BRIAN KINKADEDEPARTMENT DEPUTY DIRECTOR

photos ©JUPITERIMAGES 2009

MARCH 25, 2011

Charge 

Missouri charges the Department of Social Services (DSS) with the following broad responsibilities.

 

The health and general welfare of the people are matters of primary public concern; and to secure them there shall be established a department of social services . . .

Missouri Constitution

Article IV Section 37

 

and,

 

. . . To provide appropriate public welfare services to promote, safeguard and protect the social well-being and general welfare of children . . . to help maintain and strengthen family life, and to provide such public welfare services to aid needy persons who can be so helped to become self-supporting or capable of self-care;

Section 207.020.1 (15) RSMo

 

 

 

Mission

 

Maintain or improve the quality of life for Missouri citizens

Guiding Principles

 • RESULTS for the people of Missouri• EXCELLENCE in customer service• PROFICIENCY of performance• INTEGRITY of stewardship • ACCOUNTABILITY

 

Core Functions

 • Child protection and permanency• Youth rehabilitation• Access to quality health care• Maintaining and strengthening families

2

WHO WE ARE

3

BUDGET SUMMARY

$1.4

$1.4

$1.5

$1.6

$3.5

$3.9

$4.1

$4.4

$2.0

$2.0

$2.1

$2.2

$0.0 $3.0 $6.0 $9.0

SFY-2009 Expended

SFY-2010 Expended

SFY-2011 Planned

2012 Gov Rec

Billion

General Revenue Federal Funds Other Funds

$8.2 BilTotal

$7.3 BilTotal

$6.9 BilTotal

7,641 FTE

7,852 FTE

8,178 FTE

7,378 FTE

$7.7 BilTotal

FY 12 BUDGET

MO HealthNet Division,

$7.0 Bil, 86%

Children's Division,

$526.7 Mil, 6%

Family Support Division,

$534.4 Mil, 7%

Division of Youth Services,

$60.8 Mil, 1%

Support Divisions, $28.7 Mil,

Less than1%

4

Governor’s Recommendations by Division

Programs and Functions

• Needs Based Programs Temporary

Assistance Food Stamps Low Income Home

Energy Assistance MO HealthNet

Eligibility Child Care Eligibility

• Child Support Enforcement

• Rehabilitation Services for the Blind

FAMILY SUPPORT DIVISION

5

Budget Summary

$77.1 $65.5

$59.1 $72.4

$447.6

$473.9

$434.0

$403.7

$43.8 $45.2

$54.1 $58.3

$0.0 $250.0 $500.0 $750.0

SFY-2009 Expended

SFY-2010 Expended

SFY-2011 Planned

2012 Gov Rec

Million

General Revenue Federal Funds Other Funds

$547.2 MilTotal

$584.6 MilTotal

$568.5 MilTotal

3,643 FTE

3,822 FTE

4,015 FTE

3,510 FTE

$534.4 MilTotal

FY 12 Governor’s Recommendations

Major Increases

• None Major Decreases

• Restructuring Business Operations –

$0 GR (182 FTE) Reinvested in IM Call Center Reinvested in Child Support Intake Center

• Cutting Current Year Restrictions –

($2.0) M GR

FAMILY SUPPORT DIVISION

6

FY 12 House Actions

Major Increases

• Domestic Violence – $710,000 GR

Major Decreases

• None

Programs and Functions

• Case Management

• Residential Treatment

• Day Treatment

• Juvenile Court Diversion

DIVISION OF YOUTH SERVICES

7

Budget Summary

$40.7

$25.5

$24.8

$22.8

$14.0

$28.6

$29.1

$29.4

$6.9

$6.4

$7.2

$8.6

$0.0 $25.0 $50.0 $75.0

SFY-2009 Expended

SFY-2010 Expended

SFY-2011 Planned

2012 Gov Rec

Million

General Revenue Federal Funds Other Funds

$61.1 MilTotal

$60.5 MilTotal

$61.6 MilTotal

1,376 FTE

1,376 FTE

1,416 FTE

1,288 FTE

$60.8 MilTotal

FY 12 Governor’s Recommendations

DIVISION OF YOUTH SERVICES

8

Major Increases

• Youth Services Education Initiatives – $1.1 M DYS Ed Fund

Major Decreases

• Restructuring Business Operations – ($0.3) M GR (32.5 FTE) Reinvested in Contracted Services

• Administrative Staff Reductions – ($0.4) M GR

• Restructuring Facility Maintenance – ($1.6) M GR

FY 12 House ActionsMajor Increases

• None

Major Decreases

• None

Programs and Functions

• Child Safety and Permanency Child Abuse and

Neglect Investigation

Foster Care and Treatment Services

Adoption/ Guardianship

Independent/ Transitional Living

• Child Care and Early Childhood Education

CHILDREN’S DIVISION

9

Budget Summary

$245.9

$243.1

$242.3

$246.6

$240.2

$241.5

$250.6

$252.3

$23.0 $25.1

$27.3 $27.8

$0.0 $200.0 $400.0 $600.0

SFY-2009 Expended

SFY-2010 Expended

SFY-2011 Planned

2012 Gov Rec

Million

General Revenue Federal Funds Other Funds

$520.2 MilTotal

$509.7 MilTotal

$509.1 MilTotal

2,129 FTE

2,164 FTE

2,203 FTE

2,,061 FTE

$526.7 MilTotal

FY 12 Governor’s Recommendations

CHILDREN’S DIVISION

10

Major Increases

• Child Welfare Supplemental and Caseload Growth – $3.3 M GR

• Increase in Foster Care Tuition Waivers – $100,000 GR

Major Decreases

• Restructuring Business Operations – $0 GR (38 FTE)

Reinvested in Contracted IIS

• Cutting Current Year Restrictions – ($1.5) M GR

• Administrative Staff Reductions –($520,000) GR

FY 12 House Actions

Major Increases

• None

Major Decreases

• None

Programs and Functions

• MO HealthNet (Medicaid) Benefit Administration

• Medicaid Provider Taxes

• Missouri RX Plan

MO HEALTHNET DIVISION

11

Budget Summary

$1.1

$1.0

$1.2

$1.3

$2.8

$3.2

$3.3

$3.6

$1.9

$1.9

$2.0

$2.1

$0.0 $2.5 $5.0 $7.5

SFY-2009 Expended

SFY-2010 Expended

SFY-2011 Planned

2012 Gov Rec

Billion

General Revenue Federal Funds Other Funds

$6.5 BilTotal

$6.1 BilTotal

$5.8 BilTotal

268 FTE

252 FTE

267 FTE

227 FTE

$7.0 BilTotal

FY 12 Governor’s Recommendations

MO HEALTHNET DIVISION

12

Major Increases

• Medicaid Supplemental and Caseload Growth – $180.5 M GR

• Medicaid Rate Adjustments – $44.7 M GR(Medicare Premiums, Hospice, Pharmacy, Managed Care)

• Health Information Technology Grants – $60 M FF

• Mental Health Care Home Model – $9.0 M FF

• Medicaid Audit Expansion – $0.3 M GR

Major Decreases

• Cutting Current Year Restrictions – ($8.9) M GR CCIP Reduction FQHC Grant Reductions

• Medicaid Cost Containment – ($38.6) M GR Nursing Facility Lapse ($10.0) M GR Health Care Home ($4.1) M GR Audit/Compliance Initiatives ($4.3) M GR Cut Hospital Payments ($13.4) M GR DME 80% of Medicare ($1.8) M GR (FY 11)

Managed Care Rates ($5.0) M GR (FY 11)

• One-Time MMIS Modernization Costs – ($11.8) M FF

MO HEALTHNET DIVISION

13

FY 12 House Actions

Major Increases

• MMAC: Case Management/Provider Enrollment Systems – $2.0 M GR

• MMAC: Provider Education– $5.0 M Recovery Audit & Compliance Fund

Major Decreases

• Medicaid Supplemental and Caseload Growth – ($26.3) M GR