Overview Of The Department Of Health And Human Services FY .

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1Overview of the Department of Health andHuman Services FY 22-23 Budget RequestHouse Finance Division IIIFebruary 18, 2021Commissioner Lori A. ShibinetteLori.Shibinette@dhhs.nh.govCFO Kerrin A. RoundsKerrin.Rounds@dhhs.nh.gov

Agenda Mission, Roles, and Responsibilities Organization Structure Current Staffing Alvarez and Marsal Report Caseloads How we budgeted Budget Briefing Book Budget Request & Governor’s Budget2

Mission and ResponsibilitiesMissionTo join communities and families in providingopportunities for citizens to achieve healthand independence To meet the health needs of New Hampshire citizens To meet the basic human needs of our citizens To provide treatment and support services to those who have uniqueneeds including disabilities, mental illness, special health careneeds or substance abuse To protect and care for New Hampshire's’ most vulnerable citizens3

Key Roles of DHHSEducate Educate the public and providers on navigating complex systems of careDeliver Services to Clients Delivered through our District Offices around the StateClient services call centerDirect care - NH Hospital, Glencliff Home, Designated Receiving Facility, and SununuYouth Services CenterProtect the Health and Safety of Our Citizens Protect children and adults from abuse and neglectPublic health disease prevention, surveillance, and responseProvide Regulatory Oversight Health facilitiesChild care facilitiesFood service businessesPublic health disease prevention, surveillance and responseInsure Program & Operational Integrity4

NH Department of Health and Human ServicesDHHS Overview*Administrative Business Supports Program Planning & Integrity Finance Project Management & LEAN Legal &Regulatory Quality Assurance & Improvement Health EquityOffice of theCommissionerPopulation HealthDivision of Public Health Population Health & Community ServicesInfectious Disease ControlPublic Health ProtectionLaboratory ServicesPublic Health Statistics and InformationPublic Health Systems, Policy & PerformanceEmergency Services UnitState EpidemiologistDivision of Medicaid Services Clinical OperationsMedicaid PolicyDental ServicesHealth Care ReformManaged CareDHHS 24/7 Facilities New Hampshire HospitalGlencliff Home for the ElderlySununu Youth Services CenterDesignated Receiving FacilityOctober 2020* Overview represents DHHS program areas,functions, and business entities, not necessarilyreporting structures.Human Services & Behavioral HealthDivision of Economic & Housing Stability Family AssistanceEmployment SupportsHousing SupportsChild Support ServicesChild Development & Head Start CollaborationDivision for Behavioral HealthOperationsBureau of Information Services Data ManagementData WarehouseInformation SecurityMedicaid Management Information SystemDHHS Systems OversightLinkage to DoIT Mental Health Drug & Alcohol Services Children’s Mental HealthBureau of Human Resource ManagementDivision of Long Term Supports & ServicesBureau of Facilities Maintenance &Office Services HHS Facilities & State Office Adult Protection ServicesElderly & Adult ServicesDevelopmental ServicesDesignated Receiving FacilityFamily Centered ServicesCommunity Based Military Programs Organizational Development &Training Services Safety & WellnessOffice ServicesOversight – Institutional ServicesCommunications BureauDivision for Children, Youth & Families Field ServicesFamily, Community & Program SupportOrganizational Learning & Quality ImprovementSununu Youth Services CenterEmployee Assistance Program

Staffing6FY22 & FY23 Total AuthorizedPermanent Positions through GovPhaseDivision of Behavioral HealthDivision of Children, Youth, and FamiliesDivision of Economic and Housing StabilityDivision of Long Term Supports and ServicesDivision of Medicaid ServicesDivision of Public HealthGlencliffNew Hampshire HospitalOffice of the Commissioner - OperationsGrand TotalThis does not include temporary positions.49779597139332491696905213226

Impacts of COVID to DHHSPublic Health ResponseMedicaid CaseloadsEvery Population DHHS Serves wasEffectedBudget Impact and Alvarez andMarsal Review7

Review of DHHS by Alvarez and MarsalIMD WaiverCritical Time InterventionDevelopmental Disabilities SystemRe-Procurement of MMIS8

Selected CaseloadsYear 32,034171,732 992* As of January** As of September Increase of approx. 39k as a result of changes to Medicaid Eligibility and NHHPP

Budgeting10

DHHS Budget Briefing Book Will be provided no later than February 22nd Includes descriptions and tables for each Accounting Unit with Total Funds greater than 1m Sections include: Purpose, Client Profile, Financial Summary (as shown above),Funding Source, State Mandates, Federal Mandates, Services Provided, ServiceDelivery System, and Expected Outcomes.11

Budget by DivisionShown in ThousandsDBHTotal Funds AA General FundsFY21AA FY2112Total FundsEfficiencySFY22General FundsGeneral FundsEfficiencyTotal FundsSFY22Governor SYF22 Governor SYF22Total FundsEfficiencySFY23General FundsEfficiencyTotal FundsGeneral FundsSFY23Governor SYF23 Governor 194,366107,921,58247,761,169OCOM - 47,141,077OCOM - ,020,231,345922,172,439DMSDPHSGrand Total

A few of DHHS Prioritized NeedsShelter FundsTobacco PreventionMany deferred maintenance items inDHHS buildingsMany operating costs for IT items tosupport DHHS13

Bureau of Human Resource Management Organizational Development & Training Services. Bureau of Facilities Maintenance & Office Services HHS Facilities & State Office Safety & Wellness Office Services Oversight – Institutional Services. Communications Bureau. Employee Assistance Program. October 2020 * Overview represents .

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