2002 Yellow Book
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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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