HomeMy WebLinkAboutResolutions - 1994.12.08 - 24054REPORT (Misc. 1 94363) December
BY: Personnel Committee - Marilynn E. Gosling, Chairperson
TO: The Oakland County Board of Commissioners
II RE: NEW POSITIONS FOR HOME & COMMUNITY-EASED SERVICES WAIVER PROGRAM.
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
The Personnel Committee, having reviewed the above referenced resolution
on November 30, 1994, reports with the recommendation that the resolution be
adopted.
Chairperson, on behalf of the Personnel Committee, I move the adoption of
the foregoing resolution.
PERSONNEL COMMITTEE
•-•
MISCELLANEOUS RESOLUTION #94363 December 8, 1994
BY: General Government Committee - Donald Jensen, Chairperson
IN RE: HUMAN SERVICES/CMH- NEW POSITIONS FOR HOME k MmmTTN-1-Tv -RAgyri
SERVICES WAIVER PROGRAM.
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
WHEREAS Community Mental Health has received funds from the Michigan
Department of Mental Health through Medicaid's Home & Community-Based Services
(HACH) Program to provide services to individuals with developmental
disabilities; and
WHEREAS these funds are in the form of waivers which are approved on a
case-by-case basis, and provide funding for individuals in group homes and
those living with natural families who need additional support to maintain
desired living arrangements; and
WHEREAS obtaining approval for these waivers, and providing the level of
services and assessments required through the strict demands of Medicaid
regulation is highly labor-intensive; and
WHEREAS this proposal would provide additional revenues, which can be
used to provide services for other individuals wait-listed for CMH Services;
and
WHEREAS the staffing for HACB Waiver Programs operated by other CMH
Boards have been reviewed to determine the personnel needs of this service
enhancement; and
WHEREAS this proposal involves the creation of four (4) new
r-!1gAifications titled Occupational Therapist, Physical Therapist, Speech
Pathologist, and Dietician, and a total of sixteen (16) additional SR
positions.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners approves the creation of the following four (4) new
ol.qqqificatinnq to support the Home & Community-Based Services Waiver Program:
Occupational Therapist
Physical Therapist
Speech Pathologist
Dietician (1000 hr/yr PTNE)
Salary Grade 11, No OT
Salary Grade 12, No OT
Salary Grade 12, No OT
Salary Grade 10, Reg OT
BE IT FURTHER RESOLVED that the following sixteen (16) SR positions be
created in the D.D. Case Management unit of Community Mental Health (16622):
1 Case Management Supervisor
3 Case Management Coordinator
3 General Staff Nurse
1 Mental Health Clinician
1 Occupational Therapist
1 Physical Therapist
1 Speech Pathologist
1 Dietician-PTNE (1000 hr/yr)
1 Psychiatrist/Part-time (1000 hr/yr)
2 Typist I
1 Account Clerk I
BE IT FURTHER RESOLVED that future existence of these positions be
contingent upon continuation of state funding.
Chairperson, on behalf of the General Government Committee, I move the
adoption of the foregoing resolution.
GENERAL GOVERNMENT COMMITTEE
December 8, 1994
FISCAL NOTE (Misc. 194363)
BY: FINANCE COMMITTEE - JOHN P. MCCULLOCH, CHAIRPERSON
IN RE: DEPARTMENT OF HUMAN SERVICES/COMMUNITY MENTAL HEALTH -
NEW POSITIONS FOR HOME & COMMUNITY-BASED SERVICES WAIVER
PROGRAM
Oakland County Board of Commissioners
Chairperson, Ladies, and Gentlemen:
Pursuant to Rule XI-G, the Finance Committee has reviewed the above-
referenced resolution and finds:
1) The Department of Mental Health has awarded 104 Home & Community-Based
(HACB) Waiver slots to the Oakland County Community Mental Health Board,
which will provide approximately $1,006,265 in additional Federal Medicaid
revenue for Fiscal Year 1994195 and $1,613,212 on a full-year basis.
2) An additional 14 full-time positions and 2 part-time positions are requested to
support implementation of the waivers and the ongoing assessment
requirements (attached Schedule B). As detailed in attached Schedule A, for
FY 1994/95, the additional ongoing cost is estimated to be $590,142 plus start-
up cost of $90,665 for a total of $680,807. The excess of revenues over
expenditures of $325,458 is recommended to be budgeted in a miscellaneous
account for FY 94/95 in anticipation of increased contractual service costs not
yet identified for increased services to HACB waiver clients as well as to
provide services to developmentally disabled clients on the prioritized waiting
list. As these costs are identified, a budget amendment will be brought back to
the Finance Committee to adjust from this miscellaneous account into accounts
specified at that time.
3) The FY 1994/95 Spending Plan will be amended with one comprehensive
budget amendment upon receipt of the State Authorization for Fiscal Year
1994/95.
FINANCE COMMITTEE
•
FINANCIAL ANALYSIS
HOME AND COMMUNITY BASED WAIVERS
SUMMARY OF REVENUES AND EXPENDITURES
SCHEDULE A
Positions
at Maximum
FY 94/95 Full Year Step
(a) (b) (0)
Projected Revenue (104 Waiver Slots)
-----
Gross Medicaid Reimbursement 1,770,347 2,838,163 2,838,163
Less Medicaid-State Share (764,082) (1,224,951) (1,224,951)
Medicaid Reimbursement-Federal Share $1,006,265 $1,613,212 $1,613,212
Expenditures
Personnel Salaries & Fringe Benefits* $554,132 $738,842 $893,214
Contracted Physician 8,967 11,956 11,956
Mileage 4,875 6,500 6,500
Travel & Conference 2,600 2,600 2,600
Office Supplies 3,000 3,000 3,000
Telephones 3,068 4,090 4,090
Computer Services-Operations 13,500 18,000 18,000
Ongoing Expenditures 590,142 784,988 939,360
One-time Stark-up Costs
Facility Conversion 50,000
Furniture 25,000
Telephone Installation 1,925
Computer Installation & Software 13,740
•n•n••••n•••••n••nn°-.m.....M....IN
Subtotal 90,665
......
TOTAL INITIAL EXPENDITURES $680,807 $784,988 $939,360
Reserve for Contractual Service Increase 325,458 828,224 673,852
,.••n 4/.
GRAND TOTAL EXPENDITURES 1,006,265 1,613,212 1,613,212
6n•nnn Am. .,ar IMIM
*Positions budgeted at one-year step for calculation columns (a) & (b). However,
for comparison purposes, calculation column (c) shows cost at maximum step
for each position.
FY 94/95 Full Year
(a) (b)
Each
Position
One-Year
Step
•••••n•••••=.n..•••••••n
Positions
at Maximum
Step
(c)
36,337
27,081
33,038
31,056
32,736
34,490
34,490
17,702
20,198
$27,253
60,932
74,336
23,292
24,552
25,868
25,868
26,553
15,149
$36,337
81,243
99,114
31,056
32,736
34,490
34,490
35,404
20,198
$44,774
99,750
120,069
41,948
40,184
42,416
42,416
43,790
24,811
303,803 405,068 500,158
12,152 16,203 20,006
315,955 421,271 520,164
165,244 220,325 272,046
$481,199 $641,596 $792,210
••••n•n•n:.
63,236
2,529
84,315
3,373
65,765 87,688
7,168 9,558
.......
$72,933 $97,246
----- --
$554,132 $738,842
17,574
70,000
87,574
3,503
91,077
9,927
-
$101,004
•NM.MO
$893,214
FINANCIAL ANALYSIS
HOME AND COMMUNITY BASED WAIVERS
DETAILED PERSONNEL COSTS
SCHEDULE B
Full-time Positions:
1 Case Management Supervisor
3 Case Management Coordinator
3 General Staff Nurse
1 Mental Health Clinician
1 Occupational Therapist
Physical Therapist
1 Speech Pathologist
2 Typist I
'1 Account Clerk I
Subtotal Full-time Salaries
Anticipated 1995 General Salary Increase (4.00%)
ubtotal
-ringe Benefits (52.3%)
-otal Full-time Salaries & Fringe Benefits
WM.
'art-time Positions
PINE Dietician (1,000 hours)
PINE Psychiatrist (1,000 hours)
'iubtotai Part-time Salaries
inticipated 1995 General Salary Increase (4.00%)
z3ubtotal
-inge Benefits (10.9%)
)tal Part-time Salaries & Fringe Benefits
3TAL PERSONNEL COSTS
14,315
70,000
$14.315/hr. 10,736
$70.000ihr. 52,500
"ositions budgeted at one-year step for calculation columns (a) & (b). However,
or comparison purposes, calculation column (c) shows cost at maximum step
or each position.
110.00
343.61
104-24/94 238 Pm
• OT Evaluation 1 in 90 days 1 per year 48 09 48.09 35 07
56,494.19 43,871 10
12 inriorne Non VoclAab 2975 1920 riours per year 17.30 33.500 00 2529000
Respite Cars 960 480 Hours per year 1300 4,50000 3.60000
• Psychologicai Test I in 90 days 1 par year 166.70 118.70 140.03
. OT Evaluation 1 in 90 days 1 per year 46.09 48.011 36 07
36.534.79 28,976 to
13 innome Non Voc Hab 2976 00 Hours per year 17.50 8.400.00 6,300.00
• Psychological Test In 90 days 1 per year 156.70 146_70 140.03
'CT Evaluation I in 90 days 1 Per Yost 48.09 48.09 3607
8.934.79 6.47'6.10
14 Worm Non Vco f450 2976 1200 Hours per year 17.50 21.000.00 15,750.00
Personal Assistance 2976 1200 Hours per year 10,00 12.000.00 9.000.00
" Psychological Test I in 90 clan 1 per year 185.70 186.70 140.03
• DT Evaluation I in 90 days 1 per year 48,09 48.09 38.07
33,234.79 24,926,10
15 Inhorne Non Vac Hat 2976 1200 Hours per year 17.50 21,000.00 15,750.00
Respite Cats 960 300 Hours per year 10.00 3,000.00 2,250.00
Private Duty Nuns Visits -4110 12 Visits per year 71.85 46220 644.65
Personal Asentarve 2976 1200 Hours per year 10.00 12,000.00 9,000.00
• Peychokniool Test 1 -in 90 days I par year 186.70 166.70 140.03
'OT Evaluation 1 in 90 days 1 PM' Yew 46,09 46.09 36.07
37.046.99 27,322.75
10 Morns Non lip: Nab 2976 1200 Hours per year 17.50 21,000.00 15.750 00
Personal Assistance 2976 1440 Hours AS( year 10.00 14,400.00 10,600.00
Respite Cart 960 600 Hokin pet year 10.00 6.000.00 4,500.00
• Psychological Ms! 1 in 90 days 1 Per Year 186,70 160,70 140.03
• OT Evaluation 1 in 90 days 1 per year 4609 44.09 38.07
41,834.70 31,226.10
17 Inhofe) Non Voc Nab 2976 2400 Hours per year 17.50 42,000,00 31.500.00
Rest*, Care 960 575 Hours per year 10.00 5,760.00 4,320.00
'Psy011010gical Test 1 in 90 days 1 per year 1116.70 186.70 140.03
'OT Evaluation 1 in 40 days 1 per year 411.09 46.09 36.07
47,994.79 35,996.10
17 GRAND TOTAL - GROSS MEDICAID REIMBURSEMENT FOR ENHANCER SERVICES ;420..047.2Z Nine Month: 1112,23141
• Services billed under Clinic Services
HOME AND COMMUNITY BASED WAIVER - PER DIEM SERVICES
30 Group Home Relic/en% 10950 6700 per year
2 Foster Home Residents 730 554 per year
32 GRAND TOTAL - GROSS MEDICAID REIMBURSEMENT FOR PER DIEM SERVICES
983,600.00
21.413.33
722,700 00
16.060.00
1#111,113.3a Nine Month: 171112114.21
Annualized:
43 GRAND TOTAL GROSS MEDICAID REIMBURSEMENT FOR MEM
GRAND TOTAL NET MEDICAID
Average for Encrianced Sarvices (Groin):
Avenge for Enchenced Services (Net):
Prolected Gross Misclicatd Reirnbursainant for additional SS waiver Mots:
Projected Net Medicaid Ftairriburserrient foe additional 55 waiver slots:
Projected Not Roirnbursernont for 104 Wain( Slots:
LIMAN= Mine Month:
$7911_631.4Z Nine Month: 121.17:1.21
124,701.64
514,044.40
S1.433 162„,24 Six Month: 3716.551-.14
1.1114.111.11 Six Month: 5401.257-61
1 #13 211,7( kinoiSix Month; S,L#21.211,121
Resolution 094363 December 8, 1994
Moved by Jensen supported by Gosling the Personnel Committee Report be
accepted,
A sufficient majority having voted therefor, the report was accepted.
Moved by Jensen supported by Gosling the resolution be adopted.
AYES: Palmer. Pernick, Powers, Schmid, Taub, Crake, Dingeldey, Douglas,
Garfield, Gosling, Huntoon, Jensen, Johnson, Kaczmar, Kingzett, Kramer,
McCulloch, Moffitt, Newby, Oaks, Obrecht.
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, 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 December 8, 1994 with the original
record thereof now remaining in my office.
#1949(
In Testimony Whereof, I have hereunto set my hand and a ed .the seal,..„1.1nle
County of Oakland at Pontiac, Michigan this 8th day of 1.11.10e/1"119Trr
Lynn,. Allen, County Clerk