TITLE
Title
DHHS - PUBLIC HEALTH DIVISION BUDGET AMENDMENT - PREGNANCY CARE MANAGEMENT - $77,570 AND APPROVAL OF ONE NEW SOCIAL WORKER II POSITION
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SPONSOR
Sponsor
Merle Greene
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BACKGROUND
Background
DHHS - Public Health Division Public Health receives monthly payments from Partnership for Community Care, calculated on the base population of the program, consisting of female Medicaid beneficiaries ages 14-44 who are determined to be at high risk for poor birth outcomes. These funds are based on monthly funding provided by the Division of Medical Assistance (DMA). Public Health is requesting to align the FY 2017 -2018 budget to include a $57,645 increase in funding awarded. Public Health is also requesting $19,925 increase in appropriated fund balance because the DMA has approved Public Health to carry-over unspent, unobligated funds received in prior fiscal years; these previously unspent funds reverted to fund balance at the end of FY 2016-17.
Effective June 2017, the Pregnancy Care Management program implemented new guidelines that includes using the Maternal-Infant Impact-ability Score (MIIS). In order to meet the new requirements, current caseloads must be reduced to increase the number of face to face contacts. More women and children will be eligible under the new MIIS scoring. Currently Public Health has six social workers with full caseloads (average of 60-75 clients each), some housed in OBGYN offices, and have an average of 60 -75 clients each. We will be out of compliance with the maximum state case load requirements which is a maximum of 65 patients for social workers and 50 patients for RN staff. The increased award amount will be used to fund a new Social Worker II position to meet the new maximum caseloads, and to meet all performance measures.
The Pregnancy Care Management program has experienced an increase, annually, in the number of patients served since FY 2015-2016, as indicated by the data below:
Fiscal Year Patients Served (Unduplicated)
2015-2016 781
2016-2017 807
2017 - as of 10/31/17 1232 - based on new MIIS Scoring
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BUDGET IMPACT
Budget Impact
Budget Ordinance Amendment
General Fund
$57,645 Increase in User Charges
$19,925 Increase in Appropriated Fund Balance
$77,570 Increase in Appropriation to Health & Human Services (Public Health)
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REQUESTED ACTION
Requested Action
Approve an increase of $57,645 in User Charges to reflect expected increase in Per Member Per Month Payments and an increase of $19,925 in Appropriated Fund Balance to reflect unspent grant funds carried over from FY 2016-17; increase the FY 2017-18 Department of Health and Human Services - Public Health budget by $77,570 to reflect additional awarded and carried over funds received previously from Partnership for Community Care for Pregnancy Care Management; and approve a new Social Worker II position to be contingent on continued grant revenues.
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