2004 Yellow Book | |||||
Backward | Forward | Cover | Overview | Agency Summaries | Agency Details |
OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES (Summary) View Details |
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Adjusted Appropriation 2003-04 |
Executive Request 2004-05 |
Change |
Percent Change |
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AGENCY SUMMARY | |||||
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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% | |
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Total for AGENCY SUMMARY: | 2,701,344,000 | 2,902,073,000 | 200,729,000 | 7.4% |
![]() * 2003-04 and 2004-05 reflect Executive recommended appropriations. |
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ALL FUNDS PERSONNEL BUDGETED FILL LEVELS |
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Fund |
Current 2003-04 |
Requested 2004-05 |
Change |
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General Fund: | 22,451 | 22,636 | 185 |
All Other Funds: | 1 | 1 | 0 |
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TOTAL: | 22,452 | 22,637 | 185 |
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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: |
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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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