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
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 1, 2018 Acts of Assembly $55,086,308 $33,519,772 $88,606,080
2016-2018 2018 Chapter 1, 2018 Acts of Assembly $58,842,823 $33,842,691 $92,685,514
2018-2020 2019 Chaper 2, 2018-2020 $70,014,613 $43,875,046 $113,889,659
2018-2020 2019 Base Budget $58,642,823 $33,842,691 $92,485,514
2018-2020 2019 Governor's Amendments $8,871,790 $9,782,355 $18,654,145
2018-2020 2019 General Assembly Adjustments $2,500,000 $250,000 $2,750,000
2018-2020 2020 Chaper 2, 2018-2020 $75,163,757 $42,425,046 $117,588,803
2018-2020 2020 Base Budget $58,642,823 $33,842,691 $92,485,514
2018-2020 2020 Governor's Amendments $12,020,934 $8,582,355 $20,603,289
2018-2020 2020 General Assembly Adjustments $4,500,000 $0 $4,500,000
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 1, 2018 Acts of Assembly 393.60 29.40 423.00
2016-2018 2018 Chapter 1, 2018 Acts of Assembly 391.75 29.25 421.00
2018-2020 2019 Chaper 2, 2018-2020 399.75 31.25 431.00
2018-2020 2019 Base Budget 391.75 29.25 421.00
2018-2020 2019 Governor's Amendments 8.00 2.00 10.00
2018-2020 2019 General Assembly Adjustments 0.00 0.00 0.00
2018-2020 2020 Chaper 2, 2018-2020 422.50 31.25 453.75
2018-2020 2020 Base Budget 391.75 29.25 421.00
2018-2020 2020 Governor's Amendments 30.75 2.00 32.75
2018-2020 2020 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
•
Increase federal appropriation to account for Medicaid administrative cost allocation plan Base Budget Adjustment
  Increases federal appropriation to properly account for the agency's Medicaid cost allocation plan. This action was completed as an administrative adjustment in FY 2017.
 
  FY FY
Nongeneral Fund $7,600,000 $7,600,000
•
Adjust appropriation for the centrally funded changes in agency information technology costs Base Budget Adjustment
  Adjusts appropriation for changes in information technology and telecommunications usage budgeted in Central Appropriations, Item 476 G. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $1,540,989 $1,540,989
Nongeneral Fund $438,254 $438,254
•
Adjust appropriation for the centrally funded three percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the three percent salary increase for state employees budgeted in Central Appropriations, Item 475 X. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $636,143 $636,143
Nongeneral Fund $174,754 $174,754
•
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 475 G. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $549,010 $549,010
Nongeneral Fund $167,779 $167,779
•
Adjust appropriation for centrally funded information technology auditors and security officers Base Budget Adjustment
  Adjusts appropriation for information technology auditors and information security officers budgeted in Central Appropriations, Item 476 J. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $182,069 $182,069
Nongeneral Fund $49,862 $49,862
•
Adjust appropriation for centrally funded retirement rate changes Base Budget Adjustment
  Adjusts appropriation for changes in state employee retirement rates budgeted in Central Appropriations, Item 475 H. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund ($124,654) ($124,654)
Nongeneral Fund ($34,244) ($34,244)
•
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 475 K. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $40,983 $40,983
Nongeneral Fund $11,255 $11,255
•
Adjust appropriation for centrally funded internal service fund charges for the Personnel Management Information System Base Budget Adjustment
  Adjusts appropriation for the Personnel Management Information System internal service fund charges budgeted in Central Appropriations, Item 476 O. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $5,685 $5,685
Nongeneral Fund $1,562 $1,562
•
Adjust appropriation for centrally funded changes in Cardinal charges Base Budget Adjustment
  Adjusts appropriation for the reduction in Cardinal charges budgeted in Central Appropriations, Item 476 L. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund ($875) ($875)
Nongeneral Fund ($191) ($191)
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 475 V. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund ($588) ($588)
Nongeneral Fund ($148) ($148)
•
Transfer appropriation between fund detail Base Budget Adjustment
  This sum zero adjustment moves funds between fund detail to properly account for revenue received as a result of the Medicaid cost allocation plan. This action was completed as an administrative adjustment in FY 2017.
•
Implement electronic health records system at all DBHDS facilities Decision Package
  Provides for the implementation of electronic health records at state behavioral health facilities and Southeastern Virginia Training Center. The agency currently operates an electronic health records system at three facilities. These funds will allow for the expedited implementation at the remaining nine facilities.
 
  FY FY
General Fund $5,100,000 $5,100,000
•
Address capacity issues at state mental health facilities Decision Package
  Provides funds for the development and support of one assisted living facility for individuals with serious mental illness in the first year and a second assisted living facility in the second year. In addition, funds are included to create two community support teams. A separate amendment in the Department of Social Services provides for the associated additional costs to the Auxiliary Grant program.
 
  FY FY
General Fund $1,750,000 $2,752,170
Positions 0.00 10.00
•
Transfer Local Inpatient Purchase of Service funds to Community Services Boards Decision Package
  This sum zero transfer will move LIPOS funds to agency 790 (Grants to Localities). There is an additional transfer to move LIPOS funds from the mental health treatment centers to 790. In total these transfers will result in all LIPOS funds being appropriated in one agency code, improving transparency and eliminating the need for administrative transfer.
 
  FY FY
General Fund ($2,250,000) ($2,250,000)
•
Provide Health Support Network coverage to Central Virginia Decision Package
  Provides for the creation of a Developmental Disability Health Supports Network (DDHSN) in the region currently served by Central Virginia Training Center. Current base funding for DDHSNs in FY 2018 is $3.9 million, which funds networks that replace services that were previously being provided by Southside Virginia Training Center, Northern Virginia Training Center, and Southwestern Virginia Training Center. The services provided include health education, dental, and equipment repair.
 
  FY FY
General Fund $0 $1,300,000
Positions 0.00 8.75
•
Increase Trust Fund appropriation Decision Package
  Provides one-time appropriation for expenditures needed to comply with the federal Department of Justice (DOJ) Settlement Agreement to include provider training, provider compliance review, quality management, and IT improvements.
 
  FY FY
Nongeneral Fund $1,200,000 $0
•
Provide additional DBHDS Office of Licensing Positions Decision Package
  Increases the number of licensing officer positions by five in the first year and four additional positions in the second year, for a total of nine new licensing positions. The additional positions are needed to address the backlog in the increasing number of providers and provider locations that must be licensed by the agency in order to provide services.
 
  FY FY
General Fund $238,692 $859,294
Positions 5.00 9.00
•
Increase Sexually Violent Predator supervision funding Decision Package
  Provides for the increase in costs associated with supervision and monitoring of sexually violent predators that have been discharged from the Virginia Center for Behavioral Rehabilitation. These services are provided under contract with the Department of Corrections.
 
  FY FY
General Fund $331,846 $518,570
•
Transfer funds for community integration managers Decision Package
  Transfers the appropriation and positions associated with three Community Integration Managers previously located in agency 793 (Intellectual Disability Training Centers) to the Department of Behavioral Health and Developmental Disability's central office. The positions were previously assigned to the regions served by individual training centers, however, with the closure of three facilities over the past several years, the positions must now be moved to central office. These positions are required by the settlement agreement with the federal Department of Justice.
 
  FY FY
General Fund $235,323 $235,323
Positions 3.00 3.00
•
Correct appropriation error at Central Office Decision Package
  Restores savings that were inadvertently double counted in Chapter 836, 2017 Acts of Appropriation. There is an accompanying amendment in the Caboose bill to restore the savings in FY 2018.
 
  FY FY
General Fund $200,000 $200,000
•
Transfer permanent supportive housing administrative funds from Grants to Localities to Central Office Decision Package
  Moves funding from agency 790 (Grants to Localities) to agency 720 (Central Office) for the oversight of the permanent supportive housing program. This sum zero transfer has no fiscal impact.
 
  FY FY
General Fund $200,000 $200,000
•
Provide community supports for individuals in training centers not covered by Medicaid Decision Package
  Provides funds for individuals who are transitioned from state training centers into the community who do not qualify for Medicaid. Because they are part of the target population in the settlement agreement with the federal Department of Justice, the state is required to provide continued care for training center residents regardless of their eligibility for federal programs.
 
  FY FY
General Fund $175,000 $175,000
•
Realign funding within DBHDS Decision Package
  Transfers funding for two grant-funded administrative positions from agency 790 (Grants to Localities) to the agency's Central Office (720). This sum zero nongeneral fund transfer has no fiscal impact.
 
  FY FY
Nongeneral Fund $173,472 $173,472
Positions 2.00 2.00
•
Address increasing workload of the Independent Reviewer Decision Package
  Provides additional appropriation to address the anticipated increase in the workload of the Independent Reviewer who is tasked with monitoring the Commonwealth’s compliance with the federal Department of Justice Settlement Agreement.
 
  FY FY
General Fund $62,167 $101,815
•
Alternative Transportation for TDOs General Assembly Adjustment
  This amendment provides $2.5 million the first year and $4.5 million the second year from the general fund for the Department of Behavioral Health and Developmental Services (DBHDS) to implement an alternative transportation system for adults and children under a temporary detention order. State law requires a magistrate issuing an emergency custody order (ECO) or temporary detention order (TDO) to specify a law enforcement agency that will provide transportation of a person to the location for evaluation or temporary detention.
 
  FY FY
General Fund $2,500,000 $4,500,000
•
Site Assessment Work at Central Virginia Training Center General Assembly Adjustment
  This amendment adds $250,000 from special funds the first year and directs the Department of Behavioral Health and Developmental Services to begin the second phase of work on its environmental site assessment for the Central Virginia Training Center based on the high and medium priority findings presented in the initial environmental assessment that was performed in July 2017. The department may request assistance from the Department of General Services to procure services for the assessment. Language requires the department to report the results by December 1, 2018 to the Governor and General Assembly
 
  FY FY
Nongeneral Fund $250,000 $0
•
Competency Requirements for Supported Employment Providers General Assembly Adjustment
  This amendment adds language which allows supported employment providers in the Medicaid developmental disability waiver programs that are DARS vendors and hold a national three-year accreditation from the National CARF to be considered qualified to meet employment competency requirements as required by DBHDS or DMAS by recognizing Certified Employment Support Professional (CESP) and Association of Community Rehabilitation Educators (ACRE) certifications in lieu of competency requirements. DARS supported employment providers are encouraged to continually incorporate best practice staff competencies into their administrative and human resource policies and procedures.
•
Development of Clinically Appropriate Housing Options General Assembly Adjustment
  This amendment removes language contained in the introduced budget to acquire two assisted living facilities to help address the capacity issues facing state mental health hospitals. Instead, language directs the use of the funding to develop or acquire clinically appropriate housing options for individuals with complex and resource intensive needs who have been determined to be able to move from at state hospital to a more integrated setting. Language is also modified to direct the use of proposed funding for a community support team to be used to assist housing providers in addressing the complex needs of residents discharged from state facilities or individuals who are at risk of institutionalization.
•
Public-Private Partnership for Central Virginia Training Center General Assembly Adjustment
  This amendment authorizes the Department of Behavioral Health and Developmental Services to receive unsolicited proposals, in accordance with the Public-Private Education Facilities and Infrastructure Act of 2002, from a private not-for-profit entity that would provide the necessary level of care for the residents at the Central Virginia Training Center.
•
Report on Outstanding Bonds of State Training Centers General Assembly Adjustment
  This amendment directs the Behavioral Health and Developmental Services, in conjunction with the Department of the Treasury, to report on the estimated outstanding bond balance related to the future closure of the Southwest Virginia Training Center and the Central Virginia Training Center. The report shall indicate the outstanding bond balance for the date of the planned facility closure and the balance each year thereafter until such time as all bonds will be repaid on those facilities.
•
Reporting on Medicaid ID/DD Waivers General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services to report on how Medicaid ID/DD waiver slots are allocated each fiscal year.
•
Use of Eastern State Hospital Land General Assembly Adjustment
  This amendment directs the Department of General Services, with the cooperation of the Department of Behavioral Health and Developmental Services to determine the amount of acreage and fair market value on the Eastern State Hospital site for the co-location a new facility for Old Town Medical Center and Colonial Behavior Health and the the development of a community project that serves as a residence for 25 families impacted by a member with serious mental illness by Hope Family Village Corporation.
Capital Project Requests (in order of largest to smallest)
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Address patient and staff safety issues at state facilities
  Provides funds to address patient and staff safety issues, including anti-ligature improvements and life safety code modifications, at state facilities.
 
  FY FY
Tax Supported Debt $10,000,000 $0
•
Adjust funding for life safety project
  This amendment reduces the amount of funding available for a system-wide life safety project by $600,000, so that the new project total is $9.4 million.
 
  FY FY
Nongeneral Fund ($600,000) $0


p3_bullets - Official Enacted Budget - 06-07-2025 23:43:37