Transcript Florida Alcohol and Drug Administration-FL

The Show Must Go On…………..
Sleepless in Florida
Rethinking Agency Finance
A Play in Four Acts
Starring
Melissa Skipton, Hope Childree- DISC Village, Inc. ,
Tallahassee
Deanne Miranda, Sophia Lewis, Margrid Goodhand Agency for Community Treatment Services.ACTS, Tampa
Becky Razaire – Tri County Human Services, Lakeland
Maureen Kempa, Marianne Benvenuti - Westcare
Guidance Care Center, Inc., Florida Keys
Bob Hafer ,Tom Griffin -The Transition House, St. Cloud
Wendy Curry, Lisa March- Human Services Associates,
Inc., Winter Park
Angela Palmer - Better Way of Miami, Miami
Mary Booker Florida Alcohol and Drug Administration
(FAADA), Tallahassee
Amy McIlvaine, NIATx, Madison, WI
FLORIDA SUBSTANCE ABUSE AND MENTAL HEALTH - KEY FACTS
Current Budget:
Substance Abuse: $215,672,421
Mental Health: $760,060,545
Sources of Funding:
Substance Abuse
State: 40%; Federal: 60%
Mental Health (including State Mental Health Facilities)
State: 81% Federal: 19%
Operational Structure:
Central Office: Guides State System of Care, monitors progress
Regional Offices (6): Manage regional systems of care
Percent Funds in Contracted Services:
Mental Health:
Civil Facilities – 1 of 3 privatized
Forensic Facilities – 2 of 4 privatized
Community MH – privatized
Substance Abuse: Privatized
Managing Entities
(includes SA and
Community MH)
Current contracts: 6
Early 2013 Target:
100 percent
State Focus in Substance Abuse and
Mental Health
•Managing Entities
•Performance and Quality
•Redesigning for Recovery in
the Community
Managing Entities
Managing Entity (ME) – a corporation that is organized in the State of Florida, is
designated or filed as a nonprofit corporation under s. 501 (c)3 of the Internal
Revenue Service and is under contract to the Florida Department of Children and
Families to manage the day-to-day operational delivery of behavioral health services
through an organized system of care.
Programmatic Goals for ME:
• Redirect funds from restrictive care settings to community based recovery
support services.
•Funding Prevention Coalitions.
•Enhancement of the continuity of care for children, adolescents and adults,
including the elderly, entering the publicly funded behavioral health service
system
•For all children and parents who are not Medicaid eligible or who need
services not covered by Medicaid, and who are placed from households that
DCF determines are “unsafe” without additional services, will have priority
for substance abuse and mental health services
Managing Entities
Essential component of DCF strategy is administrative cost reductions to
achieve better return for state investment -- redirect funds for increased
service access, and to develop necessary infrastructure.
•ME financial management and accounting system must have capacity to
generate financial reports on individual service recipient utilization, cost,
claims billing and collections for the Florida Dept. of Children and Families
and other stakeholders.
•ME must work with Department to reinvest administrative cost savings into
improve services.
•ME contracts require specific amounts for provider administrative cost
reductions by Year 2 of contract.
•ME contracts have negotiated administrative rate at 4.5 %.