COBI 2015 - Department Medical Services

Overview
Issues
Performance
Background
Financials

Sources Uses

FY 2016 Appropriation

The Utah Department of Corrections' Clinical Services Bureau provides medical care for incarcerated inmates in secure facilities that are owned, operated or contracted by the state. Inmates are treated by UDC doctors, nurses, dentists and aides, as well as through contracts with private health care providers such as the University of Utah Medical Center. Some of the more specialized medical treatment provided to inmates is conducted through telemedicine and telepsychiatry services.

Funding History

Funding Issues

Manual Claim Processing

According to the legislative audit "The Department currently devotes approximately $89,000 in resources to manually process medical claims…. Studies show that manual entry generally has around a two percent error rate, in addition to potential risks that accompany an unmonitored contract. Therefore, approximately $140,000 of offsite medical claims had an error, assuming two percent of the claims had data entry errors. While this does not necessarily represent over- or underpayments, we are concerned that the errors likely occurred."

Related Publications

Summary of August 2014 EOCJ Subcommitte Meeting

Pew Findings - Utah Prison Cost Drivers

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $31,175,600 from all sources for Department Medical Services. This is a 6.6 percent reduction from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $30,566,400 from the General/Education Funds, a reduction of 0.6 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 Justice Reinvestment Initiative$1,045,100$0

OngoingOne-TimeFinancing Source

$1,045,100$0General Fund

Over the past 18 months, leaders in state government collaborated with the Pew Charitable Trusts Public Safety Performance Project and the U.S. Department of Justice to examine and find solutions to Utah's recidivism rate and growing prison population. The Justice Reinvestment Initiative is the broad project to begin implementation of key recommendations from the study. Funding is provided for the Department of Corrections, Board of Pardons and Parole, Governor's Office (Commission on Criminal and Juvenile Justice); additional funding is provided for the Division of Substance Abuse and Mental Health.

Medical Line Item Shortfall$0$500,000

OngoingOne-TimeFinancing Source

$0$500,000General Fund, One-time

No Description

Nonlapsing Balance Transfer$0$1,600,000

OngoingOne-TimeFinancing Source

$0$1,600,000General Fund, One-time

No Description

The Department submits the following performance data for the Medical Services line item. medical performance data

Statute

This program activity is governed by:

UCA 62A-15-605.5 addresses mental health services;
UCA 64-13-26 authorizes the use of private providers for services that the Department cannot provide directly;
UCA 64-13-36 authorizes the testing of prisoners for AIDS and HIV infections;
UCA 64-13-39 requires the Corrections Clinical Services to be accredited by the National Commission for Correctional Health Care.

UDC is required by federal law to provide medical, dental and mental health care to those incarcerated by the state. The Clinical Services Bureau provides health care at the Draper prison and Gunnison prisons. Medical services at other facilities are provided through contractual arrangements.

The Bureau provides mental health services and a comprehensive array of treatment alternatives to offenders who are mentally ill or suffering from emotional problems. Services include crisis intervention, acute care, residential, and outpatient services. The Bureau is accredited by the National Commission on Correctional Health Care.

Intent Language

HB0003: Item 16

Under Section 63J-1-603 of the Utah Code, the Legislature intends that the appropriations for the Utah Department of Corrections - Medical Services in item 28 of chapter 14, Laws of Utah 2014 not lapse at the close of Fiscal Year 2015.

Display By:

Funding Source

Expenditure Category

Appropriation Type:

Appropriation History by

Programs	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Medical Services	26,894,500	27,904,700	28,364,500	29,113,200	30,596,000	2,778,300	33,374,300	(2,198,700)	31,175,600
Total	$26,894,500	$27,904,700	$28,364,500	$29,113,200	$30,596,000	$2,778,300	$33,374,300	($2,198,700)	$31,175,600

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	25,080,300	25,083,700	25,556,600	28,064,700	28,569,300	0	28,569,300	1,843,600	30,412,900
General Fund, One-time	2,000,000	2,000,000	1,806,900	531,000	87,500	2,100,000	2,187,500	(2,034,000)	153,500
Dedicated Credits Revenue	475,900	513,700	535,700	600,100	539,200	70,000	609,200	0	609,200
Transfers	0	0	0	0	0	1,400,000	1,400,000	(1,400,000)	0
Transfers - Medicaid	0	0	0	0	1,400,000	(1,400,000)	0	0	0
Beginning Nonlapsing	636,600	1,298,300	991,000	525,700	0	608,300	608,300	(608,300)	0
Closing Nonlapsing	(1,298,300)	(991,000)	(525,700)	(608,300)	0	0	0	0	0
Total	$26,894,500	$27,904,700	$28,364,500	$29,113,200	$30,596,000	$2,778,300	$33,374,300	($2,198,700)	$31,175,600

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	13,703,500	13,867,600	14,538,800	14,968,000	18,854,200	(366,000)	18,488,200	1,780,700	20,268,900
In-state Travel	1,600	1,700	200	2,500	200	0	200	0	200
Out-of-state Travel	0	0	0	4,000	0	0	0	0	0
Current Expense	5,301,800	5,332,600	5,274,000	5,920,300	4,742,300	1,737,400	6,479,700	(1,492,000)	4,987,700
DP Current Expense	378,700	362,300	451,500	508,700	356,300	(1,700)	354,600	20,900	375,500
Capital Outlay	182,700	0	55,700	213,500	0	0	0	0	0
Other Charges/Pass Thru	7,326,200	8,340,500	8,044,300	7,496,200	6,643,000	1,408,600	8,051,600	(2,508,300)	5,543,300
Total	$26,894,500	$27,904,700	$28,364,500	$29,113,200	$30,596,000	$2,778,300	$33,374,300	($2,198,700)	$31,175,600

Show Table | Show Additional Information

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Approp
Budgeted FTE	192.10	194.50	194	196.50	197.31	(0.31)	197	197
Actual FTE	145.30	146.50	148.80	153.70	0	0	0	0
Vehicles	4	4	4	4	4	0	4	4

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.