Long-Term Care Budget Appropriations and Requests Overview
Explore the detailed breakdown of budget appropriations and requests for long-term care services including nursing facilities, home and community-based services, managed care, and services for persons with disabilities. Gain insights into the financial aspects of Long-Term Living programs for the fiscal years 2017/18 and beyond.
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Presentation Transcript
Department of Human Services Office of Long-Term Living June 13, 2017 Peggy Morningstar, Chief Financial Officer 1
Topics FY 17/18 Budget Request Other Topics MDOI, BAF, and Notification Questions 2 5/9/2025
FY 2017/18 Budget Request 3 5/9/2025
Budget Appropriations within this Program: Dollar Amounts in Thousands State General Fund: Long-Term Care .. $1,036,778 $1,187,718 $ 150,940 Home and Community Based Services $ 351,350 $ 336,384 $ (14,966)* Long-Term Care Managed Care .. $ 127,066 $ 152,854 $ 25,788 Services to Persons w/ Disabilities .. $ 419,874 $ 445,227 $ 25,353 Attendant Care $ 218,503 $ 217,429 $ (1,074) 2016-2017 2017-2018 Change Available Request Total General Fund ........................... $2,153,571 $2,339,612 $ 186,041 *Proposed CHC funding is included in the Long Term Care Request 4 5/9/2025
Appropriations: Line by Line Long-Term Care Nursing Facilities OLTL Grants and Operating Contracts 2016-2017 Available $1,037M* $2,135M $ 938M 2017-2018 Request $1,188M $2,289M $ 935M Change State Funds Federal Funds Other Funds $151M $154M $(3)M Total Funds $4.1B $4.4B $302M 19,277,571 108,088 Days of Care 19,170,379 *Includes recommended supplemental appropriation 5 5/9/2025
Appropriations: Line by Line Home and Community-Based Services Aging Waiver 2016-2017 Available 2017-2018 Request Change State Funds Federal Funds Other Funds $351M* $513M* $205M $336M $494M $215M $(15)M $(19)M $10M Total Funds $ 1.069B $1.045B $(24)M *Includes recommended supplemental appropriation $73.7M State, $48.2M Fed. 6 5/9/2025
Appropriations: Line by Line Long Term Care- Managed Care LIFE Program 2016-2017 Available 2017-2018 Request Change State Funds Federal Funds $127M $147M $153M $164M $26M $17M Total Funds $274M $317M $43M Member Months 71,628 78,720 7,092 7 5/9/2025
Appropriations: Line by Line Services to Persons with Disabilities COMMCARE, Independence, and OBRA Waiver programs 2016-2017 Actual 2017-2018 Request Change State Funds Federal Funds $420M* $459M* $445M $482M $25M $23M Total Funds $879M $927M $48M *Includes recommended supplemental appropriation, $49.6M State, $35M Fed. 8 5/9/2025
Appropriations: Line by Line Attendant Care Attendant Care Waiver, Act 150 Program 2016-2017 Available 2017-2018 Request Change State Funds Federal Funds Other Funds $219M $201M $ .57M $217M $204M $ .57M $(2)M $ 3M - Total Funds* $421M $422M $ 1M *Includes recommended supplemental appropriation $46.9M State & $30.8M Fed. Does not include A/C over 60 funds 9 5/9/2025
State Plan Amendments The Department intends to submit SPAs to CMS for the following: - BAF (nonpublic NFs) for FYs 17-18 & 18-19 - County MDOI for FY 17-18 BAF Info The Department is proposing to calculate a quarterly BAF in FYs 2017-2018 and 2018-2019 for nonpublic nursing facilities using a formula similar to the formula used since FY 2011-2012. Since nursing facilities will be phased into managed care in three phases according to geographic location beginning January 1, 2018, a quarterly BAF allows for a more uniform statewide average rate than the previous formula using the one BAF for the first three quarters of the FY and then making an adjustment in the fourth quarter. County MDOI Info Continuation of supplemental payment for FY 17-18. Same formula as in FY 16-17. 10 5/9/2025
Notice Notice Notice is published in the PA Bulletins, do not rely only ListServe. 11 5/9/2025
?Questions? 12 5/9/2025
