Budget Year / Version:

Mission Statement

The Department of Health and Human Services (HHS) assures delivery of a full array of services to address the somatic and behavioral health, economic and housing security, and other emergent needs of Montgomery County residents. To achieve this, the Department (directly and/or via a network of community partners) develops and implements policies, procedures, programs, and services that: 1) offer customer-focused direct care and supports; 2) maximize financial and staffing resources to deliver services through effective management, coordination, and pursuit of strategic funding opportunities; 3) pilot and evaluate innovative approaches to service delivery and systems integration; and 4) develop, enhance, and maintain a broad network of community-based organizations, public agencies, and private entities to promote and sustain partnerships, which increase the availability of needed services.


Budget Overview

The total recommended FY21 Operating Budget for the Department of Health and Human Services is $348,162,249, an increase of $20,214,746 or 6.16 percent from the FY20 Approved Budget of $327,947,503. Personnel Costs comprise 54.65 percent of the budget for 1,517 full-time position(s) and 337 part-time position(s), and a total of 1,755.87 FTEs. Total FTEs may include seasonal or temporary positions and may also reflect workforce charged to or from other departments or funds. Operating Expenses account for the remaining 45.35 percent of the FY21 budget.

County Priority Outcomes

While this program area supports all eight of the County Result Areas, the following are emphasized:

  • An Affordable, Welcoming County for a Lifetime
  • Thriving Youth and Families
  • A Greener County
  • Effective, Sustainable Government
  • Safe Neighborhoods


Program Performance Measures

Performance measures for this department are included below (where applicable), with multi-program measures displayed at the front of this section and program-specific measures shown with the relevant program. The FY20 estimates reflect funding based on the FY20 approved budget. The FY21 and FY22 figures are performance targets based on the FY21 recommended budget and funding for comparable service levels in FY22.



  • The County continues to expand the use of data to drive public health interventions, including improving outreach efforts to address vaping, pain management, chronic disease management, injury prevention, and maternal and child health. In FY21, DHHS will increase the number of School Health Nurses by 10 to largely alleviate the nursing shortage.
  • In FY21, additional units of Rapid Rehousing will be available to meet the needs of the community. Rapid Rehousing is a nationally tested intervention designed to help homeless individuals and families rapidly obtain housing, increase income, and support self-sufficiency to stay housed. In parallel, to strengthen homeless prevention efforts, the County will also expand the Rental Assistance Program to reduce the County's high housing cost burden for low-income residents.
  • The Interagency Commission on Homelessness (ICH) is working in partnership toward a common vision of "Housing for All=A Stronger Montgomery." The 2020-23 strategic plan is designed to ensure Montgomery County's priorities and assets are positioned to best meet the community need and guide the county's efforts along six strategic priorities (Full plan available at bit.ly/3c9B6bv ).
  • The Department continues to foster "Opportunity Ecosystems" that apply a collaborative, place-based approach to our community's major pockets of poverty. Initially focused on the "East County Opportunity Zone" and the "Thriving Germantown" community partnership, this work seeks to close the opportunity gap by implementing a two-generation approach to poverty, addressing place-based equity concerns, and delivering holistic family-centered care to improve outcomes for clients, programs, and the broader community. Grant funding from the Kresge Foundation is supporting the scaling-up of these place-based efforts, including with regards to data and measurement.
  • Montgomery County is an active member of both the World Health Organization/AARP Network of Age-Friendly Communities and the Dementia Friendly America initiative. Through these partnerships, the County joins peer local governments across the globe dedicated to ensuring that they are well designed, livable communities that meet the needs of residents of all ages. In FY21, additional support will be provided to this community by adding two positions to support Adult Protective Services and Adult Foster Care.
  • The Opioid Overdose Intervention Team is actively applying the Turn the Curve methodology to implement a County-wide, multi-partner strategy for addressing opioid abuse and developing a sustainable framework for treatment and long-term recovery. Over 100 stakeholders from both the public and private sectors convened over the past year to address the opioid crisis in Montgomery County. These stakeholders developed recommendations and strategies in the following areas: (1) Prevention, education, and awareness; (2) Public safety and interdiction; (3) Harm reduction, treatment, and recovery; and (4) Pain management. This strategic plan is closely aligned to the Department's Turn the Curve Plan on Opioid Emergency Room Visits.


Innovations and Productivity Improvements

  • Customer Service enhancements include new self-service computer labs and the full implementation of the Q-Less lobby management system. A recent Community Review concludes that this new lobby management system significantly reduces wait times, improves customer and staff satisfaction, and better triages customers according to the purpose of their visit in a more equitable and streamlined way.
  • The partnership between Adult Protective Services and Emergency Medical Services (EMS) / Fire and Rescue Service (FRS) proactively works with high-use 911 callers to reduce the burden on 911 emergency services and realize significant cost savings. This program has resulted in approximately 175 collaborative investigations that significantly reduced 911 usage in most cases (data through FY19).
  • A new initiative has been launched to digitize and re-engineer internal business processes to streamline and speed-up workflows, improve service quality and accountability, and save taxpayer dollars. This work is intended to cover the full range of back-office processes for contracting, purchasing, and personnel actions.

Budget Trends
Program Contacts

Contact Victoria Buckland of the Department of Health and Human Services at 240.777.1211 or Deborah Lambert and Lindsay Lucas of the Office of Management and Budget at 240.777.2800 for more information regarding this department's operating budget.

Related Links
Budget Summary
Salaries and Wages91265039.00101387684.00 97512014.00 106453559.005.0
Employee Benefits31422166.0035199634.00 34744342.00 34279974.00-2.6
County General Fund Personnel Costs122687205.00136587318.00 132256356.00 140733533.003.0
Operating Expenses113609639.00112399931.00 118242404.00 120031395.006.8
County General Fund Expenditures236296844.00248987249.00 250498760.00 260764928.004.7
Full-Time879.00885.00 885.00 949.007.2
Part-Time313.00312.00 312.00 307.00-1.6
FTEs1237.711247.31 1247.31 1304.864.6
Core Health Services Funding6222207.004554327.00 4735199.00 4829902.006.1
Federal Financial Participation Reimbursements15967891.0015395700.00 14858007.00 14858007.00-3.5
Health and Human Services Fees1220151.001163850.00 1249980.00 1228950.005.6
Health Inspection: Restaurants1895075.001828560.00 1828560.00 1896320.003.7
Health Inspections: Living Facilities268843.00247650.00 247650.00 269245.008.7
Health Inspections: Swimming Pools579430.00549770.00 549770.00 577400.005.0
Indirect Costs: Grants144383.000.00 0.00 0.000.0
Marriage Licenses226800.00240000.00 226800.00 226800.00-5.5
Medicaid/Medicare Reimbursement3001438.001866750.00 1838750.00 1876920.000.5
Miscellaneous Revenues147288.000.00 0.00 0.000.0
Nursing Home Reimbursement566958.00775860.00 775860.00 566958.00-26.9
Other Charges/Fees463212.00412470.00 485732.00 531012.0028.7
Other Fines/Forfeitures7600.001650.00 1650.00 4800.00190.9
Other Intergovernmental3814156.004082518.00 5009707.00 5414857.0032.6
Other Licenses/Permits111435.00261430.00 90730.00 111360.00-57.4
County General Fund Revenues34636867.0031380535.00 31898395.00 32392531.003.2
Salaries and Wages34459835.0034423620.00 34423620.00 37038559.007.6
Employee Benefits12197577.0012471788.00 12471788.00 12508903.000.3
Grant Fund - MCG Personnel Costs46657412.0046895408.00 46895408.00 49547462.005.7
Operating Expenses37644432.0032064846.00 32064846.00 37849859.0018.0
Grant Fund - MCG Expenditures84301844.0078960254.00 78960254.00 87397321.0010.7
Full-Time554.00560.00 560.00 568.001.4
Part-Time29.0030.00 30.00 30.000.0
FTEs432.65435.78 435.78 451.013.5
Federal Grants23418641.0020880523.00 20880523.00 28372080.0035.9
HB669 Social Services State Reimbursement39856559.0037778633.00 37778633.00 39679819.005.0
Miscellaneous Revenues106721.00231664.00 231664.00 750000.00223.7
Other Charges/Fees1499509.000.00 0.00 90325.000.0
State Grants17573580.0020069434.00 20069434.00 18505097.00-7.8
Grant Fund - MCG Revenues82455010.0078960254.00 78960254.00 87397321.0010.7
Total Expenditures320598688.00327947503.00 329459014.00 348162249.006.2
Total Full-Time Positions1433.001445.00 1445.00 1517.005.0
Total Part-Time Positions342.00342.00 342.00 337.00-1.5
Total FTEs1670.361683.09 1683.09 1755.874.3
Total Revenues117091877.00110340789.00 110858649.00 119789852.008.6
FY21 Recommended Changes
Other Adjustments (with no service impacts)
Increase Cost: FY21 Compensation Adjustment30947180.00
Increase Cost: One and Half Percent Inflationary Increase to Non-Profit Service Provider Contracts7404170.00
Increase Cost: Adjust Budget for Additional Licenses, Storage, and Hardware Refresh for the Enterprise Integrated Case Management System and the Electronic Health Records System [Admin - Office of the Chief Operating Officer]750000.00
FY21 RECOMMENDED39101350.00
Function Summary
Program NameFY20 APPR
Aging and Disability Services54549082173.0955693991185.09
Behavioral Health and Crisis Services45481514218.2544967652222.25
Children, Youth and Family Services86249584551.2392334195570.03
Public Health Services77258146502.7780417851533.00
Services to End and Prevent Homelessness2453461476.502825358287.50
Administration and Support39874563161.2546494978158.00
Charges to Other Departments
Charged DepartmentCharged FundFY20
Correction and RehabilitationGeneral Fund1065380.751062750.75
PoliceGeneral Fund1007701.001219291.00
Housing and Community AffairsMontgomery Housing Initiative00.00180629340.00
Funding Parameter Items ($000s)
FY21 Recommended260765.000000260765.000000260765.000000260765.000000260765.000000260765.000000
No inflation or compensation change is included in outyear projections.
Annualization of Positions Recommended in FY210.0000001586.0000001586.0000001586.0000001586.0000001586.000000
New positions in the FY21 budget are generally assumed to be filled at least two months after the fiscal year begins. Therefore, the above amounts reflect annualization of these positions in the outyears.
Elimination of One-Time Items Recommended in FY210.000000-40.000000-40.000000-40.000000-40.000000-40.000000
Items recommended for one-time funding in FY21, including operating expenses associated with providing funding for 10 additional School Health Nurses and a High School Wellness Center at Seneca Valley High School, will be eliminated from the base in the outyears.
Annualize Operating Expenses Associated with the Conversion of 35 Contractual Brokers to Merit Staff0.000000-1170.000000-1170.000000-1170.000000-1170.000000-1170.000000
Labor Contracts0.000000844.000000844.000000844.000000844.000000844.000000
These figures represent the estimated annualized cost of general wage adjustments, service increments, and other negotiated items.
Subtotal Expenditures260765.000000261985.000000261985.000000261985.000000261985.000000261985.000000