| 2002 Yellow Book |
| Backward Forward Cover Overview Table of Contents |
| OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES |
Adjusted Executive
Appropriation Request Percent
2001-02 2002-03 Change Change
AGENCY SUMMARY
General Fund 839,796,000 824,005,000 (15,791,000) -1.88%
Special Rev.-Fed. 80,000 80,000 0 0.00%
Special Rev.-Other 1,437,537,000 1,634,068,000 196,531,000 13.67%
Fiduciary 2,755,000 2,554,000 (201,000) -7.30%
Enterprise 2,350,000 2,350,000 0 0.00%
Internal Service Fund 0 150,000 150,000 --
Capital Projects Fund 42,128,000 43,890,000 1,762,000 4.18%
Mental Hygiene Capital
Improvement Fund-389 20,588,000 72,723,000 52,135,000 253.23%
Total for AGENCY SUMMARY: 2,345,234,000 2,579,820,000 234,586,000 10.00%
STATE OPERATIONS
General Fund 146,116,000 167,694,000 21,578,000 14.77%
Special Rev.-Fed. 80,000 80,000 0 0.00%
Special Rev.-Other 983,521,000 1,026,274,000 42,753,000 4.35%
Fiduciary 755,000 554,000 (201,000) -26.62%
Enterprise 2,350,000 2,350,000 0 0.00%
Internal Service Fund 0 150,000 150,000 --
Total for STATE OPERATIONS:1,132,822,000 1,197,102,000 64,280,000 5.67%
Central Coordination and Support
General Fund 54,141,000 59,765,000 5,624,000 10.39%
Special Rev.-Fed. 80,000 80,000 0 0.00%
Internal Service Fund 0 150,000 150,000 --
Total for Program: 54,221,000 59,995,000 5,774,000 10.65%
Institutional Services
General Fund 355,701,000 371,690,000 15,989,000 4.50%
Fiduciary 705,000 504,000 (201,000) -28.51%
Enterprise 2,350,000 2,350,000 0 0.00%
Total for Program: 358,756,000 374,544,000 15,788,000 4.40%
Research in Mental Retardation
General Fund 16,752,000 17,321,000 569,000 3.40%
Fiduciary 50,000 50,000 0 0.00%
Total for Program: 16,802,000 17,371,000 569,000 3.39%
Community Services
General Fund 703,043,000 745,192,000 42,149,000 6.00%
Total for Program: 703,043,000 745,192,000 42,149,000 6.00%
Maintenance Undistributed
General Fund (983,521,000)(1,026,274,000) (42,753,000) 4.35%
Special Rev.-Other 983,521,000 1,026,274,000 42,753,000 4.35%
Total for Program: 0 0 0 --
AID TO LOCALITIES
General Fund 693,680,000 656,311,000 (37,369,000) -5.39%
Special Rev.-Other 454,016,000 607,794,000 153,778,000 33.87%
Fiduciary 2,000,000 2,000,000 0 0.00%
Total for AID TO LOCALITIES:1,149,696,0001,266,105,000 116,409,000 10.13%
Community Services
General Fund 693,680,000 656,311,000 (37,369,000) -5.39%
Special Rev.-Other 454,016,000 607,794,000 153,778,000 33.87%
Fiduciary 2,000,000 2,000,000 0 0.00%
Total for Program: 1,149,696,000 1,266,105,000 116,409,000 10.13%
CAPITAL PROJECTS
Capital Projects Fund 42,128,000 43,890,000 1,762,000 4.18%
Mental Hygiene Capital
Improvement Fund-389 20,588,000 72,723,000 52,135,000 253.23%
Total for CAPITAL PROJECTS: 62,716,000 116,613,000 53,897,000 85.94%
Design and Construction Supervision
Capital Projects Fund 2,000,000 2,000,000 0 0.00%
Mental Hygiene Capital
Improvement Fund-389 0 6,000,000 6,000,000 --
Total for Program: 2,000,000 8,000,000 6,000,000 300.00%
Non-Bondable Projects
Capital Projects Fund 1,000,000 1,000,000 0 0.00%
Total for Program: 1,000,000 1,000,000 0 0.00%
Voluntary-Operated Community Facilities
Capital Projects Fund 9,782,000 10,287,000 505,000 5.16%
Mental Hygiene Capital
Improvement Fund-389 5,488,000 8,111,000 2,623,000 47.80%
Total for Program: 15,270,000 18,398,000 3,128,000 20.48%
State-Operated Community Services Program
Capital Projects Fund 15,096,000 13,953,000 (1,143,000) -7.57%
Mental Hygiene Capital
Improvement Fund-389 0 10,000,000 10,000,000 --
Total for Program: 15,096,000 23,953,000 8,857,000 58.67%
Institutional Services Program
Capital Projects Fund 14,250,000 16,650,000 2,400,000 16.84%
Mental Hygiene Capital
Improvement Fund-389 15,100,000 48,612,000 33,512,000 221.93%
Total for Program: 29,350,000 65,262,000 35,912,000 122.36%
ALL FUNDS PERSONNEL
BUDGETED FILL LEVELS
Current Requested
Program 2001-02 2002-03 Change
Central Coordination and Support 755 772 17
Institutional Services 5,341 5,183 (158)
Research in Mental Retardation 217 217 0
Community Services 15,850 16,086 236
Total General Fund : 22,162 22,257 95
Total All Other Funds : 1 1 0
TOTAL: 22,163 22,258 95
BUDGET HIGHLIGHTS
(Executive Budget: pp. 153-160)
The Office of Mental Retardation and Developmental Disabilities
(OMRDD) administers a statewide system of care for more than 123,000
persons with developmental disabilities and their families. Services
are coordinated regionally through 13 Developmental Disabilities
Services Offices (DDSO) across the State. Those services may be
provided at either State operated community based facilities or
facilities operated by not-for-profit providers. In the State operated
segment of the system, OMRDD expects to employ a workforce of 22,258.
Many of these workers will provide direct care services while others
will license and regulate the not-for-profit provider network of more
than 600 agencies that provide residential and day services. Direct
services are also provided by State operated residential and day
programs that are based in the community.
OMRDD projects that State operated developmental centers will operate
with a census of 477 as 164 persons are moved into community
placements. With the opening of the Valley Ridge Center for Intensive
Treatment in Norwich (Chenango County), planned for April 1, 2002, 60
beds would be added to the secure treatment system, increasing the
number of secure treatment beds in the State to 1,122.
The Executive proposes a net increase of 95 positions for the agency
as a result of staffing increases at secure treatment facilities and
State operated community facilities. These increases will be somewhat
offset by staffing reductions to be taken due to declining census in
developmental centers and related to the Executive's proposal to
eliminate the Youth Opportunity Program (YOP).
The New York State Creating Alternatives in Residential Environments
and Services (NYS-CARES) program was intended to eliminate waiting
lists for out-of-home residential placements over a five year period.
The program will begin its fourth year of operation on April 1, 2002.
During State Fiscal Year (SFY) 2002-03, the Executive proposes
creating 978 new residential placements for developmentally disabled
persons, together with related day service and case management
services, bringing the four year total to more than 3,900 new
residential placements. In addition to the NYS-CARES program, the
Executive proposes 140 residential placements and 890 day habilitation
placements for mandated populations, including individuals aging out
of their educational placements.
The adjusted appropriation for OMRDD includes recommended deficiency
appropriations totalling $99,756,000. The Executive proposes a
deficiency appropriation of $26,458,000 in State Operations for
personal service and nonpersonal service increases in SFY 2001-02.
The Executive further proposes a deficiency appropriation totaling
$73,298,000 in Aid to Localities for the following purposes:
$20,200,000 to provide a 3.52 percent trend factor to the Medicaid
rate of Intermediate Care Facilities and certain eligible community-
based providers; $8,315,000 for services to mandated populations; and
$44,783,000 for the NYS-CARES program.
This agency is included in the Health, Mental Hygiene and
Environmental Conservation appropriation bill.
State Operations
The Executive proposes a net All Funds State Operations appropriation
of $1,197,102,000 which represents an increase of $64,280,000, or 5.7
percent, primarily attributable to an increase in patient revenues
which serve as an offset to the General Fund. Significant changes
proposed by the Executive include:
-- An increase of $43,728,000 for negotiated salary adjustments;
-- A $9,592,000 increase related to the Medicaid provider of
services assessment the State imposes on itself as a provider
of Medicaid reimbursable services;
-- A $6,010,000 increase for essential nonpersonal service; and
-- A net increase of $5,342,000 resulting from various staffing
actions including: the opening of 60 secure beds at the Valley
Ridge Center for Intensive Treatment at Norwich; declining
census at the developmental centers; the opening of new State
operated community beds; and elimination of 24 FTE management
positions in SFY 2001-02, as well as the proposed elimination
of the Youth Opportunity Program (YOP).
Aid to Localities
The Executive proposes a net All Funds Aid to Localities appropriation
of $1,266,105,000, which represents an increase of $116,409,000, or
10.1 percent. The following recommended changes are noted:
-- An increase of $46,761,000 related to annualization of SFY
2001-02 NYS-CARES Program expansion and anticipated growth in
SFY 2002-03;
-- An increase of $43,683,000 for a 3 percent trend factor to be
applied retroactively to Medicaid payments made in SFY 2001-02
to Intermediate Care Facilities and certain eligible community
based providers. The trend factor is proposed to be carried
forward into SFY 2002-03. The trend factor would not be
applied to Medicaid reimbursements for community residences,
day treatment programs, day training programs, sheltered
workshops or joint venture clinics;
-- An increase of $25,268,000 for a 3.69 percent Medicaid trend
factor for certain eligible service providers for SFY 2002-03,
supplementing the previously mentioned 3 percent trend factor
for the same eligible providers;
-- An increase of $17,151,000 for residential and day services for
mandated populations;
-- An increase of $5,906,000 for Joint Venture Clinics, licensed
as State operated clinics under Article 16 of the Mental
Hygiene Law, but operated by not-for-profit agencies, to
reflect an increase in the number of clinics and increased
client utilization; and
-- An increase of $3,000,000 to cover the costs of serving
supported employment clients found to be ineligible for
Medicaid coverage of services through the Home and Community
Based Services Waiver.
The Executive proposes to achieve savings through the following
actions:
-- Conversion of Individual Residential Alternative (IRA) billing
from a daily rate to a monthly rate for $11,800,000 in savings
in SFY 2002-03. With the shift from a daily to a monthly rate,
the first month's billings will be moved into the next month,
with the result that OMRDD will only pay for 11 months of
services within SFY 2002-03;
-- Medicaid maximization of room and board payments to voluntary
operated residential programs for savings of $8,760,000; and
-- Closer monitoring of eligibility for services, emphasizing use
of less costly services and maximizing economies of scale for
savings of $4,800,000.
Capital Projects
The Executive requests a net All Funds Capital appropriation of
$116,613,000, an increase of $53,897,000, or 85.9 percent. The
greatest share of the increase would be for projects funded with bond
revenues. OMRDD proposes $65,262,000 for various projects at State
developmental centers and secure treatment facilities which represents
an increase of $35,912,000 over the current year. The largest share
of the appropriation would be for preservation of facilities and
health and safety projects. State operated community based programs
would receive $13,953,000 for various projects to preserve existing
community residential facilities or for purchase, alteration and
repair of new facilities. Although OMRDD encourages not-for-profit
providers to seek capital funding in the private sector, there are
instances where that option is not open to certain smaller agencies.
In those instances, OMRDD may provide capital funding support.
Article VII Proposals
The Executive proposes Article VII legislation which would eliminate
the Youth Opportunity Program. This program provides part time
employment in State and voluntary operated agencies for 400
disadvantaged youths ages 16 to 21 who are at risk of dropping out of
high school. Elimination of the program would result in savings of
$1,300,000 from the reduction of 11 FTE positions and related program
costs.
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