DEPARTMENT OF HEALTH AND HUMAN SERVICES

FINANCIAL PLANNING DOCUMENT SFY10 & SFY11

STEP 3 COST REDUCTION INITIATIVES

As of April 8, 2010

This document contains the Cost Reduction Plans, internally referred to as Step 3, which have been or are contemplated to
be taken by the Department to address department-specific and statewide budget issues.

The Step 2 Cost Reduction plan was presented to the Fiscal Committee on February 5. 2010. The items listed here are
tentatively approved to be part of the Governor's state-wide budget plan to be released April 8, 2010.
 NH, DHHS Step 3 SJM

A B C D E F G
1 DEPARTMENT OF HEALTH AND HUMAN SERVICES
2 TENTATIVE STEP 3 COST REDUCTION PLAN
3 AS OF APRIL 8, 2010
4 Div Initiative SFY10 SFY10 SFY11 SFY11
5 Name General Total General Total
6 ($000) ($000) ($000) ($000)
7
8 COMMUNITY BASED CARE SERVICES
9
10 BDAS Governor's Commission on A&OD-Treatment $53 $115
11 BDAS Governor's Commission on A&OD-Prevention $23 $23
Establish Daily Limit on Functional Support Services
12 BBH $466 $1,083
for Children & Adolescents
13 BDS DD Waiver Services- reduce appropriation $250 $500
14 BDS ABD Waiver Services- reduce appropriation $600 $1,200
In Home Support Waiver Services Funding
15 BDS $50 $100 $100 $200
Reduction
16 BDS SMS Contract Reduction: Family Voices $15 $15
SMS Contract Reduction: Neuro Motor Clinic
17 BDS $41 $41
Consultants
18 BDS SMS Reduction: Specialty Clinics $99 $99
19 BDS Brain Injury Program $50 $50
20 BDS BDS Contract Reduction: Institute on Disability $30 $30
21 BDS Community Support Services - Independent Living $288 $577
22 BDS Targeted Case Management (Non-Waiver) $217 $434
23 BDS DD & ABD Waiver Service Coordination $286 $573
24 BEAS Rate Reduction-Nursing Facilities $201 $523 $2,057 $4,114
Social Services-Eliminate Catastrophic Illness
25 BEAS $489 $489
Program
26 BEAS Rate Reduction-HCBC-CFI-Home Support $62 $160 $435 $871
27 BEAS Rate Reduction-HCBC-CFI-Home Health $24 $62 $161 $322
28 BEAS Rate Reduction-HCBC-CFI-Mid-Level Care $10 $26 $71 $141
29 BEAS Social Services-Volunteer Activity (Sr Companion) $32 $32
30 BEAS Social Services-NH Foster Grandparents $54 $54
31 BEAS Social Services-Retired Senior Volunteer Program $73 $73
32 BEAS Social Service-Congregate Housing $15 $15
33 BEAS Alzheimer Disease & Related Disorders $6 $6
34 BEAS ServiceLink $38 $38
35 BEAS Social Services Block Grant (SSBG) $217 $217
36 BEAS Administration on Aging (AoA) $85 $200
37 NHH Reassign Adults on F Unit Wing $348 $498 $1,442 $2,065
38 NHH Restructured Educational Program (Philbrook) $407 $593
39 NHH Restructure APC program $93 $136
40 NHH Restructure APC program $154 $225
41 NHH Dartmouth Contract for NHH, BBH, OMBP & DJJS $181 $202 $190 $212
42
43 HUMAN SERVICES
44
45 DCYF Reinstate funding for child care-Waitlist ($1,000) ($1,000)

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 NH, DHHS Step 3 SJM

A B C D E F G
1 DEPARTMENT OF HEALTH AND HUMAN SERVICES
2 TENTATIVE STEP 3 COST REDUCTION PLAN
3 AS OF APRIL 8, 2010
4 Div Initiative SFY10 SFY10 SFY11 SFY11
5 Name General Total General Total
6 ($000) ($000) ($000) ($000)
46 DCYF Eliminate DV Marriage License fee match $318 $318
47 DCYF Family Resource Centers $120 $120 $120 $120
48 DCYF Incentive Funds-Reduce from 3.0% to -0- $1,544 $1,544
49 DCYF Rate Reduction-C& F Services-without adoption $473 $947
50 DFA End JARC Funding (North Country Transportation) $0 $24
51 DFA Family Intervention Contract $73 $627
52 DFA Link APTD Eligibility to SSI $1,000 $1,000
53 DCSS Child Support Processing Fee $286 $0
54 DJJS Modify Use of SYSC to Multi-Service Facility $4,186 $4,186
55
56 HEALTH & MEDICAL SERVICES
57
58 DPHS Funding for Aids Service Organizations $400 $400
59 DPHS Reduce Courier Contract Services $47 $52
60 DPHS Health Promotion and osteoporosis $24 $24 $24 $24
61 DPHS Rural Health Contracts $70 $70
62 DPHS Health Workforce (loan repayment) $35 $35
63 OMBP FMAP for Medicare Part D $10,687 $10,687 $3,709 $3,709
64 OMBP Medicare Part D Budget Surplus $1,800 $1,800
65 OMBP Limit CPT T1027 Family Training $400 $800
66 OMBP Limit CPT H1002 Family Training $255 $511
Discontinue coverage for CPT A4927 Disposable
67 OMBP $50 $99
Gloves
Relinquish funding set aside for Accountable Care
68 OMBP $740 $1,480
Organization in SFY10
69 OMBP Reduce service limit on hospital outpatient services $350 $700
70 OMBP Rate Reduction - Children's Hospital Boston $125 $250 $750 $1,500
Beneficiary transportation mileage rate reduction
71 OMBP $51 $102 $306 $612
from $.41 to $.30
72 OMBP Rate Reductions from 80% to 70% Medicare $82 $164 $493 $985
73 OMBP Rate Reductions from 70% to 60% Medicare $124 $248 $1,469 $2,937
74
75 DEPARTMENT-WIDE ADMINISTRATION
76
77 DCSS Relocate DCSS from Spring S. to Campus $50 $150
78 OADM Salem District Office consolidation $121 $200
79 VariousConsolidate contracts to save administrative costs $1,500 $3,000
80 VariousContract Program Services $1,500 $1,500
81
82 TOTALS $13,784 $16,451 $27,910 $39,789

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