,307 0
$449,846 $449,846 $0
-\dult - Ml State inpatient $23,349,953 $23,536,620 $186,667
kdult - MI Private Inpatient 1.238,846 1.238.846 0
•L‘dult - MI State Residential 6,453,833 5,791,917 (661,916)
$31,042,632
$7,552,223
2,817,369
$10,369,593
$1,517,536
27,983,134
$29,500,670
$70,912,895
$100,409,391
$30,567,383 ($475,249)
$7,363,194 ($189,029)
2,903,203 85,834
$10,266,397 ($103,196)
$1,541,384 $23,848
26,865,216 (1,117,918)
$28,406,600 ($1,094,070)
$69,240,380 ($1,672,515)
$102,877,656 $2,468,265
$399,835 5429,931 $30,096
4,733,741 4,853,595 119,854
109,539 109,539 0
30,000 30,000 0
10,307 10,307 0
300,000 300,000 0
449,846 449,846 0
63,821,606 61,201,381 - (2,620,225)
21,734,775 26,505,045 4,770,270
50,000 0 (50,000)
85,606,381 87,706,426 2,100,046
75,409 75,409 0
2,052,890 2,562,295 509,405
7,091,289 6,800,154 (291,135)
9,219,588 9,437,858 218,270
-otal MI-Adult
3hildren - El State Inpatient
Thildren - El State Residential
-otal Children - El
)1:) State Inpatient
)D State Residential
-otal Developmentally Disabled
-OTAL STATE & PRIVATE FACILITY
-OTAL CMH SERVICES
REVENUE SOURCES
Vort Activity Earned Revenue
'ea for Services
'ederal Medicaid
lomless Grant
1,doption Grant
4,1R Grant
)BRA Estimated Funds
Grants" Total
MN State Share - State Programs
DMI-1 State Share - Community Programs
DIV1H - Consultant Grant
WHTotal
-ite XX Local Share
:.ounty Local Match - Community
;ounty Local Match - State
'otal County Share
-OTAL REVENUE
'repared by: Budget DivisioniTS
Aarch 23, 1994
$100,409,391 $102,877,656 $2,468,266
ATTACHMENT B
RECOMMENDED 1994 BUDGET AMENDMENT
1994 Revised
County 1994
Agency Budget Budget Amendment
ADMINISTRATION
Bd. Administration $2,128,998 $2,213,022 $84,024
Service Enhancements 0 0
-OTAL ADMINISTRATION $2,128,998 $2,213,022 $84,024
SERVICES FOR MI-ADULTS
Bd. Admission/Screening Services $973,840 $1,008,282 $34,442
Dd. Central Case Management-North 1,571,017 1,559,160 (11,857)
Bd. Central Case Management-South 1,344,638 1,357,937 13,299
3d. El Centro La Familia 319,411 322,648 3,237
3d. Geriatric Outpatient 1,161,197 1,145,172 (16,025)
Bd. Jail Services 149,486 149,486 0
3c. Southeast CMH Clinic 918,685 922,912 4,227
Dd. Southwest CMH Clinic 829,668 822,084 (7,584)
Alternative Community Living 50,700 217,003 166,303
!shown as Jay Shop on budget)
Arab-Chaldean Services 307,390 291,585 (15,805)
Catholic Social Services 17,978 20,978 3,000
Common Ground 384,181 405,024 20,843
AIR-Consumer Run 76,077 101,113 25,036
shown as Drop-In Center on budget)
Goodwill Industries - South Clubhouse 401,394 401,394 0
North Oakland Medical Center-Clubhouse 384,058 384,058 0
(shown as Woodland Heights on budget)
North Oakland Medical Center-Clinic 929,279 1,084,405 155,126
North Oakland Medical Center-ACT 516,150 516,150 0
North Oakland Medical Center-ATP 233,511 233,511 0
Oakland Family Services-Respite Svs. 127,405 107,472 (19,933)
Residential Aprt. - Kadima 50.460 45,078 (5.382)
esidential Aprt. - SIP 359,984 351,211 (8,773)
Supported Employment - MRS 125,000 146,000 21,000
ODRA Group Home 87,993 87,993
3BRA Group (one-time) 36250 36,250
Service Enhancements 1,899,976 1,899,976
TOTAL SERVICES FOR MI-ADULTS $11,231,509 $13,616,882 $2,385,373
CHILDREN - EMOTIONALLY IMPAIRED
Bd. CAC Pontiac $1,290,801 $1,303,732 $12,931
- 4 i 17 ral 1 186 A57 13 394
$70,912,895
$100,259,545
1TOTAL STATE & PRIVATE FACILITY
TOTAL CMH SERVICES
REVENUE SOURCES
$69,240,380 ($1,672,515)
$102,509,540 $2,249,995
Nork Activity Earned Revenue
=ee for Services
=ederal Medicaid
DE:RA Estimated Funds
'....r.rants" Total
DMH State Share - State Programs
Drvil-I State Share - Community Programs
DrAH - Consultant Grant
DIV1H Total
''tie XX Local Share
county Local Match - Community
2.ounty Local Match - State
Total County Share
$399,835 $429,931 $30,096
4,733,741 4,853,595 119,854
300,000 300,000 0
300,000 300,000 0
63,821,606 61,201,381 (2,620,225)
21,734,775 26,505,045 4,770,270
50,000 0 (50,000)
85,606,381 87,706,426 2,100,046
75,409 75,409 0
2,052,890 2,344,025 291,135
7,091,289 6,800,154 (291,135)
9,219,588 9,219,588 0
TOTAL REVENUE
Prepared by: Budget Division/TS
Varch 23, 1994
$100,259,545 $102,509,540 $2,249,995
$_ -0-
$ -0-
__-0-
$ 476867
$ -0-
Fiscal Addendum
Michigan Department of Mental Health/
Oakland County Community Mental Health Services Board
CONTRACT FOR FULL MANAGEMENT
It is agreed among the parties, the Michigan Department of Mental Health ("Department")
and the Oakland County Community Mental Health Services Board ("Board") that the
following constitutes the fiscal provisions for State fiscal year 1993-94 related to the
CONTRACT FOR FULL MANAGEMENT.
Section 1. Service Plan
The parties agree that the population will be served in accordance with the Service
Summary and Spending Plan of the Board with funding from all sources of $102.877.656
(Grand Total for Service Summary and Spending Plan). Portions of this service plan are
supported by categorical and other funding sources (substance abuse, Federal sources,
other State departments, local non-match, Department grants, and earned revenue) in the
amount of $7.250,000 (Lines A through F). The remaining portions of this service plan
are supported by formula funding (the maximum match totals) in the amount of
$95.627.656 (Line G).
Section 2. Funding Levels and Reporting Requirements
A. Total Obligations
The parties agree that decisions and actions outside of the terms of the Contract may
influence the level of categorical and other funding sources, and therefore service
performance. Changes in categorical and other funding sources which occur during the
fiscal year will be reported to the Department in the form of Contract amendments.
The parties agree to obligate their respective share of formula funds in accordance with
the Service Summary and Spending Plan. The Department has obligated $87,706,426
in State funds in support of formula funding. This obligation includes State funds as
identified below which may be used only for the specified purpose:
1. Funds allocated in FY 90 for development or expansion of the following programs:
a. Services to Seriously and Persistently
Mentally III Adults
b. Services to Persons with DD
Residing in the Community
c.
.
. Services to Children
d
Services to Fulfill the Requirements
of OBRA with Regard to Nursing Homes
e. Residential and Support Service Programs
2. Funds allocated in FY 91 for development or expansion of the following programs:
a. Services to Seriously and Persistently
Mentally III Adults
b. Services to Persons with DD
Residing in the Community
c. Services to Children
d. Services to Fulfill the Requirements
of OBRA with Regard to Nursing Homes
e. Residential and Support Serviced Programs
$ -0-
$ -0-
$ -0-
$ -0-
$ -0-
3. Funds allocated in FY 92 for development or expansion of the following programs:
a. Services to Fulfill the Requirements
of OBRA with Regard to Nursing Homes
b. Residential and Support Service Programs
4. Funds to support transportation to
sheltered workshops
$ 39.900
$ -0-
5. Funds to support the cost of drugs formerly
provided by state facilities $ -0-
6. Funds to support services to children
under DMH Model Waiver II $04.329
Such categorical funds shall be automatically rolled over into the Board's base funding
unless contraindicated by legislative appropriations or conditions of original funding.
Specifically, the Department agrees to pay the Board, on a net matchable basis, the state
share of non-reimbursed expenditures not to exceed the State ceiling established in this
Contract, unless amended, for formula funding for each service element within the various
population groups and for Board Administration. The Board has obligated $9.437.858 in
local funds in support of formula funding. The Board agrees to pay its share of
non-reimbursed expenditures or the balance of formula fund expenditures, whichever is
higher.
B. Medicaid Advances
The Department agrees to provide the Board with an advance equal to 1/6th of the total
Title XIX revenues (Federal and State share) as reflected in the attached approved
spending plan. Based upon total expected Title XIX revenues of $8,602,901 (total of
items G 1 a(1) plus G 1 b(1) plus G 2 a(1) plus G 2 b(2)(a) of Service Summary and
Spending Plan). The Board acknowledges that upon receipt of this advance, a liability
due to DMH for $1.462,493 (116 of above) will be established separately.
M H Services Board Chairperson, Oakl
Section 3 - Funding Obligations for State-Operated Service
The parties a g ree that the Board shall authorize pa yment for the actual number of da ys
of care provided to its residents in State inpatient and residential facilities/centers, up to
the maximum fundin g oblig ation aggreg ated by population, as follows:
Contract Base
Vulnerability Maximum Fundin g
Factor Oblig ation
MI ADULTS:
Inpatient: 91,563 Days/$21,182,958
Residential: 69,503 Days/$ 5,212.725
$26,395,683 x 1.05 = $27,715,467
MI CHILDREN:
Inpatient: 20,381 Days/$ 6,626,875
Residential: 21,957 Days/$ 2.612.883
$ 9,239,758 x 1.05 =
DEVELOPMENTALLY DISABLED:
Inpatient: 10,441 Days/$ 1,387,246
Residential: 251,475 Days/$24.178,694
$25,565,940 x 1.04 =
Signatures:
$ 9,701,746
$26,588,578
Date
Director, Michig an Department of Mental Health Date
Concurrence:
Chairperson, Oakland County Board of Commissioners Date
County Executive, Oakland County Date
Director, Oakland County CMH Services Date
Resolution #94098 April 14, 1994
Moved by McCulloch supported by Palmer the General Government Committee
report be accepted.
A sufficient majority having voted therefor, the report was accepted.
Moved by McCulloch supported by Palmer the resolution be adopted.
AYES: Johnson, Kaczmar, Kingzett, Law, McCulloch, McPherson, Miltner,
Moffitt, Oaks, Obrecht, Palmer, Pernick, Powers, Price, Schmid, Taub, Wolf,
Aaron, Crake, Dingeldey, Douglas, Garfield, Gosling, Huntoon, Jensen. (25)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution was adopted.
FOREGOING RESOLUTION
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lynn D. Allen, Clerk of the County of Oakland, do hereby certify that the
foregoing resolution is a true and accurate copy of a resolution adopted by the
Oakland County Board of Commissioners on April 14, 1994 with the original record
thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the
County of Oakland at Pontiac, Michigan this 14th day 9C-April.2.994.
Lyg6 D. Allen, County Clerk