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Uniform Facility Data Survey: 1996

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FUNDING SOURCE, 1996

The UFDS survey obtains data on sources of facility funding. Often, the information is not provided or the data appear imprecise. Approximately 89% of the 10,641 responding facilities reported information on their funding sources. The results presented in this section pertain to facilities that provided complete information about the amount and sources of their funding. Overall, treatment facilities that provided complete funding information reported more than six billion dollars in total funding for their most recent 12-month fiscal reporting period for which data were available. Of this total, 11% and 16% came from client payments and private health insurance, respectively. Medicare and Medicaid together accounted for 21% of the total revenue while local, State, Federal, and other public funds made up almost one-half of the total revenue. (Detailed Table 15).

  • Source of funding varied by type of facility ownership and by facility setting. More than half (54%) of the total funding reported by private-for-profit facilities came from client payments and private health insurance compared with 25% and 8% for private non-profit and public facilities, respectively. Conversely, public funds accounted for 42%, 69%, and 90% of the total funding for private-for-profit, private non-profit, and public facilities, respectively (Figure 14).

  • Across facility settings, solo or group practices and psychiatric hospitals received more than 40% of their revenue from client payments and private health insurance. General hospitals reported funding mainly from Medicaid (37%) and private health insurance (30%). Schools received their funding largely from local governments (45%) while the funding for facilities in jail, prison, or juvenile detention settings came mainly from State funds (including the Federal block grant) (85%).

  • The majority of facilities (74%, classified as "Other setting" include outpatient substance abuse treatment centers, community mental health centers, community health centers, halfway houses, therapeutic communities, and community or religious agencies that provide a variety of social services. Their funding generally comes from State funds (including the Federal block grant) Federal block grants (39%), Medicaid (14%), client payments (12%), and private health insurance (11%).

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    Funding sources varied widely across States (Detailed Table 16). More than half (52%) of total revenue reported in Rhode Island came from client payments and private health insurance. In Indiana, Michigan, Montana, North Dakota, and Washington, these sources constitute 40% or more of the total revenue. The lowest proportion of State funding from client payments and private health insurance was in Alaska (8%), followed by Hawaii and New Mexico (16%), Delaware and Texas (17%), and Mississippi (18%).

  • New York (48%) has the highest proportion of funding from Medicaid and Medicare, followed by Mississippi (41%), West Virginia (38%), and Maine (34%). Facilities in Alaska, Delaware, Hawaii, Montana, Nebraska, South Dakota, and Virginia derived 5% or less of their funds from Medicare and Medicaid combined.

  • Overall, public funds were the main source of funding for substance abuse treatment and these sources accounted for 69% of total funding reported in 1996. Alaska (89%) received the highest proportion of public funds, followed by New Mexico (83%), and Delaware, Texas, and West Virginia (80%). Two States (Nevada and Rhode Island) received less than half of their funds from public sources.

  • A substantial proportion of the funding in Utah (23%) and Nevada (22%) were classified in the "Other/Unknown" category. In most of the other States, this proportion is under 5%.

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