Program Authorization: Act 107 of 1962: R.S. 28:380 et.seq., R.S. 6:251(C); R.S. 258 and R.S. 39:1554(D)
The mission of the Patient Care Program is to provide person-centered supports and services to individuals who are mentally challenged and/or multi-handicapped.
The goal of the Patient Care Program is to provide active treatment and personal choice supports to developmentally disabled individuals residing at Metropolitan Developmental Center in a cost effective manner.
The Patient Care Program provides support, supervision, and training of professionally prescribed activities (including medical, dietary, habilitative, and therapeutic services) to the individuals residing at Metropolitan Developmental Center. Person-centered planning and training focuses on self-help skills, personal hygiene, leisure time management, home living skills, social interaction and community orientation. Metropolitan Developmental Center utilizes an individual values-asked approach to provide supports in a cost effective manner, while protecting the rights and dignity of individuals with disabilities.
OBJECTIVES AND PERFORMANCE INDICATORS
1. In FY 1998-99, the Patient Care Program will provide active treatment services consistent with state and federal regulations and in accord with the level of care and an overall ratio (2.09:1) for an average daily census of 260 individuals with developmental disabilities living in Metropolitan Developmental Center.
SOURCE OF FUNDING
The Patient Care Program of Metropolitan Developmental Center is funded from interagency transfers, fees and self-generated revenues, and general fund. Interagency transfers include Title XIX reimbursement for services provided to Medicaid-eligible residents, received from the Department of Health and Hospitals, Medical Vendor Payments Program, and funds from the Department of Education for the Special Milk Program. Self-generated revenue includes payments for services provided to patients based on a sliding fee scale, and reimbursement for meals served to employees and visitors.
ANALYSIS OF RECOMMENDATION
The total means of financing for this program is recommended at 108.4% of the existing operating budget. It represents 104.9% of the total request ($16,341,892) for this program. Full funding has been provided for all 441 recommended positions. Professional services have been reduced and interagency transfers increased by $1,377,764 to provide the necessary funding adjustments needed in the salaries and related benefits categories. The recommended funding for salaries and related benefits includes an adjustment to reflect an anticipated attrition factor of four percent.
Adult Habilitation services - evaluation, training, placement, and follow-up services for clients seeking employment with the intention of transitioning a client from on-campus pre-vocational activities to off-campus job placement
Gary Melerine fund - funding is due to a consent judgment from Melerine v. Fischer J.D.C. #24-036 in which Metropolitan Developmental Center is ordered to pay all costs of future medical expenses and costs of care for Gary M. as of May 1, 1986
Provider Based Fee - paid to Department of Health and Hospitals in accordance with LA R.S. 46:2601-2605, which states that a fee of $9.42 per patient day will be imposed on all intermediate care facilities
ACQUISITIONS AND MAJOR REPAIRS
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