The 2022 Executive Budget Document
Governor Northam's Proposed Budget for the 2022-2024 Biennum
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Released on December 16, 2021 
 
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
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 Chapter 1283, 2020 Acts of Assembly $70,014,613 $44,782,822 $114,797,435
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly $80,317,330 $58,029,829 $138,347,159
2020-2022 2021 Chapter 1, 2022 Acts of Assembly $109,721,284 $62,061,346 $171,782,630
2020-2022 2022 Chapter 1, 2022 Acts of Assembly $135,942,397 $46,155,145 $182,097,542
2022-2024 2023 Governor's Proposed Budget $165,849,970 $51,483,442 $217,333,412
    Base Budget $135,030,522 $46,155,145 $181,185,667
    Addenda (Changes to the Base) $30,819,448 $5,328,297 $36,147,745
2022-2024 2024 Governor's Proposed Budget $165,460,377 $55,887,317 $221,347,694
    Base Budget $135,030,522 $46,155,145 $181,185,667
    Addenda (Changes to the Base) $30,429,855 $9,732,172 $40,162,027
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 Chapter 1283, 2020 Acts of Assembly 399.75 31.25 431.00
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly 451.50 31.25 482.75
2020-2022 2021 Chapter 1, 2022 Acts of Assembly 475.50 31.75 507.25
2020-2022 2022 Chapter 1, 2022 Acts of Assembly 482.50 31.75 514.25
2022-2024 2023 Proposed Positions 529.50 46.75 576.25
    Base Budget 482.50 31.75 514.25
    Addenda (Changes to the Base) 36.00 15.00 51.00
2012-2014 2024 Proposed Positions 529.50 46.75 576.25
    Base Budget 482.50 31.75 514.25
    Addenda (Changes to the Base) 47.00 15.00 62.00
Operating Budget Addenda (in order of greatest impact)
•
Replace the accounts receivable billing system Decision Package
  Provides funds for the replacement of the Department of Behavioral Health and Developmental Services facility billing system. The upgraded system will interface with the electronic health records system and will manage patient registration, eligibility verification, utilization review, coding claims for reimbursement, and operational reporting at all DBHDS facilities. The one-time costs for the purchase of the system are funded with the agency's nongeneral fund balances.
 
  FY 2023 FY 2024
General Fund $1,479,724 $1,410,526
Nongeneral Fund $2,600,000 $5,200,000
Positions 3.00 3.00
•
Provide funds for additional discharge planning and modernize tracking system Decision Package
  Increases funding for discharge assistance planning services. Additionally, funds are included for a rate study and for the costs of moving tracking and monitoring of discharge assistance planning funds and Local Inpatient Purchase of Service funds to an internet-based solution.
 
  FY 2023 FY 2024
General Fund $3,670,000 $3,270,000
•
Expand the Virginia Mental Health Access Program Decision Package
  Provides funds to expand the Virginia Mental Health Access Program to include training for early intervention and emergency departments and urgent care providers.
 
  FY 2023 FY 2024
General Fund $2,862,200 $2,862,200
•
Modernize critical information technology systems Decision Package
  Provides funding for critical IT infrastructure to support STEP-VA implementation, Department of Justice compliance requirements, and continued modernization of data analytics capabilities.
 
  FY 2023 FY 2024
General Fund $2,018,170 $2,486,920
Positions 5.00 5.00
•
Provide grants to support recovery residences Decision Package
  Provides additional funds to support the expansion of recovery support services provided by the Virginia Association of Recovery Residences.
 
  FY 2023 FY 2024
General Fund $2,200,000 $2,200,000
•
Adjust appropriation for centrally funded five percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the five percent salary increase for state employees budgeted in Central Appropriations, Item 477 X. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $1,799,068 $1,799,068
Nongeneral Fund $310,695 $310,695
•
Increase electronic health record support staff and system enhancements Decision Package
  Provides funds to support upgrades and additions to the facility electronic health records system including the integration of clinical peripheral devices, and additional staff to manage the program now that it is fully implemented.
 
  FY 2023 FY 2024
General Fund $2,927,660 $1,225,000
Positions 4.00 4.00
•
Increase appropriation for Problem Gambling Fund Decision Package
  Provides nongeneral fund appropriation in expected payments to be made to the Program Gambling and Treatment Support Fund in order to support efforts to prevent gambling addiction.
 
  FY 2023 FY 2024
Nongeneral Fund $2,000,378 $2,000,378
•
Fully fund alternative transportation project Decision Package
  Funds remaining costs of implementing the existing contract for alternative transportation of individuals under a temporary detention order to ensure 24/7 coverage on a statewide basis.
 
  FY 2023 FY 2024
General Fund $1,929,216 $1,929,216
•
Add licensing positions to comply with federal DOJ settlement agreement Decision Package
  Provides funds for 15 additional full-time staff within the Office of Licensing to meet the oversight requirements of the settlement agreement with the federal Department of Justice.
 
  FY 2023 FY 2024
General Fund $1,330,681 $1,330,681
Nongeneral Fund $433,560 $433,560
Positions 15.00 15.00
•
Expand alternative custody options for individuals under temporary detention orders Decision Package
  Requires the Department of Behavioral Health and Developmental Services to create a plan, including a draft of any necessary legislation, to increase alternative custody options for individuals under a temporary detention order who are awaiting transport to an inpatient bed. Funding is included in the second year to implement the program.
 
  FY 2023 FY 2024
General Fund $0 $3,359,416
•
Support supervision contract with Department of Corrections Decision Package
  Provides funds for a contract with the Department of Corrections for the supervision and monitoring of sexually violent predators on conditional release.
 
  FY 2023 FY 2024
General Fund $1,342,444 $1,794,154
•
Fund a pilot project to remove barriers to Virginia’s mental health workforce Decision Package
  Provides one-time funds for a contract with the Virginia Health Care Foundation to pay for the costs of supervisory hours needed for licensure for individuals seeking advanced degrees in social work or counseling. Additionally, funds are provided for the costs of certification for licensed social workers or counselors who wish to become eligible to provide supervision services to others seeking licensure.
 
  FY 2023 FY 2024
General Fund $3,012,750 $0
•
Adjust appropriation for centrally funded changes to agency information technology costs Base Budget Adjustment
  Adjusts appropriation for changes to information technology and telecommunications usage budgeted in Central Appropriations, Item 478 C. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund ($1,129,210) ($1,129,210)
Nongeneral Fund ($117,337) ($117,337)
•
Increase dementia expertise by supporting regional dementia specialists Decision Package
  Funds regional specialist positions to provide crisis and diversion services targeted to individuals with dementia who are at risk of institutionalization.
 
  FY 2023 FY 2024
General Fund $1,026,000 $1,026,000
Positions 6.00 6.00
•
Continue funding for underage marijuana use prevention Decision Package
  Provides funds to support state oversight and coordination for an evidence-based prevention and youth media campaign and educational efforts related to marijuana legalization. Language provides for a contract with the Virginia Foundation for Healthy Youth to head the prevention campaign.
 
  FY 2023 FY 2024
General Fund $1,012,286 $1,012,286
Positions 1.00 1.00
•
Expand discharge transportation program to all state facilities Decision Package
  Expands a pilot program to transport individuals discharged from state facilities to their home or community-based service placement.
 
  FY 2023 FY 2024
General Fund $1,000,000 $1,000,000
•
Appropriate e988 funds for crisis call center Decision Package
  Appropriates Crisis Call Center Funds for the operation and maintenance costs of the 988 Crisis Call Center. Funds for staffing the call center are appropriated in Grants to Localities.
 
  FY 2023 FY 2024
Nongeneral Fund $0 $1,671,214
•
Sustain dementia/older adult pilot program for individuals who would otherwise be served by state hospitals Decision Package
  Provides funds to continue a pilot program for individuals with dementia who are at risk of institutionalization in a state facility. This program is funded in central accounts with federal American Rescue Plan Act funds in the first year.
 
  FY 2023 FY 2024
General Fund $0 $1,650,000
•
Transfer funds from Commonwealth Center for Children and Adolescents to support Gateway contract Decision Package
  Transfers funds and oversight to the central office of a contract currently managed by the Commonwealth Center for Children and Adolescents. This zero-sum transfer has no fiscal impact.
 
  FY 2023 FY 2024
General Fund $713,000 $713,000
•
Fund comprehensive study of state behavioral health system Decision Package
  Provides funds for a comprehensive study of the state and local public behavioral healthcare system. Additional funds for implementing the study's recommendations are appropriated in the second year in Central Appropriations.
 
  FY 2023 FY 2024
General Fund $1,000,000 $0
•
Reduce census in forensic units at state facilities through highly trained forensic evaluators Decision Package
  Provides funds for three clinical psychologists that will be tasked with completing evaluations of competency to stand trial, sanity at the time of the offense, pretrial psychosexual evaluations, and various not guilty by reason of insanity acquittee evaluations.
 
  FY 2023 FY 2024
General Fund $467,982 $460,782
Positions 3.00 3.00
•
Fund behavioral health on-call administrators Decision Package
  Funds three central office positions to assist with critical consultation and coordination for state and private hospitals for individuals awaiting placement under an emergency custody order or temporary detention order.
 
  FY 2023 FY 2024
General Fund $360,882 $360,882
Positions 3.00 3.00
•
Adjust appropriation for centrally funded retirement rate changes Base Budget Adjustment
  Adjusts appropriation for changes to contribution rates for state employee retirement plans budgeted in Central Appropriations, Item 477 H. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $270,302 $270,302
Nongeneral Fund $46,679 $46,679
•
Fund administrative positions for crisis services Decision Package
  Provides funding for two administrative positions to manage the agency's growing crisis services system.
 
  FY 2023 FY 2024
General Fund $300,000 $300,000
Positions 2.00 2.00
•
Fund customized rate staff and senior data analyst for Waiver Management System Decision Package
  Provides funding for two positions required for compliance with the federal Department of Justice settlement agreement.
 
  FY 2023 FY 2024
General Fund $263,382 $135,721
Nongeneral Fund $0 $132,661
Positions 2.00 2.00
•
Adjust appropriation for centrally funded changes to state health insurance premiums Base Budget Adjustment
  Adjusts appropriation for the employer’s share of health insurance premiums budgeted in Central Appropriations, Item 477 G. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $162,628 $162,628
Nongeneral Fund $31,334 $31,334
•
Support electronic health records informatics manager Decision Package
  Provides funding for one electronic health records (EHR) informatics manager who will serve as the subject matter expert for clinical processes and workflow, as well as ensure the EHR is fully integrated into facility operations.
 
  FY 2023 FY 2024
General Fund $192,611 $192,611
Positions 1.00 1.00
•
Increase clinical support for mortality review and quality oversight Decision Package
  Provides funding for one additional clinical nurse reviewer in the mortality review office.
 
  FY 2023 FY 2024
General Fund $139,191 $139,191
Positions 1.00 1.00
•
Improve information technology security Decision Package
  Provides funds to improve security of agency applications, including the de-identification of sensitive data.
 
  FY 2023 FY 2024
General Fund $117,500 $117,500
•
Fund oversight position for permanent supportive housing programs Decision Package
  Provides funds for one position to increase the oversight and management of permanent supportive housing programs.
 
  FY 2023 FY 2024
General Fund $109,155 $109,155
Positions 1.00 1.00
•
Adjust appropriation for centrally funded general liability premium charges Base Budget Adjustment
  Adjusts appropriation for general liability premiums billed by the Department of the Treasury’s Division of Risk Management budgeted in Central Appropriations, Item 478 J. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $104,312 $104,312
•
Increase retail tobacco outlet compliance checks to prevent underage tobacco sales Decision Package
  Increases funding for tobacco retailer compliance checks through a contract with the Alcoholic Beverage Control Authority (ABC). Language also requires that the Department of Behavioral Health and Developmental Services and the ABC collaborate to develop a plan to increase the number of compliance checks statewide in order to reduce incidences of retailer violation.
 
  FY 2023 FY 2024
General Fund $101,970 $101,970
•
Adjust appropriation for centrally funded changes to Cardinal Human Capital Management System charges Base Budget Adjustment
  Adjusts appropriation for changes to Cardinal Human Capital Management System internal service fund charges budgeted in Central Appropriations, Item 478 G. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $75,839 $75,839
Nongeneral Fund $13,095 $13,095
•
Adjust appropriation for centrally funded changes to Cardinal Financials System charges Base Budget Adjustment
  Adjusts appropriation for changes to Cardinal Financials System internal service fund charges budgeted in Central Appropriations, Item 478 F. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund ($46,592) ($46,592)
Nongeneral Fund $7,627 $7,627
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 477 R. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $3,188 $3,188
Nongeneral Fund $1,101 $1,101
•
Adjust appropriation for centrally funded state employee other post-employment benefit rate changes Base Budget Adjustment
  Adjusts appropriation for changes to state employee other post-employment benefit rates budgeted in Central Appropriations, Item 477 K. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $2,873 $2,873
Nongeneral Fund $496 $496
•
Adjust appropriation for centrally funded changes to Performance Budgeting system charges Base Budget Adjustment
  Adjusts appropriation for changes to Performance Budgeting system internal service fund charges budgeted in Central Appropriations, Item 478 H. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $1,459 $1,459
Nongeneral Fund $1,187 $1,187
•
Adjust appropriation for centrally funded internal service fund charges for the Personnel Management Information System Base Budget Adjustment
  Adjusts appropriation for Personnel Management Information System internal service fund charges budgeted in Central Appropriations, Item 478 I. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund ($1,223) ($1,223)
Nongeneral Fund ($518) ($518)
•
Increase position level associated with federal grants Decision Package
  Increases nongeneral fund position levels to account for restricted positions hired using supplemental grant funds the agency has received through the various federal COVID-19 related pieces of legislation.
 
  FY 2023 FY 2024
Positions 15.00 15.00
•
Move pilot program funding and associated language Decision Package
  Moves funding and associated language between programs in the central office. This zero-sum transfer has no fiscal impact.
•
Align program amounts into correct program areas Decision Package
  Move funds between program areas in the central office to align appropriation with anticipated expenditure. The majority of this zero-sum transfer is moving funds into the licensing program from general administration.
•
Move position funding for clinical director Decision Package
  Transfers appropriation between programs in order to fund a Clinical Director position in the central office. This position will be responsible for, among other things, the Developmental Disability Health Support Network program.
•
Align Community Integration Team funding Decision Package
  Transfers administrative funding to the proper program area to align with anticipated expenditures. This zero-sum transfer has no fiscal impact.
Capital Project Requests (in order of largest to smallest)
•
Replace windows at state facilities
  Funds the installation of new security windows in patient areas at state facilities to prevent elopement and provide greater patient safety.
 
  FY 2023 FY 2024
General Fund $7,029,000 $0
•
Replace fire alarm systems at state facilities
  Funds the installation of new fire alarm systems, including annunciator panels and all devices, to improve safety at state facilities.
 
  FY 2023 FY 2024
General Fund $6,810,000 $0
•
Replace access control and security systems at state facilities
  Provides funds to replace and upgrade security and access systems at Piedmont Geriatric Hospital, Southwestern Virginia Mental Health Institute, and Catawba Hospital.
 
  FY 2023 FY 2024
General Fund $5,800,000 $0


pdocagy2014 - Executive Budget Document Agency Details - 04-04-2026 08:53:27