SOCIAL SERVICES
GOVERNOR'S RECOMMENDED FY 2012 BUDGET
083 Medical and Adult Services

  ACTUAL
FY 2009
ACTUAL
FY 2010
BUDGETED
FY 2011
REQUESTED
FY 2012
GOVERNOR'S RECOMMENDED
FY 2012
RECOMMENDED INC/(DEC)
FY 2012
FUNDING SOURCE:
   General Funds $191,077,992 $187,650,278 $222,968,566 $262,905,463 $249,851,786 $26,883,220
   Federal Funds 423,819,862 555,874,521 499,696,069 479,785,258 458,973,184 (40,722,885)
   Other Funds 1,462,967 4,449,470 2,991,730 2,991,730 1,770,368 (1,221,362)
      Total $616,360,821 $747,974,269 $725,656,365 $745,682,451 $710,595,338 ($15,061,027)
 
EXPENDITURE DETAIL:
   Personal Services $6,822,172 $7,001,366 $7,715,603 $7,715,603 $7,993,558 $277,955
   Operating Expenses 609,538,649 740,972,903 717,940,762 737,966,848 702,601,780 (15,338,982)
      Total $616,360,821 $747,974,269 $725,656,365 $745,682,451 $710,595,338 ($15,061,027)
 
Staffing Level FTE: 139.9 143.7 145.0 145.0 149.0 4.0

  ACTUAL
FY 2009

ACTUAL
FY 2010

ESTIMATED
FY 2011

ESTIMATED
FY 2012

REVENUES:  
      
Total

$0

$0

$0

$0
PERFORMANCE INDICATORS:  
   MEDICAL SERVICES:
   Average Persons Eligible:
   Aged/Blind 5,546/84 5,486/84 5,437/84 5,383/84
   Disabled Adults/Children 11,444/2,815 11,755/3,008 12,047/3,192 12,343/3,378
   Low Income Family (LIF) Adults/Children 10,797/18,047 11,731/19,130 11,165/20,502 12,858/21,077
   DSS and DOC Foster Care Children 3,728 3,837 3,850 3,900
   Pregnant Women 1,873 1,998 2,060 2,114
   QMB 3,409 3,480 3,555 3,629
   Medical Services Programs for Children:
   Title XIX Funded 34,959 38,308 40,736 41,848
   Title XXI Funded, Under 140% of FPL 9,254 9,601 9,800 10,113
   Title XXI Funded 140%-200% of FPL 2,564 2,587 2,732 2,725
   Total Title XIX Eligibles 92,702 98,817 102,628 106,614
   Total Title XXI Eligibles 11,818 12,188 12,532 12,838
   Total Avg. Persons Eligible (XIX & XXI) 104,520 111,005 115,160 119,452
   Total Average Cost Per Title XIX Eligible $4,088 $4,416 $4,591 $4,711
   Average Cost Per Title XIX Eligible by Service:
   Physicians $774 $764 $783 $774
   Inpatient Hospital $1,129 $1,230 $1,306 $1,316
   Outpatient Hospital $394 $408 $441 $440
   Prescription Drugs $366 $342 $342 $316
   All Other Services $1,425 $1,672 $1,719 $1,865
   Program Utilization (Avg Mo Utiliz/Cost):
   Physician Services 29.26/$212.52 29.35/$207.84 31.35/$203.83 32.33/$195.69
   Inpatient Hospital 1.65/$5,725.86 1.62/$6,409.57 1.71/$6,167.69 1.74/$6,135.44
   Outpatient Hospital 6.87/$477.81 7.04/$478.85 6.82/$539.12 7.06/$519.93
   Other Medical 3.13/$343.38 3.04/$346.65 3.14/$366.56 3.14/$326.13
   Chiropractic Services 1.05/$36.14 1.07/$36.63 1.14/$36.36 1.14/$34.61
   Medicare Crossover 8.58/$251.42 7.92/$199.23 8.76/$200.10 8.76/$212.21
   Indian Health Services 20.77/$479.29 27.14/$642.43 22.79/$755.99 24.96/$755.99
   Prescription Drugs:
   Avg. Utilization/Prescriptions Per Month 23.14/2.69 23.77/2.72 23.92/2.69 23.92/2.75
   Average Cost Per Prescription $68.75 $63.17 $64.54 $59.08
   
   Adult Services:
   Average Eligible Clients 27,703 27,871 28,733 30,668
   Dental Average Utilization/Cost 5.36/$186.23 5.69/$189.38 5.69/$194.29 5.87/$176.15
   Optometrist Average Utilization/Cost 1.69/$120.36 1.54/$123.50 1.81/$121.89 1.81/$117.79
   Children's Services (EPSDT)
   Avg. Children - LIF/Foster Care 18,047/3,728 19,130/3,837 20,502/3,850 21,077/3,900
   Expanded Medical/Disabled 30,384/2,815 33,719/3,008 36,136/3,192 37,148/3,378
   Avg. Monthly Utilization/Cost:
   Screening 1.11/$86.19 0.93/$86.89 1.47/$86.73 1.47/$50.75
   Dental Services 8.50/$182.14 8.83/$183.98 9.24/$132.75 9.24/$142.41
   Optometric Services 1.37/$105.26 1.24/$108.57 1.53/$105.92 1.53/$82.84
   Treatment Services 1.55/$1,094.56 1.51/$1,149.30 1.49/$1,101.39 1.49/$1,121.46
   Supplemental Medical Insurance (Buy-In):
   Part A Recipients/Premium 969/$433.00 986/$446.60 969/$471.00 1,018/$478.78
   Part B Recipients/Premium 15,637/$96.40 15,874/$102.77 16,190/$115.50 16,509/$145.00
   Balance Budget Act Expanded SMI/Premium 932/$100.06 1,034/$103.40 1,128/$115.50 1,175/$145.00
   Childrens Care Hospital:
   Avg. Residents/Per Diem Paid 59/$461.02 55/$557.98 65/$317.13 0/$0
   Renal Disease:
   Avg. Monthly Eligibles 6 11 6 11
   Avg. Monthly Cost Per Eligible $64.71 $131.55 $157.44 $131.55
   Managed Care Program Participants:
   Eligibles/Physicians in Primary Care 78,407/691 89,779/709 93,685/727 96,613/736
   Claims Processing:
   Claims Processed 4,677,770 5,030,235 5,182,200 5,375,340
   Claims Processed Per Eligible Person 45 45 45 45
   
   ADULT SERVICES AND AGING:
   Average Monthly Consumers Served 5,689 5,939 5,939 5,939
   Annual Unduplicated Consumers Served 8,476 8,759 8,759 8,759
   Title XIX Waiver Program Consumers Unduplicated 1,187 1,174 1,174 1,174
   In-Home Waiver - Unduplicated Consumers 142 138 138 138
   Assisted Living Waiver - Unduplicated Consumers 1,045 1,036 1,036 1,036
   In-Home Services (Non-Waiver)
   Nursing and Homemaker Aide Consumers 5,653 5,870 5,870 5,870
   Contracted Nursing and Homemaker Aide Hours 319,629 340,804 352,876 352,876
   Respite and Caregiver Consumers 637 621 621 621
   Community Support Services
   Adult Day Hours / Consumers 57,310/156 70,622/307 79,722/307 79,722/307
   Transportation Trips / Consumers 443,192/8,886 471,343/9,854 475,000/9,900 475,000/9,900
   Elderly Nutrition Program - Meals Served 1,488,328 1,393,362 1,502,658 1,525,758
   Elderly Nutrition Program - ARRA Meals Served 34,249 23,100
   Nutrition Consumers Served Per Day (252 days) 5,906 5,665 5,665 5,665
   Long Term Care Services
   Nursing Facilities - Consumers 3,609 3,591 3,591 3,591
   Assisted Living Centers - Consumers 726 743 743 743
   Adult Foster Care - Consumers 12 12 12 12
   Victims Services
   Unduplicated Victims Served 16,077 15,631 15,631 15,631
   Unduplicated Victims Sheltered 4,674 3,493 3,493 3,493
   Victims Compensation Claims Approved 238 291 291 291

generated 01/14/11 12:30:10 PM