2004 Yellow Book
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OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES (Summary) View Details

		Adjusted Appropriation 2003-04	Executive Request 2004-05	Change	Percent Change

AGENCY SUMMARY
	General Fund	832,486,000	853,458,000	20,972,000	2.5%
	Special Revenue-Other	1,776,197,000	1,956,749,000	180,552,000	10.2%
	Special Revenue-Federal	80,000	230,000	150,000	187.5%
	Capital Projects Fund	49,151,000	49,864,000	713,000	1.5%
	Mental Hygiene Capital Improvement
	Fund-389	40,930,000	39,272,000	(1,658,000)	-4.1%
	Internal Service Fund	150,000	150,000	0	0.0%
	Enterprise	2,350,000	2,350,000	0	0.0%
Total for AGENCY SUMMARY:		2,701,344,000	2,902,073,000	200,729,000	7.4%

* 2000-01 through 2002-03 reflect enacted appropriations. * 2003-04 and 2004-05 reflect Executive recommended appropriations.

ALL FUNDS PERSONNEL BUDGETED FILL LEVELS
Fund	Current 2003-04	Requested 2004-05	Change

General Fund:	22,451	22,636	185
All Other Funds:	1	1	0
TOTAL:	22,452	22,637	185

Budget Highlights

The Office of Mental Retardation and Developmental Disabilities (OMRDD) administers a statewide system of care for more than 125,000 persons with developmental disabilities, such as mental retardation, cerebral palsy, neurological impairments and autism, 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. The combined system provides 36,600 persons with certified residential services, 65,000 persons with community day services, and assists 73,000 persons to continue living in their own homes. In the State operated segment of the system, OMRDD expects to employ a workforce of 22,637. Many of these workers will provide direct care services while others 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 maintain an operating census of approximately 500 individuals as 100 persons are moved into community placements and new admissions are limited to dually diagnosed persons with a primary diagnosis of mental retardation transferred from State psychiatric centers, and hard to place adolescents referred by the New York City Health and Hospitals Corporation or the Administration for Children’s Services. In addition, OMRDD projects increasing the number of special unit beds to 1,189 by March 31, 2005, in order to treat an especially challenging population in an environment that holds them securely and safely.

The New York State-Creating Alternatives in Residential Environments and Services (NYS-CARES) I Program that provides residential and day services to persons who had been on waiting lists for services has been followed by NYS-CARES II which was initiated in State Fiscal Year 2003- 04. OMRDD projects that by the end of 2010, the two NYS- CARES initiatives will have added a total of 6,800 beds to the community based residential system: 4,900 by NYS- CARES I and 1,900 by NYS-CARES II.

The Executive Budget proposal includes funds for the New York State Options for People Through Services (NYS-OPTS) initiative. OMRDD describes NYS-OPTS as an “organized health care delivery system”, structured so that OMRDD functions as the provider of services for purposes of billing the Medicaid Program. OMRDD anticipates that NYS-OPTS would make the system of services more flexible and responsive to consumer needs, while at the same time providing the opportunity to achieve savings.

This agency is included in the Health and Mental Hygiene appropriation bill.

State Operations

The Executive proposes an All Funds State Operations appropriation of $1,266,096,000, a net increase of $52,678,000 or 4.34 percent. This change reflects increases totaling $54,378,000 for the following purposes: $27,134,000 in negotiated salary increases; $12,623,000 for growth in the cost of utilities, pharmaceuticals, leased space and consumer transportation and for restoration of nonpersonal service funds; a $5,971,000 increase in the provider assessment which will generate Federal Medicaid revenue; $7,200,000 for 74 intensive treatment beds for adolescents; $1,300,000 for 20 new Multiply Disabled Unit beds for persons being transferred from State psychiatric centers; and $150,000 in Special Revenue-Federal funds. These increases are offset by savings of $1,700,000 derived, from elimination of 37 funded vacant positions at the Institute for Basic Research in Mental Retardation. The Jarvis Clinic, serving autistic children and their families, will be fully funded.

Aid To Localities

The Executive proposes an All Funds Aid to Localities appropriation of $1,546,841,000, a net increase of $148,996,000 or 10.66 percent. Additional spending related to trended increases to Medicaid services and the NYS-CARES initiative account for a large portion of the increase. Total increases of $180,496,000 result from:

an increase of $25,000,000 for a 3.2 percent Medicaid trend factor;

an add of $15,000,000 to support annualization of operating costs associated with bed development to serve NYS-CARES and mandated populations;

an increase of $4,501,000 for expanded Article 16 clinic utilization, reimbursements to service providers for the cost of mandated fingerprinting of employees, and increased costs associated with converting programs to the home and community based services waiver;

restoration of $19,500,000 in Overburden funding that was taken as savings in SFY 2003-04. While the $19,500,000 cut to Overburden funding is continued, the savings are being taken by the Department of Health in the Medicaid Program in SFY 2004-05;

provision of a 3.12 percent trended Medicaid increase, retroactive to April 1, 2003, and carried forward into SFY 2004-05 at a cost of $45,800,000; and

increases in Special Revenue-Other funds totaling $70,695,000, resulting primarily from the NYS Options for People Through Services Initiative (OPTS) becoming operational in SFY 2004-05.

These increases are offset by General Fund decreases totaling $31,500,000 from targeted reductions. To the extent possible, OMRDD would seek to achieve these reductions by maximizing federal Medicaid revenues rather than through direct program cuts.

Capital Projects

The Executive proposes an All Funds Capital Projects appropriation of $89,136,000, a net decrease of $945,000 or 1.05 percent.

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