Bill Text: MO HB2011 | 2014 | Regular Session | Enrolled
Bill Title: Appropriates money for the expenses, grants, and distributions of the Department of Social Services
Spectrum: Partisan Bill (Republican 1-0)
Status: (Enrolled - Dead) 2014-09-10 - Senate Message (S) [HB2011 Detail]
Download: Missouri-2014-HB2011-Enrolled.html
SECOND REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
CONFERENCE COMMITTEE SUBSTITUTE FOR
SENATE SUBSTITUTE FOR
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE COMMITTEE SUBSTITUTE FOR
97TH GENERAL ASSEMBLY
4011L.06T 2014
AN ACT
To appropriate money for the expenses, grants, and distributions of the Department of Social
Services and the several divisions and programs thereof to be expended only as provided
in Article IV, Section 28 of the Constitution of Missouri, and to transfer money among
certain funds for the period beginning July 1, 2014 and ending June 30, 2015; provided
that no funds from these sections shall be expended for the purpose of costs associated
with the offices of the Governor, Lieutenant Governor, Secretary of State, State Auditor,
State Treasurer, or Attorney General, and further provided that the Department of Social
Services shall employ no more than 1,753.87 full-time equivalent (FTE) employees from
the General Revenue Fund.
Be it enacted by the General Assembly of the state of Missouri, as follows:
There is appropriated out of the State Treasury, to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, for the purpose of funding each department, division, agency, and program enumerated in each section for the item or items stated, and for no other purpose whatsoever chargeable to the fund designated for the period beginning July 1, 2014 and ending June 30, 2015 as follows:
Section 11.005. To the Department of Social Services
For the Office of the Director
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $106,716
Annual salary adjustment in accordance with Section 105.005, RSMo. . . . . . . . . . 688
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,684
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143,088
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143,422
Annual salary adjustment in accordance with Section 105.005, RSMo. . . . . . . . . . . 25
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,197
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144,644
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,685
Annual salary adjustment in accordance with Section 105.005, RSMo. . . . . . 88
From Child Support Enforcement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,773
Total (Not to exceed 3.25 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$318,505
Section 11.007. To the Department of Social Services
For the Office of the Director
For the purpose of funding a department data feed with the Missouri
Law Enforcement Data Exchange (MoDEx)
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $125,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $250,000
Section 11.010. To the Department of Social Services
For the Office of the Director
For the purpose of receiving and expending grants, donations, contracts, and payments from private, federal, and other governmental agencies which may become available between sessions of the General Assembly provided that the General Assembly shall be notified of the source of any new funds and the purpose for which they shall be expended, in writing, prior to the use of said funds
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,443,552
From Family Services Donations Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33,999
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,477,551
Section 11.015. To the Department of Social Services
For the Office of the Director
For the Human Resources Center
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $276,310
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,740
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 288,050
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196,818
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,889
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232,707
Total (Not to exceed 11.52 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$520,757
Section 11.020. To the Department of Social Services
For the Office of the Director
For the Missouri Medicaid Audit and Compliance Unit
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,215,296
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197,423
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,412,719
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,571,468
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 860,039
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,431,507
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353,271
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82,087
From Recovery Audit and Compliance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .435,358
Expense and Equipment
From Medicaid Provider Enrollment Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51,500
Total (Not to exceed 82.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,331,084
Section 11.025. To the Department of Social Services
For the Office of the Director
For the Missouri Medicaid Audit and Compliance Unit
For the purpose of funding a case management, provider enrollment, and a fraud abuse and detection system
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $683,695
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,969,576
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,653,271
Section 11.030. To the Department of Social Services
For the Office of the Director
For the purpose of funding recovery audit services
Expense and Equipment
From Recovery Audit and Compliance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,200,000
Section 11.040. To the Department of Social Services
For the Division of Finance and Administrative Services
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,822,337
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404,025
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,226,362
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,056,729
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249,144
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,305,873
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,048
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317
From Department of Social Services Administrative Trust Fund. . . . . . . . . . . . . . . . . . . .4,365
Personal Service
From Child Support Enforcement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48,847
For the purpose of funding the centralized inventory system, for reimbursable goods and services provided by the department, and for related equipment replacement and maintenance expenses
Expense and Equipment
From Department of Social Services Administrative Trust Fund. . . . . . . . . . . . . . . 1,500,000
Total (Not to exceed 72.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,085,447
Section 11.045. To the Department of Social Services
For the Division of Finance and Administrative Services
For the payment of fees to contractors who engage in revenue maximization projects on behalf of the Department of Social Services
Expense and Equipment
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,250,000
Section 11.050. To the Department of Social Services
For the Division of Finance and Administrative Services
For the purpose of funding the receipt and disbursement of refunds and incorrectly deposited receipts to allow the over-collection of accounts receivables to be paid back to the recipient
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$12,055,000
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,000
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369,000
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,650,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15,099,000
Section 11.055. To the Department of Social Services
For the Division of Finance and Administrative Services
For the purpose of funding payments to counties and the City of St. Louis toward the care and maintenance of each delinquent or dependent child as provided in Section 211.156, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,900,000
Section 11.060. To the Department of Social Services
For the Division of Legal Services
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,668,809
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,075
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,704,884
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,075,850
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 665,910
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,741,760
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 572,943
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114,724
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 687,667
Personal Service
From Child Support Enforcement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168,488
Total (Not to exceed 125.97 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,302,799
Section 11.065. To the Department of Social Services
For the Family Support Division
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $655,481
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,944
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 664,425
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,247,585
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13,937,762
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19,185,347
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,287,312
From Child Support Enforcement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,287,312
Total (Not to exceed 168.46 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $21,137,084
Section 11.070. To the Department of Social Services
For the Family Support Division
For the income maintenance field staff and operations
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15,325,027
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,469,428
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18,794,455
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51,588,214
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10,704,813
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62,293,027
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 794,566
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,917
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 822,483
Total (Not to exceed 2,058.73 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$81,909,965
Section 11.075. To the Department of Social Services
For the Family Support Division
For income maintenance and child support staff training
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $120,950
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133,974
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $254,924
Section 11.080. To the Department of Social Services
For the Family Support Division
For the purpose of funding the electronic benefit transfers (EBT) system
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,049,598
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,546,747
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,596,345
Section 11.085. To the Department of Social Services
For the Family Support Division
For the purpose of funding the receipt of funds from the Polk County and Bolivar Charitable Trust for the exclusive benefit and use of the Polk County Office
From Family Support and Children's Divisions Donations Fund. . . . . . . . . . . . . . . . . .$10,000
Section 11.090. To the Department of Social Services
For the Family Support Division
For the purpose of funding contractor, hardware, and other costs associated with planning, development, and implementation of a Family Assistance Management Information System (FAMIS)
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $612,184
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,222,371
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,834,555
Section 11.095. To the Department of Social Services
For the Family Support Division
For the purpose of planning, designing, and purchasing an eligibility and enrollment system Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $382,370
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,667,615
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,049,985
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,441,326
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60,018,305
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63,459,631
Expense and Equipment
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,000,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$72,509,616
Section 11.100. To the Department of Social Services
For the Family Support Division
For the purpose of funding Community Partnerships
Personal Service
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $96,426
For grants and contracts to Community Partnerships and other community initiatives and related expenses
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 523,800
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,483,799
For the Missouri Mentoring Partnership, provided that $75,000 shall be
used to support an earn and learn program serving disadvantaged
youth in the northern portion of a county with a charter form of
government and with more than nine hundred fifty thousand inhabitants
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 708,700
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 935,000
For the purpose of funding a program for adolescents with the goal of preventing teen pregnancies
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 600,000
Total (Not to exceed 2.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,347,725
Section 11.105. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Family Nutrition Education Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$12,981,261
Section 11.110. To the Department of Social Services
For the Family Support Division
For the purpose of funding Temporary Assistance for Needy Families (TANF) benefits; transitional benefits; payments to qualified agencies for TANF or TANF Maintenance of Effort activities; and for work support programs to help increase TANF work participation provided that total funding herein is sufficient to fund TANF benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10,332,291
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135,559,544
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$145,891,835
Section 11.115. To the Department of Social Services
For the Family Support Division
For the purpose of funding supplemental payments to aged or disabled persons
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35,665
Section 11.120. To the Department of Social Services
For the Family Support Division
For the purpose of funding nursing care payments to aged, blind, or disabled persons, and for personal funds to recipients of Supplemental Nursing Care payments as required by Section 208.030, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25,107,395
Section 11.125. To the Department of Social Services
For the Family Support Division
For the purpose of funding Blind Pension and supplemental payments to blind persons
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $34,313,866
Section 11.128. To the Department of Social Services
For the Family Support Division
For the purpose of funding healthcare benefits for non-Medicaid eligible blind individuals who receive the Missouri Blind Pension cash grant, provided that individuals under this section shall pay the following premiums to be eligible to receive such services: zero percent on the amount of a family’s income which is less that 150 percent of the federal poverty level; four percent on the amount of a family’s income which is less than 185 percent on the amount of the federal poverty level but greater than 150 percent of the federal poverty level; eight percent of the amount on a family’s income which is less than 225 percent of the federal poverty level but greater than 185 percent of the federal poverty level: fourteen percent on the amount of a family’s income which is less than 300 percent of the federal poverty level but greater than 225 percent of
the federal poverty level not to exceed five percent of total income. Families with an annual income of more than 300 percent of the federal poverty level are ineligible for this program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$24,256,396
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 1,097,207
From Blind Pension Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,556,078
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$31,909,681
Section 11.130. To the Department of Social Services
For the Family Support Division
For the purpose of funding benefits and services as provided by the Indochina Migration and Refugee Assistance Act of 1975 as amended
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,806,226
Section 11.135. To the Department of Social Services
For the Family Support Division
For the purpose of funding community services programs provided by Community Action Agencies, including programs to assist the homeless, under the provisions of the Community Services Block Grant
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$19,637,000
Section 11.140. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Emergency Solutions Grant Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,630,000
Section 11.145. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Surplus Food Distribution Program and the receipt and disbursement of Donated Commodities Program payments
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,500,000
Section 11.150. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Low-Income Home Energy Assistance Program, provided that ten percent (10%), up to $7,000,000, be used for the Low-Income Weatherization Assistance Program (LIWAP) administered by the Division of Energy within the Department of Economic Development
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$114,547,867
Section 11.152. There is transferred out of the State Treasury,
chargeable to the General Revenue Fund, to the Utilicare
Stabilization Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,000,000
Section 11.153. To the Department of Social Services
For the Utilicare Program
From Utilicare Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,000,000
Section 11.155. To the Department of Social Services
For the Family Support Division
For the purpose of funding services and programs to assist victims of
domestic violence
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,750,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,716,524
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,466,524
Section 11.156. To the Department of Social Services
For the Family Support Division
For the purpose of funding emergency shelter services to assist victims of domestic violenceFrom Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $562,137
Section 11.157. To the Department of Social Services
For the Family Support Division
For the purpose of funding services and programs to assist victims of sexual assault
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $500,000
Section 11.160. To the Department of Social Services
For the Family Support Division
For the purpose of funding administration of blind services
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $822,973
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141,209
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 964,182
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,993,005
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 743,274
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,736,279
Total (Not to exceed 103.69 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,700,461
Section 11.165. To the Department of Social Services
For the Family Support Division
For the purpose of funding services for the visually impaired
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,578,544
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6,372,075
From Family Support and Children's Divisions Donations Fund. . . . . . . . . . . . . . . . . . .99,995
From Blindness Education, Screening and Treatment Program Fund. . . . . . . . . . . . 349,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,399,614
Section 11.170. To the Department of Social Services
For the Family Support Division
For the purpose of supporting business enterprise programs for the blind
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$30,000,000
Section 11.175. To the Department of Social Services
For the Family Support Division
For the purpose of funding Child Support Enforcement field staff and operations
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,695,643
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18,868,746
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,709,213
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24,577,959
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,279,268
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,439,459
From Child Support Enforcement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,718,727
Total (Not to exceed 763.24 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $34,992,329
Section 11.180. To the Department of Social Services
For the Family Support Division
For the purpose of funding reimbursements to counties and the City of St. Louis and contractual agreements with local governments providing child support enforcement services and for incentive payments to local governments
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,957,744
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14,886,582
From Child Support Enforcement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800,424
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$17,644,750
Section 11.185. To the Department of Social Services
For the Family Support Division
For the purpose of funding reimbursements to the federal government for federal Temporary Assistance for Needy Families payments, incentive payments to other states, refunds of bonds, refunds of support payments or overpayments, and distributions to families
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$86,500,000
From Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,000,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$95,500,000
Section 11.190. There is transferred out of the State Treasury from the Debt Offset Escrow Fund to the Department of Social Services Federal and Other Fund and/or the Child Support Enforcement Fund
From Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,200,000
Section 11.195. To the Department of Social Services
For the Children's Division
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $768,900
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44,741
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 813,641
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,209,913
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,674,579
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,884,492
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45,588
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,548
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . . . .57,136
Expense and Equipment
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,000
Total (Not to exceed 89.50 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,805,269
Section 11.200. To the Department of Social Services
For the Children's Division
For the Children's Division field staff and operations
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$31,049,665
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,078,609
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34,128,274
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44,697,294
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,055,048
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49,752,342
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,728
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,846
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98,574
For the purpose of funding a two-year pilot program for full privatization of recruitment and retention services in two areas of the state in which one site should be a location that already has a strong contractor presence and the second site should have little or no existing contractor presence
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 572,787
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 793,132
Total (Not to exceed 1,954.38 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$85,345,109
Section 11.205. To the Department of Social Services
For the Children's Division
For Children's Division staff training
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $750,989
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373,769
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,124,758
Section 11.210. To the Department of Social Services
For the Children's Division
For the purpose of funding children's treatment services including, but not limited to, home-based services, day treatment services, preventive services, child care, family reunification services, or intensive in-home services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10,308,325
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,409,696
For the purpose of funding crisis care
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,050,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$20,768,021
Section 11.215. To the Department of Social Services
For the Children's Division
For the purpose of funding grants to community-based programs to strengthen the child welfare system locally to prevent child abuse and neglect and divert children from entering into the custody of the Children's Division
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,190,000
For the purpose of funding certificates to low-income, at-home families pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . 3,074,500
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,264,500
Section 11.220. To the Department of Social Services
For the Children's Division
For the purpose of funding placement costs including foster care payments; related services; expenses related to training of foster parents; residential treatment placements and therapeutic treatment services; and for the diversion of children from inpatient psychiatric treatment and services provided through comprehensive, expedited permanency systems of care for children and families
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$75,277,335
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47,281,187
For the purpose of funding a HIPAA compliant, patient-centered,
Internet-based health record system for foster children
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375,000
For the purpose of funding placement costs in an outdoor learning residential licensed or accredited program located in south central Missouri related to the treatment of foster children
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114,330
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185,670
For the purpose of funding awards to licensed community-based foster care and adoption recruitment programs
From Foster Care and Adoptive Parents Recruitment and Retention Fund. . . . . 5,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$123,613,522
Section 11.223. To the Department of Social Services
For the Children’s Division
For the purpose of funding three Social Innovation Project Grants; these grants shall be awarded to the top three applications for an eighteen month period over which time the grantee shall demonstrate a replicable program which successfully reduces the number of families in the child welfare system who fit the following criteria: the family is part of a cycle of poverty which is generational; the family has been referred to the child welfare system for foster care or other intensive services; the family has few stable environmental resources, including housing and employment; and, the family has a history with substance abuse. Bids shall be assessed by an expert panel comprised, in equal numbers, of leading academics, professionals with substantial experience in delivering services to children and families in this environment, and leading professional staff of the department. Bidders shall provide evaluation and reporting of their project to the panel on a regular basis. At the end of the grants, the panel shall choose either a winning program or develop a hybrid of the best programs, which shall be presented to the General Assembly and the Governor for deployment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,000,000
Section 11.225. To the Department of Social Services
For the Children's Division
For the purpose of funding contractual payments for expenses related to training of foster parents
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $603,479
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172,920
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $776,399
Section 11.230. To the Department of Social Services
For the Children's Division
For the purpose of funding costs associated with attending post-secondary education including, but not limited to tuition, books, fees, room, and board for current or former foster youth
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $188,848
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,050,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,238,848
Section 11.235. To the Department of Social Services
For the Children's Division
For the purpose of providing comprehensive case management contracts through community-based organizations as described in Section 210.112, RSMo. The purpose of these contracts shall be to provide a system of care for children living in foster care, independent living, or residential care settings. Services eligible under this provision may include, but are not limited to, case management, foster care, residential treatment, intensive in-home
services, family reunification services, and specialized recruitment and training of foster care families
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$19,765,670
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,321,233
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35,086,903
Section 11.240. To the Department of Social Services
For the Children's Division
For the purpose of funding Adoption and Guardianship subsidy payments and related services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$55,314,768
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22,269,509
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$77,584,277
Section 11.245. To the Department of Social Services
For the Children's Division
For the purpose of funding Adoption Resource Centers
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200,000
For the purpose of funding an adoption resource center in central Missouri and one center in Southwest Missouri
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300,000
For the purpose of funding extreme recruitment for older youth with significant mental health and behavioral issues through the two current adoption resource centers
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 600,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,200,000
Section 11.250. To the Department of Social Services
For the Children's Division
For the purpose of funding independent living placements and transitional living services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,097,584
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,821,203
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,918,787
Section 11.255. To the Department of Social Services
For the Children's Division
For the purpose of funding Regional Child Assessment Centers
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,498,952
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800,000
From Health Initiative Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 501,048
Total……. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,800,000
Section 11.260. To the Department of Social Services
For the Children's Division
For the purpose of funding residential placement payments to counties for children in the custody of juvenile courts
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $400,000
Section 11.265. To the Department of Social Services
For the Children's Division
For the purpose of funding CASA IV-E allowable training costs
Expense and Equipment
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200,000
Section 11.270. To the Department of Social Services
For the Children's Division
For the purpose of funding the Child Abuse and Neglect Prevention Grant and Children's Justice Act Grant
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $188,316
Section 11.275. To the Department of Social Services
For the Children's Division
For the purpose of funding transactions involving personal funds of children in the custody of the Children's Division
From Alternative Care Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15,000,000
Section 11.280. To the Department of Social Services
For the Children's Division
For the Head Start Collaboration Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $300,000
Section 11.285. To the Department of Social Services
For the Children's Division
For the purpose of funding child care services, the general administration of the programs, including development and implementation of automated systems to enhance time, attendance reporting, contract compliance and payment accuracy, and to support the Educare Program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$66,242,684
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116,406,107
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . 2,676,737
Personal Service
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,288
Personal Service
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 512,688
For the purpose of funding early childhood development, education, and care programs for low-income families pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . 3,500,000
For the purpose of funding the Hand Up pilot program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60,000
Total (Not to exceed 13.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $189,453,504
Section 11.290. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding Central Office and Regional Offices
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,259,186
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91,894
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,351,080
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 521,452
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107,981
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 629,433
Expense and Equipment
From Youth Services Treatment Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 999
Total (Not to exceed 41.33 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,981,512
Section 11.295. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding treatment services, including foster care and contractual payments
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$16,579,709
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 940,929
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17,520,638
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23,123,881
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,522,500
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29,646,381
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,158,012
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,852,302
From DOSS Educational Improvement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,010,314
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132,708
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,106
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141,814
Expense and Equipment
From Youth Services Products Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,000
For the purpose of paying overtime to nonexempt state employees and/or paying otherwise authorized personal service expenditures in lieu of such overtime payments. Non-exempt state employees identified by Section 105.935, RSMo, will be paid first with any remaining funds to be used to pay overtime to any other state employees
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 863,395
Total (Not to exceed 1,237.88 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$55,187,542
Section 11.300. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding incentive payments to counties for community-based treatment programs for youth
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,579,486
From Gaming Commission Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,079,486
Section 11.400. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding administrative services
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,772,338
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 771,400
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,543,738
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,388,732
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,390,526
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,779,258
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95,212
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,708
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102,920
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,939
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26,295
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419,561
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41,385
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460,946
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83,871
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,281
From Nursing Facility Quality of Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94,152
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 388,427
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 488,041
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 876,468
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 755,793
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55,553
From Missouri Rx Plan Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 811,346
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17,904
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,466
From Ambulance Service Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . 21,370
Total (Not to exceed 234.11 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $14,716,493
Section 11.405. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding clinical services management related to the administration of the MO HealthNet Pharmacy fee-for-service and managed care programs and administration of the Missouri Rx Plan
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $476,154
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12,214,032
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 924,911
From Missouri Rx Plan Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,160,595
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$17,775,692
Section 11.410. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding women and minority health care outreach programs
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $546,125
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 568,625
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,114,750
Section 11.415. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding fees associated with third-party collections and other revenue maximization cost avoidance fees
Expense and Equipment
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,000,000
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,000,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,000,000
Section 11.420. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding the operation of the information systems
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,713,940
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31,666,963
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,591,687
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430,000
For the purpose of funding the modernization of the Medicaid Management Information System (MMIS) and the operation of the information systems
Expense and Equipment
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12,033,387
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$51,435,977
Section 11.422. To the Department of Social Services
For the MO HealthNet Division
For the Fraud/Abuse Prevention and Detection System
For the purpose of funding a state-of-the-art integrated healthcare fraud, waste and abuse system with HITRUST certification that includes predictive modeling and analytics with a prepayment review component that is accessible via the web with the capability to measure return investment performance
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,000,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,000,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$12,000,000
Section 11.425. To the Department of Social Services
For the MO HealthNet Division
For Healthcare Technology Incentives and administration
From Federal Stimulus-Social Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $85,000,000
Section 11.430. To the Department of Social Services
For the MO HealthNet Division
For the Money Follows the Person Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $532,549
Section 11.435. To the Department of Social Services
For the MO HealthNet Division
For the Adult Medicaid Quality Grant
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,000,000
Section 11.440. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding pharmaceutical payments under the MO HealthNet fee-for-service and managed care programs and for the administration of these programs and for the purpose of funding professional fees for pharmacists and for a comprehensive chronic care risk management program and to provide funding for clinical medication therapy services (MTS) provided by pharmacists with MTS Certificates as allowed under 338.010 RSMo to MO HealthNet (MHD) participants
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$22,914,422
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .627,867,981
From Life Sciences Research Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38,056,250
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186,397,118
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,217,574
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 70,595,023
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 969,293
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38,541,034
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,800,000
From Surplus Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10,000,000
For the purpose of funding Medicare Part D Clawback payments and for funding MO HealthNet pharmacy paymentsFrom General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173,348,532
For the purpose of funding pharmaceutical payments under the Missouri Rx Plan authorized by Sections 208.780 through 208.798, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6,370,046
From Missouri Rx Plan Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12,544,388
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,838,657
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,200,460,318
Section 11.445. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding Pharmacy Reimbursement Allowance payments as provided by law
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . $108,308,926
Section 11.450. There is transferred out of the State Treasury from the General Revenue Fund to the Pharmacy Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35,764,609
Section 11.455. There is transferred out of the State Treasury from the Pharmacy Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Pharmacy Reimbursement Allowance Fund
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . $35,764,609
Section 11.460. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding physician services and related services including, but not limited to, clinic and podiatry services, telemedicine services, physician-sponsored services and fees, laboratory and x-ray services, and family planning services under the MO HealthNet fee-for-service and managed care programs, and for administration of these programs, and for a comprehensive
chronic care risk management program and Major Medical Prior Authorization
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$206,613,324
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .468,567,177
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10,000
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,427,081
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,041,034
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$682,658,616
Section 11.465. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding dental services under the MO HealthNet fee-for-service and managed care programs provided the necessary funding shall be used to fund adult dental procedure codes (Tier 1-6) relating to prevention, maintenance, restoration, and emergency dental care with such reimbursement rates set at 60% of Usual, Customary, and Reasonable (UCR) Rates for Medicaid individuals who currently do not receive dental benefits, and further provided that $1,000,000 shall be used to fund four regional dental pilot projects relating to emergency room diversions, and further provided that the remaining amount of increased funds be used to increase the rates of the dental procedure codes (Tier 1-6) listed above for the current Medicaid population with dental benefits at 60% of Usual, Customary, and Reasonable (UCR) Rates for Medicaid individuals
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$22,896,947
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41,033,127
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71,162
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .848,773
For the purpose of funding a pilot project to expand access to dental care for eligible children in rural communities. The project shall permit Rural Health Clinics to provide dental services through cooperative agreements with community dentists. The department shall make all necessary state plan amendments(s) in order to execute this system
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 750,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$66,100,009
Section 11.470. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding payments to third-party insurers, employers, or policyholders for health insurance
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$70,814,205
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129,405,291
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$200,219,496
Section 11.475. To the Department of Social Services
For the MO HealthNet Division
For funding long-term care services
For the purpose of funding care in nursing facilities or other long-term care services under the MO HealthNet fee-for-service and managed care programs and for contracted services to develop model policies and practices that improve the quality of life for long-term care residents
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$144,574,206
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .367,228,033
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,516,478
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . .9,134,756
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17,973
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,592,981
For the purpose of funding home health for the elderly, or other long-term care services under the MO HealthNet fee-for-service and managed care programs
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,461,078
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6,170,739
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159,305
For the purpose of funding Program for All-Inclusive Care for the Elderly, or other long-term care services under the MO HealthNet fee-for-service and managed care programs
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,531,934
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,416,247
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$598,803,730
Section 11.480. There is transferred out of the State Treasury from the Long Term Support UPL Fund to the General Revenue Fund for the state share of enhanced federal earnings under the nursing facility upper payment limit
From Long Term Support UPL Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10,990,982
Section 11.485. To the Department of Social Services
For the MO HealthNet Division
For the purpose of paying publicly funded long-term care services and support contracts and funding supplemental payments for care in nursing facilities or other long term care services under the nursing facility upper payment limit
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$28,393,011
From Long Term Support UPL Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17,502,101
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$45,895,112
Section 11.490. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding all other non-institutional services including, but not limited to, rehabilitation, optometry, audiology, ambulance, non-emergency medical transportation, durable medical equipment, and eyeglasses under the MO HealthNet fee-for-service and managed care programs, and for administration of these services, and for rehabilitation services provided by residential treatment facilities as authorized by the Children's Division for children in the care and custody of the Children's Division and further provided that additional funding shall be used to increase ground ambulance base rates for basic life support and advanced life support, payment of ground ambulance mileage during patient transportation from mile zero to the 5th mile, and annual patient safety and quality services for ambulance service through the Missouri Center for Patient Safety
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$82,998,355
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180,682,390
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . .1,414,043
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194,881
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .831,745
From Ambulance Service Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . .21,522,747
For the purpose of funding non-emergency medical transportation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12,384,474
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22,080,620
For the purpose of funding the federal share of MO HealthNet reimbursable non-emergency medical transportation for public entities
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6,460,100
For the purpose of providing state matching funds for Community Health Access Programs (CHAPs) focused on meeting the health care needs of their communities and reducing the costs incurred by health care providers when patients inappropriately access health care resources through Emergency Medical Services (EMS) or Emergency Departments (ED), provided that one program will be in a county with a charter form of government and with more than nine hundred fifty thousand inhabitants, one program will be in a county of the first classification with more than two hundred sixty thousand but fewer than three hundred thousand inhabitants, and one program will be in a county of the third classification without a township form of government and with more than twenty-three thousand but fewer than twenty-six thousand inhabitants with a city of the fourth classification with more than one thousand five hundred but fewer than one thousand seven hundred inhabitants as the county seat
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,250,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$329,819,355
Section 11.492. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding complex rehabilitation technology items classified within the Medicare program as of January 1, 2014 as durable medical equipment that are individually configured for individuals to meet their specific and unique medical, physical, and functional needs and capacities for basic activities of daily living and instrumental activities of daily living identified as medically necessary to prevent hospitalization and/or institutionalization of a complex needs patient. Such items shall include, but not be limited to, complex rehabilitation power wheelchairs, highly configurable manual wheelchairs, adaptive seating and positioning systems, and other specialized equipment such as standing frames and gait trainers. The related Healthcare Common Procedure Coding System (HCPCS) billing codes include, but are not limited to pure complex rehabilitation technology codes and mixed complex rehabilitation technology codes which contain a mix of complex rehabilitation technology products and standard mobility and accessory products, provided that the HCPCS codes defined by the National Coalition for Assistive and Rehab Technology (NCART) as CRT be reimbursed to the MO HealthNet allowables as of 04/01/2010. HCPCS codes adopted after 04/01/2010 shall be reimbursed at the current Medicare allowable. Manually priced items shall be reimbursed
at ninety percent (90%) of the Manufacturer’s Suggested Retail Price (MSRP) for manual priced manual and custom wheelchairs and accessories and ninety five (95%) of MSRP on manually priced power mobility devices and accessories
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,218,510
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,921,877
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$14,140,387
Section 11.495. There is transferred out of the State Treasury from the
General Revenue Fund to the Ambulance Service Reimbursement
Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$18,236,543
Section 11.500. There is transferred out of the State Treasury from the Ambulance Service Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Ambulance Service Reimbursement Allowance Fund
From Ambulance Service Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . .$18,236,543
Section 11.505. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding the payment to comprehensive prepaid health care plans or for payments to providers of health care services for persons eligible for medical assistance under the MO HealthNet fee-for-service programs and for administration of these programs as provided by federal or state law or for payments to programs authorized by the Frail Elderly Demonstration Project Waiver as provided by the Omnibus Budget Reconciliation Act of 1990 (P.L. 101-508, Section 4744) and by Section 208.152 (16), RSMo, and further provided that additional funding shall be used to increase ground ambulance base rates for basic life support and advanced life support, payment of ground ambulance mileage during patient transportation from mile zero to the 5th mile, and annual patient safety and quality services for ambulance service through the Missouri Center for Patient Safety
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$306,929,536
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .771,302,700
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,055,080
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . 97,394,117
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,000,000
From Life Sciences Research Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,272,544
From Ambulance Service Reimbursement Allowance Fund. . . . . . . . . . . . . . . 930,652
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,194,884,629
Section 11.510. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding hospital care under the MO HealthNet fee-for-service and managed care programs, and for a comprehensive chronic care risk management program, and for administration of these programs. The MO HealthNet Division shall track payments to out-of-state hospitals by location
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$24,175,818
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .511,779,850
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33,848,436
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 175,385,755
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,171,007
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15,709
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,488,050
For Safety Net Payments
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,365,444
For Graduate Medical Education
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,000,000
For the purpose of funding a community-based care coordinating program that includes in-home visits and/or phone contact by a nurse care manager or electronic monitor. The purpose of such program shall be to ensure that patients are discharged from hospitals to an appropriate level of care and services and that targeted MO HealthNet beneficiaries with chronic illnesses and high-risk pregnancies receive care in the most cost-effective setting. The project shall be contingent upon adoption of an offsetting increase
in the applicable provider tax and administered by the MO HealthNet Division's Disease Management Program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200,000
For the purpose of continuing funding of the pager project facilitating medication compliance for chronically ill MO HealthNet participants identified by the division as having high utilization of acute care because of poor management of their condition. The project shall be contingent upon adoption of an offsetting increase in the applicable provider tax and administered by the MO HealthNet Division's Disease Management Program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215,000
For the purpose of funding a targeted program to manage the diabetic population in Southwest Missouri as part of a project to reduce hospitalizations, re-hospitalizations, and emergency room visits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$800,960,069
Section 11.515. To the Department of Social Services
For the MO HealthNet Division
For payment to Tier 1 Safety Net Hospitals, by maximizing eligible costs for federal Medicaid funds, utilizing current state and local funding sources as match for services that are not currently matched with federal Medicaid payments
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,000,000
Section 11.520. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding grants to Federally Qualified Health Centers
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,819,459
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,629,690
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$14,449,149
Section 11.525. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding medical homes affiliated with public entities and hospital owned medical homes
From Department of Social Services Intergovernmental Transfer Fund. . . . . . . . . . . $600,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,900,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$7,600,000
Section 11.527. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding a medical and behavior health home pilot for children in foster care in the St. Louis region
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $250,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,250,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,500,000
Section 11.528. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding asthma related services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $524,033
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,716,297
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,240,330
Section 11.529. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding a Regional Care Coordination Model
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $500,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,500,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,000,000
Section 11.530. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding payments to hospitals under the Federal Reimbursement Allowance Program including state costs to pay for an independent audit of DSH payments as required by CMS and for the expenses of the Poison Control Center in order to provide services to all hospitals within the state
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . .$1,022,818,734E
Section 11.535. To the Department of Social Services
There is hereby transferred out of the State Treasury, chargeable to the Department of Social Services Intergovernmental Transfer Fund to the General Revenue Fund for the purpose of providing the state match for Medicaid payments
From Department of Social Services Intergovernmental Transfer Fund. . . . . . . . .$96,885,215
Section 11.540. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding payments to the Tier 1 Safety Net Hospitals and other public hospitals using intergovernmental transfers
From Department of Social Services Intergovernmental Transfer Fund. . . . . . . . .$70,348,801
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129,505,748
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$199,854,549
Section 11.545. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding payments to the Department of Mental Health
From Department of Social Services Intergovernmental Transfer Fund. . . . . . . .$119,579,424
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194,011,173
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$313,590,597
Section 11.550. To the Department of Social Services
For the MO HealthNet Division
For funding extending women's health services using fee-for-service, prepaid health plans, or other alternative service delivery and reimbursement methodology approved by the director of the Department of Social Services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,253,437
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,281,097
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167,756
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 49,034
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10,751,324
Section 11.555. To the Department of Social Services
For the MO HealthNet Division
For funding programs to enhance access to care for uninsured children using fee-for-services, prepaid health plans, or other alternative service delivery and reimbursement methodology approved by the director of the Department of Social Services. Provided that families of children receiving services under this section shall pay the following premiums to be eligible to receive such services: zero percent on the amount of a family's income which is less than 150 percent of the federal poverty level; four percent on the amount of a family's income which is less than 185 percent of the federal poverty level but greater than 150 percent of the federal poverty level; eight percent on the amount of a family's income which is less than 225 percent of the federal poverty level but greater than 185 percent of the federal poverty level; fourteen percent on the amount of a family's income which is less than 300 percent of the federal poverty level but greater than 225 percent of the federal poverty level not to exceed five percent of total income. Families with an annual income of more than 300 percent of the federal poverty level are ineligible for this program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$30,926,183
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134,009,604
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,719,204
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,375,576
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 581,199
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . .907,611
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,592,452
From Life Sciences Research Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171,206
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$182,283,035
Section 11.565. There is transferred out of the State Treasury from the General Revenue Fund to the Federal Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$584,612,737
Section 11.570. There is transferred out of the State Treasury from the Federal Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Federal Reimbursement Allowance Fund
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . $584,612,737
Section 11.575. There is transferred out of the State Treasury from the General Revenue Fund to the Nursing Facility Federal Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$210,950,510
Section 11.580. There is transferred out of the State Treasury from the Nursing Facility Federal Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Nursing Facility Federal Reimbursement Allowance Fund
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . .$210,950,510
Section 11.585. There is transferred out of the State Treasury from the Nursing Facility Federal Reimbursement Allowance Fund to the Nursing Facility Quality of Care Fund
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . .$1,500,000
Section 11.590. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding Nursing Facility Federal Reimbursement Allowance payments as provided by law
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . .$311,457,057
Section 11.595. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding MO HealthNet services for the Department of Elementary and Secondary Education under the MO HealthNet fee-for-service and managed care programs
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $69,954
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54,653,770
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$54,723,724
Bill Totals
General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,553,099,144
Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,653,616,210
Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,505,121,648
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,711,837,002
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