HomeMy WebLinkAboutResolutions - 1995.03.22 - 24518MISCELLANEOUS RESOLUTION #95070 March 23, 1995
BY: Health & Human Services Committee - Shelley Taub, Chairperson
IN RE z Human Services/Community Mental Health - Adult Day Program - Conversion
of Board-Operated Program to Contracted Program
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the Community Mental Health Board has determined that the board-
operated Adult Day Program for Services to the Developmentally Disabled should
be closed and converted to a contracted service; and
WHEREAS this decision is based upon opinions expressed by Technical
Assistance Collaborative, Inc. (the consulting firm that assisted in the
transition to full management), statements made in the full management public
hearings, and confirmation of these opinions and statements by the new CMH
Director; and
WHEREAS the CMH Board recognizes this decision as an opportunity to offer
more choices to consumers with respect to geographic location as well as
providing a greater variety of service designs, particularly to those people who
have outgrown the existing program; and
WHEREAS many people, including some who are medically fragile, are
traveling long distances by bus to attend the current day program, and this
difficulty is compounded during inclement weather; and
WHEREAS a large percentage of the people who are participating in the
cu4,reuLpiogrampaLticipate in funding from home and community based waivers, and
the curriculum-based approach used in the current board -operated program does not
meet mandated guidelines for that funding source; and
WHEREAS a significant investment would be required to bring the current
program into compliance with the waiver guidelines, and this alternative was not
recommended since it was determined that the current program is not state-of-the-
art and would require significant effort to meet acceptable standards; and
WHEREAS the closing of the board-operated program and transfer of 126
consumers to contracted programs of their choice will transition during the
three-month period of March through May, 1995; and
WHEREAS this program conversion will require the deletion of twenty (20)
Special Revenue positions.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners
approves the deletion of the following twenty (20) positions effective May 27,
1995:
Bud
Full-time
Full-time
Part-time
Full-time
Full-time
Full-time
Full-time
Part-time
Pull-time
Full-time
Full-time
Full-time
Full-time
Full-time
Full-time
Full-time
Full-time
Part-time
Part-time
Part-time
position 14
1662400747
1662400835
1662401033
1662401108
1662401756
1662401846
1662402349
1662402772
1662403248
1662403542
1662403543
1662403564
1662403588
1662405322
1662405792
1662405793
1662405794
1662406730
1662406731
1662407016
QRai ficattgen
Program Supervisor 1
Training Leader
Program Supervisor I
Training Leader
Training Leader
Training Leader
Training Leader
Service Supervisor
Program Supervisor I
Training Leader
Training Leader
Training Leader
Training Leader
Training Leader
Program Specialist I
Training Leader
Training Leader
Training Leader
Training Leader
Training Leader
3udget Status
Eligible
Eligible
Non-eligible
Eligible
Eligible
Eligible
Eligible
Non-eligible
Eligible
Non-eligible
Non-eligible
Eligible
Eligible
Eligible
Eligible
Eligible
Eligible
Non-eligible
Non-eligible
Non-eligible
BE IT FURTHER RESOLVED that affected employees will be separated from
county employment as consumers are transferred from the Adult Day Program to
contracted services beginning April 1, 1995.
Chairperson, on behalf of the Health and Human Services Committee, I move
the adoption of the foregoing resolution.
HEALTH AND HUMAN SERVICES COMMITTEE
•
March 23, 1995
FISCAL NOTE (Misc. #95070)
BY: FINANCE AND PERSONNEL COMMITTEE - JOHN MCCULLOCH, CHAIRPERSON
IN FE:
ADULT DAY PROGRAM - CONVERSION OF BOARD-OPERATED PROGRAM TO
CONTRACTED PROGRAM
To the Oakland County Board of Commissioners
Chairperson, Ladies, and Gentlemen:
Pursuant to Rule XI-G, the Finance and Personnel Committee has reviewed
Miscellaneous Resolution # 95070and finds:
1) The current budgeted cost of the Board-operated Adult Day Program
is $1,321,686 which currently serves 126 consumers.
2) The annual cost to contract 126 day program slots is estimated to
be $1,441,946 or $120,260 more than the current annual cost of the
Board-operated program.
3) In addition to the 126 day program slots to serve existing
consumers, it is proposed that the program be expanded to include
20 supported employment slots at an estimated annual cost of
$40,000.
4) Of the $1,321,686 current Board-operated cost, $236,712 is for
building space cost, which is a fixed cost and will be redirected
for CMH reorganization and future program enhancements. Also,
$130,000 is for contracted occupational therapists and speech
pathologists which will be redirected in support of the Home and
Community Based Waiver program.
5) The annual net reduction in the Federal share of Medicaid
reimbursement is estimated to be $190,059.
6) Total additional funding required based on the above information
is $717,031 annually.
7) For the remainder of Fiscal Year 1994/95, total additional funding
is $528,324 which provides an overlap of Board-operated costs
during the transition to contracted program as well as a
conservative, worst-case scenario, estimate for a temporary
interruption in Medicaid reimbursement.
8) The Fiscal Year 1994/95 Budget should be amended as follows:
FUND 22201
Revenues
166-01-00-2528 Reimbursement-Medicaid $(142,578)
Subtotal-Revenue V142,578)
Expenditures
166-95-00-9950 CMH Contingency $(528,324)
166-24-00-1001 Salaries (176,555)
166-24-00-2074 Fringe Benefits ( 69,575)
166-24-00-3342 Equipment Repairs ( 167)
166-24-00-3514 Memberships, Dues ( 943)
166-24-00-3727 Training ( 1,272)
166-24-00-3747 Client Transportation ( 66,667)
166-24-00-4836 Educational Supplies ( 667)
166-24-00-4896 Occupational Therapy Supplies ( 500)
166-24-00-4898 Office Supplies ( 333)
166-24-00-6330 Central Stores ( 376)
166-24-00-6610 Leased Vehicles ( 67)
166-24-00-6640 Equipment Rental ( 536)
166-24-00-9998 Capital Outlay ( 666)
166-24-00-3042 Client Services 704,070
Subtotal-Expenditures 8(142,578)
TOTAL $ 0
FINANCE AND PERSONNEL COMMITTEE
tAvi
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the
County of Oakland at Pontiac, Michigan this 23rd day *f_JOrch
Lyn4rD7 Allen, County Clerk
Resolution #9507C March 23, 1995
Moved by Taub supported by Dingeldey the resolution be adopted.
AYES: Kaczmar, Kingzett, McCulloch, McPherson, Moffitt, Obrecht, Palmer,
Pernick, Powers, Quarles, Schmid, Taub, Wolf, Amos, Crake, Devine, Dingeldey,
Douglas, Garfield, Holbert, Huntoon, Jacobs, Johnson. (23)
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 March 23, 1995 with the original record
thereof now remaining in my office.