Test

1. Community Living Supports
Benchmark Data Within State
of Michigan
FEBRUARY 2015
JAMES COLAIANNE - CMHPSM

2. Statewide Annual CLS Spending
$228,831,822
$254,920,855
$277,877,920
$307,941,604
$326,739,616
$355,349,484
$405,881,462
$432,328,616
$0
$50,000,000
$100,000,000
$150,000,000
$200,000,000
$250,000,000
$300,000,000
$350,000,000
$400,000,000
$450,000,000
$500,000,000
CLS Spending
2006 2007 2008 2009 2010 2011 2012 2013

3. Statewide CLS Cost & Other Service Cost
$228,831,822 $254,920,855 $277,877,920 $307,941,604 $326,739,616 $355,349,484 $405,881,462 $432,328,616
$1,593,387,312 $1,640,373,150 $1,695,718,738 $1,727,962,594 $1,720,057,135 $1,736,210,476
$1,782,420,485
$1,883,549,580
$0
$500,000,000
$1,000,000,000
$1,500,000,000
$2,000,000,000
$2,500,000,000
2006 2007 2008 2009 2010 2011 2012 2013
CLS Cost All Other Services

4. Statewide CLS Cost & All Other Services
13% 13% 14% 15% 16% 17% 19% 19%
87% 87% 86% 85% 84% 83% 81% 81%
0%
20%
40%
60%
80%
100%
120%
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
CLS Cost All Other Services

5. Total Unique CLS Cases by PIHP Region
Region 1, 1254
Region 2, 2457
Region 3, 4328
Region 4, 3017
Region 5, 5632
Region 6, 1445
Region 7, 3839
Region 8, 3327
Region 9, 2924
Region 10, 1915
0
1000
2000
3000
4000
5000
6000
2006 2007 2008 2009 2010 2011 2012 2013

6. Statewide Average CLS Rates
$26.30
$39.84
$47.04
$36.49
$54.91
$61.86
$67.91
$75.67
$4.68 $4.86 $4.06 $4.55 $5.96 $4.20
$6.27 $6.58
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
H0043 H2015

7. Statewide Average CLS Rates
$26.30
$39.84
$47.04
$36.49
$54.91
$61.86
$67.91
$75.67
$4.68 $4.86 $4.06 $4.55 $5.96 $4.20
$6.27 $6.58
$0.00
$17.17
$10.25
$7.13
$37.75
$40.25
$19.75
$33.25
$3.44 $3.17 $1.63 $2.33 $2.58 $1.33 $2.67 $2.75
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
H0043 H2015 Region 6 H0043 Region 6 H2015

8. Average Normalized Units Per Case
0
500
1,000
1,500
2,000
2,500
3,000
3,500
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
Statewide Lenawee Livingston Monroe Washtenaw

9. Average H2015 Units Per Case FY06-13
Washtenaw, 8,927
Livingston, 7,357 Monroe, 6,403
Lenawee, 6,393
CMH AVERAGE, 2,719
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
Washtenaw
Livingston
Detroit-Wayne
Shiawassee
Monroe
Lenawee
Tuscola
Montcalm
Saginaw
Macomb
Oakland
CMHforCentralMichigan
Newaygo
Gratiot
Pines
Allegan
Bay-Arenac
CMHAVERAGE
NorthCountry
Berrien
ClintonEatonIngham
Huron
Ottawa
Woodlands
Muskegon
St.Joseph
Kalamazoo
Genesee
NortheastMichigan
SummitPointe
Network180
AuSableValley
St.Clair
Hiawatha
NorthernLakes
Manistee-Benzie
Pathways
Barry
Lapeer
Sanilac
Northpointe
Ionia
VanBuren
Lifeways
WestMichigan
CopperCountry
Gogebic
FY06-13

10. Average H0043 Units Per Case FY06-13
CMH AVERAGE, 155.4
Monroe, 145.5
Washtenaw, 106.2
Lenawee, 2.1 Livingston, 0.0
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0
Ionia
AuSableValley
Allegan
Kalamazoo
St.Joseph
Sanilac
VanBuren
Saginaw
Macomb
Manistee-Benzie
NorthCountry
Lapeer
Oakland
St.Clair
Bay-Arenac
Tuscola
Ottawa
Detroit-Wayne
Shiawassee
Berrien
Woodlands
Pines
Network180
Lifeways
CMHAVERAGE
CMHforCentralMichigan
Monroe
Pathways
Washtenaw
Northpointe
Hiawatha
Huron
NorthernLakes
NortheastMichigan
Muskegon
SummitPointe
ClintonEatonIngham
Newaygo
Barry
Lenawee
CopperCountry
Genesee
Gogebic
Gratiot
Livingston
Montcalm
WestMichigan
FY06-13

11. Average Normalized CLS Units Per Case FY06-13
Washtenaw, 2,219.1
Livingston, 1,839.2
Monroe, 1,619.9
Lenawee, 1,596.6 CMH Average, 1,208.8
0.0
500.0
1,000.0
1,500.0
2,000.0
2,500.0
3,000.0
3,500.0
4,000.0
4,500.0
5,000.0
Tuscola
Detroit-Wayne
Saginaw
Shiawassee
Lapeer
Washtenaw
AuSableValley
Kalamazoo
Livingston
Macomb
Bay-Arenac
Berrien
Monroe
Lenawee
Montcalm
Oakland
Lifeways
Allegan
Manistee-Benzie
CMHAverage
NorthCountry
Pines
Woodlands
Newaygo
CMHforCentralMichigan
Ottawa
Network180
St.Joseph
Gratiot
Sanilac
Huron
VanBuren
ClintonEatonIngham
Ionia
Muskegon
SummitPointe
St.Clair
Genesee
Pathways
NortheastMichigan
Northpointe
Hiawatha
NorthernLakes
Barry
WestMichigan
CopperCountry
Gogebic
Normalized Units Per Case

12. Average Cost Per Case
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
Statewide $14,537 $13,728 $11,982 $12,329 $13,882 $12,596 $13,531 $13,050
Region Six $20,566 $23,432 $19,739 $14,039 $20,506 $21,965 $23,076 $23,360
Lenawee $29,737 $26,111 $14,522 $9,028 $15,568 $16,617 $18,355 $18,268
Livingston $16,862 $20,385 $22,207 $13,540 $20,329 $23,217 $23,930 $24,547
Monroe $9,745 $21,427 $20,046 $15,432 $19,624 $20,065 $21,740 $20,522
Washtenaw $25,921 $25,805 $22,182 $18,155 $26,502 $27,961 $28,278 $30,101

13. Average Cost Per Case FY06-13
$13,204
$20,835
$18,526
$20,627
$18,575
$25,613
Statewide Region 6 Lenawee Livingston Monroe Washtenaw

14. Cost Per Case Statewide Rank
(1-Highest Cost to 46-Lowest)
CMH Rank Cost Per Case 2006 2007 2008 2009 2010 2011 2012 2013
Washtenaw 5 4 5 7 4 2 3 2
Monroe 27 7 8 11 8 7 8 8
Lenawee 4 3 13 22 13 12 11 9
Livingston 11 10 4 14 5 4 6 5

15. CLS as Average % of Service Cost (FY06-13)
Monroe, 29.6%
Livingston, 25.1%
Washtenaw, 21.9% CMH AVERAGE, 15.3%
Lenawee, 12.4%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
AuSableValley
Manistee-Benzie
Monroe
Allegan
Livingston
Shiawassee
Woodlands
CMHforCentralMichigan
Washtenaw
Macomb
Berrien
NortheastMichigan
Gratiot
Oakland
St.Joseph
Detroit-Wayne
SummitPointe
Ionia
St.Clair
NorthCountry
Ottawa
CMHAVERAGE
Kalamazoo
WestMichigan
ClintonEatonIngham
Pines
Lifeways
Huron
Pathways
Saginaw
Barry
Lenawee
VanBuren
Sanilac
Tuscola
CopperCountry
NorthernLakes
Hiawatha
Bay-Arenac
Montcalm
Muskegon
Gogebic
Network180
Newaygo
Northpointe
Lapeer
Genesee

16. 27
19 18
15 15
12 11 10
19
27 28
31 31
34 35 36
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
Only H0043 Only H2015 Both H0043 & H2015
Statewide CLS CPT Code Usage

17. Statewide % of Cases Using Codes
13% 16% 17% 14% 15% 14% 16% 16%
87% 84% 83% 86% 85% 86% 84% 84%
0%
20%
40%
60%
80%
100%
120%
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
H0043 H2015

18. Annual Cost Per Capita
(CLS Cost Per Total Census Population)
$13.16 $13.14 $13.73
$17.26 $18.64 $18.39
$20.50 $21.32$20.66
$22.68
$20.37
$23.24
$25.99
$28.86
$33.28
$37.48$30.35
$43.58
$41.31
$44.33
$48.61 $47.27
$52.82
$54.69
$20.89
$22.42 $22.19
$29.96
$31.20
$36.43
$50.65
$60.77
$22.94
$25.25 $27.46
$30.36
$33.17
$35.81
$39.74
$41.44
$0.00
$10.00
$20.00
$30.00
$40.00
$50.00
$60.00
$70.00
2006 2007 2008 2009 2010 2011 2012 2013
Lenawee Livingston Monroe Washtenaw Average CMH Cost

19. Statewide Cases Using CPT Codes
2,401 2,974
3,740 3,670 3,620 3,815
4,750 4,946
15,716 16,013
18,873
21,698
20,808
23,770
24,846 25,192
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
H0043 H2015

20. % of Total Served Receiving CLS
Lenawee, 5.7%
Livingston, 11.2%
Monroe, 2013, 15.0%
Washtenaw, 13.4%
CMH Average, 2013, 14.7%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
2006 2007 2008 2009 2010 2011 2012 2013
Lenawee Livingston Monroe Washtenaw CMH Average

21. CMHPSM Unique Consumer Forecast
111 111 113 121
2015 PROJ, 122
2016 PROJ, 125180 187
214 226
2015 PROJ, 243 2016 PROJ, 260
308 324
359
389
2015 PROJ, 415 2016 PROJ, 443
435
546
639
710 2015 PROJ, 812
2016 PROJ, 904
0
100
200
300
400
500
600
700
800
900
1000
2011 2012 2013 2014 2015 PROJ 2016 PROJ
Lenawee
Livingston
Monroe
WCHO

22. REGIONAL CLS COST PROJECTION (NO RATE INCREASE)
$1,810,820 $1,978,444 $2,018,792 $2,171,729
$2,275,715 $2,388,022 $2,500,330
$3,990,151
$4,848,732 $5,791,322
$6,499,920 $7,400,505 $8,247,695
$9,094,884
$6,847,151
$7,257,838 $7,856,368
$8,590,816
$9,095,425
$9,678,378 $10,261,330
$11,762,292
$15,305,855
$19,562,736 $22,539,014
$26,439,236
$30,097,941
$33,756,645
$-
$5,000,000
$10,000,000
$15,000,000
$20,000,000
$25,000,000
$30,000,000
$35,000,000
$40,000,000
2011 2012 2013 2014 2015 2016 2017
Lenawee Livingston Monroe WCHO

23. LENAWEE CLS COST PROJECTION WITH 1% RATE INCREASE
(AVERAGE $.02-.04/H2015 Unit $3.90/H2015 Unit )
$1,810,820
$1,978,444 $2,018,792
$2,171,729
$2,275,715
$2,388,022
$2,500,330
2015, $2,298,472
2016, $2,430,290
2017, $2,564,520
$-
$500,000
$1,000,000
$1,500,000
$2,000,000
$2,500,000
$3,000,000
2011 2012 2013 2014 2015 2016 2017
Lenawee Lenawee +1%

24. LIVINGSTON CLS COST PROJECTION WITH 1% RATE INCREASE
(AVERAGE $.02-.04/H2015 Unit $3.90/H2015 Unit )
$3,990,151
$4,848,732
$5,791,322
$6,499,920
$7,400,505
$8,247,695
$9,094,884
2015, $7,474,510
2016, $8,389,968
2017, $9,316,511
$-
$1,000,000
$2,000,000
$3,000,000
$4,000,000
$5,000,000
$6,000,000
$7,000,000
$8,000,000
$9,000,000
$10,000,000
2011 2012 2013 2014 2015 2016 2017
Livingston Livingston +1%

25. MONROE CLS COST PROJECTION WITH 1% RATE INCREASE
(AVERAGE $.02-.04/H2015 Unit $3.90/H2015 Unit )
$6,847,151
$7,257,838
$7,856,368
$8,590,816
$9,095,425
$9,678,378
$10,261,330
2015, $9,186,379
2016, $9,848,652
2017, $10,521,465
$-
$2,000,000
$4,000,000
$6,000,000
$8,000,000
$10,000,000
$12,000,000
2011 2012 2013 2014 2015 2016 2017
Monroe Monroe +1%

26. WCHO CLS COST PROJECTION WITH 1% RATE INCREASE
(AVERAGE $.02-.04/H2015 Unit $3.90/H2015 Unit )
$11,762,292
$15,305,855
$19,562,736
$22,539,014
$26,439,236
$30,097,941
$33,756,645
2015, $26,703,628
2016, $30,612,549
2017, $34,565,332
$-
$5,000,000
$10,000,000
$15,000,000
$20,000,000
$25,000,000
$30,000,000
$35,000,000
$40,000,000
2011 2012 2013 2014 2015 2016 2017
WCHO WCHO +1%

27. LENAWEE CLS COST PROJECTION WITH 3.5% RATE INCREASE
(AVERAGE $.12-.15/H2015 Unit $4.00/H2015 Unit )
$1,810,820
$1,978,444 $2,018,792
$2,171,729
$2,275,715
$2,388,022
$2,500,330
2015, $2,355,365
2016, $2,537,553
2017, $2,729,489
$-
$500,000
$1,000,000
$1,500,000
$2,000,000
$2,500,000
$3,000,000
2011 2012 2013 2014 2015 2016 2017
Lenawee Lenawee +3.5%

28. LIVINGSTON CLS COST PROJECTION WITH 3.5% RATE
INCREASE (AVERAGE $.12-.15/H2015 Unit $4.00/H2015 Unit )
$3,990,151
$4,848,732
$5,791,322
$6,499,920
$7,400,505
$8,247,695
$9,094,884
2015, $7,659,523
2016, $8,750,831
2017, $9,885,475
$-
$2,000,000
$4,000,000
$6,000,000
$8,000,000
$10,000,000
$12,000,000
2011 2012 2013 2014 2015 2016 2017
Livingston Livingston +3.5%

29. MONROE CLS COST PROJECTION WITH 3.5% RATE INCREASE
(AVERAGE $.12-.15/H2015 Unit $4.00/H2015 Unit )
$6,847,151
$7,257,838
$7,856,368
$8,590,816
$9,095,425
$9,678,378
$10,261,330
2015, $9,413,765
2016, $10,280,706 2017, $11,189,842
$-
$2,000,000
$4,000,000
$6,000,000
$8,000,000
$10,000,000
$12,000,000
2011 2012 2013 2014 2015 2016 2017
Monroe Monroe +3.5%

30. WCHO CLS COST PROJECTION WITH 3.5% RATE INCREASE
(AVERAGE $.12-.15/H2015 Unit $4.00/H2015 Unit )
$11,762,292
$15,305,855
$19,562,736
$22,539,014
$26,439,236
$30,097,941
$33,756,645
2015, $27,364,609
2016, $31,917,578
2017, $36,640,633
$-
$5,000,000
$10,000,000
$15,000,000
$20,000,000
$25,000,000
$30,000,000
$35,000,000
$40,000,000
2011 2012 2013 2014 2015 2016 2017
WCHO WCHO +3.5%