The Show Must Go On…………..

Sleepless in FloridaRethinking Agency FinanceA Play in Four Acts

StarringMelissa Skipton, Hope Childree- DISC Village, Inc. , TallahasseeDeanne Miranda, Sophia Lewis, Margrid Goodhand - Agency for Community Treatment Services.ACTS, TampaBecky Razaire – Tri County Human Services, Lakeland Maureen Kempa, Marianne Benvenuti - Westcare Guidance Care Center, Inc., Florida KeysBob Hafer ,Tom Griffin -The Transition House, St. CloudWendy Curry, Lisa March- Human Services Associates, Inc., Winter ParkAngela Palmer - Better Way of Miami, MiamiMary Booker Florida Alcohol and Drug Administration (FAADA), TallahasseeAmy McIlvaine, NIATx, Madison, WI

FLORIDA SUBSTANCE ABUSE AND MENTAL HEALTH - KEY FACTS

Current Budget:Substance Abuse: $215,672,421Mental 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 progressRegional 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

•Managing Entities

•Performance and Quality

•Redesigning for Recovery in the Community

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

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 %.