Department of Social and Health Services - Developmental Disabilities
| Annual FTEs | General Fund State | Other Funds | Total Funds | |
|---|---|---|---|---|
| (Dollars in Thousands) | ||||
| Estimated Expenditures | 1,427.0 | 1,788,143 | 1,867,650 | 3,655,793 |
| Total Maintenance Changes | 0.0 | 0 | 0 | 0 |
| 2019-21 Maintenance Level | 1,426.6 | 1,736,099 | 1,901,474 | 3,637,573 |
2019-21 Policy Other Changes |
||||
| Personal Protective Equipment | 0.0 | 1,840 | 1,481 | 3,321 |
| COVID-19 Client Services/Facility | 0.50 | 2,064 | 46 | 2,110 |
| Shared Benefit Adjustment | 0.0 | 2,387 | 3,039 | 5,426 |
| 2019-21 Policy Other Changes Total | 0.50 | 6,291 | 4,566 | 10,857 |
| Total Policy Changes | 0.50 | 6,291 | 4,566 | 10,857 |
| 2019-21 Policy Level | 1,427.1 | 1,742,390 | 1,906,040 | 3,648,430 |
Policy Changes
Forecast Cost/Utilization
Funding is provided due to changes in the projected cost and utilization of personal care services in the November, 2020 forecast.
Mandatory Caseload Adjustments
Funding is reduced due to projected changes in the personal care services caseloads based off of the November, 2020 forecast.
Transfers
The department will shift FTE staff and funding to align them with the programs where the costs are incurred for Fiscal Year 2021. The net impact is zero.
Consumer Directed Employer
Funding is reduced due to a change in the applicable Business and Occupation (B&O) tax from 1.5 percent to 1.75 percent, an implementation timing change, and changes in the Individual Provider caseload.
Utilization of Residential Services
Funding is reduced as a result of projected changes in the caseload and cost of community residential services in the November, 2020 forecast.
DDA Children Residential Education
Funding is provided to pay for increased costs of approximately 80 school aged children in residential settings who need more service hours as a result of school being conducted virtually and not in-person.
Utilization of Respite Services
Funding is reduced for projected decreases in the caseload and cost of respite services based off of the November, 2020 forecast.
Enhanced FMAP Offset
During the Public Health Emergency (PHE) CMS provided an additional 6.2% in FMAP match for Medicaid services. The agency maximized the increase in federal funding to provide enhanced rates to providers in long-term care settings. The increased FMAP allowed the agency to offset GF-S that would ordinarily be used for services for clients and return GF-S to reserve.
Citrix and VPN Charges
Funding is provided to reflect the increased costs incurred by the Department of Social and Health Service's for Citrix and Virtual-Private-Network (VPN) due to the rise in the number of staff working remotely as a result of the COVID-19 pandemic.
Personal Protective Equipment
Funding is provided to reflect the increased costs incurred for personal protective equipment (PPE) as a result of the COVID-19 pandemic. (General Fund - Cash, General Fund - State, General Fund - Medicaid Federal, other funds)
COVID-19 Client Services/Facility
Funding and 1.0 FTE staff are provided to address increased costs resulting from the COVID-19 pandemic, including a state-operated COVID-19 specific facility and temporary financial eligibility staff. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - State, other funds)
Shared Benefit Adjustment
This funding will cover the estimated claims for the variance between services provided under the shared benefit equation and the full amount of the benefit while rulemaking takes place. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
