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					 HHS               Governor's Budget
                   R                   NR               Notes
 Div of Central
Management
and Support
 Reductions
 ITS rate
reduction                (1,047,749)
 Budget receipts           (544,000)
 Administrative                                          To be spread across
efficiencies             (2,765,795)                    divisions
 Expansion
 Medication                                              Was funded on one-time
Assistance                1,704,033                     basis in HWTF last year
                                                         Was funded on one-time
 ChecKmeds NC             1,695,379                     basis in HWTF last year
 Restore Div of
Info Resource
Mngmt contracts           5,599,390

                                                       Boys and Girls Club,
                                                      Maternity Homes,
                                                      Children's Advicacy
                                                      Centers, ALS Assocation,
                                                      Easter Seal Soceity/UCP
                                                      NC, Prevent Blindness, NC
                                                      Inter-Agency Council for
 Support non-                                         Coordinating Homeless
profits                                     8,579,266 Programs, Food Banks
 Total
Adjustments              4,641,258          8,579,266

 Div of Child
Development
and Early
Education
 Expansion
 Restore Smart                        Restores funds cut last
Start funding          18,184,601    year
                                      Restores funds cut last
 NC Pre-K              25,000,000    year
 Total
Adjustments           43,184,601

 Div of Public
Health
 Reducation
 Eliminate local                      Eliminates duplicative
health dept                          program; health depts
accreditation                        can be accredited
contract                 (300,000)   through federal program
 Reduce
operating,                            Reduces unobligated/
contract funds           (600,000)   unspent funds
 Expansion
 Tobacco
prevention/                           Was funded on one-time
cessation              10,000,000    basis in HWTF last year
 Public health lab;                   Operating funds and
office of chief                      positions for new lab and
medical examiner        1,155,666    office
 Restore regional                     Environmental health
offices                  221,109     regional offices
 High risk                            Operation of high-risk
pregnancy                            maternity clinic serving all
program at ECU           350,000     of eastern NC
 Total
Adjustments           10,826,775

 Div of Social
Services
 Reductions
                                     Reflects reduction in
 Foster Care                        caseload; does not
caseload                            reduce services for
reduction             (6,674,351)   children
 Improved                            Streamlines vendor
provision of                        payment program; does
adoption vendor                     not reduce services for
payment svcs          (2,025,649)   children
                                     Federal Medical
 FMAP change for                    Assistance Percentage
IV-E child welfare                  increases 0.3% in
svcs                    (379,116)   October
 Total
Adjustments          (9,079,116)

 Div of Medical
Assistance
 Technical
adjustments
 Medicaid rebase     109,435,319
 Reductions
 Provider Fraud
Detection,
Prevention            (2,551,544)
 Recipient Fraud
detection,
prevention            (1,224,394)
 SmartCard                           Replace paper Medicaid
technology            (5,000,000)   cards with technology
                                     Ensure VA pays before
 VA benefits                        Medicaid where applicable
verification          (1,000,000)
 Restructure fee                     Switch some fee for
for service                         service rates to fixed
payment rates         (1,976,636)   rates
                                                 Purchase prescription
 Pharmacy                                       drugs at reduced cost
savings              (1,391,906)                due to federal program
 Modify private
duty nursing rate    (1,205,800)
 Expand
capitation
program for high                                 To reduce utilization of
tech imaging         (1,656,721)                certain imaging services
 Maintain 2012
effective rate                                   Continues 2% provider
reduction           (13,289,285)                rate reduction
                                                 Expected bonus from
                                                CMS for covering children
                                                in Medicaid and Health
 CHIPRA bonus                      (14,000,000) Choice
 CCNC home                                       Provision of medically
health services                                 appropriate services in
initiative           (4,455,457)                the home setting
 Expansion
 Medicaid 1915(i)
options -
Modification of
PCS eligibility                                 Limits personal care
policies             15,446,193                services
                                                Pays remaining debt from
 Repay 2009                                    state overdraw of federal
federal overdraw                    30,427,389 funds
 Total
Adjustments         91,129,769     16,427,389

 NC Health
Choice
 Technical
Adjustments
 Health Choice
rebase                (1,919,704)
 Reductions
 Restructure fee                     Switch some fee for
for service                         service rates to fixed
payment rates           (21,959)    rates
                                     Purchase prescription
 Pharmacy                           drugs at reduced cost
savings                 (17,936)    due to federal program
 Modify private
duty nursing rate      (100,672)
 Maintain 2012
effective rate                       Continues 2% provider
reduction              (693,955)    rate reduction
 CCNC home                           Provision of medically
health services                     appropriate services in
initiative              (47,831)    the home setting
                                     Will not reduce services
 Total                              for children; no cap on
Adjustments          (2,802,057)    enrollment proposed

 Div of Mental
Health/DD/SAS
 Reductions
                                     Reduce administrative
                                    funds due to transition
                                    from Local Management
 LME                                Entities (LMEs) to
administrative                      Managed Care
savings               (8,497,935)   Organizations (MCOs)
 Expansion
 Crisis services -
local in-patient                    Builds community-based
beds                 10,000,000     mental health capacity
                                                         Systemic, Therapeutic,
                                                        Assessment, Treatment
 Crisis services -                                      and Respite teams for
START teams                 1,848,000                   crisis intervention
                                                         To fully staff expanded
 New Cherry                                             bed capacity at Cherry
hospital                    3,296,059           176,895 hospital
 Total
Adjustments               6,646,124            176,895

 Total HHS
Adjustment               149,254,667        27,076,109
 (Total includes Divs of Vocational Rehab, Health Services Regulation, Aging and
Adult Services, and Blind, Deaf and Hard of Hearing, which are not detailed here)
 K-12 Education            Governor's Budget
                           R                   NR    Notes
 Technical
Adjustments
 Teacher Salary
Adjustment                      (85,670,329)
 ADM Adjustment                  (6,423,088)
 Reductions
 10th Grade Writing                                   Test to be replaced with high school
Test                             (2,001,534)        diagnostic assessments
 Expansion
 Restore LEA Flexibility                              Restores 9,800 teacher, teacher
Adjustment                      503,067,940         assistant and other school-based
 Salary Increase for                                positions
teachers and LEA                                      1.8% for teachers; 1.5% for
employees                        21,903,108         administrators
 Reduce class size,                                   Reduces class sizes by 1, to 1:17 in
grades K-3                       92,885,877         K, 1:16 in grades 1-3
 Diagnostics -                                        Teacher training and other support for
Elementary                       10,000,000         reading tests
 Diagnostics - Grades 8-
12                                7,500,000          For specific student assessments
 Teaching Fellows                 3,475,000          Scholarships for teacher education
 Mentoring                        9,214,190          Teacher mentors
                                                     NC Center for the Advancement of
 NC CAT                           3,000,000         Teaching
 Teacher Cadet                      127,500          Teacher recruitment
 Student 2 Student                  510,000          Assisting military-affected students
 Regional military
counselors                          315,188          Support with crisis intervention
                                                     Restores most of last year's $5.5
Residential Schools              3,500,000          million cut
Governor's Schools                 849,588           Restores cut taken last year
Total Expansion                656,348,391
Total Adjustment              562,253,440

				
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