Guide to the $250M Human Services Budget

This is the “social workers guide” to the human services budget, with bk comments to make it easier for those who do not work in human services. Remember, this is what was submitted by the department, we will hear how County Executive Joe Parisi makes changes to this the first week in October.

2013 Budget Considerations
9-5-12

2013 Budget request: $244,387,441 ($63,623,830 GPR & $180,763,611 outside revenue)
Department GPR target: $1,279,345
Living Wage GPR cost: $381,200
Budget submitted to County Executive: August 24
County budget public hearings on Human Services: September 12 and 19 6:00pm Alliant Energy Center

GPR = our tax dollars the county collects
Living Wage = county requires non-profits to pay employees at least $11.09 per hour, some agencies get compensated when that goes up, others do not

General
• Living Wage- covering with revenue
• FMAP- covering with revenue
• Use of CSDRB and prior period revenues- virtually eliminates the possibility of a surplus in 2013
• New positions requested with outside revenue- 1.0 FTE CPS social worker (effective 4-1-13), 1.0 FTE IT Business Analyst, .4 FTE AODA Program Specialist, 2.8 FTE CNA’s, 2.0 FTE Elderly Benefit Specialists, 4.0 FTE Disability Benefit Specialists (effective 4-1-13)
• Budget reflects some POS changes due to RFP results- Court Ordered Evaluations from Journey MHC to Community Partnerships; AAA Caregiver services from East Madison Monona Coalition to Alzheimer’s & Dementia Alliance of Wisconsin; ARC Wisconsin no longer a DD broker provider; a new provider, Community Partnerships, with a focus on young adults will be added to the providers of Mental Health Case Management with a reduction in Tellm•ian funding for this service.

FMAP = ??
CSDRB = ??
FTE = Full time equivalent employee, so 1 = a full time employee
CPS = Child Protective Services
IT = Information Technology (computer geek)
AODA = Alocohol or Drug Abuse
CNA = Nurse
POS = Purchase of Service Agencies – usually non-profits, but sometimes for profit contractors as well.
RFP = Request for Proposals – usually some service the county is seeking that they are requesting agencies or businesses to submit proposals for to see if they want to purchase them
MHC = Mental Health Center, this is the old Dane County Mental Health non-profit that changed their name to Journey to avoid confusion
AAA= Area Agency on Aging
ARC = A non-profit agency
DD = Developmental Disabilities

Administration
• Budget decreases: $111,000
• Commission on Sensitive Crimes budget at 2012 funding level; LTE support continues
• CDBG administration: fi.mding 1.8 FTE CDBG Program Specialists (P-1 0) (reduction from 2.0 FTE), .2 Senior Program Analyst/Manager (M-12)
• Covering W-2 deficit of $365,200 with IMAA and ADRC revenue
• Incorporating ADRC into budget
• New 1.0 FTE IT Business Analyst funded by currently contracted service money

LTE = Limited Term Employee
CDBG = Community Development Block Grant, federal pass through money
W-2 = our “Welfare to Work” program, also called TANF in federal language
IMAA = ??
ARDC = Aging and Disability Resource Center, Dane County is finally getting one and it will be located on the Northside of Madison

Adult Community Services
• Budget increases: $$7,312,523
• Living Wage paid for with Department revenue
• 2.0 FTE Benefit Specialists become County employees; cunently employed by CWAG
• 4.0 FTE Disability Benefits Specialist positions for ADRC created effective 4-1-13
• Incorporates ADRC positions and funding into the budget
• AAA has increased Older Americans Act revenue that pays for GPR reduction & increased demand in meals and costs
• Northwest Dane reduced $6,552 in supportive home care due to providing less service to COP waiver eligible consumers
• Aging- funding for adult day care at Colonial Club & Village of Oregon at 2012 level
• DD- some reductions covered by increased MA Crisis & CM, other efficiencies
• DD 2013 High School graduates-67; $219,486 GPR
• DD 2012 high school grads annualized- $221,755 GPR
• DD caseload, rate increases annualized- $671,732 GPR
• No new DD Adult caseload or Brain Injury Waiver slots
• No DD reductions to cover Living Wage or FMAP issue
• Average 2.35% reductions in SDS rates and POS contracts
• DD adult budget increases: $2,045,022
• DD children’s budget increases: $836,447
• Journey MHC -adds $60,000 in MA Crisis for a Hospital Coordinator (new services)
• SOAR- Recovery Dane- adds $50,000 for a Resource Specialist (new services); will handle work to add consumers and services supported by Community Recovery Services (CRS) funding
• Psychiatric hospitalization “fragile”; $60,000 increase in proposal; budget line divided between MH, DD, Aging LTC
• Mental Health Resource Bridge annualized with Department funds; increases $83,333 over 2012 funding. An additional $50,000 was added from AODA to address AODA needs.
• New Social Work Supervisor for Elder Abuse, Adults at Risk & Chapter 55 social workers being created by re-class of a Social Worker Position in 2012- annualizing in 2013
• .4 FTE AODA Program Specialist request
• Jail diversion AODA programs mainly at 2012 funding level
• JAG funding for Drug Court decrease of $2,396 offset by increase in the amount
DOC is contributing.
• IDP reduction – Pathfinders $2462

CWAG = Coalition of Wisconsin Aging Groups
COP = Community Options Program
MA = Medical Assistance
CM = ??
SDS = ??
LTC = ??
Chapter 55 = Long-term care for adults, can be court ordered
JAG = Federal grant typically for police departments
DOC = Department of Corrections
IDP = ??

Badger Pmirie Health Care Center
• Budget increases: $852,150
• Increased Medicaid rate due to new facility- funds increased needs, some enhancements
• Increase in private pay numbers (from 4 to 6) and increase private pay rate 3.9% ($335/day to $348/day)
• Adjustments in increased costs due to increased census – increased dental hours, increased medical supply costs, increased laundry
• Music/Art therapy increase – $10,000
• Increased CFS meal costs- $30,000
• Create 2.8 FTE CNA’s with higher census in locked unit
• Study overtime/LTElcontract issues: there is no increase in these budget lines

CFS = ??

Children, Youth & Families
• Budget decreases: $1,678,460 ($1,674,812 outside revenue loss)
• Creates a 1.0 FTE CPS social worker position e1Tective 4-1-13
• IDP revenue decrease will cause some AODA contract reductions in IDP services
-Journey MHC TAP $35,194; MeriterNewstart $2,033; ARC $2,033; Tellurian
$1,698
• OJA grant loss- Hope Haven REBOS $24,003
• Health First- no longer wants to continue Alcohol Coalition work; $30,000 initiative eliminated in 2013 budget and funds put toward other services; efTmis picked up by Public Health, Safe Communities work, citizen groups
• Budget will reflect a shift of monies from the YMCA to the newly incorporated
Mount Horeb Youth Center
• ARC- Urban Rural Women’s AODA reduction ($451,593) and 4-C- AODA child care reduction ($45,000)- State now gives these funds directly to ARC and does not pass them through the Department
• No other POS changes at this time
• Substantial GPR savings of $554,460 coming from alternate care lines- very close to actual 2012 use; potential future problem
• Increase in CIP Grant ($53,540) which will result in new gang related initiative
($30,000) & increase of $22,000 in NIP program services (new services)
• ECI initiative- $28,000+ increase to POS social worker salaries to stabilize staffing; new provider to replace Centers for Families

TAP =
OJA = Another federal grant
4-C = Community Coordinated Child Care
CIP = ??
NIP = Neighborhood Intervention Program
ECI = Early Childhood Initiative

Economic Assistance & Work Services
• Budget decreases: $2,031,980 (mostly due to loss ofW-2 benefits and admin)
• Rellects Forward Service Corporation contract for W-2 staffing, JCO space, day care center
• 1.0 FTE Management position that oversees W-2 and POS contracts eliminated
• Vacant 1.0 FTE ES Supervisor position eliminated
• .5 FTE Paralegal eliminated- work essentially eliminated by a recent court ruling and ability to pick up remaining work with ESS staff
• FSET contracted to Forward Service Corporation
• Children First contract will continue with EATA
• !-lousing First- $45,000; 2012 funding level
• Homeless, shelter, food pantry, clothing distribution at 2012 levels
• Advocating to keep Capital 1M Consortium fully funded


JCO= Job Center (Office?)
ES = ??
ESS = ??
FSET = FoodShare Employment and Training
EATA = Employment and Training Association
IM = ??

Sorry about the terrible alphabet soup, and I hope I got it all correct. Even some of it once you know what it means isn’t that helpful. And I know I don’t know some of the stuff since it isn’t in an area I work. If anyone can fill in the ??s it would be much appreciated.

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