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Program A: Management and Finance

Program Authorization: Act 230 of 1979; Act 390 of 1991

PROGRAM DESCRIPTION

The mission of the Management and Finance Program is to provide efficient and effective administrative and support services to the programs and services operated by the Department of Health and Hospitals.

The goal of the Management and Finance Program is to devote all efforts and resources in providing support to the Office of the Secretary.

OBJECTIVES AND PERFORMANCE INDICATORS

The Management and Finance Program provides administration and support services to the Department of Health and Hospitals. The success of this program is reflected in the success of the other programs in the department. Performance information consistent with this program's strategic plan and with the statewide model for administration/support service programs will be reported next year.

Performance information for the Bureau of Protective Services activity is under development and will be collected during FY 1998-99 to establish baseline data.

Performance information for the Case Management Monitoring Unit activity is under development and will be collected during FY 1998-99 to establish baseline data.

Performance information for the Nursing Home Reform activity is under development and will be collected during FY 1998-99 to establish baseline data.

Performance information for the Developmental Disabilities Council activity is under development and will be collected during FY 1998-99 to establish baseline data.

Performance information for the Bureau of Human Rights activity is under development and will be collected during FY 1998-99 to establish baseline data.

Performance information for the Appeals activity is under development and will be collected during FY 1998-99 to establish baseline data.

Performance information for the Engineering and Consulting activity is under development and will be collected during FY 1998-99 to establish baseline data.

SOURCE OF FUNDING

The Management and Finance Program is funded from general fund, interagency transfers, fees and self-generated revenue, and federal funds. Interagency transfer means of financing represents funds received from the Department of Education and the Office of Public Health for operation of the Disability Information Access Line (DIAL). Fees and self-generated revenues include; payments from patients for services based on a sliding fee scale; and miscellaneous income, such as funds received from the sale of document copies. The Federal Funds include the Developmental Disabilities Grant.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$22,621,953

$24,487,494

383

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$22,621,953

$24,487,494

383

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

($91,123)

0

 

Non-recur the expiring federal Protection and Advocacy of Individual Rights grant

($164,000)

($164,000)

0

 

Non-recur the cost of the DHH share of repairs to the DOTD Annex building completed during FY 1997-98

$0

($34,767)

0

 

Non-recur funding for the Ombudsman program for the Developmental Disabilities Council, and have paid directly by the Council

($20,496)

($20,496)

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$273,496; Replacement/New: +$253,000)

$263,532

$263,532

0

 

Annualization of 1997 -'98 Merit Pay Adjustment(s)

$268,803

$268,803

0

 

1998 -'99 Merit Pay Adjustment(s)

$1,414,116

$1,414,116

0

 

Attrition Adjustment(s)

($74,611)

($74,611)

0

 

Retirement Rate Adjustment(s)

($113,278)

($113,278)

0

 

Adjustment(s) for Civil Service, Training and Other Statewide Interagency Transfer Activities

($1,095,000)

($1,095,000)

0

 

Reductions in various Expenditure Categories; Including Reductions to fully fund Salaries

($285,405)

($285,405)

0

 

Risk Management Adjustment(s)

($1,159)

($1,159)

0

 

Rent in State-Owned Buildings

($5,611)

($5,611)

0

 

Maintenance of State Owned Buildings

$11,231

$11,231

0

 

UPS Fees

$52,032

$52,032

0

 

Legislative Auditor Fees

$291,601

$0

0

 

Means of Financing Substitution(s) - Adjust means of financing to agency revenue estimates

$47,661

$47,661

0

 

Provide funding for DHH share of the increased costs of occupancy of the DOTD Annex building

$850,000

$850,000

0

 

Add general fund for the Medicaid managed care project in the Houma-Thibodeaux area (the matching federal funds are reflected in the Medicaid Administration appropriation, schedule number 09-305)

$469,612

$469,612

0

 

Add funding for the Medicaid managed care pilot project in the Houma-Thibodeaux area from prior year Medicaid funds (the matching federal funds are reflected in the Medicaid Administration appropriation, schedule number 09-305)

($680,923)

($680,923)

0

 

Transfer funding for the Bock nursing home resident evaluation contract to the Medicaid Administration appropriation (schedule number 09-305) in order to access federal matching funds, and reduce the general fund by 50%

$279,950

$279,950

2

 

Restore positions from prior year carryforward funds in the Medical Vendor Payments program

($230,139)

($230,139)

0

 

Transfer the Extra Mile volunteer coordination and advocacy contracts to the Office of mental health where the services are primarily provided

$0

$0

(2)

 

Transfer two authorized positions to the Office of Mental health, with no associated means of financing, at agency request

$367,321

$559,820

7

 

Transfer the Bureau of Health Resources Management functions and personnel from the Office of Public Health

$15,000

$0

0

 

Transfer general fund from the Auxiliary account (Health Education Authority of Louisiana) to this program to reflect that the Auxiliary account does not receive a general fund appropriation

 

 

 

 

 

$24,282,190

$25,907,739

390

 

TOTAL RECOMMENDED

 

 

 

 

 

$1,660,237

$1,420,248

7

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 105.7% of the existing operating budget. It represents 93.8% of the total request ($27,595,597) for this program. Most of the recommended increase is accounted for by the addition of $1.3 million in general fund to begin implementation of the Medicaid managed care demonstration project in the Houma/Thibodeaux area. In addition, $367,321 of general fund; $559,820 in total means of financing, and 7 positions were added by the transfer of the functions and positions associated with the Bureau of Health Resources Management from the Office of Public Health to this program.

PROFESSIONAL SERVICES

$49,500

 

American Appraisal

$66,000

 

Provider Fee Audits

$27,500

 

Statewide Cost Allocation Plan

$3,500

 

APS Contract Protective Services

$500,000

 

Health Care Reform Contracts

$155,000

 

Medicaid Appeal Hearing Consultants

$30,000

 

Specialized Legal Services

$47,755

 

Appeals Medical Consultants

$1,109,967

 

Health Benefits Manager

$100,000

 

External Quality Review Coordinator

$104,560

 

Fiscal Management Computer Contract

$109,645

 

Appeals Medical Consultant

$2,000

 

Professional Travel

 

 

 

$2,305,427

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$7,651

 

Data Processing Training

$850,000

 

DD Council Grants

$51,480

 

Prison Enterprises-Janitorial

$10,900

 

Legal Services Training

$340,326

 

Legislative Auditor fees

$198,470

 

Primary Care Grant from Office of Public Health

 

 

 

$1,458,827

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$45,023

 

Building Rent

$44,599

 

Building Maintenance

$94,504

 

Uniform Payroll System expenses

$35,363

 

Division of Administration - Inspector General

$35,000

 

Division of Administration - Forms Management

$16,233

 

Comprehensive Public Employees' Training Program

$50,000

 

Division of Administration - State Register-Publishing

$20,000

 

Division of Administration - Children's Cabinet (Act 883-1997)

$443,300

 

Department of Transportation & Development - Annex Utilities

$45,908

 

Civil Service Personnel

$86,000

 

Civil Service - Administrative Law judges

$40,000

 

Department of the Treasury - Bank Service Charges

$31,876

 

Department of Social Services - Warehouse supplies

$26,201

 

Department of Social Services - Shared Space costs

 

 

 

$1,014,007

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$278,000

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$278,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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