Department of Behavioral Health and Developmental Services [720]
Secretarial Area: Health and Human Resources
Operating Budget Summary
This table shows the Governor's proposed budget for the next two years and the agency's official budget for the previous six years.
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Biennium Fiscal Year Source GF NGF Total
2010-2012 2011 Chapter 2, 2012 Acts of Assembly $27,206,176 $17,623,486 $44,829,662
2010-2012 2012 Chapter 2, 2012 Acts of Assembly $29,155,444 $16,860,486 $46,015,930
2012-2014 2013 Chapter 1, 2014 Acts of Assembly $38,542,721 $29,130,629 $67,673,350
2012-2014 2014 Chapter 1, 2014 Acts of Assembly $37,307,401 $25,856,333 $63,163,734
2014-2016 2015 Chapter 732, 2016 Acts of Assembly $46,609,895 $27,566,203 $74,176,098
2014-2016 2016 Chapter 732, 2016 Acts of Assembly $50,478,008 $28,199,077 $78,677,085
2016-2018 2017 Chapter 780, 2016 Appropriation Act $57,364,221 $33,519,772 $90,883,993
2016-2018 2017 Base Budget $50,078,008 $28,199,077 $78,277,085
2016-2018 2017 Governor's Amendments $7,626,125 $5,320,695 $12,946,820
2016-2018 2017 General Assembly Adjustments ($339,912) $0 ($339,912)
2016-2018 2018 Chapter 780, 2016 Appropriation Act $56,541,355 $33,642,691 $90,184,046
2016-2018 2018 Base Budget $50,078,008 $28,199,077 $78,277,085
2016-2018 2018 Governor's Amendments $7,615,826 $5,443,614 $13,059,440
2016-2018 2018 General Assembly Adjustments ($1,152,479) $0 ($1,152,479)
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2010-2012 2011 Chapter 2, 2012 Acts of Assembly 184.85 10.40 195.25
2010-2012 2012 Chapter 2, 2012 Acts of Assembly 197.85 10.40 208.25
2012-2014 2013 Chapter 1, 2014 Acts of Assembly 208.85 13.40 222.25
2012-2014 2014 Chapter 1, 2014 Acts of Assembly 214.85 11.40 226.25
2014-2016 2015 Chapter 732, 2016 Acts of Assembly 224.85 13.40 238.25
2014-2016 2016 Chapter 732, 2016 Acts of Assembly 225.85 13.40 239.25
2016-2018 2017 Chapter 780, 2016 Appropriation Act 393.60 29.40 423.00
2016-2018 2017 Base Budget 225.85 13.40 239.25
2016-2018 2017 Governor's Amendments 175.75 16.00 191.75
2016-2018 2017 General Assembly Adjustments (8.00) 0.00 (8.00)
2016-2018 2018 Chapter 780, 2016 Appropriation Act 393.60 29.40 423.00
2016-2018 2018 Base Budget 225.85 13.40 239.25
2016-2018 2018 Governor's Amendments 175.75 16.00 191.75
2016-2018 2018 General Assembly Adjustments (8.00) 0.00 (8.00)
Operating Budget Addenda (in order of greatest impact)
•
Increase nongeneral fund appropriation to account for Medicaid reimbursement Base Budget Adjustment
  Increases the nongeneral fund appropriation in the central office to account for Medicaid reimbursement for certain licensing and quality service review activities associated with the settlement agreement. When the general fund was initially appropriated, it was not known how much would be eligible for federal match. This increase was handled administratively in FY 2015 and FY 2016.
 
  FY FY
Nongeneral Fund $3,417,000 $3,417,000
•
Transfer funds for Health Support Networks Base Budget Adjustment
  Moves funds that were originally appropriated in agency 790 (Grants to Localities) to the agency 720 (Central Office). The transfer of these funds in FY 2015 and FY 2016 was done administratively. This zero sum adjustment will permanently move the funds to the agency where they will be spent.
 
  FY FY
General Fund $2,600,000 $2,600,000
•
Distribute savings to agency budgets Base Budget Adjustment
  Moves savings budgeted centrally in Paragraph A, Item 471.10, Chapter 665, 2015 Acts of Assembly from Central Appropriations to the individual budgets of state agencies.
 
  FY FY
General Fund ($2,158,621) ($2,158,621)
•
Adjust appropriation to account for reduction taken from improper agency code Base Budget Adjustment
  Corrects an erroneous reduction in the agency's central office budget. The General Assembly removed one of the governor's amendments to increase housing supplements for individuals in the Department of Justice settlement population. However, the funds were mistakenly taken from agency 720 (Central Office), when they had been appropriated to agency 790 (Grants to Localities). This sum zero adjustment will correct the error and eliminate the need to transfer the funds administratively.
 
  FY FY
General Fund $675,000 $675,000
•
Adjust appropriation for centrally funded retirement rate changes Base Budget Adjustment
  Adjusts appropriation for changes in state employee retirement rates to 80 percent of the Virginia Retirement System Board certified rates budgeted in Central Appropriations, Item 467.H. of Chapter 665, 2015 Acts of Assembly. A companion adjustment provides funding to increase state employee retirement rates to 90 percent of the Virginia Retirement System Board certified rate.
 
  FY FY
General Fund $450,442 $450,442
Nongeneral Fund $140,833 $140,833
•
Adjust appropriation for the centrally funded two percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the two percent salary increase for state employees budgeted in Central Appropriations, Item 467.P. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $353,586 $353,586
Nongeneral Fund $99,221 $99,221
•
Adjust appropriation to accelerate the employer retirement contribution phase in schedule Base Budget Adjustment
  Adjusts appropriation for changes in employee retirement rates to 90 percent of the Virginia Retirement System Board certified rate budgeted in Central Appropriations, Item 467.U. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $281,020 $281,020
Nongeneral Fund $77,897 $77,897
•
Adjust appropriation for changes in information technology costs Base Budget Adjustment
  Adjusts appropriation for the changes in information technology costs budgeted in Central Appropriations, Items 468.M. and 470.B. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund ($49,355) ($49,355)
Nongeneral Fund $265,980 $265,980
•
Adjust appropriation for the centrally funded compression pay adjustment for state employees Base Budget Adjustment
  Adjusts appropriation for the compression pay adjustment for state employees budgeted in Central Appropriations, Item 467.Q. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $207,302 $207,302
Nongeneral Fund $58,172 $58,172
•
Adjust appropriation for centrally funded health insurance costs Base Budget Adjustment
  Adjusts appropriation for the employer’s share of health insurance premiums budgeted in Central Appropriations, Item 467.G. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $191,052 $191,052
Nongeneral Fund $53,928 $53,928
•
Transfer funds for the Independent Reviewer Base Budget Adjustment
  Moves funds from agency 790 (Grants to Localities) to agency 720 (Central Office) that are associated with the budget for the independent reviewer of the state's compliance with the Department of Justice settlement agreement. The funds being transferred are funds that were added to the incorrect agency, as the remainder of the independent reviewer's budget is appropriated in 720.
 
  FY FY
General Fund $49,000 $49,000
•
Adjust appropriation for the centrally funded increase in internal service fund costs due to salary adjustments Base Budget Adjustment
  Adjusts appropriation to agencies to offset increases in internal service fund costs due to the salary and benefit adjustments in Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $36,605 $36,605
Nongeneral Fund $11,293 $11,293
•
Adjust appropriation for centrally funded state employee other post employment benefit rate changes Base Budget Adjustment
  Adjusts appropriation for changes in state employee other post employment benefit rates budgeted in Central Appropriations, Item 467.K.3. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $17,667 $17,667
Nongeneral Fund $5,522 $5,522
•
Realign appropriation between programs Base Budget Adjustment
  Transfers funds from the general administrative service area to both the newly created central-office based community services program for community-based programs operated out of the central office, and to the licensing department for administrative costs associated with the Department of Justice settlement. This sum zero transfer will align the budget with expected spending and eliminate the need for administrative transfers.
•
Fund additional positions to support DOJ administrative requirements Decision Package
  Provides funds to increase licensing and quality management staff in the central office. The positions include 10 licensing specialists, five positions to assist in the development and execution of improved case management and service needs evaluation processes, two positions related to internal review and data quality assurance, and two positions tasked with the implementation of a rental subsidy program for individuals with intellectual and developmental disabilities. These positions are necessary for the agency to meet the terms of the service delivery changes required by the settlement agreement with the U.S. Department of Justice (DOJ).
 
  FY FY
General Fund $1,360,098 $1,813,382
Nongeneral Fund $516,838 $585,228
Positions 19.00 19.00
•
Support administrative needs for the increase in waiver services Decision Package
  Provides funds for 10 prior authorization specialists, five prior authorization team leads, and one administrative assistant to support the prior authorization team. These positions will be responsible for working with Community Services Boards and case managers to assist in the transition of individuals into the proposed newly-designed intellectual and developmental waiver system. Specifically, these positions will monitor the mix of services offered to individuals; provide technical support to produce service utilization data; perform quality management; and monitor waiver recipients’ individual support plans to ensure the transition to more integrated day and residential services.
 
  FY FY
General Fund $659,193 $712,690
Nongeneral Fund $649,690 $703,414
Positions 16.00 16.00
•
Fund Developmental Disabilities Health Support Networks in southwest Virginia Decision Package
  Support a Developmental Disability Health Supports Network in the Southwestern Virginia region. Current base funding for DDHSNs in FY 2016 is $2.6 million, which funds networks that replace services that were previously being provided by Southside Virginia Training Center and Northern Virginia Training Center. The services provided include health education, dental services, and equipment repair.
 
  FY FY
General Fund $1,300,000 $1,300,000
Positions 8.75 8.75
•
Adjust appropriation to support workers' compensation premiums Decision Package
  Supports the agency's workers' compensation premiums based on the allocation of program costs provided by the Department of Human Resource Management. The allocation is based on the historical experience of the agency and reflects the current policy of providing agencies with 50 percent of any increased costs and allowing agencies to retain 50 percent of any reduced costs.
 
  FY FY
General Fund ($596,833) ($596,240)
Nongeneral Fund $10,480 $10,807
•
Implement event tracking quality management system Decision Package
  Provides funds to implement a consolidated event tracking quality management system. This system will significantly improve outcomes for all the stakeholders and offer specific business process improvements for the Division of Quality Improvement and Development, permit more timely and accurate assessment of Critical Event data, and allow state facilities and private providers to proactively prevent the occurrence of events rather than responding to events that have already occurred. Critical Events include deaths, injuries, abuse allegations, the utilization of seclusion and restraints, and other events that merit investigation, regulatory reporting, and resolution.
 
  FY FY
General Fund $945,952 $244,553
Positions 1.00 1.00
•
Provide community supports for individuals in training centers not covered by Medicaid Decision Package
  Provides funds to transition four individuals currently residing in state intellectual disability training centers into the community. These four individuals are not eligble for Medicaid, but are still required to be offered community-based services and transferred out of state facilities under the settlement agreement with the federal Department of Justice. These individuals will be transferred in FY 2017.
 
  FY FY
General Fund $503,204 $503,204
•
Provide additional positions for the Individual and Family Supports Program Decision Package
  Provides funds for five additional positions in the Individual and Family Supports Program. Pursuant to the settlement agreement with the federal Department of Justice (DOJ), the program was initially established as a cash benefit provided to a minimum of 1,000 individuals or families per year. The Independent Reviewer has interpreted the language of the agreement to require a more comprehensive program, stating in his reviews to the court that the Commonwealth is not complying with the agreement as the program is currently being run. The revamped IFSP will include staff in each region to help link individuals on the intellectual and developmental disability waitlists with available services and supports in their area.
 
  FY FY
General Fund $366,160 $488,213
Positions 5.00 5.00
•
Support oversight system for court ordered evaluations Decision Package
  Provides funds for two FTE and associated costs of implementing proposed legislation that would require the creation and implementation of an oversight system for competency and sanity evaluations. All evaluations would be subject to peer review. The proposed legislation would also empower the Department of Behavioral Health and Developmental Services (DBHDS) to create a list of competent, trained evaluators and would allow DBHDS to remove evaluators from the approved list if they fail to produce evaluations consistent with current standards of practice.
 
  FY FY
General Fund $152,016 $202,689
Positions 2.00 2.00
•
Expand outpatient competency restoration system Decision Package
  Provides funds for restoration of competency services for up to 85 individuals. Outpatient competency restoration services consist of assessment services to determine the cause of the incompetency, one-to-one educational sessions regarding the legal system, case management services, psychiatry services as needed, and medications.
 
  FY FY
General Fund $85,000 $85,000
•
Expand the availability of resources to conditionally release individuals adjudicated not guilty by reason of insanity Decision Package
  Expands availability of resources for the conditional release of those found not guilty by reason of insanity (NGRI). These funds will support up to 24 additional individuals who were found NGRI, but who can be transitioned into community settings.
 
  FY FY
General Fund $84,000 $84,000
•
Address increasing workload for independent reviewer Decision Package
  Provides general fund support to address the anticipated increase in the workload of the Independent Reviewer (IR) that monitors the settlement agreement between the federal Department of Justice (DOJ) and the Commonwealth. The original Settlement Agreement did not require any serious incident reviews or related reports to the court. As a result, those responsibilities were not taken into consideration when the IR's budget was determined. They were added by the judge upon final signing.
 
  FY FY
General Fund $63,734 $72,544
•
Adjust appropriation for the costs of the new Cardinal financial system Decision Package
  Reflects the agency's share of the costs of the new Cardinal accounting system. The Department of Accounts allocates the yearly cost of the system to agencies based upon the number of transactions the agency completed in the previous fiscal year.
 
  FY FY
General Fund $49,903 $52,093
Nongeneral Fund $13,841 $14,319
•
Add language to clarify the use of new service areas Decision Package
  Provides clarification on the use of general fund appropriation in a newly created program and service areas within the agency's budget. As part of base budget adjustments for the 2016-2018 biennial budget development process, the Department of Planning and Budget in coordination with the Department of Behavioral Health and Developmental Services established program 444, Central Office Managed Community and Individual Health Services in addition to service areas for mental health and intellectual and developmental disability services. In an effort to increase transparency, this action was taken in order to clearly designate and group contracted funds to Community Service Boards or contractually-based services the department enters into with community based service providers.
•
Correct fund source for Medicaid reimbursable administrative costs Decision Package
  Transfers $2,642,583 in nongeneral funds to the proper fund source. This technical amendment has no fiscal impact.
•
Increase position levels at central office Decision Package
  Increases positions associated with implementation of the Department of Justice (DOJ) settlement, the Developmental Disability (DD) waiver staff transferring from the Department of Medical Assistance, electronic health records, as well as other critical staff needed for program oversight and accountability.
 
  FY FY
Positions 140.00 140.00
•
Modify language on use of telepsychiatry funding Decision Package
  Modifies language concerning telephychiatry in order to more accurately reflect telecommunications services provided by the Department of Behavioral Health and Developmental Services network.
•
Reduce New DOJ-Related Administrative Positions General Assembly Adjustment
  This amendment reduces $256,100 the first year and $445,838 the second year from the general fund for four positions included in the introduced budget related to administrative activities of the settlement agreement with the U.S. Department of Justice. The introduced budget included 19 positions for this purpose.
 
  FY FY
General Fund ($256,100) ($445,838)
Positions (4.00) (4.00)
•
Reduce Positions for Individual and Family Supports Program General Assembly Adjustment
  This amendment reduces funding of $267,431 the first year and $418,133 the second year and four positions included in the introduced budget to transition the Individual and Family Supports Program to a more regional based system that helps connect families on the waiver waiting list to their community network rather than just a cash assistance program. This action leaves one position to coordinate the program.
 
  FY FY
General Fund ($267,431) ($418,133)
Positions (4.00) (4.00)
•
Move FY 2018 Compensation for Victims of Sterilization to HB 29 General Assembly Adjustment
  This amendment eliminates $400,000 from the general fund the second year for compensation of victims of sterilization. This funding is transferred to House Bill 29 for compensation in fiscal year 2016. Language is added in House Bill 29 to allow for any unspent funding to be carried forward to a subsequent fiscal year. Language is added in this item to allow for the use of any funding carried over for this purpose to be used for such compensation.
 
  FY FY
General Fund $0 ($400,000)
•
Transfer funds for administrative costs of forensic housing programs General Assembly Adjustment
  This amendment transfers funds that were appropriated for the administrative costs of maintaining and monitoring the wait list of individuals transferring from jails to state mental health facilities. These costs were originally appropriated in Grants to Localities. This net zero amendment will move funds to the item from which they will be expended.
 
  FY FY
General Fund $83,619 $111,492
•
Independent Review of Central Virginia Training Center General Assembly Adjustment
  This amendment provides $100,000 the first year from the general fund for an independent review to develop options for consideration by the General Assembly of operating the Central Virginia Training Center, if needed, as a smaller facility utilizing the newly renovated buildings.
 
  FY FY
General Fund $100,000 $0
•
Eliminates Acquired Brain Injury as Part of Waiver Redesign General Assembly Adjustment
  This amendment removes language that requires as part of the Medicaid waiver redesign, that individuals with acquired brain injury be included as stakeholders or participants. Including individuals with brain injury in these waivers is not consistent with federal rules and therefore the language should be removed.
•
Eliminates Brain Injury Report General Assembly Adjustment
  This amendment eliminates budget language requiring a report on the number of individuals with acquired brain injury accessing state mental health services and the associated costs. Since insufficient data is available, the report cannot be completed.
•
Expenditure from Behavioral Health & Developmental Svs. Trust Fund General Assembly Adjustment
  This amendment requires that expenditures from the Behavioral Health and Developmental Services Trust Fund are appropriated through an appropriations bill passed by the General Assembly. Further, remaining balances in the fund are required to be carried forward to the subsequent fiscal year.
•
Model for Mental Health Dockets General Assembly Adjustment
  This amendment requires the Department of Behavioral Health and Developmental Services to develop a model program for mental health dockets to be used by courts in the Commonwealth to better handle the unique needs of individuals with mental illness. Once the report is developed it shall be posted on the department's website.


p3_bullets - Official Enacted Budget - 06-06-2025 17:41:16