RD111 - Report on Community Services Boards (CSB) Funding and Medicaid Expansion – March 2, 2021

Executive Summary:

The 2019 Appropriations Act requires The Department of Behavioral Health and Developmental Services (DBHDS) to provide a report to the Governor and General Assembly on the status of Community Services Board (CSB) general fund reductions resulting from anticipated new revenue generated from Medicaid Expansion. DBHDS convened a workgroup in Spring 2019 comprised of CSB financial officers to determine the best method for compiling information in a uniform fashion from the CSBs on a monthly basis. This workgroup developed a standard template which captures individuals served by the CSBs receiving Medicaid Expansion into three client types:

1. Individuals previously served on Governor’s Access Program

2. Individuals uninsured previously served by a CSB

3. Individuals new to the CSB system

These client types were used to comply with the reporting requirements and provide the level of detail necessary to identify general fund resources within the CSB budget that was offset by additional new revenues from Medicaid expansion.

Using the current data to make projections about a full year is a difficult process for the following reasons:

• There is still a large difference between billings and collections due to a number of factors including the transition to Medicaid managed care and other factors.

• This data was for the first six months of FY 2020, which is prior to COVID-19, which had a profound effect on all service delivery providers.

• The services provided and billing for services may not be uniform throughout the year.

• These calculations are based on CSB-provided data.

The report provides additional details and the status of the required General Fund Reduction information by CSB.