COBI 2015 - Aging Waiver Services

Overview
Issues
Performance
Financials

Sources Uses

FY 2016 Appropriation

This waiver program (meaning a waiver from normal Medicaid statutory requirements) permits Medicaid funding for services to the elderly in non-institutional settings. These services allow seniors to maintain their independence and postpone the potential need for an institutional placement. Medicaid requires that the cost of services not exceed the cost of nursing homes.

Funding History

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $1,713,900 from all sources for Aging Waiver Services. This is a 65.4 percent increase from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $1,902,000 from the General/Education Funds, an increase of 12.4 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 Aging Waiver$673,900$0

OngoingOne-TimeFinancing Source

$200,000$0General Fund

$473,900$0Transfers - Medicaid

This item was presented as a request to the Health and Human Services interim standing committee on 9-17-14 asking that the waiting list on the aging waiver be fully funded. Some have suggested funding this item as a cost saving measure to reduce more expensive institutional care. Funding for the Aging Waiver has been flat for a number of years.

Staff Analysis

Full-time equivalent staff positions in the Department of Human Services by major program categories For the most recent completed fiscal year, the following information represents the purposes for which the money was used:

DAAS Aging Waiver Detailed Purposes

The Aging Waiver program is offered statewide and is administered through the 12 area agencies on aging for the following counties: Box Elder; Cache; Rich, Davis; Beaver;Garfield; Iron; Kane; Washington; Summit; Utah; Wasatch; Salt lake; San Juan; Juab; Millard; Piute; Sanpete; Sevier; Wayne; Carbon; Emery; Grand; Tooele; Duchesne; Uintah; Morgan; Weber. Distribution is "based on the federal poverty level of 100%; population; demographics, geographic area, race/ethnicity and Level of Care LOC/ ADLs and IADLs; county funding and available provider services." UCA 62A-3-108 establishes criteria and also governs the distribution of these funds.

Average Cost of Client at 15% or less of Nursing Home Cost

Intent Language

HB0003: Item 93

Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $50,000 of appropriations provided for the Department of Human Services' Division of Aging and Adult Services - Adult Protective Services, in Item 42, Chapter 13, Laws of Utah 2014 not lapse at the close of Fiscal Year 2015. These funds are to be used for the purchase of computer equipment and software, capital equipment or improvements, equipment, or supplies.

HB0003: Item 93

Under Section 63J-1-603 of the Utah Code, the Legislature intends that any remaining funds provided by Item 42, Chapter 13, Laws of Utah 2014 for the Department of Human Services' Division of Aging and Adult Services not lapse at the close of Fiscal Year 2015. It is further the intent of the Legislature that these non-lapsing funds are to be used for client services for the Aging Waiver consistent with the requirements found at UCA 63J-1-603(3)(b).

SB0002: Item 86

The Legislature intends the Department of Human Services' Division of Aging and Adult Services use applicable federal funding reserves to provide one-time funding of $150,000 for Aging Nutrition.

SB0007S01: Item 31

The Legislature intends that the Department of Human Services report on the following performance measures for the Aging and Adult Services line item: (1) Medicaid Aging Waiver: Average Cost of Client at 15% or less of Nursing Home Cost (Target = 15%), (2) Adult Protective Services: Protective needs resolved positively (Target = 95%), and (3) Meals on Wheels: Total meals served (Target = 10,115) by January 1, 2016 to the Social Services Appropriations Subcommittee.

Display By:

Funding Source

Expenditure Category

Appropriation Type:

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	1,662,800	1,662,700	1,719,100	1,714,200	1,702,300	(10,500)	1,691,800	209,400	1,901,200
General Fund, One-time	(189,600)	8,000	0	400	800	0	800	0	800
American Recovery and Reinvestment Act	174,200	0	0	0	0	0	0	0	0
Transfers	0	0	0	0	0	0	0	4,500	4,500
Transfers - Medicaid	(507,800)	(630,200)	(740,300)	(619,600)	(687,800)	(182,300)	(870,100)	677,500	(192,600)
Beginning Nonlapsing	0	0	0	0	0	213,500	213,500	(213,500)	0
Closing Nonlapsing	0	0	0	(157,400)	0	0	0	0	0
Lapsing Balance	(221,600)	0	0	0	0	0	0	0	0
Total	$918,000	$1,040,500	$978,800	$937,600	$1,015,300	$20,700	$1,036,000	$677,900	$1,713,900

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	162,300	162,100	166,700	172,800	185,400	12,600	198,000	4,100	202,100
In-state Travel	200	1,300	1,800	1,800	2,600	200	2,800	0	2,800
Out-of-state Travel	0	0	2,500	1,800	4,600	(2,600)	2,000	0	2,000
Current Expense	8,000	8,800	9,200	10,300	13,600	(1,200)	12,400	500	12,900
DP Current Expense	10,500	7,100	6,600	6,700	9,500	(1,700)	7,800	(600)	7,200
Other Charges/Pass Thru	737,000	861,200	792,000	744,200	799,600	13,400	813,000	673,900	1,486,900
Total	$918,000	$1,040,500	$978,800	$937,600	$1,015,300	$20,700	$1,036,000	$677,900	$1,713,900

Show Table | Show Additional Information

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Budgeted FTE	3.44	3.10	2.29	2.38	2.38	0.02	2.40	0	2.40
Actual FTE	2.01	2.20	2.20	2.30	0	0	0	0	0

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.