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Agenda 11/13/2012 Item #11A11 /13/2012 Item 11.A. EXECUTIVE SUMMARY Recommendation to approve a budget amendment in the amount of $300,000 to fund additional Baker Act services through the David Lawrence Center for FY 2013, in accordance with Board direction. OBJECTIVE: Approve the budget amendment. CONSIDERATIONS: Mr. David Schimmel representing the David Lawrence Center appeared before the Board during the June FY 2013 budget workshops discussing the Center's commitment to expand Baker Act beds through a new $5,000,000 unit. This new unit will double the current capacity. The Board has endorsed providing a $300,000 FY 2013 contribution supporting this community service. FISCAL IMPACT: The FY 2013 adopted budget for Health and Human Services within the General Fund (001) contains $2,579,400 within the client assistance cost center (155930) which is appropriated to pay for the County's mandated current Medicaid obligations as well as the backlog component. Leading up to the time immediately prior to settling the Medicaid backlog dispute with the State Agency for Health Care Administration (ACHA), staff estimated that our backlog amount would total an amount not to exceed $2,064,100 which was presented to the Board in July 2012. The actual settlement amount certified to and accepted by ACHA totaled $1,760,800 — a savings of $303,300. Staff plans on processing a budget amendment moving $300,000 from the client assistance cost center (155930) to the mental health services cost center (156010) providing additional FY 2013 dollars in support of David Lawrence Center Baker Act services. Based upon historical budget vs. actual expenses, after processing this budget amendment, sufficient budget should exist throughout FY 2013 to fund all services to benefit intended clients groups. Recognizing that funding Baker Act services will likely be recurring after FY 2013, staff at the Board's direction, will include within subsequent fiscal year operating budgets funding in an annual amount up to $300,000. GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this Executive Summary. LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, raises no legal issues, and requires majority vote for approval. -JAK RECOMMENDATION: Approve the budget amendment establishing an FY 2013 expense appropriation of $300,000 to fund additional Baker Act services through the David Lawrence Center. Prepared by: Mark Isackson, Director of Corporate Finance and Management Services, County Manager's Office Packet Page -340- 11 /13/2012 Item 11.A. COLLIER COUNTY Board of County Commissioners Item Number: 11.A. Item Summary: Recommendation to approve a budget amendment in the amount of $300,000 to fund additional Baker Act services through the David Lawrence Center for FY 2013, in accordance with Board direction. (Mark Isackson, Director of Corporate Finance and Management Services) Meeting Date: 11/13/2012 Prepared By Name: LehnhardPat Title: Operations Coordinator,Transportation Administrati 11/5/2012 10:00:57 AM Submitted by Title: Operations Coordinator,Transportation Administrati Name: LehnhardPat 11/5/2012 10:00:59 AM Approved By Name: KlatzkowJeff Title: County Attorney Date: 11/5/2012 10:10:02 AM Name: OchsLeo Title: County Manager Date: 11/5/2012 12:30:19 PM Packet Page -341-