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Missouri Department of
Mental Health Perspective




4th ANNUAL MISSOURI BUDGET FORUM
                 Sponsored by
   The Nonprofit Services Center in St. Louis
                 March 2, 2012
FY 2013 HUMAN SERVICE DEPARTMENTAL
               BUDGET COMPLICATIONS

FY 2013 Budget process complicated by:
1. Improving but uncertain state revenues;

2. The loss of the non-recurring federal funds;

3. The need for a GR core restoration caused by changes
   in Missouri’s Medicaid matching rate;

4. Election year partisanship; and

5. Strong value and strategy differences among legislator
   subgroups within and among the House and Senate.

                                                            2
COMMON AREAS OF CONCERN ACROSS
          HUMAN SERVICES DEPARTMENTS

It’s the economy, stupid!: Will a weaker economy
trigger further expenditure restrictions in 2012-2013?

Core restoration of GR funds lost through change in
the federal Medicaid matching rate.

Service Utilization increases by Medicaid-eligible
recipients.

Resolution of questions related to the Affordable Care
Act and their implications for Missouri
implementation.

                                                         3
BEACONS OF LIGHT
        IN A STILL-DARK NIGHT
PARTNERSHIP FOR HOPE

HEALTH HOMES FOR CHRONIC MEDICAID
POPULATIONS

CORRECTIONS DIVERSION OR EARLY RELEASE
INITIATIVES

ACA

                                         4

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Department of Mental Health NSC Budget Forum presentation

  • 1. Missouri Department of Mental Health Perspective 4th ANNUAL MISSOURI BUDGET FORUM Sponsored by The Nonprofit Services Center in St. Louis March 2, 2012
  • 2. FY 2013 HUMAN SERVICE DEPARTMENTAL BUDGET COMPLICATIONS FY 2013 Budget process complicated by: 1. Improving but uncertain state revenues; 2. The loss of the non-recurring federal funds; 3. The need for a GR core restoration caused by changes in Missouri’s Medicaid matching rate; 4. Election year partisanship; and 5. Strong value and strategy differences among legislator subgroups within and among the House and Senate. 2
  • 3. COMMON AREAS OF CONCERN ACROSS HUMAN SERVICES DEPARTMENTS It’s the economy, stupid!: Will a weaker economy trigger further expenditure restrictions in 2012-2013? Core restoration of GR funds lost through change in the federal Medicaid matching rate. Service Utilization increases by Medicaid-eligible recipients. Resolution of questions related to the Affordable Care Act and their implications for Missouri implementation. 3
  • 4. BEACONS OF LIGHT IN A STILL-DARK NIGHT PARTNERSHIP FOR HOPE HEALTH HOMES FOR CHRONIC MEDICAID POPULATIONS CORRECTIONS DIVERSION OR EARLY RELEASE INITIATIVES ACA 4