2017 HHS Budget Tracking SF 800.xlsx. Senate Health Human Services Budget SF Session Proposal Tracking (Dollars in Thousands)

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1 3 Target Note: Increases in non-dedicated revenues are shown as negatives in this tracking 5 TOTAL - NET FISCAL IMPACT - ALL HHS Bill AGENCIES $147,394 $190,878 $338,272 $225,676 $231,501 $457,177 ($34,619) ($298,408) ($333,027) $151,482 ($482,880) ($331,398) 6 GF General Fund (229,533) (172,450) (401,983) (353,737) (347,100) (700,837) (34,548) (300,452) (335,000) 149,166 (484,166) (335,000) 7 SGSR State Government Special Revenue Fund 4,525 2,617 7,142 2,613 2,680 5,293 1, , ,801 8 HCAF Health Care Access Fund 372, , , , ,828 1,153,608 (17) ,537 9 TANF Federal TANF (2,271) 561 (1,710) , LOTT Lottery Prize Fund OTH Other Funds CWF Clean Water Fund DED Statutory Funds (907) (887) (905) (882) check totals HCAF BALANCE February Forecast Balance $1,031,696 $1,381,973 $1,531,653 $1,210,404 $1,031,696 $1,381,973 $1,531,653 $1,210, DHS Proposals (Cumulative) (371,549) (731,268) (1,307,269) (1,883,318) 17 (374) (1,156) (1,911) 21 MDH Proposals (Cumulative) (577) (1,356) (2,135) (2,914) HCAF Ending Balance $659,570 $649,349 $464,997 $323,457 $1,031,713 $1,381,599 $1,530,497 $1,208, FEDERAL TANF BALANCE February Forecast Balance $8,928 $0 $0 $0 $8,928 $0 $0 $0 27 DHS Proposals (Cumulative) ,115 (602) (2,327) (4,060) 28 MDH Proposals (Cumulative) 1,156 2,312 1,156 1, TANF Ending Balance $8,928 $0 $0 $0 $11,199 $1,710 $1,141 $ Medical Assistance by budget Sub Code 32 Families and Children (FC) 3,645 3,918 7,563 26,737 32,676 59,413 (10,785) (163,331) (174,116) 92,524 (275,980) (183,456) 33 Elderly & Disabled (ED) 4,729 6,854 11,583 8,793 11,355 20,148 (2,694) (88,776) (91,470) 75,025 (155,773) (80,748) 34 LTC Facilities (LF) (2,996) (12,693) (15,689) (12,162) (12,033) (24,195) (2,867) (12,553) (15,420) (12,024) (11,895) (23,919) 35 LTC Waivers (LW) 11,831 12,754 24,585 12,197 3,110 15,307 (30,500) (21,527) (52,027) (14,035) (18,320) (32,355) 36 Adults without Children (AD) ,343 1,981 (287) (11,826) (12,113) 10,008 (27,476) (17,468) 37 17,211 10,836 28,047 36,203 36,451 72,654 (47,133) (298,013) (345,146) 151,498 (489,444) (337,946) Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

2 43 44 DEPARTMENT OF HUMAN SERVICES 119, , , , , ,016 (36,989) (297,065) (334,054) 152,367 (481,819) (329,452) 45 GF General Fund (252,311) (197,336) (449,647) (385,956) (379,231) (765,187) (36,155) (299,409) (335,564) 149,815 (483,424) (333,609) 46 SGSR State Government Special Revenue Fund HCAF Health Care Access Fund 371, , , , ,049 1,152,050 (17) , TANF Federal TANF (1,115) 1, ,725 1,733 3, LOTT Lottery Prize Fund OTH Other Funds DED Statutory Funds (907) (887) (905) (882) DEPARTMENT OF HEALTH 21,530 23,885 45,415 31,250 31,192 62,442 (156) (3,095) (3,251) (2,596) (2,765) (5,361) 54 GF General Fund 21,168 23,319 44,487 30,686 30,596 61, (1,873) (1,068) (1,481) (1,574) (3,055) 55 SGSR State Government Special Revenue Fund (215) (213) (428) (215) (183) (398) 195 (66) (35) 6 56 HCAF Health Care Access Fund , , TANF Federal TANF (1,156) (1,156) (2,312) (1,156) (1,156) (2,312) 58 CWF Clean Water Fund DED Dedicated funds OTH Other Funds HEALTH-RELATED BOARDS 4,720 2,810 7,530 2,808 2,843 5,651 1, , , GF General Fund SGSR State Government Special Revenue Fund 4,720 2,810 7,530 2,808 2,843 5,651 1, , , HCAF Health Care Access Fund DED Statutory Funds EMERGENCY MEDICAL SERVICES REGULATORY BOARD 1,122 1,051 2,173 1,053 1,053 2, , , GF General Fund 1,122 1,051 2,173 1,053 1,053 2, , , SGSR State Government Special Revenue Fund DED Statutory Funds COUNCIL ON DISABILITY GF General Fund DED Statutory Funds OMBUDSMAN FOR MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES GF General Fund DED Statutory Funds OMBUDSPERSON FOR FAMILIES GF General Fund Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

3 83 DED Statutory Funds MNSURE GF General Fund SGSR State Government Special Revenue Fund DEPARTMENT OF COMMERCE GF General Fund SGSR State Government Special Revenue Fund Department of Human Services Expansion of Return to Community Program 1,655 (465) 1,190 (678) (557) (1,235) 1,655 (465) 1,190 (678) (557) (1,235) 97 GF TOTAL 1,655 (465) 1,190 (678) (557) (1,235) 1,655 (465) 1,190 (678) (557) (1,235) 98 GF 53 Aging and Adult Services Grants 2,367 4,057 6,424 4,097 4,138 8,235 2,367 4,057 6,424 4,097 4,138 8, GF 53 Aging and Adult Services Grants-Caregiver GF 14 Continuing Care Admin (FTEs 4,4,4,4) GF REV1 Admin 35% (144) (154) (298) (155) (155) (310) (144) (154) (298) (155) (155) (310) 102 GF 33 LF MA LTC Facilities (1,958) (9,825) (11,783) (10,219) (10,631) (20,850) (1,958) (9,825) (11,783) (10,219) (10,631) (20,850) 103 GF 33 EW MA Elderly Waiver 760 3,908 4,668 4,110 4,387 8, ,908 4,668 4,110 4,387 8, GF 33 ED MA Elderly and Disabled 223 1,123 1, , ,123 1, , GF 33 ED MA Clawback (12) (57) (69) (59) (61) (120) (12) (57) (69) (59) (61) (120) 106 GF 34 Alternative Care Minnesota Adult Abuse Reporting Center (MAARC) Enhancements 1,448 1,132 2,580 1,192 1,254 2, GF TOTAL 1,448 1,132 2,580 1,192 1,254 2, GF 14 Continuing Care Admin-MAARC Operations Deficit , , GF 14 Continuing Care Admin-MAARC Volume Increase , , GF 11 Operations-OIG Licensing (FTEs 2,2,2,2) GF REV1 Admin 35% (493) (583) (1,076) (615) (648) (1,263) GF 11 Operations-Systems Phase II Nursing Facility Value-Based Reimbursement Implementation (874) (2,713) (3,587) (1,755) (1,214) (2,969) (874) (2,713) (3,587) (1,755) (1,214) (2,969) 117 GF TOTAL (874) (2,713) (3,587) (1,755) (1,214) (2,969) (874) (2,713) (3,587) (1,755) (1,214) (2,969) 118 GF 33 LF MA LTC Facilities-Consolidating Rate Changes (322) (349) (671) (352) (355) (707) (322) (349) (671) (352) (355) (707) 119 GF 33 LF MA LTC Facilities-End Prospective Minimum Wate Rates (126) (432) (558) (755) (1,086) (1,841) (126) (432) (558) (755) (1,086) (1,841) 120 GF 33 LF MA LTC Facilities-Cost in Change for Case Mix Penalties Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

4 121 GF 33 LF Continue Critical Access NF Suspension (625) (1,500) (2,125) (875) 0 (875) (625) (1,500) (2,125) (875) 0 (875) 122 GF 33 LF MA LTC Facilities-Extend Property Rate Inflation by 3 Months 0 (626) (626) (626) (626) GF 14 Continuing Care Admin-Evaluation (FTEs 1,1,1,1) GF REV1 Admin 35% (81) (76) (157) (93) (93) (186) (81) (76) (157) (93) (93) (186) Assisted Living Consumer Survey and Report Card 185 (585) (400) 1,503 (1,358) GF TOTAL 185 (585) (400) 1,503 (1,358) GF 14 Continuing Care Admin (FTEs 1,1,1,1) GF REV1 Admin 35% (74) (434) (508) (1,590) (49) (1,639) GF 14 Continuing Care Admin-Contract 77 1,121 1, GF 14 Continuing Care Admin-Survey Cost , , GF REV2 Provider Fees-Through MDH 5 Year Phase In 0 (1,476) (1,476) (1,476) (1,476) (2,952) GF 11 Operations-Systems MA Effect for MDH Vulnerable Adults Proposal GF TOTAL GF 33 ED MA Elderly and Disabled Improvements to Child Protection and Foster Care Permanency 3,991 15,570 19,561 22,860 26,190 49, GF TOTAL 3,991 15,570 19,561 22,860 26,190 49, GF 11 Operations-SSIS SACWIS Chages GF 11 Operations-SSIS Northstar Preschool GF 12 Children & Families Admin (FTEs 7,7,13,13) 1, ,921 1,715 1,628 3, GF 12 Children & Families Admin-Part Time Contract GF REV1 Admin 35% (377) (352) (729) (631) (601) (1,232) GF 26 Northstar (Preschool Benefits) 2,943 14,863 17,806 21,634 25,021 46, American Indian Child Welfare Expansion and Early Intervention GF TOTAL GF 12 Children & Families Admin (FTEs 1,0,0,0) GF REV1 Admin 35% (36) 0 (36) (36) 0 (36) GF 45 Children's Services Grants Child Welfare Services for Sexually Exploited Youth Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

5 155 GF TOTAL GF 12 Children & Families Admin (FTEs 1,1,1,1) GF REV1 Admin 35% (44) (39) (83) (39) (39) (78) (44) (39) (83) (39) (39) (78) Child Care Assistance Program Modifications 12,163 61,295 73,458 49,524 50, , GF TOTAL 12,163 61,295 73,458 49,524 50, , GF 22 MFIP Child Care Assistance 7,727 40,617 48,344 33,616 34,594 68, GF 42 BSF Child Care Assistance Grants 3,947 20,575 24,522 15,805 15,952 31, GF 11 Operations-MEC Child Care Assistance Program Integrity Modifications (1,142) (15,736) (16,878) (16,377) (16,852) (33,229) (1,142) (15,736) (16,878) (16,377) (16,852) (33,229) 166 GF TOTAL (1,142) (15,736) (16,878) (16,377) (16,852) (33,229) (1,142) (15,736) (16,878) (16,377) (16,852) (33,229) 167 GF 22 MFIP Child Care Assistance (1,088) (11,577) (12,665) (12,192) (12,650) (24,842) (1,088) (11,577) (12,665) (12,192) (12,650) (24,842) 168 GF 42 BSF Child Care Assistance Grants (437) (4,346) (4,783) (4,372) (4,389) (8,761) (437) (4,346) (4,783) (4,372) (4,389) (8,761) 169 GF 11 Operations-MEC GF 11 Operations-Appeals (FTEs 2,2,2,2) GF REV1 Admin 35% (80) (75) (155) (75) (75) (150) (80) (75) (155) (75) (75) (150) Child Support Paternity Adjudications to Birth Registry GF TOTAL GF 11 Operations-PRISM System GF 11 Operations-PRISM Program GF 12 Children & Families Admin-Non-IVD MDH Fees GF REV1 Admin 35% (14) (14) (28) (14) (14) (28) Child Care Child Support Emancipation GF TOTAL GF 11 Operations-PRISM Family Foster Care Liability Insurance GF TOTAL DED TOTAL GF REV2 Family Foster Care Liability Insurance DED EXP Dedicated Fund Expenditures DED REV Dedicated Fund Revenue (150) (150) (300) (150) (150) (300) Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

6 White Earth Nation Child Welfare Program 191 Expansion , , GF TOTAL , , GF 45 Children's Services Grants , , HCBS Rule Implementation 3, , , GF TOTAL 3, , , GF 14 Continuing Care Admin (FTEs.75,1,1,1) 1, , GF 15 Community Support Admin (FTEs 1.5,2,2,2) 3, , GF 13 Health Care Admin (FTEs 1.5,3,1,1) GF REV1 Admin 35% (1,577) (364) (1,941) (299) (299) (598) GF 55 Disabilities Grants GF 11 Operations-Licensing (FTEs 1,1,0,0) GF 11 Operations-Systems Managing Corporate Foster Care Capacity GF TOTAL GF 13 Health Care Admin (FTEs 1,1,1,1) GF REV1 Admin 35% (41) (36) (77) (36) (36) (72) Eliminate Home Care Nursing Interpreter- Communicator Service (15) (15) (30) (15) (15) (30) (15) (15) (30) (15) (15) (30) 211 GF TOTAL (15) (15) (30) (15) (15) (30) (15) (15) (30) (15) (15) (30) 212 GF 33 LF MA LTC Facilities (15) (15) (30) (15) (15) (30) (15) (15) (30) (15) (15) (30) Implementation of CMS Home Health Care Rule GF TOTAL GF 33 AD MA Adults without Children GF 33 ED MA Elderly and Disabled GF 33 FC MA Families and Children GF 11 Operations-Mn.IT (MMIS and Mailings) Federal Compliance and Service Access for Disability Waivers (1,183) (2,923) (4,106) (2,618) (6,887) (9,505) GF TOTAL (1,183) (2,923) (4,106) (2,618) (6,887) (9,505) GF 33 LW MA LTC Waivers-BNF Adjustment 1,476 5,640 7,116 8,966 18,289 27, GF 33 LW MA LTC Waivers-BNF Interactive Effects (21) (160) (181) (407) (1,435) (1,842) GF 11 Operations-Systems BNF Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

7 226 GF 33 LW MA LTC Waivers-Component Value Changes (32) ,964 4, GF 11 Operations-Systems SSIS Component Values GF 33 LW MA LTC Waivers-Remove CPI/BLS Duplication (2,778) (8,103) (10,881) (12,018) (27,634) (39,652) GF 11 Operatoins-Systems CPI/BNF GF 33 LW New Employment Services (1,502) (973) GF 55 Disabilities Grants-Disability Linkage Line GF 11 Operations-Systems MMIS New Employment Services GF 11 Operations-Systems SSIS New Employment Services GF 11 Operations-Systems (Other) New Employment Services GF 33 LW MA LTC Waivers-Remove Partial Day Units for DT&H (959) (2,461) (3,420) (2,638) (2,831) (5,469) GF 11 Operations-Systems MMIS Remove Partial Day GF 11 Operations-Systems DWRS Remove Partial Day GF 33 LW MA LTC Waivers-New ILS Rate ,029 1,477 2,873 4, GF 11 Operations-Systems DWRS New ILS Rate GF 33 LW Respite at Market Rate ,032 1, Community Support Admin (FTEs 1,3,2,2) Provider Survey and 241 GF 15 Audit GF 11 Operations-Systems Provider Survey and Audit GF 15 Community Support Admin-Transportation Study GF 11 Operations-Systems DWRS/MNCHOICES/MNSPA GF REV1 Admin 35% (140) (220) (360) (103) (103) (206) HCBS Reform: Individual Budgeting Recommendations GF TOTAL GF 15 Community Supports Admin GF REV1 Admin 35% (175) 0 (175) Self-Directed Workforce Negotiations 19,385 28,525 47,910 26,705 28,135 54, GF TOTAL 19,385 28,525 47,910 26,705 28,135 54, GF 33 LW MA LTC Waivers 13,589 18,463 32,052 19,446 20,505 39, GF 33 ED MA Elderly and Disabled 4,591 6,237 10,828 6,570 6,927 13, GF 34 Alternative Care GF 53 Aging & Adult Services Grants GF 55 Disabilities Grants 400 3,150 3, GF 15 Community Supports Admin GF REV1 Admin 35% (27) (13) (40) (13) (13) (26) GF 11 Operations-Systems MMIS/SSIS Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

8 263 Individual Community Living ,096 (1,220) 771 (449) GF TOTAL ,096 (1,220) 771 (449) GF 33 ED MA Elderly and Disabled ,965 4,144 6, GF 33 AD MA Adults Without Children ,338 1, GF 24 MN Supplemental Assistance ,097 3, GF 25 Group Residential Housing (1,835) (1,835) (3,670) (6,280) (11,247) (17,527) GF 47 Child & Economic Support Grants 1,680 1,680 3,360 1,780 2,880 4, GF 15 Community Supports Admin (FTEs 6,9,9,7) 814 1,034 1, , GF 15 Community Supports Admin (Other) GF REV1 Admin 35% (292) (369) (661) (354) (292) (646) GF 11 Operations-Systems MAXIS & MMIS Substance Use Disorder Continuum of Care Redesign 426 (987) (561) (752) 7,101 6, GF TOTAL 150 (1,200) (1,050) (772) 8,008 7, DED TOTAL (907) (887) GF 35 Consolidated Chemical Dependency Treatment Fund 0 (1,431) (1,431) (788) 7,992 7, DED REV Revenue to CCDTF Admin Account 0 (164) (164) (342) (1,269) (1,611) DED EXP ADAD Staff and Implementation Expenditures GF 11 Operations-Systems MMIS GF 15 Community Supports Admin-PT Contract Limit Billable Days for Residential Services to 350 Days (780) (3,236) (4,016) (5,364) (11,284) (16,648) GF TOTAL (780) (3,236) (4,016) (5,364) (11,284) (16,648) GF 33 LW MA LTC Waivers (782) (3,236) (4,018) (5,364) (11,284) (16,648) GF 11 Operations-MMIS Increase Individual PCA Hour Limit to 310 Hours per Month 913 1,026 1,939 1,090 1,133 2, GF TOTAL 913 1,026 1,939 1,090 1,133 2, GF 33 LW MA LTC Waivers 908 1,026 1,934 1,090 1,133 2, GF 11 Operations-MMIS HCBS Reform: Disability Waiver Consolidation Study GF TOTAL GF 15 Community Support Admin GF REV1 Admin 35% (39) (49) (88) Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

9 298 GF 11 Operations-MMIS Self-Directed Program Rate Increase & Workforce Data Collection , GF TOTAL , GF 11 Operations-Systems GF 14 Continuing Care Admin (FTEs 2,3.5,2,2) GF 14 Continuing Care Admin-Contract GF 13 Health Care Admin (FTEs 0,1,.5,.5) GF REV1 Admin 35% (151) (189) (340) (105) (105) (210) Sustaining Deaf and Hard of Hearing Services 1,085 1,057 2,142 1,057 1,057 2, GF TOTAL 1,085 1,057 2,142 1,057 1,057 2, GF 15 Community Support Admin (FTEs 3,3,3,3) GF 54 Deaf & Hard of Hearing Grants , , GF REV1 Admin 35% (153) (138) (291) (138) (138) (276) Dedicate County Cost of Care to Community- Based Living 3,000 2,981 5,981 2,981 2,981 5, GF TOTAL 3,000 2,981 5,981 2,981 2,981 5, GF 15 Community Support Admin (FTEs 2,2,2,2) GF REV1 Admin 35% (97) (87) (184) (87) (87) (174) GF 57 Adult Mental Health Grants 2,820 2,820 5,640 2,820 2,820 5, Redesigning Intensive Mental Health Services for Children 2,694 4,051 6,745 4, , GF TOTAL 2,694 4,051 6,745 4, , GF 33 FC MA Families and Children 2,613 3,970 6,583 4, , GF 15 Community Support Admin GF REV1 Admin 35% (44) (44) (88) DCT-Oversight Response Teams ,000 1,000 1,000 2, GF TOTAL ,000 1,000 1,000 2, GF 65 DCT Operations ,000 1,000 1,000 2, DCT-System Modernization (Electronic Health 330 Records) 1,000 1,000 2,000 1,000 1,000 2, GF TOTAL 1,000 1,000 2,000 1,000 1,000 2, Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

10 332 GF 65 DCT Operations 1,000 1,000 2,000 1,000 1,000 2, MN Security Hospital Staffing for Improved Client Care and Staff Safety 9,314 13,544 22,858 16,385 18,968 35, GF TOTAL 9,314 13,544 22,858 16,385 18,968 35, GF 63 Forensic Services 8,567 12,702 21,269 15,572 18,181 33, GF 64 Sex Offender Program GF 65 DCT Operations 1,338 1,895 3,233 2,182 2,443 4, GF REV2 Cost of Care Recoveries (1,035) (1,505) (2,540) (1,821) (2,108) (3,929) DCT Security System and Electronic Monitoring Upgrade 2,500 2,500 5,000 2,500 2,500 5, , , GF TOTAL 2,500 2,500 5,000 2,500 2,500 5, , , GF 65 DCT Operations 2,375 2,375 4,750 2,375 2,375 4, , , GF 65 DCT Operations (FTEs 1,1,1,1) MN State Operated Services Sustainability 7,697 2,588 10,285 2,588 1,000 3, GF TOTAL 7,697 2,588 10,285 2,588 1,000 3, GF 62 Community Based Services-Start-up Capital 1,000 1,000 2,000 1,000 1,000 2, GF 62 Community Based Services-Operating Deficit 6,697 1,588 8,285 1, , MN Sex Offender Program Reform 2,034 1,866 3,900 1,697 1,528 3, GF TOTAL 2,034 1,866 3,900 1,697 1,528 3, DED TOTAL GF 64 Sex Offender Program 2,592 2,592 5,184 2,592 2,592 5, GF REV2 Cost of Care Recoveries (558) (726) (1,284) (895) (1,064) (1,959) DED EXP MN State Industries Program Transfer to SR Fund (1,800) (1,800) (3,600) (1,800) (1,800) (3,600) DED REV MN State Industries Program Transfer to SR Fund 1,800 1,800 3,600 1,800 1,800 3, Child & Adolescent Behavioral Health Services (CABHS) ,120 (427) 2, GF TOTAL ,120 (427) 2, GF 61 MH and Substance Abuse ,630 5,630 11, GF REV2 Cost of Care Recoveries (2,510) (6,057) (8,567) Transfer Funding for Judicial Appeal Panel Expenditures to Judicial Branch (450) (450) (900) (450) (450) (900) GF TOTAL (450) (450) (900) (450) (450) (900) GF 64 Sex Offender Program (450) (450) (900) (450) (450) (900) Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

11 Provider Payment Modernization GF TOTAL GF 13 Health Care Admin-Contract GF REV1 Admin 35% (123) 0 (123) Health Care Purchasing and Coverage Reform (662) (2,766) (3,428) 5,800 (5,016) GF TOTAL (793) (3,559) (4,352) 4,247 (6,549) (2,302) HCAF TOTAL ,553 1,533 3, GF 33 FC MA Families and Children (2,036) (4,548) (6,584) 3,261 (7,535) (4,274) HCAF 31 Minnesota Care (13) ,328 1,308 2, GF 13 Health Care Admin-Contract HCAF 13 Health Care Admin (FTEs 0,1,1,1) GF 13 Health Care Admin (FTEs?,?,?,?) , , GF 11 Operations-Systems HCAF 11 Operations-Systems GF 51 Health Care Grants GF REV1 Admin 35% (377) (327) (704) (334) (334) (668) GF 13 Health Care Admin-Justice Involved Updates to the MA Asset Reduction Policy GF TOTAL GF 33 ED MA Elderly and Disabled Investing in and Modernizing Payments for Safety Net (FQHC) Providers ,889 4,374 8, GF TOTAL ,938 4,425 8, HCAF TOTAL 0 (24) (24) (49) (51) (100) GF 33 FC MA Families and Children ,935 4,422 8, GF 11 Operations-Systems MMIS HCAF 31 Minnesota Care 0 (24) (24) (49) (51) (100) Compliance with Federal Managed Care and Access to Care Rules 3,813 6,393 10,206 6,254 6,121 12, GF TOTAL 3,813 6,393 10,206 6,254 6,121 12, DED TOTAL GF 13 Health Care Admin-Contract 1,265 1,880 3,145 1,880 1,880 3, GF 13 Health Care Admin (FTEs 9.5,12.5,12.5,12.5) 1,052 1,272 2,324 1,272 1,272 2, Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

12 403 GF REV1 Admin 35% (811) (1,103) (1,914) (1,103) (1,103) (2,206) GF 11 Operations-EQRQ & CAHPS GF 33 FC MA Families and Children (1,140) (2,499) (3,639) (2,638) (2,771) (5,409) DED 33 Lost Dedicated Revenue (IGT-MA) 9,000 18,000 27,000 18,000 18,000 36, DED 33 MA Grants-Dedicated (9,000) (18,000) (27,000) (18,000) (18,000) (36,000) GF REV2 Lost Non-Dedicated Revenue from IGT 3,396 6,792 10,188 6,792 6,792 13, Federal Compliance with Asset Verification Requirements (15) (38) (53) (15) (38) (53) 411 GF TOTAL (15) (38) (53) (15) (38) (53) 412 GF 13 Health Care Admin-Contract 1, , ,855 1, , , GF 13 Health Care Admin (FTEs 2.25,3,3,3) GF REV1 Admin 35% (461) (403) (864) (418) (434) (852) (461) (403) (864) (418) (434) (852) 415 GF 33 ED MA Elderly and Disabled (231) (730) (961) (792) (844) (1,636) (231) (730) (961) (792) (844) (1,636) Updates to the Minnesota Care Program and MA Rate Cleanup GF TOTAL GF 11 Operations-MMIS Strengthening and Clarifying Provider Enrollment GF TOTAL DED TOTAL GF 11 Operations-MMIS DED REV Provider Enrollment Fees (105) (52) (157) (55) (115) (170) (105) (52) (157) (55) (115) (170) 426 DED EXP Dedicated Fund Expenditure Improving MA Benefit Recoveries and Special Needs Trust Guidance 44 (21) 23 (66) (67) (133) 44 (21) 23 (66) (67) (133) 429 GF TOTAL 44 (21) 23 (66) (67) (133) 44 (21) 23 (66) (67) (133) 430 GF REV2 MA Recoveries (86) (118) (204) (66) (67) (133) (86) (118) (204) (66) (67) (133) 431 GF 13 Health Care Admin GF REV1 Admin 35% (70) (53) (123) (70) (53) (123) MA Reimbursement for Nurse Home Visiting , GF TOTAL , GF 33 FC MA Families and Children , GF 13 Health Care Admin (FTEs.5,1,1,1) Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

13 438 GF REV1 Admin 35% (34) (35) (69) (35) (35) (70) GF 11 Operations-MMIS Minnesota Care Buy-In Option for Individual Market 12, , HCAF TOTAL 12, , HCAF 11 Operations-Systems 2, , HCAF 13 Health Care Admin (FTEs 123) 8, , HCAF 13 Health Care Admin-Contract 2, , Provider Tax Sunset Repeal ,508 30,766 42, GF TOTAL ,461 30,649 42, HCAF TOTAL GF 33 FC MA Families and Children ,461 30,649 42, HCAF 31 Minnesota Care MA Rate Increase for Preventive Medical Care and Outpatient Mental Health Services 4,048 5,595 9,643 6,075 6,553 12, GF TOTAL 4,048 5,595 9,643 6,075 6,553 12, GF 33 FC MA Families and Children 4,048 5,595 9,643 6,075 6,553 12, MA Expenditures Paid with Health Care Access Fund GF TOTAL (358,000) (358,000) (716,000) (573,500) (573,500) (1,147,000) HCAF TOTAL 358, , , , ,500 1,147, GF 33 Medical Assistance (358,000) (358,000) (716,000) (573,500) (573,500) (1,147,000) HCAF 33 Medical Assistance 358, , , , ,500 1,147, Central Office Operating Adjustment 16,147 28,543 44,690 28,543 28,543 57, GF TOTAL 15,654 27,593 43,247 27,593 27,593 55, HCAF TOTAL , , GF 11 Operations 3,450 6,839 10,289 6,839 6,839 13, GF REV1 Admin 35% (1,207) (2,394) (3,601) (2,394) (2,394) (4,788) HCAF 11 Operations 758 1,462 2,220 1,462 1,462 2, HCAF REV1 Admin 35% (265) (512) (777) (512) (512) (1,024) GF 11 Operations-Systems GF 15 Community Support Admin-DHHS GF 61 MH and Substance Abuse 2,679 5,482 8,161 5,482 5,482 10, Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

14 473 GF 61 MH and Substance Abuse-CARE , , GF 62 Community Based Services GF 62 Community Based Services-MSOCS ,069 4,233 6,302 4,233 4,233 8, GF 63 Forensic Services 2,230 4,565 6,795 4,565 4,565 9, GF 64 Sex Offender Program 1,766 3,612 5,378 3,612 3,612 7, GF 65 DCT Operations 819 1,676 2,495 1,676 1,676 3, GF REV2 Cost of Care Recoveries (1,150) (2,353) (3,503) (2,353) (2,353) (4,706) GF 61 MH and Substance Abuse-Worker's Comp ,080 2,080 4,160 2,080 2,080 4, GF 61 MH and Substance Abuse-Worker's Comp GF 62 Community Based Services-Worker's Comp GF 63 Forensic Services-Worker's Comp , , GF 64 Sex Offender Program-Worker's Comp GF 65 DCT Operations-Computer Replacement , , Sen=1/2 FTEs Ensuring Greater Integrity in Data Practices GF TOTAL GF 11 Operations (FTEs 2,2,4,4) , GF 11 Operations-Software GF REV1 Admin 35% (123) (113) (236) (215) (205) (420) (72) (67) (139) (118) (113) (231) Increased Digital Evidence Investigation Capacity GF TOTAL GF 11 Operations (FTEs 1,1,1,1) GF 11 Operations-Software GF REV1 Admin 35% (46) (41) (87) (41) (41) (82) (46) (41) (87) (41) (41) (82) Repeal Transfer of Funding to OLA for Managed Care Audits (Repealed) GF TOTAL GF 13 Health Care Admin Integrated Service Delivery System & MMIS Modernization 4,500 4,500 9,000 10,000 10,000 20, GF TOTAL 4,500 4,500 9,000 10,000 10,000 20, GF 11 Operations-Systems 4,500 4,500 9,000 10,000 10,000 20, SIRS and Child Care Financial Fraud and Abuse Investigations Expansion (162) (302) (464) (273) (241) (514) (162) (302) (464) (273) (241) (514) Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

15 508 GF TOTAL (162) (302) (464) (273) (241) (514) (162) (302) (464) (273) (241) (514) 509 GF 11 Operations (FTEs 18,18,18,18) 2,443 2,227 4,670 2,273 2,321 4,594 2,443 2,227 4,670 2,273 2,321 4, GF REV1 Admin 35% (855) (779) (1,634) (796) (812) (1,608) (855) (779) (1,634) (796) (812) (1,608) 511 GF REV2 MA Recoveries (1,750) (1,750) (3,500) (1,750) (1,750) (3,500) (1,750) (1,750) (3,500) (1,750) (1,750) (3,500) CCDBG Licensing and Background Study Compliance 6,001 5,151 11,152 5,151 5,151 10, GF TOTAL 6,001 5,151 11,152 5,151 5,151 10, DED TOTAL GF 11 Operations (FTEs TBD) 5,155 4,232 9,387 4,232 4,232 8, GF REV1 Admin 35% (1,804) (1,481) (3,285) (1,481) (1,481) (2,962) GF 47 Child & Economic Support Grants 2,400 2,400 4,800 2,400 2,400 4, GF 11 Operations-Systems (Licensing) DED EXP Background Study Expenditures 1,775 1,517 3, DED REV Background Study Revenue (1,775) (1,517) (3,292) (151) (151) (302) D HCBS Licensing Fee Reform (639) (639) (1,278) (639) (639) (1,278) GF TOTAL (637) (637) (1,274) (637) (637) (1,274) SGSR TOTAL (2) (2) (4) (2) (2) (4) GF 11 Operations-End GF Expenditures for 245D Licensing (1,439) (1,439) (2,878) (1,439) (1,439) (2,878) GF REV1 Admin 35% , , GF 62 Community Based Services-MSOCS Fee SGSR REV2 Licensing Revenue (3,900) (3,700) (7,600) (3,700) (3,700) (7,400) SGSR 11 Operations 3,898 3,698 7,596 3,698 3,698 7, Fines for Maltreatement in DHS-Licensed Facilities GF TOTAL (20) (20) (40) (20) (20) (40) (20) (20) (40) (20) (20) (40) 534 SGSR TOTAL GF REV2 Revenue from Fines (20) (20) (40) (20) (20) (40) (20) (20) (40) (20) (20) (40) 536 SGSR 11 Operations Maltreatment Investigations in DOC Children's Residential Facilities GF TOTAL GF 11 Operations GF REV1 Admin 35% (42) (37) (79) (37) (37) (74) (42) (37) (79) (37) (37) (74) 542 Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

16 Supplemental GRH Rate-St. Louis County (SF ) GF TOTAL GF 25 Group Residential Housing Rate Increase for Complex PCA Services 110% for 10+ hours/day (SF 393) ,309 3,437 7,849 12,156 20, GF TOTAL ,309 3,437 7,849 12,156 20, GF 33 LW MA Long Term Care Waivers ,181 3,181 7,721 12,110 19, GF 13 Health Care Admin GF 15 Community Supports Admin GF 11 Operations-Systems GF REV1 Admin 35% (38) (41) (79) (41) 0 (41) Increase At Home Infant Child Care Assistance (SF 448) ,222 1,029 2,251 1,029 1,029 2, GF TOTAL ,222 1,029 2,251 1,029 1,029 2, GF 47 Child & Economic Support Grants ,000 1,000 2,000 1,000 1,000 2, GF 11 Operations-MEC GF 12 Children & Families Admin GF REV1 Admin 35% (42) 0 (42) White Earth Child Welfare Services (SF 518) , , GF TOTAL , , GF 45 Children's Services Grants , , Safe Harbor for Sexually Exploited Youth (SF 531) , , GF TOTAL , , GF 12 Children & Families Admin GF REV1 Admin 35% (20) (18) (38) (18) (18) (36) 570 GF 47 Children & Economic Support Grants , , Mental Health Innovation Grants (SF 564) ,590 2,581 5,171 2,581 2,581 5, GF TOTAL ,590 2,581 5,171 2,581 2,581 5, GF 57 Adult Mental Health Grants ,500 2,500 5,000 2,500 2,500 5, GF 15 Community Support Admin (FTEs 1,1,1,1) GF REV1 Admin 35% (48) (43) (91) (43) (43) (86) Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

17 Targeted Case Management Interactive Video (SF 595) GF TOTAL GF 11 Operations-Systems SSIS GF 11 Operations-Systems MMIS Anoka County Family Foster Care Grant (SF 644 & SF 971) GF TOTAL GF 45 Children's Services Grants Grant for Statewide Self Advocacy and Support Organization (SF 664) GF TOTAL GF 55 Disabilities Grants GF 55 Disabilities Grants-Codify Grant Purposes GF 55 Disabilities Grants-Repeal 2009 Session Law for Grant (133) (133) (266) (133) (133) (266) Elderly Waiver Modifications (SF 668) *This proposal has provisions with fiscal implications that are implemented in FY ,348 6,222 8,570 10,255 16,763 27, GF TOTAL ,348 6,222 8,570 10,255 16,763 27, GF 33 LW MA Long Term Care Waivers ,170 3,553 4,723 5,922 9,057 14, GF 33 LW MA Long Term Care Waivers-Elderly Waiver FFS ,141 1, GF 33 LW MA Long Term Care Waivers-BI, CADI ,674 2,224 2,872 4,419 7, GF 34 Alternative Care GF 34 Essential Community Support Grants GF 33 LW Customized Living ,236 1, GF 14 Continuing Care Admin GF REV1 Admin 35% (193) (110) (303) (110) (110) (220) 603 GF 11 Operations-Systems Disability Waiver Rate Setting Methodology Modifications (SF 727) *This proposal has provisions with fiscal implications that are implemented in FY (547) 1, ,592 (10,596) (6,004) 606 GF TOTAL (547) 1, ,592 (10,596) (6,004) 607 GF 33 LW MA Long Term Care Waivers (1,626) 373 (1,253) (313) (15,501) (15,814) 608 GF 15 Community Support Admin-Transportation Study Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

18 609 GF 15 Community Support Admin-Provider Cost Review GF 11 Operations-Systems GF REV1 Admin 35% (140) (221) (361) (103) (103) (206) 612 GF 55 Disabilities Grants-Provider Transition Grants ,000 4,650 4,650 9, Deaf and Hard of Hearing Services (SF 738) ,302 1,355 2,657 1,355 1,355 2, GF TOTAL ,302 1,355 2,657 1,355 1,355 2, GF 15 Community Support Admin , , GF 54 Deaf & Hard of Hearing Grants , , GF REV1 Admin 35% (298) (245) (543) (245) (245) (490) Foster Care Reentry for year old Individuals (SF 793) GF TOTAL GF 26 Northstar Grants TEFRA Fee Reduction (SF 807) , , GF TOTAL , , GF REV2 Revenue Loss-Parental Fees , , Complaints Case Management System for Vulnerable Adults Abuse Reports (SF 819) GF TOTAL GF 11 Operations-Systems Supplemental GRH Rate-Anoka County (SF 864) GF TOTAL GF 25 Group Residential Housing Increase Essential Community Supports Monthly Budget Limit (SF 898) , GF TOTAL , GF 34 Alternative Care , GF 11 Operations-Systems HCBS Incentive Pool (SF 911 & SF 1515) , , GF TOTAL , , Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

19 643 GF 52 Other Long Term Care Grants , , State-only MA Funding for Children's Residential MH in IMDs (SF 984) ,694 4,051 6,745 4,078 4,189 8, GF TOTAL ,694 4,051 6,745 4,078 4,189 8, GF 33 FC MA Families with Children ,613 3,970 6,583 4,078 4,189 8, GF 15 Community Support Admin GF REV1 Admin 35% (44) (44) (88) MA Coverage for Post-Arrest Service Coordination (SF 1003) GF TOTAL GF 11 Operations-Systems-MMIS Supplemental GRH Rate-Olmstead County (SF 1199) ,529 1,061 1,296 2, GF TOTAL ,529 1,061 1,296 2, GF 25 Group Residential Housing ,529 1,061 1,296 2, GRH Presumptive Eligibility (SF 1205) GF TOTAL GF 25 Group Residential Housing GF 11 Operations-Systems Children's Mental Health Collaboratives (SF 1337) , GF TOTAL , GF 58 Child Mental Health Grants , Statewide Measures for Quality Incentives (SF 1340) GF TOTAL GF 13 Health Care Admin GF REV1 Admin 35% (18) (8) (26) Substance Use Disorder Reform (SF 1591) (995) (569) (781) 7,081 6, GF TOTAL (1,209) (1,059) (804) 7,986 7, DED TOTAL (905) (882) 676 GF 35 Consolidated Chemical Dependency Treatment Fund (1,440) (1,440) (820) 7,970 7,150 Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

20 677 DED REV Revenue to CCDTF Adminis tration Account (163) (163) (339) (1,267) (1,606) 678 DED 15 Community Support Admin-ADAD GF 11 Operations-Systems-MMIS GF 11 Operations-ADAD-Professional/Technical Contract Community Action Grants (SF 1690) , , GF TOTAL , , GF 47 Child & Economic Support Grants , , Community Action Grants-FAIM (SF 1690) GF TOTAL GF 47 Child & Economic Support Grants Individual Community Living (SF 852 & SF 853) (945) (8) (953) 691 GF TOTAL (945) (8) (953) 692 GF 33 ED MA Elderly and Disabled ,965 4,141 6, GF 33 AD MA Adults Without Children ,338 1, GF 24 MN Supplemental Assistance ,032 3, GF 25 Group Residential Housing (4,445) (9,412) (13,857) 696 GF 47 Child & Economic Support Grants , GF 15 Community Supports Admin (FTEs 2,3,3,3) GF 13 Health Care Admin (FTEs 0,1,1,1) GF REV1 Admin 35% (98) (172) (270) (162) (162) (324) 700 GF 11 Operations-Systems MAXIS & MMIS Corporate Foster Care Reform (SF 911) (172) 49 (123) 703 GF TOTAL (172) 49 (123) 704 GF 33 LW MA Long Term Care Waivers (27) (27) (250) (29) (279) 705 GF 15 Community Support Admin GF REV1 Admin 35% (42) (42) (84) (42) (42) (84) Peer Run Respite Grant for Wadena County (SF 1960) GF TOTAL GF 57 Adult Mental Health Grants Dakota County Child Data Tracking Software Grant for Birth to Eight Project Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM

21 713 GF TOTAL GF 47 Child & Economic Support Grants Delay Inpatient Hospital Rebasing to (6,790) (8,615) (15,405) (18,820) (20,105) (38,925) 717 GF TOTAL (6,790) (8,615) (15,405) (18,820) (20,105) (38,925) 718 GF 33 ED MA Elderly and Disabled (2,894) (3,666) (6,560) (7,974) (8,470) (16,444) 719 GF 33 AD MA Adults without Children (280) (421) (701) (1,149) (1,424) (2,573) 720 GF 33 FC MA Families with children (3,616) (4,528) (8,144) (9,697) (10,211) (19,908) Capitation Payment Delay-May 2019 & 2021 Payment (173,266) (173,266) 173,266 (197,656) (24,390) 723 GF TOTAL (173,266) (173,266) 173,266 (197,656) (24,390) 724 GF 33 ED MA Elderly and Disabled (63,718) (63,718) 63,718 (73,562) (9,844) 725 GF 33 AD MA Adults without Children (8,403) (8,403) 8,403 (13,125) (4,722) 726 GF 33 FC MA Families with children (101,145) (101,145) 101,145 (110,969) (9,824) Capitation Payment Delay-Partial April 2019 & Full April 2021 Payment (54,654) (54,654) 54,654 (197,656) (143,002) 729 GF TOTAL (54,654) (54,654) 54,654 (197,656) (143,002) 730 GF 33 ED MA Elderly and Disabled (20,086) (20,086) 20,086 (73,562) (53,476) 731 GF 33 AD MA Adults without Children (2,647) (2,647) 2,647 (13,125) (10,478) 732 GF 33 FC MA Families with children (31,921) (31,921) 31,921 (110,969) (79,048) Provider Rate Reduction Basic Care 2.3% and 3% (9,018) (19,299) (28,317) (21,867) (26,365) (48,232) 735 GF TOTAL (9,018) (19,299) (28,317) (21,867) (26,365) (48,232) 736 GF 33 ED MA Elderly and Disabled GF 33 AD MA Adults without Children GF 33 FC MA Families with children (9,018) (19,299) (28,317) (21,867) (26,365) (48,232) Additional GRH Beds (SF 1211) (14) (22) (36) (22) (22) (44) 741 GF TOTAL (14) (22) (36) (22) (22) (44) 742 GF 25 Group Residential Housing (14) (22) (36) (22) (22) (44) Integrated Health Partnership (SF 594) (1,737) (7,621) (9,358) (14,398) (19,691) (34,089) 745 GF TOTAL (1,720) (7,562) (9,282) (14,288) (19,544) (33,832) 746 HCAF TOTAL (17) (59) (76) (110) (147) (257) 747 GF 33 FC MA Families with Children (1,974) (6,625) (8,599) (11,900) (15,798) (27,698) 748 GF 33 AD MA Adults without Children (58) (243) (301) (559) (876) (1,435) Dennis Albrecht, Fiscal Analyst, of 31 3/26/2017 6:42 PM