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The Erie County Fiscal Stability Authority hired The PFM Group to provide financial suggestions to the County Executive and Legislature. Their completed report was delivered to the Legislature in mid-October 2005. Here's what's referred to as the "Initiative Matrix"; we'll also be linking each initiative to it's relative budget line in the near future.
Initiatives 1-13 Initiatives 14-25 Initiatives 26-37 Initiatives 38-42 Initiatives 43-50
Initiatives 51-57 Initiatives 58-68 Initiatives 69-75 Initiatives 76-86 Initiatives 87-89
Initiatives 90-93 Initiatives 94-98 Initiatives 99-105 Initiatives 106-110 Initiatives 111-115
Initiatives 116-123 Initiatives 124-130 Initiatives 131-134 Initiatives 135-141 Initiatives 142-147
Initiatives 148-152 Initiatives 155-159 Initiatives 160-162 Initiatives 164-167 Summary
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# Name of Initiative Summary Description Department Page Revenue Savings or Productivity Strategy FY2005 Impact FY2006 Impact FY2007 Impact FY2008 Impact FY2009 Impact Total Impact Approval Authority
58 Special State Assistance Meet in Sept 2005 with NYS Department of Health and pursue special State assistance (e.g. waivers, demonstration authority, staff supplementation, ect.) DSS V-70 Savings Process Improvement TBD TBD TBD TBD TBD TBD S
59 Increase Use of Donated Funds to Provide Match for State Children's Services Funding Seek a two-year waiver from the NYS Office of Children and Family Services to permit additional donated rather then Erie County tax dollars to provide the match for State child care preventive services funding DSS V-69 Savings Cost Recovery $0 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $8,000,000 S
60 Increase Third-Party Health Insurance Collections Restore TPHI unit staffing to increase payments from health insurers DSS V-65 Revenue Cost Recovery $0 $250,000 $100,000 $100,000 $100,000 $550,000 C
61 Expand Use of facilitated Enrollers Facilitated enrollers are contracted workers who can do basic Medicaid eligibility screening, which frees caseworkers for more complicated client work. Medicaid caseloads are now running about 1,000 per caseworker, 3 times the optimal level. DSS V-64 Productivity Process Improvement CQ CQ CQ CQ CQ CQ C
62 Meet Waiver Requirements for Case Supervisory Review DSS has a waiver from the State which exempts it from required review of all cases by a supervisor. Because of extremely high caseloads, it is a more productive use of time to focus on staff training and support as opposed to routine reviews. DSS V-63 Productivity Process Improvement CQ CQ CQ CQ CQ CQ S
63 Implement Automated Medicaid Eligibility System Requests early implementation of the State developed Electronic Eligibility Determination System (EEDS) DSS V-67 Productivity Process Improvement CQ CQ CQ CQ CQ CQ S
64 Social Services FTE Restoration Reductions in Social Serivces are jeopardizing federal and state funding, increasing caseloads in more expensive programs and creating concerns about federal penalties and maintenance of effort regulations. This initiative addresses the most compelling concerns in these areas. Social Serivices V-71 Expenditure $0 $710,000 $973,000 $1,024,000 $1,075,000 $3,782,000 C
65 Diss FTE restoration Reduction in DISS are delaying successful implementation and utilization of the County's ERP system. This initiative addresses those concerns, as well as basic staffing necessary to ensure security and maintenance of the system. DSS V-46 Productivity $0 $498,000 $690,000 $726,000 $763,000 $2,677,000 C
66 Monitor Payments from OMRDD OMRDD has an allocation to reimburse counties for the transition from Day Treatment to Day Habilitation. Payments received in 2005 will decrease the Medicaid Base DSS V-70 Savings Realign Services $0 $180,000 $180,000 $180,000 $180,000 $720,000 S
67 Transfer Additional Responsibilities to Contract Service Providers Senior Services in 2005 underwnet nearly $0.5 million in staff reductions, including the eliminiation of 13 drivers from its transportation services. Going forward, Senior Services will use a Cluster Review Committee process to identify effective contract providers to take on an increasing share of Senior Services program resources and service delievery responsibilities, expanding the amount of Senior Servicess resources transferred to outside entities from 65% to 75% of total resources. As an initial step, an in-house senior case manager position is being eliminated as part of the FY2006. At least one additional position would be unfunded each of the following three years of the Four-Year Plan. While positions will be eliminated, General Fund savings are modest due to the high percentage of case manager coasts that are grant funded. Senior Services V-163 Savings Realign Service Levels $0 $4,000 $8,000 $12,000 $17,000 $41,000 C
68 Institute 911 Wireless Phone Surcharge of $0.30 Institute a $0.30 wireless surcharge on all wireless phone line in the County in order to offset the costs of administering E-911 services to wireless callers Central Police Services V-127 Revenue Cost Recovery $0 $830,000 $1,229,000 $1,351,000 $1,474,000 $4,884,000 S