February 2011 - Texas Health and Human Services Commission

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Ms. Marty Brandy, DirectorMr. John O’BrienApril 1, 2011Page 2general revenue to mitigate Medicaid needs. Adjustments A6 through A8 are pursuantto the letter dated November 3, 2010, and reflect the federal funds and freed up generalrevenue made available at HHSC from the six-month phased-down extension of theARRA Federal Medical Assistance Percentage (FMAP). Approval has also beenreceived for HHSC to utilize general revenue freed up at Department of Aging andDisability Services (DADS) and Department of State Health Services (DSHS);however, this adjustment will be reflected only when the funds have been transferred.B. This adjustment reflects the appropriation pursuant S.B.1, Article IX, Sec 17.78,Contingency Appropriation for S.B. 7.C. This adjustment reflects the appropriation pursuant S.B. 1, 81 st Legislature, Article IX,Sec 17.03, Enterprise Resource Planning Projects.D. This adjustment reflects the reduction in appropriations for Goal B Medicaid pursuantto S.B.1, 81 st Legislature, Article IX, Sec 17.24, Medicaid Appropriation Reduction.Medicaid general revenue appropriations have been reduced by $40 million, with anassociated reduction in federal matching funds of approximately $56 million.E. This adjustment reflects changes in estimated federal funds per S.B. 1, 81 stLegislature, Article IX, Sec. 8.02, Federal Funds/Block Grants. Amounts have beenupdated to reflect the February updates in the Medicaid and Children’s HealthInsurance Plan (CHIP) caseloads as well as the changes as the result of the six-monthphase down of the ARRA FMAP.F. This adjustment reflects the transfer of general revenue funds from appropriation year2011 to appropriation year 2010 to address funding needs in Goal B Medicaid andGoal C CHIP strategies pursuant to HHSC Rider 7, Appropriation Transfers betweenFiscal Years.G. HHSC Rider 33, Appropriation of Unexpended Balances – Master Lease PurchaseProgram (MLPP) appropriates any unexpended balances of MLPP funds fromprevious appropriation years for the Texas Integrated Eligibility Redesign System(TIERS) project. This adjustment updates the S.B. 1 appropriation (AutomatedBudget and Evaluation System of Texas 0781 (ABEST) with the amount anticipated tobe utilized in 2011.H. This adjustment reflects the carry forward of unexpended capital budget balances fromappropriation year 2010 pursuant to S.B.1, 81 st Legislature, Article IX, Sec. 14.03(j).Schedule 7 of this report details the capital projects with unexpended balancesincluded in this adjustment. No change from the prior report.I1-I3 In accordance with S.B. 1, 81 st Legislature, Regular Session, Article II, SpecialProvisions, Sec 7, HHSC requested approval in May, 2010 to utilize the additionalgeneral revenue resulting from the final federal fiscal year 2011 regular MedicaidFMAP rate. These adjustments reflect the impact of the 2011 FMAP change onfederal funds and related general revenue matching funds retained at HHSC. Approvalhas also been received to transfer general revenue made available from the FMAPchange to HHSC from the DADS. This adjustment will be reflected when the funds
Ms. Marty Brandy, DirectorMr. John O’BrienApril 1, 2011Page 3are actually transferred.J. In a letter dated March 16, 2010, HHSC requested approval, pursuant to S.B.1, 81 stLegislature, Article XII, Sec. 5(a) and 6, to expend ARRA federal funds for the TexasHealth Information Exchange (HIE) project. This adjustment reflects the estimatedexpenditures for that project in appropriation year 2011.K. This adjustment reflects the increase in estimated federal expenditures related toimplementation of the Health Information Technology (HIT) provisions of theAmerican Recovery and Reinvestment Act of 2009. In a letter, dated, February 25,2010, HHSC requested approval, pursuant to Article XII, Sec. 5(a) and 6, to expendARRA Medicaid funds for the development of a State Medicaid HIT Plan (SMHP).L1-L3These adjustments, pursuant to S.B.1, 81 st Legislature, Article II, Special Provisions,Sec. 11, Limitations on Transfer Authority, transfer funding and/or capital budgetauthority between health and human services agencies to implement severalInformation Technology projects. Adjustment L1 is pursuant to HHSC’s request, datedDecember 15, 2009, to transfer funds to other enterprise agencies for the purpose ofpaying their share of expenditures for several projects. Adjustment L2 implements theHHSC request dated June 23, 2010, and reflects transfers to HHSC from the DADSfor the E-mail project.Adjustment L3 is pursuant to HHSC’s request, originally dated October 19, 2009, andupdated March 22, 2010, to transfer funding and capital authority to Health andHuman Services agencies for the telecommunications enhancement project.M. This adjustment, pursuant to S.B.1, 81 st Legislature, Article IX, Sec. 6.22, Definition,Appropriation, Reporting, and Audit of Earned Federal Funds, and HHSC’snotification dated September 29, 2010, reflects the carry forward of Earned FederalFunds collected in fiscal year 2010 in excess of the amount appropriated in the Act.The additional funds will be utilized in fiscal year 2011 in Strategy A.2.1.,Consolidated System Support.N. This adjustment reflects the transfer, pursuant to HHSC Rider 61, Office of EligibilityServices, and HHSC’s letter dated April 8, 2010, of $16.7 million from Goal BMedicaid to A.1.2., Integrated Eligibility, and F.1.1., TIERS, for the statewide rolloutof TIERS and to provide the state match to maximize federal Supplemental NutritionAssistance Program (SNAP) Department of Defense funds. The adjustment alsoincludes the transfer of $31.0 million in general revenue from Goal B Medicaid toA.1.2., Integrated Eligibility, approved under the notification provision of Rider 61(a)to maintain staffing and operations at the fiscal year 2009 levels.O. Pursuant to HHSC Rider 45, Graduate Medical Education, this adjustment reflects thereceipt of funds from state-owned teaching hospitals to be used as the non-federalshare for graduate medical education in strategy B.2.1., Cost Reimbursed Service. Nochange from prior month’s report.
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