FY16 - Agency of Human Services - Summary

Transcription

1 FY16 - Agency of Human Services - Summary FY15 Appropriated Big Bill As Passed Tob Care Res IdptT Ptrust Internal Service FF Central Office - (page 3) 23,54,415 24,149,11 33,255,73 267,992,899 8,649, ,338, , , 1,361,833,335 DVHA - (page 1) 143,675,13 3,626, ,148, ,788,726-73,788,716 2,8,932 1,12,828,52 VDH - (page 16) 13,655,49 14,49,794 3,847,611-1,452,356 25, - 51,153,129-31,41,499 15,292,44 13,958,22 DMH - (page 2) 1,76, , , - - 5,137, ,336,219 44,57, ,741,749 DCF - (page 22) 126,255,66 36,698, ,176, ,121,851-63,716,411 16,883, ,852,434 DAIL - (page 35) 19,23,483 1,699, ,925, ,48,83-194,293,75 3,2, ,398,8 DOC - (page 42) 136,422,47 5,144, ,673-1,718,37 47, ,879,93 15,567,327 TOTAL AHS 644,53,955 86,238,887 37,13, ,992,899 28,34,8 25, 1,718,37 1,284,59,256-1,16,154,214 16,529,555 3,616,179,557 State-wide other changes Department Tob Care Res IdptT Ptrust Internal Service FF Central Office (1,48,335) (13,491,374) (23,899,79) DVHA (1,544,15) (1,433,249) - (12,557,83) (9,755) (15,544,192) VDH (171,762) , - 5,78,751 (688,979) 5,28,1 DMH (36,68) (1,64,138) (22,168) (1,878,374) DCF (3,87,178) ,446,635 - (1,67,634) (45,958) (4,14,135) DAIL (431,652) (2,65,348) (15,191) (3,52,191) DOC (923,217) (491,224) (1,414,441) TOTAL AHS (17,322,317) (13,297,988) - (12,71,452) (1,453,275) (44,775,32) FY16 Starting Point Department Tob Care Res IdptT Ptrust Internal Service FF Central Office 192,646,8 24,149,11 33,255,73 267,992,899 8,649, ,847, , , 1,337,933,626 DVHA 142,13,998 3,626, ,148, ,355, ,231,633 2,791,177 1,15,284,31 VDH 13,483,647 14,49,794 3,847,611-1,452,356 25, - 51,333,129-36,75,25 14,63, ,986,212 DMH 1,724,41 429, , - - 5,137, ,696,81 43,855, ,863,375 DCF 122,448,482 36,698, ,176, ,568,486-62,18,777 16,837,937 38,838,299 DAIL 18,798,831 1,699, ,925, ,48,83-191,688,42 3,185,86 246,345,817 DOC 135,499,19 5,144, ,673-1,718,37 47, ,387, ,152,886 TOTAL AHS 626,731,638 86,238,887 37,13, ,992,899 28,34,8 25, 1,718,37 1,27,761,268-1,147,452,762 15,76,28 3,571,44,525 FY16 changes Department Tob Care Res IdptT Ptrust Internal Service FF Central Office 7,756,965 2,492,95 (4,483,589) 42,83,693 1,35, ,426,961-19,21 84, ,729,943 DVHA 8,145,447 (2,829,563) - - 2,553, (1,35,763) - 84,42,243 (3,781,397) 78,22,381 VDH 512,728 3,964, (33,495) - - 2,385,15-6,352,252 (1,469,341) 11,414,173 DMH (21,19) 5, (255,939) - 6,497, ,89 6,592,876 DCF (6,134,46) (444,43) , ,362,141-2,16, ,285 8,468,594 DAIL 2,144, (11,161) ,361-9,951,98-12,394,475 DOC 12,95,365 (1,78,195) - - (36,874) - 97, ,99 1,21,111 TOTAL AHS 24,499,257 1,479,38 (4,483,589) 42,83,693 3,265,867-97,825 78,21,776-19,257,322 (4,28,96) 25,12,553 FY16 Gov Recommend Department Tob Care Res IdptT Ptrust Internal Service FF Central Office 2,43,45 26,641,196 28,772,141 31,76,592 1,, ,274, ,64 499,667 1,46,663,569 DVHA 15,276, , ,71, ,49, ,651,876 17,9,78 1,183,486,691 VDH 13,996,375 18,454,88 3,847,611-1,121,861 25, - 53,718,144-43,12,52 13,134,84 147,4,385 DMH 1,73, , , - - 4,881, ,194,25 44,222, ,456,251 DCF 116,314,76 36,253, ,286, ,93,627-64,125,541 17,396, ,36,893 DAIL 2,943,8 1,699, ,815, ,458,164-21,639,5 3,185,86 258,74,292 DOC 147,594,555 3,436, ,799-1,816,195 47, ,419, ,362,997 TOTAL AHS 651,23,895 87,718,195 32,619,752 31,76,592 31,569,947 25, 1,816,195 1,348,783,44-1,256,71,84 1,867,374 3,821,417,78 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxSummary 1 of 48

2 FY16 Legislative Changes Department Tob Care Res IdptT Ptrust Internal Service FF Central Office DVHA VDH DMH DCF DAIL DOC TOTAL AHS FY16 As Passed Department Tob Care Res IdptT Ptrust Internal Service FF Central Office 2,43,45 26,641,196 28,772,141 31,76,592 1,, ,274, ,64 499,667 1,46,663,569 DVHA 15,276, ,332-12,71, ,49, ,651,876 17,9,78 1,183,486,691 VDH 13,996,375 18,454,88 3,847,611-1,121,861 25, - 53,718,144-43,12,52 13,134,84 147,4,385 DMH 1,73, , , - - 4,881, ,194,25 44,222, ,456,251 DCF 116,314,76 36,253, ,286, ,93,627-64,125,541 17,396, ,36,893 DAIL 2,943,8 1,699, ,815, ,458,164-21,639,5 3,185,86 258,74,292 DOC 147,594,555 3,436, ,799-1,816,195 47, ,419, ,362,997 TOTAL AHS 651,23,895 87,718,195 32,619,752 31,76,592 31,569,947 25, 1,816,195 1,348,783,44-1,256,71,84 1,867,374 3,821,417,78 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxSummary 2 of 48

3 FY16 Department Request - AHS CO Tob Care Res IdptT FF TOTAL Sec B-3 Secretary's Office - As Passed FY15 7,332,772 91,17 224,698 3,294,721 1,77,15 415, 21,435,223 other changes: Vacancy Savings (15,849) (15,849) DII I Decrease (295) (295) FFS I Decrease (63) (63) VISION I Decrease (85) (85) DII I Decrease (Rate Setting) (4) (4) FFS I Decrease (Human Services Board) (41) (41) (16,94) (16,94) after FY15 other changes 7,315,832 91,17 224,698 3,294,721 1,77,15 415, 21,418,283 Salary increase 444, ,37 1,367,262 2,299,686 Fringe increase 199, ,53 625, ,983 Capped Federal Funds 138,837 (138,837) Reduction to Tobacco Board (223,744) (223,744) Transfer 6 positions from DCF to AHSCO (BAA Item) 99,714 11, ,998 56,866 Transfer 2 IAPD positions to AHS CO from DVHA 15,18 135,166 15,184 Transfer 7 FTE Mediciad Policy Positions to AHS CO from DVHA effective 4/7/15 (BAA Item) 584,45 584,45 Workers' Comp. Ins. 1,24 9,249 13,543 33, contract funding (net-neutral with DCF) [BAA Item] 84,667 84,667 Contract with Champlain College for computer forensic analysis RE: HR investigations (BAA Item) 5, 5, Child Care and Home Care union - contracted attorney services (BAA Item) (2,) (2,) Reduction to Vermont Legal Aid (1%) (47,415) (47,415) Net-neutral technical correction among Major Objects 553, , ,71 466,667 1,869,676 Berlin lease savings as compared to previous College St. lease (19,695) (99,79) (145,8) (353,854) Increased use: Hurricane Lane lease (BAA Item) 6,28 54,382 79,63 194,22 Williston lease 3,438 3,15 4,546 11,89 Hartford lease 2,227 2,12 2,946 7,185 St. Albans lease ,3 2,512 Audit bill increase 41,594 37,568 55,11 134,173 Fee for Space 1,836 1,53 1,541 4,43 General Liability Ins Policies ,664 Property Ins. Policies Commercial Ins VISION & HRMS Charges 6,379 5,685 8,325 2,389 DII Allocation (1,81) (1,929) (2,825) (6,555) DHR Allocation 3,56 3,167 4,638 11,311 DII SLA Charges 6,424 5,82 8,496 2,722 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 AHS CO 3 of 48

4 FY16 Department Request - AHS CO Tob Care Res IdptT FF TOTAL Tobacco Board ongoing incidentals 24,46 24,46 Net-neutral technical correction among Major Objects (553,251) (362,687) (487,71) (466,667) (1,869,676) Reduction to Central Office Direct Service and Service Coordination grants (5%) (24,75) (24,75) Reduction to Foster Grand Parents grants (5%) (5,778) (5,778) $1.75M Collective Bargaining Agreement; net-neutral move of to GC approp. for match in DDAIL for CBA increases (DS, Flex, and portion of Partipant Directed Attendant Care) (69,367) $1.75M Collective Bargaining Agreement; net-neutral move of to DDAIL for CBA increases (-only Participant Directed Attendant Care) (156,634) $1.75M Collective Bargaining Agreement; net-neutral move of to GC approp. for match in DVHA (968,999) (69,367) (156,634) (968,999) FY16 Changes (1,28,85) (199,698) 1,368,297 2,319,138 84,667 2,292,319 FY16 Gov Recommended 6,35,747 91,17 25, 4,663,18 12,396, ,667 23,71,62 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID 341 6,35,747 91,17 25, 4,663,18 12,396, ,667 23,71,62 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 AHS CO 4 of 48

5 FY16 Department Request - AHS CO Tob Care Res IdptT FF TOTAL Sec B-31: Secretary's Office Global Commitment - As Passed FY15 195,595,19 24,58,84 33,31,32 267,992,899 4, 812,332,37 1,333,49,161 other changes: Revenue and Non-departmental changes: Revert GC Fund Carry Forward (4,232,671) (5,495,371) (9,728,42) To Trueup to JFC Budget (2) 2 DVHA DVHA impact - See DVHA for items, not including: (5,467,831) (7,99,7) (12,566,838) DMH DMH impact - See DMH for items (81,587) (1,4,719) (1,842,36) VDH VDH impact - See VDH for items 2,184,13 2,835,669 5,19,772 DCF DCF impact - See DCF for items (719,478) (934,114) (1,653,592) DAIL DAIL impact - See DAIL for items (1,14,197) (1,48,342) (2,62,539) DOC DOC impact - See DOC for items (213,732) (277,492) (491,224) (1,391,395) (13,491,374) (23,882,769) after FY15 other changes 185,23,714 24,58,84 33,31,32 267,992,899 4, 798,84,663 1,39,166,392 Revenue and Non-departmental changes: Technical Reconciliation Adjustment Y15 as passed 181, ,717 Increase MCO expenditures for GMCB 532,74 651,872 1,184, contract funding (net-neutral with DCF) [BAA Item] 38,74 46,593 84,667 AoE match needed due to change in Act 179 funding (BAA Item) 12,176 14,567 26,743 Projected Tobacco Fund deficit 4,483,589 (4,483,589) Reduction to Tobacco Board (199,698) 199,698 Rate Setting - GC funding 9,511 9,511 19,22 Human Service Board - non-mco Admin. for personal services and operating costs (9,84) (9,84) (18,168) CO - non-mco Admin. for personal services and operating costs 57,938 57,938 1,15,876 Human Services Board - VTHC funding 44,562 44,562 Updated estimate of New Adult Enhanced FMAP (24,89,44) 24,89,44 Updated estimate of Health Home Enhancement FMAP (1,748,5) 1,748,5 Updated estimate of Hub and Spoke Enhancement (12,16) (12,16) SHCRF (639,882) 639,882 Payroll - 6 months (41,443,811) 41,443,811 Loss of FMAP (includes Leahy bump reduction of 1.1% eff. 1/1/16) 19,93,16 (19,93,16) Restoration of one-time GC carryforward 4,232,671 5,495,371 9,728,42 DVHA DVHA impact - See DVHA for items, not including: 35,294,29 43,189,788 78,484,78 $1.75M Independent Direct Care Providers; net-neutral move of to GC approp. for match in DVHA (BAA Item) 968,999 1,185,769 2,154,768 VTHC funding 2,558,759 2,558,759 VITL core grant - use HIT funds as match for GC (BAA Item) (1,698,624) 1,698,624 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 AHS CO 5 of 48

6 FY16 Department Request - AHS CO Tob Care Res IdptT FF TOTAL Replace Health Care Reform GC matching funds with HIT funds (match for $194.7k gross) [net-neutral with AHS CO] (BAA Item) (87,557) 87,557 DMH DMH impact - See DMH for items 3,87,116 3,777,718 6,864,834 Success Beyond Six Local Match 75,914 75,914 VDH VDH impact - See VDH for items 2,195,845 2,687,66 4,882,911 Technical correction for VCHIP and EPSDT (117,397) (117,397) DCF DCF impact - See DCF for items 798,89 977,55 1,776,314 Transfer from RU to AHSCO for Position Pilot match (AHS Net Neutral) [BAA Item - annualized] 359, , ,735 VTHC funding 97,745 97,745 DAIL DAIL impact - See DAIL for items 3,865,642 4,73,44 8,596,46 $1.75M Independent Direct Care Providers; net-neutral move of to GC approp. for match in DDAIL for Collective Bargaining Agreement increases (DS, Flex, and portion of PDAC) [BAA Item] 69, ,685 1,355,52 DOC DOC impact - See DOC for items 14,386 17,64 31,99 VTHC funding back to SHCRF 2,71,66 (2,71,66) VTHC funding back to 2,71,66 (2,71,66) FY16 Changes 8,94,223 2,492,95 (4,283,891) 42,83,693 71,212,65 12,444,77 FY16 Gov Recommended 194,143,937 26,55,179 28,747,141 31,76,592 4, 87,53,313 1,429,611,162 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,143,937 26,55,179 28,747,141 31,76,592 4, 87,53,313 1,429,611,162 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 AHS CO 6 of 48

7 FY16 Department Request - AHS CO Tob Care Res IdptT FF TOTAL Rate Setting - As Passed FY15 977, ,619 other changes: after FY15 other changes 977, ,619 Salary Increase 4,689 4,689 Fringe Increase 14,332 14,332 FY16 Changes 19,21 19,21 FY16 Gov Recommended 996,64 996,64 FY16 Legislative Changes FY16 As Passed - Dept ID ,64 996,64 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 AHS CO 7 of 48

8 FY16 Department Request - AHS CO Tob Care Res IdptT FF TOTAL Developmental Disabilities Council - As Passed FY15 54,853 54,853 Salary Increase 11,168 11,168 Fringe Increase 9,833 9,833 FY16 Changes 21,1 21,1 FY16 Gov Recommended 561, ,854 FY16 Legislative Changes FY16 As Passed - Dept ID , ,854 Human Services Board - As Passed FY15 126, , ,686 83,479 other changes: after FY15 other changes 126, , ,686 83,479 Salary Increase 87,655 1,877 (72,85) 26,447 Fringe Increase 42,764 4,549 (33,568) 13,745 Reduction of 1 Limited Service Attorney (43,68) (43,68) (87,36) Shift in funding due to Vermont Health 1,88 1,87 (2,175) FY16 Changes 96,827 (18,167) (125,828) (47,168) FY16 Gov Recommended 223, ,92 262, ,311 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID , ,92 262, ,311 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 AHS CO 8 of 48

9 FY16 Department Request - AHS CO Tob Care Res IdptT FF TOTAL AHS ADMINISTRATIVE FUND - As Passed FY15 5,, 5,, other changes: after FY14\5 other changes 5,, 5,, FY16 Changes FY16 Gov Recommended 5,, 5,, FY16 Legislative Changes FY16 As Passed - Dept ID 342 5,, 5,, TOTAL FY15 AHS-CO Big Bill As Passed 23,54,415 24,149,11 33,255,73 267,992,899 8,649,98 823,338, , , 1,361,833,335 TOTAL FY15 AHS-CO Reductions & other changes (1,48,335) (13,491,374) (23,899,79) TOTAL FY16 AHS-CO Starting Point 192,646,8 24,149,11 33,255,73 267,992,899 8,649,98 89,847, , , 1,337,933,626 TOTAL FY16 AHS-CO Changes 7,756,965 2,492,95 (4,483,589) 42,83,693 1,35,13 73,426,961 19,21 84, ,729,943 TOTAL FY16 AHS-CO Gov Recommend 2,43,45 26,641,196 28,772,141 31,76,592 1,,11 883,274, ,64 499,667 1,46,663,569 TOTAL FY16 AHS-CO Legislative Changes TOTAL FY16 AHS-CO As Passed 2,43,45 26,641,196 28,772,141 31,76,592 1,,11 883,274, ,64 499,667 1,46,663,569 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 AHS CO 9 of 48

10 FY16 Department Request - DVHA DVHA Administration - As Passed FY15 1,33,489 3,626,895 1,148,13 95,548,46 51,95,119 8,493, ,52,972 other changes: Radiology Contract Savings (275,) (275,) Vacancy Savings (1,348) (1,348) DII I Decrease (17) (17) VISION I Decrease (124) (124) (1,489) (275,) (276,489) after FY15 other changes 1,329, 3,626,895 1,148,13 95,548,46 51,63,119 8,493,933 17,776,483 Salary Increase 6,5 12,74 468,341 24,17 6,437 Fringe Increase 4,652 1,395 46,59 366,8 46,59 465,145 FY 216 Workers' Comp Premium ,557 12,256 1,557 15,573 Annualization of Current JFO Approved Limited Services Positions 9,358 85,246 31, ,37 1 position transfered from AoA 13,381 13,381 Transfer one Palliative Care Nurse to VDH (AHS net-neutral) (97,189) (97,189) Transfer 9 positions to AHS CO from DVHA (15,18) (135,166) (15,184) Transfer one SIM position to VDH from DVHA (AHS net-neutral) (76,886) (76,886) Transfer 7 FTE Policy Positions to AHS CO from DVHA effective 4/7/15 (BAA Item) (584,45) (584,45) New Principle Assistant position (Funding Only) 122, ,223 VHC Personal Services Changes (19,56) (11,42,32) 2,64,155 26,37,6 17,579,335 Funding for 7 new Payment Support Specialist positions for VHC Operations (pending JFC position request) 71,659 46,7 477,729 Eliminate policy integrity contract (BAA Item) (89) (195) (11,716) (12,) Increase in base contracts ( HP Lexus Nexus, escalators) 269,51 269,51 MMIS Re-bid contracts - Pharmacy Benefits Manager (5,343) (5,343) MMIS Re-bid contracts - Care Management (185,666) (185,666) Eliminate Ingenix Contract (BAA Item) (396,) (396,) Eliminate Covington and Burlington Contract (BAA Item) (2,) (2,) Building Lease 11,61 11,61 Internal Service Fund charges 3,579 1,218 81,45 12,13 3,542 8,141 47,15 DII SLA Charges ,938 2,524 62,536 1,694 84,69 FY 216 General Liability Premium (5) (1) (5) (397) (5) (53) FY 216 Commercial and Property Policies 7 (2) Reduction in dues (BAA Item) (25,) (25,) Reduce Printing Costs (BAA Item) (1,) (1,) S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DVHA 1 of 48

11 FY16 Department Request - DVHA Reduce In-State Travel costs (BAA Item) (5,) (5,) VHC Grant and Cost Allocation Changes 18,72 (167,184) (75,573) (6,19) (131,79) 1,216,47 (819,886) (56,) VITL core grant - use HIT funds as match for GC (reduction in in the AHS CO GC appropriation) [BAA Item] (2,36,915) 2,3,338 1,476,91 1,416,324 Loss of DFR BISCHA Funds - Used for VITL Core agreement (226,175) (226,175) Replace with HIT funds (match for $194.7k gross) [net-neutral with AHS CO] (BAA Item) (87,557) (87,557) Eliminate UVM VCHIP grant (BAA Item) (26,) (26,) Eliminate UVM VCHIP NCQA ratings - full year (BAA Item) (185,5) (314,5) (5,) Eliminate FAHC - Congestive Heart Failure Grant (BAA Item) (7,915) (13,418) (21,333) Swaps SHCRF funding for Exchange, replaced with IDT 2,558,759 (2,558,759) FY16 Changes 118,997 (2,829,563) 2,553,414 (11,34,818) 29,48, ,38 18,357,85 FY16 Gov Recommended 1,447, ,332 12,71,544 84,243,588 81,38,91 8,94, ,134,333 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,447, ,332 12,71,544 84,243,588 81,38,91 8,94, ,134,333 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DVHA 11 of 48

12 FY16 Department Request - DVHA DVHA Global Commitment - As Passed FY15 651,883, ,883,597 other changes: Opiate Care Alliance (6,7,) (6,7,) High Tech Clinical Management (1,6,) (1,6,) 1.6% Rate Increase (3,982,83) (3,982,83) (12,282,83) (12,282,83) after FY15 other changes 639,61, ,61,514 Caseload and Utilization 31,662,979 31,662,979 Expiration of ACA Primary Care Physician rate increases annualized (3,75,) (3,75,) $1.75M Independent Direct Care Providers; net-neutral move of to GC approp. for match in DVHA (BAA Item) 2,154,768 2,154,768 Inpatient cost savings (2,5,) (2,5,) CURB & DURB performance-based management (6,577,964) (6,577,964) Change in Buy-In (942,49) (942,49) Align Community Health Team (CHT) Blueprint Costs with Insurer Market Share - 6 months 467, ,833 Increase CHT Blueprint Payments from $1.5 to $2. PPPM - 6 months 541,78 541,78 Increase PCMH BP Payments from $4. to $5. or invest in alternative payment models - 6 months 3,5, 3,5, Home Health Increase - 6 months 1,25, 1,25, Health Home Expansion - 6 months 5,, 5,, Increase In-State Outpatient - 6 months 9,63,662 9,63,662 Primary Care Provider Reimbursement enhancement - 6 months 4,65,812 4,65,812 Dartmouth Reimbursement - 6 months 1,378,242 1,378,242 Increase Professional Services - 6 months 8,29,46 8,29,46 Opiate Care Alliance - Bennington (annualized BAA item) 3, 3, FY16 Changes 55,11,461 55,11,461 FY16 Gov Recommended 694,612, ,612,975 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,612, ,612,975 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DVHA 12 of 48

13 FY16 Department Request - DVHA DVHA - Med Prog-non-GC LTC Waiver-As Passed FY15 9,92, ,81,854 26,894,74 other changes: Roll-out of Enhanced Dementia Rate (14,24) (135,337) (239,577) Revert Carry Forward (72,636) (912,248) (1,614,884) 1.65% Increase (297,48) (385,664) (682,712) (1,13,924) (1,433,249) (2,537,173) after FY15 other changes 88,988, ,368,65 24,357,567 Both Traditional & Acute: Traditional: Statutory Nursing Home rate increase 1,439,4 1,76,96 3,2, Home & Community Based caseload pressure 818,454 1,1,546 1,82, Eliminate Enhanced Residential Care Case Management (195,) (238,622) (433,622) Eliminate Adult Family Care Case Management (12,) (14,684) (26,684) Provider Increase 2.5% for 6 months 365, , ,634 Acute: Caseload and Utilization 549, ,542 1,222,14 CURB & DURB performance-based management (72,646) (88,897) (161,543) Change in Buy-In 65,821 8, ,366 Change in Federal Participation (includes 6 months of Leahy bump) 2,91,636 (2,91,636) Increase In-State Outpatient - 6 months 122,74 15, ,923 Primary Care Provider Reimbursement enhancement - 6 months 51,76 63, ,973 Dartmouth Reimbursement - 6 months 17,55 21,474 39,24 Increase Professional Services - 6 months 93,71 113,881 26,952 FY16 Changes 6,154,825 1,59,32 7,214,127 FY16 Gov Recommended 95,143, ,427,97 211,571,694 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,143, ,427,97 211,571,694 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DVHA 13 of 48

14 FY16 Department Request - DVHA DVHA - Program - State Only - As Passed FY15 32,96,82 12,36,999 45,213,819 other changes: Revert Carry Forward (422,971) (422,971) 1.6% Rate Increase (315) (9,755) (1,7) (423,286) (9,755) (433,41) after FY15 other changes 32,483,534 12,297,244 44,78,778 Caseload and Utilization (568,729) (53,163) (1,98,892) CURB & DURB performance-based management (89,379) (11,662) (191,41) Change in Buy-In (3,884) (3,884) Change in Clawback 361,35 361,35 Applied Behavior Analysis (ABA) - DVHA transfer to DMH, full year (AHS netneutral) [BAA Item] (3,671,648) (3,671,648) Increase In-State Outpatient - 6 months (12) 12,37 12,268 Primary Care Provider Reimbursement enhancement - 6 months 211,829 1, ,45 Dartmouth Reimbursement - 6 months (12) 73,948 73,936 Increase Professional Services - 6 months 381,293 18, ,681 Increase cost sharing reduction program - 6 months 2,, 2,, FY16 Changes 2,295,935 (4,192,435) (1,896,5) FY16 Gov Recommended 34,779,469 8,14,89 42,884,278 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,779,469 8,14,89 42,884,278 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DVHA 14 of 48

15 FY16 Department Request - DVHA DVHA - Matched NON Waiver Expenses - As Passed FY15 19,344,98 26,438,466 45,783,374 other changes: 1.6% Rate Increase (15,46) (15,46) (15,46) (15,46) after FY15 other changes 19,329,52 26,438,466 45,767,968 Caseload and Utilization (97,89) (57,318) (668,127) Change in Federal Participation (352,82) 352,82 CURB & DURB performance-based management (1,25) (59,427) (69,452) Increase In-State Outpatient - 6 months 11,963 72,184 84,147 Primary Care Provider Reimbursement enhancement - 6 months 8,248 48,922 57,17 Dartmouth Reimbursement - 6 months 1,286 7,512 8,798 Increase Professional Services - 6 months 14,847 88,6 12,97 FY16 Changes (424,31) (6,247) (484,557) FY16 Gov Recommended 18,95,192 26,378,219 45,283,411 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,95,192 26,378,219 45,283,411 TOTAL FY15 DVHA Big Bill As Passed 143,675,13 3,626,895 1,148,13 238,788,726 73,788,716 2,8,932 1,12,828,52 TOTAL FY15 DVHA Reductions & other changes (1,544,15) (1,433,249) (12,557,83) (9,755) (15,544,192) TOTAL FY16 DVHA Starting Point 142,13,998 3,626,895 1,148,13 237,355, ,231,633 2,791,177 1,15,284,31 TOTAL FY16 DVHA ups & downs 8,145,447 (2,829,563) 2,553,414 (1,35,763) 84,42,243 (3,781,397) 78,22,381 TOTAL FY16 DVHA Gov Recommended 15,276, ,332 12,71, ,49, ,651,876 17,9,78 1,183,486,691 TOTAL FY16 DVHA Legislative Changes TOTAL FY16 DVHA As Passed 15,276, ,332 12,71, ,49, ,651,876 17,9,78 1,183,486,691 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DVHA 15 of 48

16 FY16 Department Request - VDH Tob IdptT Ptrust FF TOTAL VDH Admin & Support - As Passed FY15 2,267,57 1,19,232 5,42, ,666 3,398,934 12,98,995 other changes: Receipt of Federal Grant for Loan Repayment (17,) (17,) DII I Decrease (218) (218) (218) (17,) (17,218) after FY15 other changes 2,267,289 1,19,232 5,42, ,666 3,228,934 12,81,777 Salary Increase 51,582 23, ,323 19,899 73,46 291,452 Fringe Increase 42,594 19,148 11,835 16,433 6,661 24,671 Capped Funding 151,429 (38,849) (112,58) Workers Compensation Insurance 28,1 46,2 7,455 27,52 19,185 Insurance changes 1,732 2, ,447 6,77 DHR 6,661 15,925 2,57 9,486 34,642 VISION 9,636 22,384 3,612 13,333 48,965 DII SLA 2,95 48,43 7,752 28,618 14,58 Eliminate Education Loan Repayment grant to Area Health Education Center (AHEC) (7,) (7,) FY16 Changes 311,739 3, ,626 58,123 (485,475) 135,5 FY16 Gov Recommended 2,579,28 1,22,719 5,668, ,789 2,743,459 12,946,277 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,579,28 1,22,719 5,668, ,789 2,743,459 12,946,277 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 VDH 16 of 48

17 FY16 Department Request - VDH Tob IdptT Ptrust FF TOTAL VDH Public Health - As Passed FY15 8,276,959 13,28,733 2,461,377 1,12,356 25, 36,996,383 11,3,662 8,21,357 81,392,827 other changes: Vacancy Savings (32,) (32,) Anticipated Receipt of Federal Healthy Homes Grant (3,) (3,) DII I Decrease (1,37) (1,37) FFS I Decrease (45,135) (45,135) VISION I Decrease (273) (273) CSHN Client Services (125,) (125,) Federal Revenue Management 18, (18,) 1.6% Rate Decrease (12,325) (25,23) (37,348) (171,444) 18, (332,325) (55,23) (828,792) after FY15 other changes 8,15,515 13,28,733 2,461,377 1,12,356 25, 37,176,383 1,968,337 7,696,334 8,564,35 Salary Increase 142, ,667 43,199 19, , ,54 135,78 1,413,972 Fringe Increase 144, ,39 43,93 19, ,17 195, ,277 1,437,63 Capped Funding 995,816 (23,53) (87,12) (19,55) (886) (657,793) Act chemicals of concern to children 12, 12, Reduce WIC Spending 25, (25,) EMS reduce ambulance inspection (16,) (24,) (4,) Reduction in Health Surveillance Division (85,) (145,) (23,) Increase X-Ray inspection fees to cover full program cost (6,) 6, Increase Food & Lodging fees to cover full program cost (525,) 525, Staff Attrition savings (15,) (15,) Transfer one Palliative Care Nurse to VDH from DVHA (AHS net-neutral) 97,189 97,189 Transfer one SIM position to VDH from DVHA (AHS net-neutral) 76,886 76,886 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 VDH 17 of 48

18 FY16 Department Request - VDH Tob IdptT Ptrust FF TOTAL Increase Food & Lodging fees to cover full program cost (25,) 25, Cancel new EMS licensing system purchase (4,) (6,) (1,) Vital records; fully recover costs for paper processing (2,) (2,) Hartford Lease 22,49 33,156 9,782 6,864 71,851 St Albans Lease 11,563 17,388 5,13 3,6 37,681 Fee For Space 36,854 (12,452) (3,674) (2,578) 18,15 DII (8,584) (14,467) (4,269) (2,995) (3,315) Vaccine purchase savings for CHIP clients through CDC Vaccines for Children Program (3,) (3,) Reduce tobacco prevention spending on Our Voices Xposed (OVX) and Vermont Kids Against Tobacco (VKAT) youth programs (45,) (45,) Dental recruitment grant to Vermont State Dental Society (2,) (2,) Reduction of General Fund in AIDS community grants (135,) (135,) Eliminate Coordinated Healthy Activity, Motivation & Prevention Programs (CHAMPPS) (3,) (3,) VCHIP spending authority (locally matched) 847,68 847,68 Immunization Program 3,, 3,, EPSDT Admin. spending authority (locally matched) (586,552) (586,552) FY16 Changes 438,594 3,96,527 19,55 1,8,34 753,357 (1,16,754) 5,163,533 FY16 Gov Recommended 8,544,19 16,989,26 2,461,377 1,121,861 25, 38,184,687 11,721,694 6,679,58 85,727,568 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,544,19 16,989,26 2,461,377 1,121,861 25, 38,184,687 11,721,694 6,679,58 85,727,568 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 VDH 18 of 48

19 FY16 Department Request - VDH Tob IdptT Ptrust FF TOTAL VDH Alcohol and Drug Abuse - As Passed FY15 3,11, ,829 1,386,234 35, 8,736,9 18,866,171 3,692,113 36,584,38 other changes: DII I Decrease (1) (1) Care Alliance for Opioid Addiction 6,7, 6,7, Financial Incentive payment for treatment providers (465,) (465,) 1.6% Rate Decrease (193,924) (13,956) (27,88) (1) 6,41,76 (13,956) 6,27,2 after FY15 other changes 3,11, ,829 1,386,234 35, 8,736,9 24,97,247 3,678,157 42,611,4 Salary Increase 14,958 2,129 6,666 1,683 42,8 119,767 17,686 24,897 Fringe Increase 12,821 1,824 5,715 1,444 36,9 12,662 15, ,636 Capped Funding 58,469 (3,953) (12,381) (3,127) (39,8) DII Treatment Outpatient/Case Mangement - Utilization 1,37,926 1,37,926 Residential Treatment utilization (1,517,884) (1,517,884) Opioid Treatment utilization - (hub expenses) 4,646,958 4,646,958 Transfer Tapestry Program to DOC (AHS Net Neutral) (35,) (35,) Reach Up - Community Health Services of Lamoille Valley (CHSLV) share to VDH from DMH - (AHS net-neutral) [BAA Item] 26,13 61,819 87,832 Eliminate ADAP Community Substance Abuse (DOC reduction in General Fund) (2,) (2,) Adolescent Treatment Improvement 134, 134, SBIRT (Screening Brief Intervention Referral Treatment) 955,98 955,98 Opiate Care Alliance - Bennington (annualized BAA item) 35, 35, Eliminate transfer from Lottery Control (15,) (15,) Provider Increase 2.5% for 6 months 46,25 46,25 FY16 Changes (237,65) (35,) 1,129,85 5,54,772 32,888 6,115,14 FY16 Gov Recommended 2,873, ,829 1,386,234 9,865,175 3,448,19 3,711,45 48,726,54 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,873, ,829 1,386,234 9,865,175 3,448,19 3,711,45 48,726,54 TOTAL FY15 VDH Big Bill As Passed 13,655,49 14,49,794 3,847,611 1,452,356 25, 51,153,129 31,41,499 15,292,44 13,958,22 TOTAL FY15 VDH Reductions & other changes (171,762) 18, 5,78,751 (688,979) 5,28,1 TOTAL FY16 VDH Starting Point 13,483,647 14,49,794 3,847,611 1,452,356 25, 51,333,129 36,75,25 14,63, ,986,212 TOTAL FY16 VDH ups & downs 512,728 3,964,14 (33,495) 2,385,15 6,352,252 (1,469,341) 11,414,173 TOTAL FY16 VDH Gov Recommended 13,996,375 18,454,88 3,847,611 1,121,861 25, 53,718,144 43,12,52 13,134,84 147,4,385 TOTAL FY16 VDH Legislative Changes TOTAL FY16 VDH As Passed 13,996,375 18,454,88 3,847,611 1,121,861 25, 53,718,144 43,12,52 13,134,84 147,4,385 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 VDH 19 of 48

20 FY16 Department Request - DMH IdptT FF TOTAL DMH Mental Health - As Passed FY15 1,76, ,94 2, 5,137, ,336,219 44,57, ,741,749 other changes: Youth In Transition Grant Ending, return to Gov.Rec. Increase Vacancy Sa (4,874) (4,874) DII I Decrease (976) (976) FFS I Decrease (3,422) (3,422) VISION I Decrease (652) (652) CRT Reduction (576,415) (576,415) Roll-out of Substance Abuse and MH Services for TANF Clients (26,145) (153,855) (18,) 1.6% Rate Increase (99,868) (22,168) (1,112,36) (36,68) (1,64,138) (22,168) (1,878,374) after FY15 other changes 1,724,41 429,94 2, 5,137, ,696,81 43,855, ,863,375 Salary Increase 1,168 2,99 1, , ,938 Fringe Increase 1,999 3, ,43 256, ,353 Workers Comp Insurance (78) (14) (6,355) (321,56) (381,629) Middlesex Therapeutic Care Residence (MTCR) food service (from contract to Vermont Psychiatric Care Hospital kitchen) (129,984) (129,984) Vermont Psychiatric Care Hospital (VPCH)/Middlesex Therapeutic Care Residence (MTCR) savings (14,123) (14,123) Middlesex Therapeutic Care Ressidence (MTCR) Operating Savings (58,367) (58,367) Lease at Harvest Lane, Williston ,844 7,41 43,511 Electronic Health Record system capital funding repayment 5, 5, Third-party client receipts (BAA Item) 5, (2,5) (2,5) General Liability Insurance ,985 1,94 6,26 Property Insurance Other Insurance 1 2 (4,619) (19,85) (24,466) Vision ,33 3,888 22,856 DII ,846 6,127 36,22 HR Services ,564 7,13 41,914 Fee For Space (2,328) (88,747) (9,972) DII SLA ,192 4,926 28,961 Pathways to Housing - fund new SSA (BAA Item annualized) 85, 85, Soteria House - annualize Y15 appropriation 5, 5, S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DMH 2 of 48

21 FY16 Department Request - DMH IdptT FF TOTAL Youth in Transition federal grant ending (264,92) (264,92) Housing vouchers (BAA Item) (5,) (5,) Vermont Psychiatric Survivors (2,) (2,) Washington County Mental Health (WCMH) Collaborative Solutions Integration Project (CSIP ) (135,61) (135,61) HCRS Sparrow (188,81) (188,81) Children's non-categorical services utilization (381,255) (381,255) Wellness Workforce Coalition (2,) (2,) Alyssum savings (1,) (1,) Residential utilization, Meadowview and Hilltop (525,) (525,) Enhanced Family Treatment - tightening expenditure tolerance range for delivered services (35,) (35,) Provider Increase 2.5% for 6 months 1,395, ,69 1,687,126 AHS Net Neutral: Reach Up - Community Health Services of Lamoille Valley (CHSLV) share to VDH - (AHS net-neutral) [BAA Item] (26,13) (61,819) (87,832) ISB - DCF transfer - (AHS net-neutral) [BAA Item] 1,233,233 1,233,233 Applied Behavior Analysis (ABA) - DVHA transfer to DMH, full year (AHS netneutral) [BAA Item] 3,671,648 3,671,648 IFS-Transfer to DMH from DAIL [AHS Net-Neutral] (BAA Item) 1, 1, FY16 Changes (21,19) 5, (255,939) 6,497, ,89 6,592,876 FY16 Gov Recommended 1,73, ,94 2, 4,881, ,194,25 44,222, ,456,251 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,73, ,94 2, 4,881, ,194,25 44,222, ,456,251 TOTAL FY15 DMH Big Bill As Passed 1,76, ,94 2, 5,137, ,336,219 44,57, ,741,749 TOTAL FY15 DMH Reductions & other changes (36,68) (1,64,138) (22,168) (1,878,374) TOTAL FY16 DMH Starting Point 1,724,41 429,94 2, 5,137, ,696,81 43,855, ,863,375 TOTAL FY16 DMH ups & downs (21,19) 5, (255,939) 6,497, ,89 6,592,876 TOTAL FY16 DMH Gov Recommended 1,73, ,94 2, 4,881, ,194,25 44,222, ,456,251 TOTAL FY16 DMH Legislative Changes TOTAL FY16 DMH As Passed 1,73, ,94 2, 4,881, ,194,25 44,222, ,456,251 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DMH 21 of 48

22 FY16 Department Request - DCF ARRA Fed DCF - Administration & Support Serv - As Passed FY15 19,615,93 638, ,7 16,162,5 16,495,72 53,479,271 other changes: Vacancy Savings (138,234) (138,234) Management Savings Target 1,446,635 (1,446,635) DII I Decrease (2,453) (2,453) FFS I Decrease (9,27) (9,27) VISION I Decrease (1,71) (1,71) (151,595) 1,446,635 (1,446,635) (151,595) after FY15 other changes 19,463, , ,7 17,68,685 15,48,437 53,327,676 Salary Increase 982,93 482, ,883 1,591,262 Fringe Increase 1,63, , ,34 1,86,425 Capped Federal Funds (638,62) 638,62 Workers Comp 3,978 3, ,917 Transfer from RU to Admin for 7 Position Pilot positions funded by RU Caseload Savings (DCF Net Neutral) [BAA Item] 46,973 11, ,17 697,248 Funding for VHC Sustainability - 14 HAEU positions (6 months) 5,743 62, , ,9 Federal funding removed for 14 HAEU positions above (12 months) (39,61) (752,57) (792,18) Annualized funding for 2 AAG Staff Attorneys II for VHC Appeals (BAA Item) 1,835 19,876 14,87 126,518 Annualized funding for 3 Health Care Program Specialists for VHC Appeals 1,444 15,643 82,489 99,576 Swaps SHCRF funding for Exchange, replaced with IDT 97,745 (97,745) Transfer 6 positions from DCF to AHSCO (BAA Item) (99,714) (319,169) (87,983) (56,866) contract funding (net-neutral with DCF) [BAA Item] (84,667) (84,667) Adjustment to true up Federal and GC earnings [BAA Item] 2,543,853 (2,459,186) 84,667 ESD Contract for RU Medical Review Team (BAA Item) 15, 15, S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DCF 22 of 48

23 FY16 Department Request - DCF ARRA Fed Fee for Space 5,998 4,882 9,626 11,56 Internal Service Fund Insurance Changes 56,88 43,139 1,158 19,385 VISION & HRMS Charges 77,312 61,976 14, ,881 DII Allocation (46,358) (37,161) (8,751) (92,27) DHR Allocation 14,84 11,292 2,659 28,35 DII SLA Charges 23,112 18,527 4,363 46,2 Rutland Lease - Transit Parking Garage; 75 $35 month (BAA Item) 15,75 6,615 9,135 31,5 Berlin Lease(BAA Item) 91,271 23,43 18, ,48 St. Albans Lease (BAA Item) 39,624 1,16 7,977 57,761 Hartford/White River Junction Lease (BAA Item) 37,224 9,545 7,494 54,263 VSNIP Surcharge Increase from $3. to $4. 8, 8, FY16 Changes 2,241,792 8, 97,745 3,451,364 (1,591,8) 4,279,11 FY16 Gov Recommended 21,75,29 718, ,815 21,6,49 13,456,637 57,66,777 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,75,29 718, ,815 21,6,49 13,456,637 57,66,777 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DCF 23 of 48

24 FY16 Department Request - DCF ARRA Fed DCF - Family Services - As Passed FY15 22,985,2 1,691, ,54 26,286,55 32,327,11 9,593,515 93,49,877 other changes: DII I Decrease (1,259) (1,259) FFS I Decrease (9,7) (9,7) 1.6% Rate Increase (16,615) (44,631) (151,246) (1,266) (16,615) (44,631) (161,512) after FY15 other changes 22,974,754 1,691, ,54 26,286,55 32,22,486 9,548,884 92,888,365 Salary Increase 21, , , ,955 Fringe Increase 199, ,12 176, ,415 Capped Federal Funds 198,38 (198,38) Workers Comp 7,492 1,313 4,468 13,273 Technical Correction to FSD Position Pilot Grants - Transfer from FSD to Woodside. (DCF Net Neutral) (2,111) (57,239) (77,35) FSD Position Pilot - 3 positions - using RU Caseload Savings (DCF Net Neutral) [BAA Item-annualized] 1,155, , ,716 2,16,46 Substance Abuse Specialists/Screeners - Lund Contract 41,696 6,821 41,483 9, Transfer from Dept of Corrections to permanently move to DCF MOU support for services to youthful offenders in DCF custody (AHS Net Neutral) 3, (3,) Fee for Space 1, ,444 General Liability Ins. & Auto Ins 39,564 6,94 23,596 7,1 VISION & HRMS Charges 64,453 11,35 38, ,197 DHR Allocation 8,47 1,485 5,51 15,6 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DCF 24 of 48

25 FY16 Department Request - DCF ARRA Fed FSD Position Pilot - 3 positions - using RU Caseload Savings (DCF Net Neutral) [BAA Item-annualized] 19, 19, Insurance Premium Increase for Foster Parent Liability & Casualty policy [From $85,53 to $15,778 = $2,248] (BAA Item) 1,326 1,822 8,1 2,248 Barre Lease (BAA Item) 157,277 27,588 93, ,663 Hartford/White River Junction Lease (BAA Item) 34,26 6,9 2,432 6,71 St. Albans Lease (BAA Item) 29,784 5,224 17,763 52,771 IV-E Foster Care FMAP Change 55,685 (55,685) Change in utilization (123,827) (123,827) Transfer from Dept of Corrections to permanently move MOU DOC PCAV Nurturing Parent grant support to DCF (AHS Net Neutral) 65,455 65,455 FSD Position Pilot - using RU Caseload Savings (DCF Net Neutral) [BAA Item-annualized] 15, 15, Technical Correction to FSD Position Pilot Grants - Family Support, aka Strengthening Families grants are in CDD. Transfer from FSD to CDD. (DCF Net Neutral) [BAA Item] (15,) (15,) Technical Correction to shift TANF and funding between CDD and FSD (DCF Net Neutral) [BAA Item] 3,6, (3,6,) FSD Sub Adopt Caseload Increase [From 1,879 to 2,2 = 141 cases x $9,25 cpc = $1,34,25.] [BAA Item] 669,8 635,17 1,34,25 FSD Sub Adopt CPC Decrease [From $9,25 to $8,775 = -475 x 2,2 caseload = -$959,5] [BAA Item] (492,223) (467,277) (959,5) FSD Sub Care Caseload Increase [From 98 to 1,96 = 188 cases x $28,61 cpc = $5,378,68] [BAA Item] 57,14 699,228 2,11,627 2,97,685 5,378,68 FSD Sub Care CPC Decrease [From $28,61 to $25,674 = -$2,936. 1,96 x -$2,936 = -$3,217,6] [BAA Item] (341,66) (418,288) (1,23,382) (1,254,864) (3,217,6) Child & Family Support (CFS) Caseload Increase [From 6,38 to 6,951= 643 cases x $ cpc = $65,249] [BAA Item] 65,249 65,249 Child & Family Support (CFS) CPC Increase [From $ to $ = $6.52 x 6,951 cases = $45,321] [BAA Item] 45,321 45,321 Increase in Caseload for DMH ISB/Waivers (BAA Item) 1,233,233 1,233,233 ISB - DCF transfer to DMH - (AHS net-neutral) [BAA Item] (1,233,233) (1,233,233) Eliminate Steps Program - College of St Joseph's grant (124,161) (124,161) Provider Increase 2.5% for 6 months 269,26 97, ,47 FY16 Changes 6,189,978 (3,) (2,843,827) 2,835,93 94,85 7,92,166 FY16 Gov Recommended 29,164,732 1,691, ,54 23,442,723 35,56,416 1,488,969 99,98,531 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,164,732 1,691, ,54 23,442,723 35,56,416 1,488,969 99,98,531 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DCF 25 of 48

26 FY16 Department Request - DCF ARRA Fed DCF - Child Development - As Passed FY15 34,431,43 1,82, 26,781,87 9,12,834 2,269,694 74,315,738 other changes: DII I Decrease (428) (428) 1.6% Rate Increase (54,384) (54,384) CDD caseload (1,3,) (1,3,) (1,3,428) (54,384) (1,354,812) after FY15 other changes 33,13,975 1,82, 26,781,87 8,958,45 2,269,694 72,96,926 Salary Increases 229, ,921 6,2 373,13 Fringe Increases 199, ,557 18, ,778 Capped Federal Funds (227,22) 227,22 Workers Comp , ,899 Race to the Top grant spending authority (JFO# 2668) 1,899,523 1,899,523 General Liability Ins. & Auto insurance 3,6 7, ,66 VISION & HRMS Charges 5,311 12, ,829 DHR Allocation 565 1, ,5 Race to the Top grant spending authority (JFO# 2668) 195,25 195,25 Harvest Lane Lease(BAA Item) 5,759 5,759 Race to the Top grant spending authority (JFO# 2668) 5,258,17 5,258,17 Technical Correction to shift TANF and funding between CDD and FSD (DCF Net Neutral) [BAA Item] (3,6,) 3,6, Technical Correction to FSD Position Pilot Grants - grants are managed in CDD. Transfer from FSD to CDD. (DCF Net Neutral) [BAA Item] 15, 15, Reduce Child Care Referral program costs by centralizing referral line (2,) (2,) Provider Increase 2.5% for 6 months 12,96 9,381 13,341 FY16 Changes (3,437,853) 11,467,17 197,547 9,381 8,236,182 FY16 Gov Recommended 29,693,122 1,82, 38,248,914 9,155,997 2,279,75 81,197,18 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,693,122 1,82, 38,248,914 9,155,997 2,279,75 81,197,18 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DCF 26 of 48

27 FY16 Department Request - DCF ARRA Fed DCF - Office of Child Support - As Passed FY15 3,371,6 455, ,6 9,345,964 13,56,288 other changes: DII I Decrease (42) (42) FFS I Decrease (2,376) (2,376) (2,778) (2,778) after FY15 other changes 3,368, , ,6 9,345,964 13,557,51 Salary Increase 76,57 169, ,269 Fringe Increase 115,18 255,216 37,234 Capped Federal Funds 2,922 (2,922) Workers Comp (56) (17) (163) Reduce Contracted & 3rd Party - IT Services (24,) (396,) (6,) Major Object Code Technical Correction (OCS Net Neutral) 72, 72, Fee for Space (1,447) (2,753) (4,2) General Liability Ins. & auto liability insurance 8,88 15,384 23,472 VISION & HRMS Charges 1,538 2,43 3,581 DHR Allocation 1,723 3,278 5,1 Barre Lease 35,43 68,24 13,67 Major Object Code Technical Correction (OCS Net Neutral) (72,) (72,) FY16 Changes 62, , ,261 FY16 Gov Recommended 3,43, , ,6 9,457,889 13,731,771 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,43, , ,6 9,457,889 13,731,771 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DCF 27 of 48

28 FY16 Department Request - DCF ARRA Fed DCF - Aid to Aged, Blind, and Disabled - As Passed FY15 9,642,626 3,75, 13,392,626 other changes: after FY15 other changes 9,642,626 3,75, 13,392,626 Major Object Code Technical Correction (AABD net neutral) 26, 26, Admin Check Fee Increase of 2.7%; from $11.32 to $11.55 = $.23. Base Caseload of 16,144. [16,144 x $.23 x 3 months] 11,139 11,139 Projected Admin Check Fee Increase of 2.7%; ($11.55 x 2.7% = $.24; = 11.79) Base Caseload of 16,144. [16,144 x.24 x 9 months] 34,871 34,871 Major Object Code Technical Correction (AABD net neutral) (26,) (26,) FY16 Changes 46,1 46,1 FY16 Gov Recommended 9,688,636 3,75, 13,438,636 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,688,636 3,75, 13,438,636 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DCF 28 of 48

29 FY16 Department Request - DCF ARRA Fed DCF - General Assistance - As Passed FY15 8,48,25 1,111,32 692,471 1,283,816 other changes: Burlington Shelter Delay (225,) (225,) (225,) (225,) after FY15 other changes 8,255,25 1,111,32 692,471 1,58,816 Technical Adjustment (4,) (4,) Transfer from GA to OEO for management of Community Housing Grants (DCF Net Neutral) (2,675,) (2,675,) Transfer from GA to OEO for management of Family Supportive Housing Grants (DCF Net Neutral) (48,) (48,) Transfer from GA to OEO for management of Emergency Solutions Grants (DCF Net Neutral) (12,) (12,) Modify Cold Weather Policy/Expand Heating Shelters (3,) (3,) Provider Increase 2.5% for 6 months 3,194 3,194 FY16 Changes (3,575,) (396,86) (3,971,86) FY16 Gov Recommended 4,68,25 1,111,32 295,665 6,87,1 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,68,25 1,111,32 295,665 6,87,1 DCF - 3SquaresVT - As Passed FY15 27,575,722 27,575,722 Caseload increase from 15,118 to 15,47 = 352 x $152 x ,48 642,48 FY16 Changes 642,48 642,48 FY16 Gov Recommended 28,217,77 28,217,77 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,217,77 28,217,77 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DCF 29 of 48

30 FY16 Department Request - DCF ARRA Fed DCF - Reach Up - As Passed FY15 19,143,717 22,96,676 5,72,987 2,, 374,4 49,317,78 other changes: Reach Up caseload (2,115,) (2,115,) (2,115,) (2,115,) after FY15 other changes 17,28,717 22,96,676 5,72,987 2,, 374,4 47,22,78 Commercial Ins. (139,784) (139,784) Technical Correction: shift in spending authority for EITC & Child Support Collection Disregard to reflect ongoing sources of revenue 1,35, (1,35,) The following Position Pilot Amounts are supported by RU Caseload decrease and Support Services Caseload decrease. (BAA Item) Transfer from RU to Admin for 7 Position Pilot positions funded by RU Caseload Savings (DCF Net Neutral) [BAA Item] (46,973) (46,973) Transfer from RU to AHSCO for Position Pilot match (AHS Net Neutral) [BAA Item - annualized] (359,191) (359,191) FSD Position Pilot - 3 positions - using RU Caseload Savings (DCF Net Neutral) [BAA Item-annualized] (1,324,974) (1,324,974) RU for Housing Case Mgmt grants no longer eligible for Food Stamp E&T funding. [BAA Item] 245,765 (245,765) Lund Contract #26271 increase from 22 to 26 Beds [BAA Item] 96, 384, 48, Count $125 of SSI Income in calculating the RU benefit. (1,659,) Legislative Change effective 7/1/15: Earned Income Disregard 239,1 239,1 Legislative Change effective 7/1/15: Enhanced Child Care Subsidy 1,397,864 1,397,864 (1,659,) Caseload savings (2,754,895) Provider Increase 2.5% for 6 months 27,644 3, 3,644 (2,754,895) FY16 Changes (4,72,88) 1,35, (1,55,765) 411,644 3, (4,551,29) FY16 Gov Recommended 12,38,629 23,41,676 4,152,222 2,411, ,4 42,651,571 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,38,629 23,41,676 4,152,222 2,411, ,4 42,651,571 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DCF 3 of 48

31 FY16 Department Request - DCF ARRA Fed DCF - Home Heating Fuel Assistance/LIHEAP - As Passed FY15 6,, 17,351,664 23,351,664 Eliminate State Funds (6,,) (6,,) FY16 Changes (6,,) (6,,) FY16 Gov Recommended 17,351,664 17,351,664 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,351,664 17,351,664 DCF - Office of Economic Opportunity - As Passed FY15 1,723,191 57,99 3,652,465 23,815 5,637,461 other changes: DII I Decrease (23) (23) 1.6% Rate Increase (1,327) (1,327) (23) (1,327) (1,35) after FY15 other changes 1,723,168 57,99 3,652,465 22,488 5,636,111 Salary Increase (1,391) (2,562) (3,953) Fringe Increase 4,78 8,82 13,582 Capped Federal Funds 6,24 (6,24) Workers Comp (849) (849) Technical Adjustment to Federal earnings (275,952) 275,952 General & Auto Liability Ins VISION & HRMS Charges (889) (889) DHR Allocation (837) (837) Transfer from GA to OEO for management of Community Housing Grants (DCF Net Neutral) 2,675, 2,675, Transfer from GA to OEO for management of Family Supportive Housing Grants (DCF Net Neutral) 48, 48, Transfer from GA to OEO for management of Emergency Solutions Grants (DCF Net Neutral) 12, 12, Provider Increase 2.5% for 6 months 2,625 2,625 FY16 Changes 3,6, ,952 2,625 3,285,76 FY16 Gov Recommended 4,729,667 57,99 3,928,417 25,113 8,921,187 FY16 Legislative Changes FY16 Subtotal of Legislative Changes FY16 As Passed - Dept ID ,729,667 57,99 3,928,417 25,113 8,921,187 S:\FISCAL\BUDGET\216 Cycle\Ups and Downs - Big Bill and BAA\FY16 Ups and Downs\AHS FY16 Ups Downs v4 FINAL.xlsxFY16 DCF 31 of 48