Mental Health Treatment Centers [792]
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 $227,224,336 $95,188,367 $322,412,703
2010-2012 2012 Chapter 2, 2012 Acts of Assembly $216,530,118 $95,582,567 $312,112,685
2012-2014 2013 Chapter 1, 2014 Acts of Assembly $206,390,290 $95,800,495 $302,190,785
2012-2014 2014 Chapter 1, 2014 Acts of Assembly $204,941,706 $95,800,495 $300,742,201
2014-2016 2015 Chapter 732, 2016 Acts of Assembly $250,498,607 $90,796,948 $341,295,555
2014-2016 2016 Chapter 732, 2016 Acts of Assembly $260,230,334 $76,227,744 $336,458,078
2016-2018 2017 Chapter 780, 2016 Appropriation Act $294,023,194 $78,512,458 $372,535,652
2016-2018 2017 Base Budget $259,711,672 $76,227,744 $335,939,416
2016-2018 2017 Governor's Amendments $35,011,522 $2,284,714 $37,296,236
2016-2018 2017 General Assembly Adjustments ($700,000) $0 ($700,000)
2016-2018 2018 Chapter 780, 2016 Appropriation Act $294,270,242 $78,531,714 $372,801,956
2016-2018 2018 Base Budget $259,711,672 $76,227,744 $335,939,416
2016-2018 2018 Governor's Amendments $34,358,570 $2,303,970 $36,662,540
2016-2018 2018 General Assembly Adjustments $200,000 $0 $200,000
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2010-2012 2011 Chapter 2, 2012 Acts of Assembly 3,786.00 757.00 4,543.00
2010-2012 2012 Chapter 2, 2012 Acts of Assembly 3,759.00 765.00 4,524.00
2012-2014 2013 Chapter 1, 2014 Acts of Assembly 3,759.00 765.00 4,524.00
2012-2014 2014 Chapter 1, 2014 Acts of Assembly 3,759.00 765.00 4,524.00
2014-2016 2015 Chapter 732, 2016 Acts of Assembly 4,197.00 665.00 4,862.00
2014-2016 2016 Chapter 732, 2016 Acts of Assembly 4,216.00 665.00 4,881.00
2016-2018 2017 Chapter 780, 2016 Appropriation Act 3,823.00 602.00 4,425.00
2016-2018 2017 Base Budget 4,216.00 665.00 4,881.00
2016-2018 2017 Governor's Amendments (393.00) (63.00) (456.00)
2016-2018 2017 General Assembly Adjustments 0.00 0.00 0.00
2016-2018 2018 Chapter 780, 2016 Appropriation Act 3,823.00 602.00 4,425.00
2016-2018 2018 Base Budget 4,216.00 665.00 4,881.00
2016-2018 2018 Governor's Amendments (393.00) (63.00) (456.00)
2016-2018 2018 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
•
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 $5,376,095 $5,376,095
Nongeneral Fund $639,561 $639,561
•
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 $3,639,926 $3,639,926
Nongeneral Fund $403,195 $403,195
•
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 $2,903,274 $2,903,274
Nongeneral Fund $316,534 $316,534
•
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 $2,593,039 $2,593,039
Nongeneral Fund $503,825 $503,825
•
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 $2,762,190 $2,762,190
Nongeneral Fund $305,981 $305,981
•
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 ($2,312,164) ($2,312,164)
•
Adjust appropriation for the centrally funded two percent salary increase for state employees in high turnover roles Base Budget Adjustment
  Adjusts appropriation for the two percent salary increase for state employees in high turnover roles budgeted in Central Appropriations, Item 467.T. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $1,884,984 $1,884,984
Nongeneral Fund $68,471 $68,471
•
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 $210,853 $210,853
Nongeneral Fund $25,060 $25,060
•
Adjust appropriation for a salary increase for security officer roles Base Budget Adjustment
  Adjusts appropriation for a $1,000 salary increase for employees in Security Officer I and III roles.
 
  FY FY
General Fund $90,971 $90,971
Nongeneral Fund $10,069 $10,069
•
Realign funds within mental health facility service areas Base Budget Adjustment
  Transfers funds between various service areas of mental health facility budgets, including state mental health services, general facility administration, and secure confinement. This adjustment will eliminate the need for these transfers to be done administratively and will increase transparency
•
Transfer funds within facility system to address critical needs Decision Package
  Transfers funds within the agency's facility system to accommodate the needs of individual facilities. Growing costs in pharmaceuticals, supports services at Central State Hospital, and overtime costs associated with a greater number of admissions have increased the needs at state mental health facilities. In previous years, the agency has transferred nongeneral funds to offset some of the increased costs, but the closure of training centers will reduce nongeneral fund balances available for such transfers. This adjustment will permanently move funds to the facilities where they are most needed and will reduce the need for administrative transfers. This sum zero transfer has no fiscal impact.
 
  FY FY
General Fund $8,848,744 $8,848,744
•
Capture unused funds at Catawba and Piedmont Decision Package
  Reverses an amendment included in Chapter 665, 2015 Acts of Assembly, that provided general fund dollars to Catawba Hospital and Piedmont Geriatric Facility for the purpose of reclassifying as intermediate care nursing homes, which would have reduced Medicaid reimbursement to those facilities. It has been determined that the facilities can not meet the criteria for nursing home certification, and the amendment must be reversed to reduce their direct general fund appropriation. A companion amendment is in included in the facility program at the Department of Medical Assistance Services to increase the amount of funds available for Medicaid reimbursement of the facilities
 
  FY FY
General Fund ($8,575,925) ($8,575,925)
•
Address revenue shortfall at Hancock Geriatric Treatment Center Decision Package
  Backfills the loss of federal revenues as a result of decertification from the Medicaid program of the facility. These funds will allow the facility to continue to operate 80 geriatric beds, with 20 certified as Inpatient Psychiatric Hospital beds for acute admissions.
 
  FY FY
General Fund $8,252,321 $8,252,321
•
Transfer funds to support Hancock Geriatric Treatment Center Decision Package
  Transfers unused Medicaid match from the state facility program at the Department of Medical Assistance Services to the direct general fund appropriation at the Department of Behavioral Health and Developmental Services for the operation of Hancock Geriatric Facility. The facility lost Medicaid certification in FY 2016, and the decision to operate the facility as a general fund only facility requires the transfer of unused match to continue the operation of 80 beds in the facility. This amendment is a sum zero transfer between the two agencies.
 
  FY FY
General Fund $6,640,991 $6,640,991
•
Address compensation issues at mental health facilities Decision Package
  Provides funds to increase shift differentials at state facilities by up to 30 percent. State mental health facilities have seen turnover rates of 29 percent. This increase in shift differentials will help facilities reduce overtime useage and reduce turnover.
 
  FY FY
General Fund $1,181,177 $1,181,177
•
Close Catawba Hospital Decision Package
  Provides funds to begin the process of closing Catawba Hospital by the end of FY 2018. Funds are included to support the purchase of private inpatient beds to divert individuals from being admitted to Catawba during the closure period, for the implementation of a staff retention plan, for the agency to secure a program manager tasked with beginning the closure process, and other related expenditures associated with developing a closure plan. The agency must submit a plan for expenditure of these funds to the Secretary of Health and Human Resources and the Secretary of Finance. Language is included that requires the agency to submit budget requests for consideration by the 2017 General Assembly for the full costs of moving long-term patients into community settings, and for building community capacity for those who would otherwise be served by the hospital.
 
  FY FY
General Fund $1,000,000 $0
•
Add direct care staffing to address increased high acuity admissions Decision Package
  Adds six positions at Western State Hospital to address the increase in admissions, discharges and high acuity clients. The increase in temporary detention order and forensic admissions has presented numerous challenges at the facility, with more clients requiring direct observation.
 
  FY FY
General Fund $257,670 $515,337
Positions 6.00 6.00
•
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 $164,091 $170,375
Nongeneral Fund $6,647 $7,453
•
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 $24,189 $107,286
Nongeneral Fund $5,371 $23,821
•
Increase pediatrician services at Commonwealth Center for Children and Adolescents (CCCA) Decision Package
  Provides funds to increase the number of hours that on-site pediatric medical services are available to children and youth admitted to the facility.
 
  FY FY
General Fund $69,096 $69,096
•
Distribute funds correctly between various programs Decision Package
  Transfers general fund dollars in the amount of $2.0 million from program 197 (Instruction) to program 430 (State Health Services). This is a zero sum transfer that supports the re-opening of the geriatric unit at South Western Virginia Mental Health Institut which occurred in FY 2012. Funding was not properly aligned when the re-opening occurred, and administrative transfers have been used to move the funds each year.
•
Reduce position levels at mental health facilities Decision Package
  Adjusts authorized position levels at state mental health hospitals by reducing the position level from 4,881 to 4,419, for a total reduction of 462. Part of this reduction (170) is attributed to last session’s transfer of Hiram Davis Medical Center from Mental Health Facilities (792) to the Training Centers (793) last year. The funding was transferred but the positions in the budget were not. Additionally based on internal analysis, a further reduction of 292 is needed to reflect current funded staffing levels at the mental health facilities.
 
  FY FY
Positions (462.00) (462.00)
•
Technical-Transfer Funds for Mental Health Backfill to Proper Agency Code General Assembly Adjustment
  This technical amendment transfers funds appropriated to support mental health facilities due to the loss of special fund revenues between items to improve transparency.
 
  FY FY
General Fund $1,300,000 $1,900,000
•
Transfer special hospitalization funds to VCBR General Assembly Adjustment
  This amendment transfers funds appropriated for special hospitalization costs in the agency's facility system to the Virginia Center for Behavioral Rehabilitation. Medical costs at the VCBR continue to increase and additional funds are needed to support the facility.
 
  FY FY
General Fund ($1,200,000) ($1,200,000)
•
Capture Unused Funds at Piedmont and Catawba Provided in 2015 Session General Assembly Adjustment
  This amendment reduces $500,000 each year from the general fund to capture the full amount of the funding provided in the 2015 Session to offset the loss of federal funding for Piedmont Geriatric Hospital and Catawba Hospital. The plan in the last session was to convert the certification of these two hospitals to nursing facilities due to a federal Health and Human Services Inspector General's report on the certification issue. A total of $9.1 million from the general fund was provided last year that was included in the base budget for each year. The introduced budget removes all but $500,000 of the funding since the conversion to nursing facilities has been determined to no longer be possible. This amendment recaptures all of the funding originally provided.
 
  FY FY
General Fund ($500,000) ($500,000)
•
Eliminate Language and Funding Related to Closing Catawaba Hospital General Assembly Adjustment
  This amendment eliminates language and associated funding in the introduced budget directing the Department of Behavioral Health and Developmental Services to begin the detailed planning process to close Catawba Hospital.
 
  FY FY
General Fund ($1,000,000) $0
•
Plan for Geropsychiatric Services General Assembly Adjustment
  This amendment adds $450,000 the first year from the general fund and language directing the Department of Behavioral Health and Developmental Services to develop a comprehensive plan for the publicly funded geropsychiatric system of care in Virginia and sets out requirements for the plan, including an assessment of the needs of individuals residing in state geropsychiatric facilities, as well as community capacity to meet their treatment needs. The plan shall be presented to the Governor and the Chairmen of the House Appropriations and Senate Finance Committees as well as the Chairman of the Joint Subcommittee to Study Mental Health Services in the Twenty-First Century by November 15, 2016. A companion amendment eliminates funding and development of a plan to close Catawba Hospital.
 
  FY FY
General Fund $450,000 $0
•
Recertification of Hancock Geriatric Treatment Center General Assembly Adjustment
  This amendment adds $250,000 the first year from the general fund and language directing the Department of Behavioral Health and Developmental Services (DBHDS) to hire an independent contractor to determine if the Hancock Geriatric Treatment Center can be re-certified for Medicaid reimbursement. In 2015, the center lost its Medicaid certification and the introduced budget included general fund support to replace the lost federal funding. This amendment attempts to explore all possible options available to the Commonwealth to re-certify the facility in order to access federal support for its operations. If the facility can be certified then the general fund support added in the budget can be supplanted with federal funds. Language directs the Department to seek certification from the federal Centers for Medicare and Medicaid Services if feasible and upon completion of the recommended changes, and the Commissioner of DBHDS is required to report on these efforts by December 1, 2016 and when a federal certification decision is made.
 
  FY FY
General Fund $250,000 $0
•
Allocate Funds for Western State Hospital for Discharge Assistance General Assembly Adjustment
  This amendment allocates $625,500 the first year from the general fund that was included in the introduced budget for the purchase of private inpatient geriatric mental health services and designates the funding for Western State Hospital for Discharge Assistance Funding. Western State Hospital is in need of DAP funds in the hospital's catchment area. DAP funding provides critical assistance to patients who are ready to discharge in order to move back into the community. The funding is necessary to avoid an increase in the extraordinary barriers to discharge list, which reflects patients continuing to be hospitalized due to the lack of community supports.


p3_bullets - Official Enacted Budget - 06-04-2025 00:23:13