DATE: 8/31/2018 TIME : 10:44:48AM 2.E. Summary of Exceptional Items Request 86th Regular Session, Agency Submission, Version 1 Automated Budget and Evaluation System of Texas (ABEST) Agency code: 529 Agency name: Health and Human Services Commission 2020 Priority Item 1 Medicaid Entitlement Growth GR and GR/GR Dedicated Biennium 2021 All Funds FTEs GR and GR Dedicated All Funds FTEs GR and GR Dedicated All Funds $482,678,075 $1,228,631,227 $1,026,086,709 $2,585,491,700 $1,508,764,784 $3,814,122,927 2 CHIP Non-Entitlement Growth $5,724,020 $36,273,891 $21,056,213 $77,441,018 $26,780,233 $113,714,909 3 Medicaid Non-Entitlement Growth $9,183,093 $24,255,325 $18,923,162 $50,156,493 $28,106,255 $74,411,818 4 Reduce Interest Lists $43,678,525 $112,006,667 $104,025,592 $266,247,376 $147,704,117 $378,254,043 5 Prevent Loss of Service $55,613,861 $68,825,785 $57,314,076 $71,699,112 $112,927,937 $140,524,897 6 Maintain ECI Service $26,454,476 $26,454,476 $44,290,952 $44,290,952 $70,745,428 $70,745,428 $8,568,224 $8,568,224 116.5 $19,052,350 $19,052,350 378.3 $27,620,574 $27,620,574 8 SH Planning and Construction $3 $3 0.0 $3 $3 0.0 $6 $6 9 Women's Health Funding $1 $1 $1 $1 $2 $2 $6,487,968 $9,206,840 $6,142,299 $8,515,512 $12,630,267 $17,722,352 $27,443,216 $29,527,885 $27,443,216 $29,527,885 $54,886,432 $59,055,770 $1,754,406 $1,754,406 1.0 $1,777,381 $1,777,381 1.0 $3,531,787 $3,531,787 $13,991,725 $20,805,389 25.8 $7,578,206 $10,952,774 26.8 $21,569,931 $31,758,163 14 Sys-Wide Bus Enablement Platform $2,836,875 $4,158,363 16.2 $2,593,952 $3,802,277 16.2 $5,430,827 $7,960,640 15 Maintain Baseline for Claims Admin $14,031,281 $28,062,562 $15,960,323 $31,920,646 $29,991,604 $59,983,208 16 Recruitment and Retention $19,955,589 $27,611,390 $19,989,495 $27,654,524 $39,945,084 $55,265,914 17 IDD System Redesign $3,578,419 $7,156,838 8.1 $3,550,216 $7,100,433 8.1 $7,128,635 $14,257,271 18 Sustain Services for Blind Children $1,258,142 $1,708,899 15.4 $1,177,044 $1,581,704 15.4 $2,435,186 $3,290,603 19 SBHCC: Services for Early Psychosis $7,951,635 $7,982,396 5.1 $7,929,494 $7,960,255 5.1 $15,881,129 $15,942,651 20 SBHCC: Ensure RTC Beds for Children $1,057,364 $1,059,460 1.0 $1,050,339 $1,052,435 1.0 $2,107,703 $2,111,895 21 Substance Use Disorder Treatment $3,388,209 $3,540,469 17.8 $41,753,930 $41,773,355 17.8 $45,142,139 $45,313,824 $23,223,983 $23,223,983 $23,223,983 $23,223,983 $46,447,966 $46,447,966 $8,862,719 $26,488,963 $8,757,271 $26,278,067 $17,619,990 $52,767,030 7 Expanded Capacity at SH 10 Enhance Procurement & Contract Mgt 11 Enhance Mental Health Capacity 12 Maintain Funding to Replace MFPD 13 HHS Information Technology Security 22 SBHCC: IDD Crisis Continuum of Care 23 Electronic Visit Verification Systm 2.E. 99.4 5.1 Page 1 of 4 99.4 5.1 DATE: 8/31/2018 TIME : 10:44:48AM 2.E. Summary of Exceptional Items Request 86th Regular Session, Agency Submission, Version 1 Automated Budget and Evaluation System of Texas (ABEST) Agency code: 529 Agency name: Health and Human Services Commission 2020 Priority Item GR and GR/GR Dedicated Biennium 2021 All Funds FTEs GR and GR Dedicated All Funds FTEs GR and GR Dedicated All Funds 24 Improve Sys to Comply w/ PASRR Reqs $2,162,635 $8,539,984 3.1 $2,155,001 $8,518,841 3.1 $4,317,636 $17,058,825 25 Maintain Guardianship Services $1,250,739 $1,250,739 5.1 $1,213,972 $1,213,972 5.1 $2,464,711 $2,464,711 26 Enhancing SH and SSLC technology $17,121,754 $24,144,652 1.0 $4,540,135 $7,058,337 1.0 $21,661,889 $31,202,989 27 Improve Capacity Comm Psych Servcs $19,719,359 $19,719,359 4.1 $19,691,121 $19,691,121 4.1 $39,410,480 $39,410,480 28 Comply w/ Fed Req -Comm Integration $29,722,058 $72,882,587 32.6 $85,227,204 $211,311,555 32.6 $114,949,262 $284,194,142 29 Building, Fleet, and Equipment $22,300,814 $293,984,470 8.1 $999,380 $999,380 8.1 $23,300,194 $294,983,850 30 Data Center Service $14,374,138 $21,206,361 52.8 $8,763,420 $13,051,553 52.8 $23,137,558 $34,257,914 31 Child Care Licensing $2,575,606 $2,575,606 11.7 $1,144,946 $1,144,946 5.6 $3,720,552 $3,720,552 32 Increase Child Advocacy Services $4,000,000 $4,000,000 $4,000,000 $4,000,000 $8,000,000 $8,000,000 33 Sustain Home Delivered Meal Program $3,894,973 $3,894,973 $3,894,973 $3,894,973 $7,789,946 $7,789,946 34 Family Violence Program $1,500,000 $1,500,000 $1,500,000 $1,500,000 $3,000,000 $3,000,000 35 Attendant Wage Increases $75,277,242 $189,818,942 $78,816,531 $199,573,747 $154,093,773 $389,392,689 $3,364,157 $3,364,157 $6,693,267 $6,693,267 $10,057,424 $10,057,424 $11,362,500 $11,362,500 $11,362,500 $11,362,500 $22,725,000 $22,725,000 38 Med Complex Ind w/ IDD Comm Setting $2,545,376 $7,844,874 1.0 $2,112,897 $6,145,279 1.0 $4,658,273 $13,990,153 39 Addtl FTEs for Protec of Vul Texans $3,528,171 $3,568,470 56.1 $3,093,377 $3,130,463 56.1 $6,621,548 $6,698,933 40 Enhance Background Checks $1,860,777 $1,860,777 20.2 $770,134 $770,134 13.1 $2,630,911 $2,630,911 $683,016 $1,702,635 15.2 $634,869 $1,584,031 15.2 $1,317,885 $3,286,666 $1,383,945 $5,095,601 5.1 $327,460 $904,920 5.1 $1,711,405 $6,000,521 $412,718 $435,265 3.0 $0 $0 0.0 $412,718 $435,265 $13,131,035 $32,550,904 $64,370,095 $160,084,793 $77,501,130 $192,635,697 45 Mortality Reviews in IDD Community $1,058,409 $2,116,818 $1,058,409 $2,116,818 $2,116,818 $4,233,636 46 CAPPS HCM & Financials Upgrades $3,465,300 $3,846,094 $4,110,786 $4,689,357 $7,576,086 $8,535,451 36 Specialty Services for Ind w/ IDDs 37 Maintain Mental Health Grant Prgrms 41 Ensure Qlty in Long-Term Services 42 Oversight of Community Programs-IDD 43 SBHCC Behavioral Health Data Share 44 Behavioral Intervent Children ASD 2.E. 35.0 14.3 Page 2 of 4 69.7 20.3 DATE: 8/31/2018 TIME : 10:44:48AM 2.E. Summary of Exceptional Items Request 86th Regular Session, Agency Submission, Version 1 Automated Budget and Evaluation System of Texas (ABEST) Agency code: 529 Agency name: Health and Human Services Commission 2020 Priority Item GR and GR/GR Dedicated Biennium 2021 All Funds FTEs GR and GR Dedicated All Funds FTEs GR and GR Dedicated All Funds 47 HHS Telecom Technology Upgrade $3,981,007 $4,511,159 $1,606,497 $1,820,434 $5,587,504 $6,331,593 48 HHSC Seat Management $3,366,925 $5,177,655 $2,977,461 $4,578,737 $6,344,386 $9,756,392 49 Ped Telemed Rural TX $1,339,167 $2,892,746 4.0 $1,326,096 $2,864,509 4.0 $2,665,263 $5,757,255 50 Ensure PACE Sustainability $7,949,907 $19,653,787 1.0 $7,919,576 $19,646,762 1.0 $15,869,483 $39,300,549 51 Protect ALF Residents $364,064 $364,064 $364,064 $364,064 $728,128 $728,128 52 Improper Payment Recoveries $395,041 $800,749 0.0 $356,556 $722,739 0.0 $751,597 $1,523,488 53 Automated System for the OIG $1,420,812 $2,390,622 15.2 $398,488 $689,497 15.2 $1,819,300 $3,080,119 54 Medicaid Fraud & Abuse Detection $3,025,109 $4,434,276 0.0 $3,796,992 $5,565,725 20.2 $6,822,101 $10,000,001 55 TCCO Caseload Growth $604,366 $604,366 $1,795,827 $1,795,827 $2,400,193 $2,400,193 56 TCCO Increased Facility Capacity $684,638 $684,638 $1,266,973 $1,266,973 $1,951,611 $1,951,611 57 TCCO Offsite Healthcare $267,737 $267,737 $267,737 $267,737 $535,474 $535,474 58 TCCO Case Mngr Career $19,812 $19,812 $41,148 $41,148 $60,960 $60,960 $1,027,835,116 $2,456,370,821 $1,788,274,099 $4,046,564,375 $2,816,109,215 $6,502,935,196 $1,788,274,099 $1,788,274,099 $2,816,109,215 $2,816,109,215 Total, Exceptional Items Request 600.0 907.5 Method of Financing General Revenue $1,027,835,116 $1,027,835,116 General Revenue - Dedicated Federal Funds Other Funds $1,027,835,116 1,156,851,346 2,258,289,707 3,415,141,053 271,684,359 569 271,684,928 $2,456,370,821 Full Time Equivalent Positions $1,788,274,099 600.0 2.E. Page 3 of 4 $4,046,564,375 $2,816,109,215 907.5 $6,502,935,196 DATE: 8/31/2018 TIME : 10:44:48AM 2.E. Summary of Exceptional Items Request 86th Regular Session, Agency Submission, Version 1 Automated Budget and Evaluation System of Texas (ABEST) Agency code: 529 Agency name: Health and Human Services Commission 2020 Priority Item GR and GR/GR Dedicated All Funds Number of 100% Federally Funded FTEs FTEs 0.0 2.E. Biennium 2021 Page 4 of 4 GR and GR Dedicated All Funds FTEs 0.0 GR and GR Dedicated All Funds