III.D.1. Expenditures
Financial Narrative Expenditures
NJ expenditures demonstrate the Federal/State partnership and how federal support (Form 2, Line 1, $11,790,624) complements the NJ total State MCH investment (Form 2, line 3, $168,462,565). NJ monitors the MCH Block Grant expenditures bi-annually to ensure compliance with the federal Title V legislative financial requirements. NJ’s compliance with the required 30%-30%-10% distribution is documented on Form 2, Line 1 A-C with a population group distribution of 30.5% for Preventive and Primary Care for Children, 37.6% for Children with Special Health Care Needs, and 8.3% for Title V Administrative Costs. The required distribution of more than 30% of Title V funds for Preventive and Primary Care for Children is still met at 37.7% in FY21. NJ performed very well on the total number and percentage of the MCH population who are served by Title V, as reported on Form 5 by population group (Pregnant Women, Infants <1 Year Old, and Children 1 through 21 Years of Age). NJ is improving its efforts to expand its reach to CSHCN through case management and coordination with Medicaid Managed Care Organizations.
Funds for the reporting year (FFY21) have not been fully expended at the time of the Application/Annual Report submission in August 2022. The most recent expenditure data for SFY21 is being reported in this submission.
NJ reports the federal and non-federal MCH Block Grant expenditures separately on the budget/expenditure forms (Forms 2 & 3). Federal MCH Services Title V Block Grant expenditures are reported on Form 2, Lines 1A-1C (Federal Allocation). State MCH funds are reported on Form 2, Line 3 (State MCH Funds). Other non-Title V Federal Funds related to MCH are listed on Form 2, Line 10 (Other Federal Funds).
NJ recognizes that Title V is the payer of last resort and MCH Services Title V Block Grant funds cannot be used to reimburse a claim for a service that is otherwise covered under Medicaid. Service providers receiving MCH Block Grant funds must seek payment from other public and private insurance providers when applicable. Services in NJ supported by the MCH Block Grant reflect services that were not covered or reimbursed through the Medicaid program or another provider.
III.D.2. Budget
NJ’s proposed budget plan (Form 2, FY23 Application Budgeted) presents how MCH Block Grant funds will be allocated across the population groups to address the state’s priority needs, improve performance related to the targeted MCH outcomes and expand its systems of care for both the MCH and CSHCN populations. The proposed budget plan assures NJ’s commitment to complying with the legislative financial requirements (30%-30%-10% requirements) and program regulations.
The proposed budget plan, like the reported expenditures, demonstrates the federal-state partnership and how federal MCH Block Grant support are utilized to complement the state’s planned total match (Form 2, Lines 3-11) for the Application year. The proposed budget plan includes Table A (State Funding Level for MCH Programs and Services, below) and aligns with the identified MCH/CSHCN priorities. NJ combines federal and non-federal MCH Block Grant funds to support the activities that are described in the State Action Plan for the upcoming budget period. State appropriations support a number of maternal and child health programs. In the State Fiscal Year 2022 budget most programs and services are maintained at the SFY 2021 levels. The state proposed budget demonstrates an ongoing commitment on the part of the State to support to the best of its ability services to the maternal and child health population. The following are the state funding levels for programs and services for SFY 2018, SFY 2019 and SFY 2020, SFY 2021, and SFY 2022 that reach maternal and child health populations in NJ:
State Funding Levels for MCH Programs and Services |
SFY 2018 Budget |
SFY 2019 Budget |
SFY 2020 Expended |
Budget SFY 2020 |
SFY 2021 Expended |
SFY 2021 Budget |
SFY 2022 Expended |
Budget SFY 2022 |
Birth Defects Registry |
744,000 |
744,000 |
$563,912 |
$564,000 |
$549,362 |
$551,000 |
|
$551,000 |
Cleft Lip and Palate Projects |
690,000 |
690,000 |
$484,807 |
$690,000 |
$0 |
$501,000 |
|
$501,000 |
Infant Mortality Reduction |
2,000,000 |
2,000,000 |
$0 |
$2,000,000 |
$0 |
$0 |
|
$0 |
Sudden Infant Death Syndrome |
221,000 |
221,000 |
$220,956 |
$221,000 |
$220,625 |
$221,000 |
|
$221,000 |
Newborn Screening |
4,593,550 |
4,872,875 |
$5,317,205 |
$4,872,875 |
$5,420,405 |
$5,664,320 |
|
$5,778,706 |
Postpartum Depression Screening and Referral |
1,900,000 |
1,900,000 |
$1,826,285 |
$1,900,000 |
$1,328,194 |
$1,900,000 |
|
$1,900,000 |
Early Intervention for Developmental Delay/Disabilities |
104,225,357 |
116,900,661 |
$110,591,900 |
$116,900,661 |
$96,441,495 |
$99,652,000 |
|
$115,140,000 |
Childhood Lead Exposure Prevention |
0 |
0 |
$12,395,370 |
$12,179,620 |
$10,653,874 |
$12,179,620 |
|
$12,179,620 |
Hemophilia services |
1,245,000 |
1,245,000 |
$1,113,583 |
$1,245,000 |
$961,026 |
$973,000 |
|
$973,000 |
Catastrophic Illness in Children Relief Fund |
1,700,000 |
1,700,000 |
$0 |
$1,700,000 |
$56,616 |
$97,295 |
|
$387,449 |
Handicapped Children's Fund, which is used to support subspecialty care and case management services |
4,592,200 |
4,592,200 |
$4,715,173 |
$4,592,200 |
$6,089,060 |
$5,590,790 |
|
$5,590,790 |
Fetal Alcohol Syndrome |
989,000 |
989,000 |
$982,977 |
$989,000 |
$725,256 |
$746,939 |
|
$741,000 |
MCH Services -HWHF, ORAL HEALTH, DOULA |
1,740,000 |
1,740,000 |
$4,064,883 |
$1,740,000 |
$3,695,562 |
$4,220,000 |
|
$4,220,000 |
Council Physical Fitness and Sports |
0 |
50,000 |
$49,989 |
$50,000 |
$0 |
$0 |
|
$0 |
Autism Registry |
750,000 |
750,000 |
$598,717 |
$750,000 |
$750,000 |
$750,000 |
|
$750,000 |
Family Planning |
7,453,000 |
7,453,000 |
$17,782,149 |
$10,453,000 |
$19,529,000 |
$19,952,943 |
|
$19,529,000 |
Opioid Education for Obstetricians |
1,000,000 |
0 |
$0 |
$0 |
$0 |
$0 |
|
$0 |
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