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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