COBI 2015 - Out-of-Home Care

Overview
Issues
Performance
Financials

Sources Uses

FY 2016 Appropriation

This program provides treatment services for children placed in foster care and other residential programs. Placements in out-of-home services are made according to the child's behavioral needs and include basic, specialized, structured, and residential care with therapy and wrap around services. The program includes care and maintenance costs such as room and board, personal care, clothing, and allowance.

Funding History

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $41,829,400 from all sources for Out-of-Home Care. This is a 2.6 percent increase from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $34,960,200 from the General/Education Funds, a reduction of 0.2 percent from revised Fiscal Year 2015 estimates.

Appropriation Adjustments

In addition to statewide compensation and internal service fund cost increases, the following appropriation adjustments were made during the 2015 General Session:

DescriptionOngoingOne-Time Background Checks/HB 145 Vulnerable Adult Workers$150,700$0

OngoingOne-TimeFinancing Source

$116,100$0General Fund

$34,600$0Federal Funds

Human Services - Background Checks & HB 145 - Vulnerable Adult Worker Amendments - "to enable background checks of employees working with vulnerable adults."

Fed Medical Assistance % Rate Change$18,300$0

OngoingOne-TimeFinancing Source

$36,900$0General Fund

($18,600)$0Federal Funds

The Federal Medical Assistance Percentage (FMAP) represents the federal share of the programmatic costs for Medicaid and federal Title IV-E (of the Social Security Act) programs. Title IV-E funds are used to support foster care and adoption assistance in the Division of Child and Family Services. The federal government utilizes a formula to determine its annual percent of FMAP. The projected FMAP rate for State Fiscal Year 2016 for Utah is 70.32 percent. This represents a 0.185 percent decrease from the State Fiscal Year 2015 FMAP rate. Of the $537,100 total FMAP rate change, $431,200 or 80 percent is within the Division of Services for People with Disabilities.

Mental Health Services Rates - DCFS$621,100$0

OngoingOne-TimeFinancing Source

$621,100$0General Fund

DHS - DCFS Mental Health Services Rates - Division of Child and Family Services (DCFS) and Division of Juvenile Justice Services (DJJS) mental health rates are lower than Medicaid rates due to two reductions taken in FY10 and FY11. Medicaid also added the requirement these contract providers use a more complex enrollment and bill directly through the Medicaid payment system (presented in the 2/14/13 Social Services Appropriations Subcommittee meeting). The Legislature funded part of this difference during its 2014 General Session: $559,600 to DCFS ($390,600 General Fund) and $439,600 to DJJS ($306,900 General Fund). How Measure Success? 1. Did children in foster care receive mental health assessments in required time frames (SAFE Measure) 2. Is the child making reasonable progress toward stable and adequate functioning emotionally and behaviorally, at home and at school? (Qualitative Case Review Measure)

Staff Analysis

For the most recent completed fiscal year, the following information represents the purposes for which the money was used:

DCFS Out of Home Care Detailed Purposes

Percent of children who reunified within 12 months

Adoption: Median number of months to adoption

Regarding the positive trend greater than 5% in the median number of months to adoption from the DCFS Out-of-home Care program performance measures, the agency states, "While there was a slight increase during the last year it is not outside of the normal range of fluctuations for this measure."

Intent Language

HB0003: Item 92

Under Section 63J-1-603 of the Utah Code, the Legislature intends that any remaining funds provided for the Division of Child and Family Services, in Item 41, Chapter 13, Laws of Utah 2014 not lapse at the close of FY 2015. The Legislature further intends that these non-lapsing funds are to be used for Adoption Assistance, Out of Home Care, Service Delivery, In-Home Services, Special Needs, and SAFE Management Information System modernization consistent with the requirements found at UCA 63J-1-603(3)(b).

SB0002: Item 85

The Legislature intends the Department of Human Services' Division of Child and Family Services use nonlapsing state funds originally appropriated for Adoption Assistance non-IV-E monthly subsidies for any children that were not initially Title IV-E eligible in foster care, but that now qualify for Title IV-E adoption assistance monthly subsidies under eligibility exception criteria specified in P.L. 112-34 [Social Security Act Section 473(e)]. These funds shall only be used for child welfare services allowable under Title IV-B or Title IV-E of the Social Security Act consistent with the requirements found at UCA 63J-1-603(3)(b).

SB0002: Item 85

The Legislature intends to reinvest non-lapsing state funds originally appropriated for Out of Home Care to enhance Service Delivery or In-Home Services consistent with the requirements found at UCA 63J-1-603(3)(b). The purpose of this reinvestment of funds is to increase capacity to keep children safely at home and reduce the need for foster care, in accordance with Utah's Child Welfare Demonstration Project authorized under Section 1130 of the Social Security Act (Act) (42 U.S.C. 1320a-9), which grants a waiver for certain foster care funding requirements under Title IV-E of the Act. These funds shall only be used for child welfare services allowable under Title IV-B or Title IV-E of the Act.

SB0007S01: Item 30

The Legislature intends that the Department of Human Services report on the following performance measures for the Child and Family Services line item: (1) Administrative Performance: Percent satisfactory outcomes on qualitative case reviews/system performance (Target = 85%/85%), (2) Child Protective Services:� Absence of maltreatment recurrence within 6 months (Target = 94.6%), and (3) Out of home services: Percent of children reunified within 12 months (Target = 74.2%) by January 1, 2016 to the Social Services Appropriations Subcommittee.

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Expenditure Category

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Appropriation History by

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	29,492,100	33,308,400	34,344,400	35,797,800	34,128,500	57,600	34,186,100	774,100	34,960,200
General Fund, One-time	5,734,100	(2,209,300)	(1,500,000)	(1,700,000)	854,000	0	854,000	(854,000)	0
Federal Funds	5,622,900	7,474,300	6,366,300	7,474,300	7,497,800	(110,000)	7,387,800	468,100	7,855,900
American Recovery and Reinvestment Act	1,040,100	(700)	0	0	0	0	0	0	0
Dedicated Credits Revenue	2,388,200	2,292,100	2,368,600	2,422,700	2,383,500	0	2,383,500	37,500	2,421,000
Transfers - Federal	0	0	0	0	0	250,000	250,000	0	250,000
Transfers - Medicaid	(5,063,200)	(4,250,700)	(4,413,800)	(4,511,700)	(4,375,300)	(100,000)	(4,475,300)	17,600	(4,457,700)
Transfers - Within Agency	402,300	428,600	700,800	390,100	600,000	0	600,000	0	600,000
Beginning Nonlapsing	2,949,900	4,125,800	2,843,100	1,793,700	0	0	0	400,000	400,000
Closing Nonlapsing	(5,512,600)	(1,942,100)	(617,800)	(100)	0	(400,000)	(400,000)	200,000	(200,000)
Total	$37,053,800	$39,226,400	$40,091,600	$41,666,800	$41,088,500	($302,400)	$40,786,100	$1,043,300	$41,829,400

Show Table | Show Additional Information

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Current Expense	59,200	60,300	59,800	32,900	59,800	(54,800)	5,000	15,200	20,200
DP Current Expense	0	300	300	0	300	(300)	0	0	0
Other Charges/Pass Thru	36,994,600	39,165,800	40,031,500	41,633,900	41,028,400	(247,300)	40,781,100	1,028,100	41,809,200
Total	$37,053,800	$39,226,400	$40,091,600	$41,666,800	$41,088,500	($302,400)	$40,786,100	$1,043,300	$41,829,400

COBI contains unaudited data as presented to the Legislature by state agencies at the time of publication. For audited financial data see the State of Utah's Comprehensive Annual Financial Reports.