FY22 IDHS Budget Presentation

IDHS: Illinois Department of Human Services

FY22 IDHS Budget Briefing Presentation (PDF)

Vision

  • IDHS and its partners provide social/human services, supports, programs, and resources to enhance the lives of Illinois residents.
  • IDHS values equity, diversity, and inclusion and works to advance racial justice.

Divisions

  • Substance Use Prevention & Recovery
  • Family and Community Services
  • Developmental Disabilities
  • Mental Health
  • Rehabilitation Services 

IDHS Agency Goals

  • Maximize opportunities for all people to work
  • Ensure hungry people and families have access to nutritious food
  • Provide places for people to call home
  • Promote the health and well-being of individuals and communities
  • Help communities create safe neighborhoods and spaces

Meet Elliot

  • 4 years ago Elliot experienced a traumatic event which caused physical injury and required rehabilitation in a long-term care facility. Elliot has a long work history and was no longer able to work after sustaining serious injury.
  • Elliot's life changed drastically after his injuries and he learned to adapt to engaging in activities of daily living while in a wheelchair.
  • Elliot engaged in IDHS - Division of Mental Health's Comprehensive Class Member Program with Trilogy and identified an accessible unit. Elliot was all set to transition and ready to start his new life outside of the long-term care facility, when his transition was put temporarily on hold due to COVID-19 restrictions.
  • Elliot remained hopeful and engaged in the program, and when it became safer to do so, he successfully transitioned to his own apartment in the community with the support of DMH's program and Trilogy's services.
  • Elliot receives support in preparing meals, completing household tasks, and special healthcare needs with waiver services from the Division of Rehabilitation Services.
  • Through Family & Community Services, he receives SNAP benefits which creates the opportunity to have access to fresh groceries to enjoy homecooked meals prepared just the way he likes them!
  • Elliot engages in community-based services funded by the Division of Mental Health and is so grateful for the support to manage his physical and mental health needs in the community.
  • Elliot enjoys reading and is so excited his new apartment building has a shared book room.

Meet Avery

  • Feeling fearful of contracting COVID-19 in the nursing facility while pregnant, Avery left the facility unexpectedly without a plan and no where to go.
  • Avery was contacted by a staff member of IDHS-Division of Mental Health's Comprehensive Class Member Program with Trilogy Services and linked to much needed support in the community.
  • The Trilogy team worked closely with Avery to secure permanent supportive housing and DMH funded rental assistance. The community support team ensured she was well set up in her new home before the arrival of her beautiful baby.
  • Avery was linked with Family & Community Services' SNAP benefits and is receiving support from the Division of Mental Health for community-based services.
  • "Now I have a beautiful apartment, with new furniture, I am very grateful for this wonderful opportunity to live independently with support."

Response

IDHS staff and our community partners, our heroes, stepped up and provided safe and continued care during every phase of the pandemic

  • Successful procurement and distribution of tens of millions of dollars of Personal Protection Equipment (PPE); both for IDHS facilities and staff and community providers
  • Investment of federal stimulus funding in most impacted communities, partnering with faith-based organization, Welcoming Centers and other immigrant serving non-profits, community colleges, CMHCs, food banks, and food pantries.
  • Swift provision of retention payments to community providers unable to provide or maintain service levels due to COVID-19
  • Call4Calm text line was established to provide emotional support to thousands of Illinoisans

Response

  • Support to community providers to reinvent themselves and develop new ways to provide services virtually.
  • Provided rental and utility assistance, increased access to food, expanded employment and training programs to adult and youth, and stimulus checks to TANF beneficiaries
  • Educated communities hardest hit by COVID-19 on ways to reduce the spread and provided access to PPE
  • Provided support to Child Care Assistance Program providers experiencing decreases in utilization by paying all eligible days of care for children attending at least 50% of the time
  • Assisted IDPH in vaccination efforts

FY21 Key Accomplishments

  • Development of a Diversity, Equity, Inclusion, and Racial Justice plan along with the initiation of Healing Illinois 
  • Illinois achieved a 71.4% response rate, finishing seventh in the nation overall and first among states with over 9M in population size
  • Comprehensive response to COVID-19 across the continuum of the human services system targeting those most impacted 
  • In partnership with DCEO provide federally funded Child Care Restoration Grants to Child Care providers across the state
  • Continued reduction in Medicaid backlog, Long Term Care pending applications backlog.  Both have been  by reduced by more than 90% since Feb 2019
  • Finalization of the Developmental Disability Services Rate Study report by Guidehouse 

IDHS FY22 Budget Highlights

Total proposed budget of $8.4 Billion

  • An increase of 11.3% over FY21 estimated spending

Continued Commitment to Olmstead Consent Decrees

IDHS serves as the lead agency for three Olmstead-related Consent Decrees.  The State of Illinois has made and will continue to have a strong commitment  to achieving compliance

  • Ligas - the proposed budget supports investing $77.0M (all funds)to begin implementation of the DD rate study as well as funds to support an additional 700 placements from PUNS in FY22 and annualization of the FY21 PUNS placements
  • Colbert and Williams - FY22 proposed budget supports additional transitions for 900 Colbert class members and 400 Williams class members.

Continued Investment to Support Front-Line Staff

  • Child Care Assistance Program funding of $40.0M to support increase in provider rates (includes Center rates)
  • $30.0M to support wage increases for individual providers serving customers of the Home Services Program and $10.0M for health insurance for eligible front-line staff
  • $6.9M included to address the impact of Minimum Wage increases on community-based providers

Funding to Support Eviction Mitigation Program

In partnership with the Illinois Housing Development Authority and the  Department of Commerce and Economic Opportunities, IDHS will be helping launch the Eviction Mitigation Program.

  • Over $585.6M in Federal Emergency Rental Assistance funds have been awarded to the State of Illinois to provide rental assistance and other housing supports to homeless or persons at risk of homelessness 
  • In addition to the Federal Relief funds, the IDHS proposed budget includes $25.0M to provide eviction mitigation legal services and education, case management and outreach

IDHS FY 22 Budget Comparison

Funding Source Proposed FY22 $s in thousands FY 2021 Estimate Spending - No supplemental $s in thousands Change from FY21 $s in thousands Change from FY21 (%)
GRF $4,703,870.3 $4,420,704.6 $283,165.7 6.4%
Other State $1,012,497.0 $991,447.1 $21,049.9 2.1%
Federal $2,722,675.0 $2,131,345.8 $591,329.2 23.6%
Total $8,439,042.3 $7,543,497.5 $895,544.8 11.3%

Agency-Wide Key Strategies

  • Integrated Service Delivery Systems intra DHS
  • Integrated Service Delivery Systems inter-agency e.g. Illinois Department of Corrections
  • Safe service delivery to IDHS residents
  • Incorporating an equity lens
  • Proactive stakeholder communication plans
  • Increase Access to State Grants

Division of Substance Use Prevention & Recovery (SUPR)

Key Strategies

  • Enhance mobile approaches, telehealth and outreach capacity to allow access to treatment and recovery support for residents in underserved populations.
  • Increase Access to Medication Assisted Recovery by 15% in low access counties
  • Leverage improved naloxone distribution method to ensure wider access, especially in communities of high need
  • Pilot an overdose prevention site (OPS)
  • Increase housing subsidy voucher program by 10%
  • Expanding gambling disorder services to reach 10% more individuals across the state through prevention, intervention for those at risk, treatment for those with gambling disorder, and support for those in recovery. 

FY 22 Budget Proposed Highlights

  • Supplemental Federal Block Grant funds as part of  Dec 2020 $900B COVID relief package will support SUD prevention, treatment, and recovery support services
  • Revenues made available to IDHS from the legalization of cannabis includes purchasing naloxone and supporting other overdose response projects; supporting community collaborations to create crisis response interventions; collaboration with the Illinois State Police on diversion pilots, funding for Healing Illinois, expanding the infrastructure of DMH and SUPR; and racial equity training for the DHS work force
GRF FED Other States Totals
FY 19 $58.6 $70.9 $9.4 $138.9M
FY 20 $58.6 $101.3 $10.9 $170.8M
FY 21 (EST) $83.7 $154.9 $48.7 $287.3M
FY 22 (REQ) $75.3 $205.1 $59.7 $340.1M

Division of Developmental Disabilities (DDD)

Key Strategies

  • Investing in our community-based system to create supports that people with intellectual and developmental disabilities want and need
  • By 2025, no one will be waiting on the PUNS list longer than 60 months for services
  • Budget request supports continued operations of our seven state operated developmental centers caring for over 1,500 residents

FY 22 Proposed Budget Highlights

  • As mentioned earlier, the proposed budget supports an investment of $77.0M (all funds) to support initial implementation of the recently finalized rate study
  • Proposed budget also supports annualization of the FY21 PUNS placements and 700 new placements and transitions in FY22
GRF FED Other States Totals
FY 19 $1,532.1 $80.8 $72.9 $1,685.8M
FY 20 $1,609.2 $78.8 $84.9 $1,772.9M
FY 21 (EST) $1,731.1 $122.5 $150.5 $2,004.1M
FY 22 (REQ) $1,815.3 $90.0 $151.6 $2,056.9M

Key Strategies

  • Invest, build, and promote independent living.
  • Foster self-determination and control for individuals who wish to remain in their homes.
  • Build, reinforce, and maximize services provided through the Vocational Rehabilitation Program.

Division of Rehabilitation Services (DRS)

FY 22 Proposed Budget Highlights

  • The FY22 proposed funding for the Home Services Program includes an additional $81.3M all funds to support provider rate adjustments, utilization costs, and 1,200 projected net new customers.
  • Includes a $1.3M expansion of Independent Living services statewide to address unserved and underserved counties.
  • Implementation of a new project designed to target equitable access to the Vocational Rehabilitation program for targeted individuals with disabilities.
GRF Fed Other State Totals
FY 19 472 176.6 248.3 $896.9M
FY 20 551 177 235.7 $936.7M
FY 21 (EST) 634.8 290.2 252.1 $1,177.1M
FY 22 (REQ) 696.7 302.9 272.7 $1,272.3M

Division of Family and Community Services (DFCS)

Key Strategies

  • Continue to improve customer service and reduce application backlogs for Medicaid and SNAP with new call center and e-training for staff
  • Strengthen and expand early childhood programs and supports
  • Continue to promote racial and equitable service to all Illinois residents
  • Expand our reach in disproportionately impacted communities by engaging trusted messengers to provide outreach and education
  • Expand existing programs to decrease hunger across the state

FY 22 Proposed Budget Highlights

  • The Child Care Assistance Program funding is increasing over $100M all funds to support estimated liability and rate increases of 3.5% July 1, 2021 and January 1, 2022
  • Proposed budget includes an additional $15.7M for growth in TANF cases and increasing award amount
  • Additional $4.2M to support the increasing participation rates in the Early Intervention Program
GRF Fed Other State Totals
FY 19 1,018.9 873.3 191.2 $2,083.4M
FY 20 1,137.8 963.4 190 $2,291.2M
FY 21 (EST) 1,211.1 1,791 249.4 $3,251.5M
FY 22 (REQ) 1,335.6 2,026.2 219.6 $3,581.4M

Division of Mental Health (DMH)

Key Strategies

  • Filling the Gaps in the Community Mental Health Safety Net
    • Linking individuals leaving state operated psychiatric hospitals with community-based care and, when appropriate, immediate access to housing
    • Expansion of Living Room Programs to provide ER-alternative for individuals experiencing a mental health crisis
  • Forensic Mental Health System Reform
    • Partnering with community agencies to provide outpatient services for forensic consumers
    • Community based reintegration program for forensic consumers

FY 22 Proposed Budget Highlights

  • Significant increase in federal Mental Health Block Grant as part of the $900 billion COVID relief bill passed in December 2020
  • As mentioned earlier, request supports the continued efforts to transition Colbert and Williams Class members to community settings
GRF Fed Other State Totals
FY 19 $378.2 $27.6 $56.2 $462.0M
FY 20 $434.7 $28 $57.3 $520.0M
FY 21 (EST) $523.6 $45.1 $104.3 $673.0M
FY 22 (REQ) $545.4 $62.8 $106.3 $714.5M