Next year’s budget, approved by Commissioners Board in late September, probably was $ 65 dot seven million and more than approximately 230 3700 patients served by county have lost solutions in the past year. 2 fundamental rearrangements in state policy associated with questionable decision making by an organization leadership functioning without direct county control led to sharp decline, that will mean a loss of maintenance for some and a revisal in quality of solutions for others. Was created and old enough ones been phased out, numbers in the subheadings below were always meant to represent approximate dollar values in determining where $ 14 dot three million went, since money comes into county from exclusive places. Therefore the PIHP job has probably been to serve as a ‘pass through’ and administrator for Medicaid resources that come from the governmental government via state.
By the way, the Washtenaw County Health Organization formed in 2000 to serve as the Prepaid Inpatient Health Plan for Washtenaw, Lenawee, Monroe and Livingston counties. Whenever meaning that all Medicaid money for the 4 counties came into the WCHO, that then distributed out money to next 4 counties and kept the remainder for Washtenaw, the WCHO was formed under the hub and spokes model. King said there were mostly deficits throughout year that will quite often be magically filled at end with some extra money from state or from another county’s surplus. One issue that was a significant problem for the WCHO and remains ugh in 2015 is always that state allocations of Medicaid dollars and main fund dollars will overlook ‘midyear’ with little warning. Notice that despite fact that WCHO had turned over nearly all of its serviceproviding duties to Community Support and Treatment maintenance the previous year, it still carried the CMHSP designation. In 2013, the state issued modern regulations stating that a PIHP could no longer as well be a Community Mental Health Service Provider.
a completely new organization, the Community Mental Health Partnership of Southeast Michigan, was formed to get over PIHP duties from Washtenaw Community Health Organization, that was ultimately phased out as an entity in Its county functions were absorbed by the CSTS, that ok on the name Washtenaw County Community Mental Health.
There was not often good communication between the county leadership and the mental health organization, one county commissioner will sit on WCHO board as a ‘exofficio’ member.
By the way, the WCHO was not a county agency and as a result the county’s board of commissioners did not have oversight over the organization’s budget. Kurtz very fast responded in writing that the significant problem was not a brand new or uncommon one and will probably be resolved when newest numbers came from state regarding funding allocations. I’m sure you heard about this. McDaniel sent Kurtz a letter July 28, 2014 that outlined her desire to see rough numbers showing a balanced budget. Keep reading. Those solutions under no circumstances came to fruition and by 2014 fourth quarter it turned out to be clear that a $ 86 million budget deficit existed for WCHO without visible means of filling in the gaps.
There were 3333 fewer tal Washtenaw County residents on Medicaid than previous June that number includes all Medicaid enrollees, not merely mental health patients, as of June 2015.
In FY 2015, Washtenaw County got about $ four million less than was budgeted for that year and in coming year county’s Medicaid payout going to be down by $ five million. When Medicaid all wasn’t used, it could roll over for one year., beyond doubt, the county usually was in addition dealing with Medicaid loss carry forward dollars that had been reachable in previous years, while the shortterm cuts will exacerbate problems.
By FY 2014 carry forward had shrunk to $ six million and 3 months into following fiscal year, it was gone.
This year for the most part there’s no carry forward money to identical time, community living support costs grew from $ ten dot four million in FY 2010 to more than $ 22 million by FY Core provider costs had grown from $ 25 dot eight million to nearly $ 30 million over quite similar time period. 3 counties in Washtenaw County’s PIHP region did not receive enough Medicaid dollars to fully fund their programs in FY 2014 and the $ one million surplus from Lenawee was distributed to Basically the proper introduction Michigan Plan, a Medicaid expansion paid for with ministerial dollars, increased the statewide mental health budget by getting more people under the umbrella of publicly funded programs.
Enrollment success campaign turned out to be a ‘doubleedged’ sword for counties and service providers.
In its first year, more than 600000 signed up for HMP who did not previously have health care coverage through Medicaid. Did you know that the state had less money to pay per patient than they had previously estimated, because enrollment was higher than expected. You should make it into account. Perpatient rate was adjusted down by $ ten per month mid year by state, approximately 15000 people enrolled in program in Washtenaw County. Usually, while as indicated by Community Mental Health staff, that adjustment resulted in $ one million less revenue than expected to assist maintenance for consumers with HMP coverage and that lower figure will carry over into 2016. For underinsured patients, the finances were used to cover outsourcing that have always been covered by Medicaid.
Patients who miss the separate for Medicaid coverage have a spend down, essentially a great monthly deductible, that would’ve been covered using these fundamental fund dollars.
That should be coming in the near future, washtenaw County has not had to stop covering spend downs yet.
Then the county had to split solutions to 230 patients who were covered by Medicare or another non Medicaid insurance. Governor Brian Calley said state was aware that gaps had been created by modern funding model. In a latter speech at Fresh Start Clubhouse a ‘Medicaidfunded’ skill building center for the mentally ill and developmentally disabled Lt.
Washtenaw County’s key fund allocation for FY 2012 was $ 36 million. State is taking on about $ nine million payments to state hospitals that previously came from common fund allocations, in FY 2016 Surely it’s $ eight million. Allocations from the state’s key fund fiscal year 2017 have been now under discussion and Cortes and county board chair Felicia Brabec have a trip to Lansing planned in December to speak with representatives and Department of Health and Human solutions staff about need to increase standard amount fund dollars flowing to county mental health solutions agencies. In the meantime, Administrator McDaniel said the St. Joseph Mercy Hospital and University of Michigan Health System have every pledged more than $ 100000 to Community Mental Health and Washtenaw County Health Plan is always adding an extra $ 150,Those finances will all go ward direct solutions for people not covered by Medicaid., without any doubts, Washtenaw County Board has as well stepped in to temporarily save one program that had been on the chopping block as long as decreased funding.
County’s vocational training program, that helps those with mental illness and developmental disabilities gain skills and join workforce, was might be cut as part of ‘costsaving’ measures necessitated by budget deficits.
County board made a ‘onetime’ allocation of $ one million from the main fund reserves to could be paid for through anticipated increases in taxable value in county. Normally, county is probably in negotiations with the unions about maintaining staffing and pay levels for county employees.
Accordingly a further $ seven million blow to budget was avoided when board passed an exemption for Community Mental Health agency to pay contractors less than the countymandated living wage.
Partner organizations that relied on mental health outsourcing from the county for non Medicaid patients will as well be affected.
Cortes said maintenance been cut from the Corner Health Center in Ypsilanti and also the Hope Clinic and Ypsilanti Health Center. That said, this whole shebang needs a complete teardown., usually leads to the maximum good and most efficient spending and best conclusions and careful considerate choices that are probably based solely on the people who practically need help. All their IT budgets and assistants and office renovations and team building events and dinners and travel.Share2 5pts lots of money goes to real empiricallymeasured preparing to different organizations.
It’s tally not ridiculous and under no circumstances leads to shameful criminal waste at EVERYONE expense, including people that really need help. How much of these millions really goes into real empirically measured intending to that being that now with less money accessible it could be ugh for the county to maintain outsourcing same level it was previously providing. Lots of community security dependent people get in that range on the basis of 40 hour week, an individual who can’t work or pay for hospital insurance is always still getting the equivalent of $ 54 / hour just for mental health care from county. So here’s the question. What really is the definition used for mental health – good and horrible?
How does an individual happen to be eligible for such indefinite funding for their mental health need??
Am we the main one who thinks this whole subject needs a big lookingat by competent, free someone??
That certainly automatically disqualifies EVERY politician not even talking about party affiliation. Ultimately it’s up to us. Nonetheless, voters will have to determine whether this particular area CAN BE adequately funded. Just think for a moment. Relevant part is item on the Ann Arbor City Council agenda for this evening. Resolution’s background specifically calls out mental health as amongst the items to be addressed. It’s a resolution for City to join Washtenaw Health Initiative and pay a membership fee of $ ten,I am curious whether Ann Arbor is probably a solitary entity joining initiative or whether various municipalities in County will in addition be members. Besides, the county needs to make this a priority. Thank you for shining a light on these difficulties. Notice that it comes back with issues for all of us, when mental health patients are inadequately served.
Classic washtenaw county mode of operation.short pot of taxpayer money mismanaged by it’s disgusting -seems to me there’re majority of funding preparing to administrative organizations and not getting to those who need it -or outsourcing that they need.
Some time or other you run out of next people’s money. That being said, seems really like this story happens way to mostly in government. Whenever arranging those outsourcing, making sure it runs ain’t free either, paying people to provide solutions. On p of that, there was some administrative cost cutting and there should be more in coming months and years. It’s a balance of functions that always was required, as UWong pointed out. It remains to be seen how that will affect service delivery. Consequently, once settled in the community they need ongoing mental health health outsourcing.
Actually an extremely LARGE guys and gals portion who now live in Miller Manor come here from out side this county.
How it always works is usually that residents come here and use the County’s T program, Delonias homeless program and even A solutions.
I was saying that in this forum for years. They may get mail since They thence use these address places. It’s a well start by laying off Mental Health workers. And identical agency’ Someone must get the time to make sure where in the state these guys were usually coming from. Now before y’all start off hollering about this and that, Know what guys, I am not saying these modern residents may be denied outsourcing.BUT people in our own communities may not get the solutions they need so much. The interesting part is pretty plain simple. Whenever using these address agency’s and proven to be a Ann Arbor resident and obtain housing in this community as a result over taxing the system here in This county, they so obtain a Michigan D or Driver’s license.
