Department of Health

Department of Health

The Executive Budget recommends a net increase of 37 FTE’s. The FTE workforce will be 6,259 positions on March 31, 2002. The Executive Budget also recommends (analysis as of January 18, 2001):

The net increase of 37 positions includes the following changes by program: a reduction of 22 FTE’s in the General Fund and an increase of 40 FTE’s in the Special Revenue Funds-Other in the Administration and Executive Direction program; a reduction of 4 FTE’s in the AIDS Institute; A reduction of 8 FTE’s in the Community Health program; an increase of 10 FTE’s in the Office of Continuing Care (for nursing home surveillance field staff); a reduction of 4 positions in the Environmental Health program; and an increase of 25 new audit staff in the Medicaid Audit and Fraud Prevention program. There appear to be some inconsistencies in the personal service fund changes in programs where there are staff reductions, e.g., the budget shows a reduction of 8 positions in the Community Health Program, yet the personal services funding increases by 15.4% ($624,000), more than that required for salary increases. Similarly, the budget narrative shows a reduction of 4 positions in the Environmental Health Program but the personal services funding increases by 40% ($2.3 million).
$55.1 million for State-operated veterans’ nursing homes including :
$1.7 million (10.6%) in additional funding for New York City Veterans’ Home;
$1.87 million (12.9%) in additional funding Oxford Veterans’ Home;
$757,500 (10.3%) in additional funding for Western NY Veterans’ Home; and
$12 million for the new 252-bed Montrose Veterans’ Nursing Home scheduled to open in 2001

Funding for Helen Hayes Hospital is reduced by $17.2 million (26.4%). No explanation is given in the budget documents for this reduction. Last year $10 million was added to Helen Hayes’ budget for "special projects."

An interagency group on Medicaid fraud will coordinate the State’s fraud control program, including new audit measures and other fraud prevention efforts.
Instituting a rapid response audit team to mobilize enforcement efforts quickly when criminal fraud is suspected and utilizing innovative fraud measurement technologies to better target large-scale audit and fraud reviews.

The Medicaid Management Information System (MMIS) and the Electronic Medicaid Eligibility Verification System (EMEVS) will be replaced by an integrated claims processing system, the Replacement Medicaid System (RMS)
$90 million in funding for the Roswell Park Cancer Institute Corporation, $60 million from HCRA and $30 million from the General Fund (local assistance).
The budget narrative refers to enhancement of the oversight of drinking water program operations in the Center for Environmental Health Program, although $4.5 million is added to local assistance for this purpose, there is no State operations funding for 2001-02 ($1.5 million was appropriated in 2000-01)
Proposed legislation will include criminal background checks for all nursing home and home care employees providing direct care and increased fines for noncompliant providers. Collected fines will go into a Quality of Care Incentive Account ($2 million is appropriated in the Office of Continuing Care Program) and will be reinvested in quality improvement programs for nursing homes.
A new centralized nursing home complaint hotline will enable inspectors to better track, coordinate and respond more quickly to patient complaints. There is no appropriation for this initiative but it may be funded in the increased personal services and nonpersonal services appropriation for the Office of Continuing Care Program.
There are significant increases in personal services ($.5 million , 51.5%) and nonpersonal services ($3.8 million, 67.4%) for the EPIC Program which are not explained, and are inconsistent with unchanged staffing levels.
There is an unexplained increase of $3.3 million (52.5%) in nonpersonal services in the Administration Program.
There is an unexplained $7.3 million increase in the Medicaid Management Program Maintenance Undistributed appropriation for medical assistance related administrative services.
A decrease of $12,717,000 in Special Revenue-Federal funds in the Office of Continuing Care Program appears to reflect the end of a two-year federal grant which was appropriated in last year’s budget and was funded through September 20, 2001. The funds for this grant were transferred to a Miscellaneous Special Revenue Quality of Care Account. It is unclear whether this grant funded any DOH positions.
There is a new $5.5 million Maintenance Undistributed appropriation in the Health Care and Standards and Surveillance Program that is unexplained.
Medicaid containment initiatives are proposed, including: eliminating inflationary payment increases for nursing homes; eliminating a supplemental payment to facilities that have more than 300 beds; eliminating the return on equity payments to proprietary homes; and updating the Medicaid nursing home rate methodology to eliminate the existing subsidy State taxpayers provide to nursing homes that serve more costly Medicare and other-payer recipients
The AIDS Institute is increased by $250,000 for a syringe access demonstration program
The Office of Medicaid Management Program includes a $7.3 million Maintenance Undistributed increase for the services and expenses of medical assistance related administrative activities.

Department of Health
Program Details-State Operations
	Enacted	Proposed	Change in	Percent
Program	2000-01 Budget	2001-02 Budget	Appropriation	Change
All Funds	$3,803,067,500	$3,975,558,000	$172,490,500	4.5%
General Fund	$190,805,800	$227,995,000	$37,189,200	19.5%
Special Revenue - Federal	$3,270,383,300	$3,392,061,000	$121,677,700	3.7%
Special Revenue - Other	$339,143,400	$351,527,000	$12,383,600	3.7%
Enterprise Fund	$10,000	$10,000	$0	0.0%
Fiduciary Fund	$2,725,000	$3,965,000	$1,240,000	45.5%

Administration	$55,819,100	$60,047,000	$4,227,900	7.6%
Personal Service	$7,650,300	$7,891,000	$240,700	3.1%
Nonpersonal Service	$6,165,200	$9,400,000	$3,234,800	52.5%
Maintenance Undistributed	$4,200,000	$0	($4,200,000)	-100.0%
Special Rev. -Fed	$14,464,000	$12,839,000	($1,625,000)	-11.2%
Special Rev. -Other	$23,339,600	$29,917,000	$6,577,400	28.2%

AIDS Institute	$17,845,500	$18,987,000	$1,141,500	6.4%
Personal Service	$9,661,400	$10,389,000	$727,600	7.5%
Nonpersonal Service	$5,761,800	$5,762,000	$200	0.0%
Maintenance Undistributed	$450,000	$700,000	$250,000	55.6%
Special Rev. -Other	$1,972,300	$2,136,000	$163,700	8.3%

Community Health	$114,084,400	$114,619,000	$534,600	0.5%
Personal Service	$4,043,000	$4,667,000	$624,000	15.4%
Nonpersonal Service	$5,002,900	$5,130,000	$127,100	2.5%
Special Rev. -Fed	$99,444,600	$98,268,000	($1,176,600)	-1.2%
Special Rev. -Other	$5,593,900	$5,554,000	($39,900)	-0.7%
Fiduciary	$0	$1,000,000	$1,000,000	100.0%

Environmental Health	$35,479,200	$35,599,000	$119,800	0.3%
Personal Service	$5,800,000	$8,122,000	$2,322,000	40.0%
Nonpersonal Service	$1,936,200	$2,082,000	$145,800	7.5%
Maintenance Undis	$1,500,000	$0	($1,500,000)	-100.0%
Special Rev. - Fed	$12,909,300	$11,105,000	($1,804,300)	-14.0%
Special Rev. -Other	$13,333,700	$14,290,000	$956,300	7.2%

Child Health Insurance Prog.	$24,400,000	$41,960,000	$17,560,000	72.0%
Special Rev. -Other	$11,000,000	$11,680,000	$680,000	6.2%
Special Rev. -Fed	$13,400,000	$30,280,000	$16,880,000	126.0%

EPIC	$12,219,000	$11,039,000	($1,180,000)	-9.7%
Personal Service	$1,016,000	$1,539,000	$523,000	51.5%
Nonpersonal Service	$5,632,600	$9,429,000	$3,796,400	67.4%
Maintenance Undist.	$5,570,400	$71,000	($5,499,400)	-98.7%

Health Care Finance	$10,916,700	$11,720,000	$803,300	7.4%
Personal Service	$4,608,400	$4,707,000	$98,600	2.1%
Nonpersonal Service	$868,300	$868,000	($300)	0.0%
Special Rev. - Other	$5,440,000	$6,145,000	$705,000	13.0%

Health Care Standards	$62,867,600	$73,691,000	$10,823,400	17.2%
Personal Service	$14,313,600	$16,706,000	$2,392,400	16.7%
Nonpersonal Service	$8,146,700	$8,147,000	$300	0.0%
Maintenance Undist.	$0	$5,466,000	$5,466,000	100.0%
Special Rev. - Other	$40,407,300	$43,372,000	$2,964,700	7.3%

Institutional Management	$106,390,200	$132,860,000	$26,469,800	24.9%

Roswell Park	$0	$30,000,000	$30,000,000	100.0%
Special Rev. - Other	$0	$30,000,000	$30,000,000	100.0%

Helen Hayes	$65,239,200	$48,000,000	($17,239,200)	-26.4%
Special Rev. - Other	$65,239,200	$48,000,000	($17,239,200)	-26.4%

NYC Veterans	$16,454,700	$18,200,000	$1,745,300	10.6%
Special Rev. - Other	$16,454,700	$18,200,000	$1,745,300	10.6%

Oxford Veterans	$14,526,800	$16,401,000	$1,874,200	12.9%
Special Rev. - Other	$14,526,800	$16,401,000	$1,874,200	12.9%

Lower Hudson Veterans	$2,500,000	$12,167,000	$9,667,000	386.7%
Special Rev. - Other	$2,500,000	$12,167,000	$9,667,000	386.7%

Western NY Veteran	$7,334,500	$8,092,000	$757,500	10.3%
Special Rev. - Other	$7,334,500	$8,092,000	$757,500	10.3%

Fiduciary	$325,000	$325,000	$0	0.0%
Enterprise	$10,000	$10,000	$0	0.0%

Manage Care Prog	$13,241,000	$13,234,000	($7,000)	-0.1%
Personal Service	$8,565,000	$8,533,000	($32,000)	-0.4%
Nonpersonal Service	$4,676,000	$4,701,000	$25,000	0.5%

Medicaid Mgt Info Sys	$116,187,000	$128,276,000	$12,089,000	10.4%
Nonpersonal Service	$48,676,000	$60,766,000	$12,090,000	24.8%
Special Rev. - Federal	$67,511,000	$67,510,000	($1,000)	0.0%

Maintenance Undistributed	($1,000,000)	$0	$1,000,000	-100.0%
General Fund Offset	($79,338,000)	($78,338,000)	$1,000,000	-1.3%
Special Revenue - Other	$78,338,000	$78,338,000	$0	0.0%

Medicaid Mgmt Prog	$3,059,651,300	$3,187,761,000	$128,109,700	4.2%
Personal Service	$20,859,200	$21,353,000	$493,800	2.4%
Nonpersonal Service	$4,240,400	$4,407,000	$166,600	3.9%
Maintenance Undistributed	$19,451,000	$26,751,000	$7,300,000	37.5%
Special Rev. -Other	$7,750,000	$7,750,000	$0	0.0%
Special Rev. -Fed	$3,007,350,700	$3,127,500,000	$120,149,300	4.0%

MA Audit and Fraud Prevention	$66,136,800	$70,043,000	$3,906,200	5.9%
Personal Service	$12,389,700	$14,293,000	$1,903,300	15.4%
Nonpersonal Service	$3,534,600	$3,535,000	$400	0.0%
Maintenance Undistributed	$1,149,000	$1,149,000	$0	0.0%
Special Rev. -Fed	$34,563,500	$36,566,000	$2,002,500	5.8%
Special Rev. -Other	$14,500,000	$14,500,000	$0	0.0%

Continuing Care	$37,392,000	$29,629,000	($7,763,000)	-20.8%
Personal Service	$18,796,000	$21,877,000	$3,081,000	16.4%
Nonpersonal Service	$1,300,000	$2,025,000	$725,000	55.8%
Maintenance Undistributed	$500,000	$0	($500,000)	-100.0%
Special Rev. -Other	$3,618,000	$5,626,000	$2,008,000	55.5%
Special Rev. -Federal	$12,778,000	$61,000	($12,717,000)	-99.5%
Fiduciary Funds	$400,000	$40,000	($360,000)	-90.0%

Wadsworth	$71,437,700	$75,758,000	$4,320,300	6.0%
Personal Service	$19,550,000	$21,121,000	$1,571,000	8.0%
Nonpersonal Service	$9,130,100	$9,746,000	$615,900	6.7%
Maintenance Undistributed	$5,000,000	$5,000,000	$0	0.0%
Special Rev. -Federal	$7,962,200	$7,932,000	($30,200)	-0.4%
Special Rev. -Other	$27,795,400	$29,359,000	$1,563,600	5.6%
Fiduciary	$2,000,000	$2,600,000	$600,000	30.0%

Last Updated on 1/19/01