Office of Mental Retardation and Developmental Disabilities
The Executive Budget recommends (analysis as of January 21, 2004):
· A net increase of 185 FTEs. There are 222 FTE increases in the Institutional Services Program, offset by a reduction of 37 FTEs in the Research in Mental Retardation Program (the Institute for Basic Research). The estimated year end workforce is 22,637 FTEs on March 31, 2005.
· An All Funds increase of $52.7 million (4.3%) to $1,266,096,000. The General Fund appropriation decreases by $24.1 million (14.3%). State Operations comprises 44% of the OMRDD budget, while Aid to Localities comprises 53%.
· Unexplained increases in personal service may reflect the additional pay period for the institutional payroll in SFY 2004-05.
· An increase of $13.4 million in personal service (2%) and $6.2 (6.4%) million in nonpersonal service in the Community Service Program.
· An increase of $21.9 million in personal service (9.9%) and $5.2 million in nonpersonal service (9.6%) in the Institutional Service Program, reflecting the addition of 222 FTEs.
· An increase of $8.8 million in personal service (177.1%) and $1.4 million (277.2%) in the Research in Mental Retardation Program. This comparison does not include the restorations in the 2003-04 budget as they were not broken out into personal and nonpersonal services. The Executive Budget shows a reduction from the adjusted appropriation (including 2003-04 restorations) of $1.7 million in personal service, reflecting the elimination of 37 funded vacancies.
· A decrease of $734,000 (1.7%) in personal service and an increase of $2.3 million (14.8%) in the Central Coordination and Support Program.
· Movement of 100 consumers from institutional to community care.
· Development of 20 new Multiply Disabled Units beds.
· Creation of a New York State-Options for Persons Through Services (NYS-OPTS) initiative. $49.5 million is recommended to establish this health care delivery system model for providing flexibility in consumer choices and maximization of available funding (primarily Medicaid). The location of this appropriation could not be identified, but may be part of the Patient Income Account (Medicaid). Details on this program are not yet available. This issue should be raised with management.
· A joint OCFS/OMRDD pilot program that provides enhanced service coordination for foster children with mental retardation and developmental disabilities.
· Establishing a utilization and case management system in DOH for high cost Medicaid recipients who access substance abuse, mental health and developmental disability services. The impact of this proposal should be explored with management. The impact of the recommendation for an hourly capitated rate for home visits should also be raised.
· The following changes in Aid to Localities:
§ 1,500 new NYS-CARES residential opportunities
§ $31.5 million in targeted local assistance reductions
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Office of Mental Retardation & Developmental Disabilities |
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Program Details-State Operations |
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|
Enacted |
Proposed |
Change in |
Percent |
|
Program |
2003-04 Budget |
2004-05 Budget |
Appropriation |
Change |
|
All Funds |
$1,213,418,000 |
$1,266,096,000 |
$52,678,000 |
4.3% |
|
General Fund |
$168,341,000 |
$144,312,000 |
($24,029,000) |
-14.3% |
|
Special Revenue-Federal |
$80,000 |
$230,000 |
$150,000 |
187.5% |
|
Special Revenue-Other |
$1,041,943,000 |
$1,119,054,000 |
$77,111,000 |
7.4% |
|
Enterprise |
$2,350,000 |
$2,350,000 |
$0 |
0.0% |
|
Internal Service Fund |
$150,000 |
$150,000 |
$0 |
0.0% |
|
Fiduciary |
$554,000 |
$0 |
($554,000) |
-100.0% |
|
|
|
|
|
|
|
Central Coordination |
$58,823,000 |
$60,533,000 |
$1,710,000 |
2.9% |
|
Personal Service |
$43,117,000 |
$42,383,000 |
($734,000) |
-1.7% |
|
Nonpersonal Service |
$15,476,000 |
$17,770,000 |
$2,294,000 |
14.8% |
|
Special Revenue-Fed. (SRF) |
$80,000 |
$230,000 |
$150,000 |
187.5% |
|
Internal Service Fund (ISF) |
$150,000 |
$150,000 |
$0 |
0.0% |
|
|
|
|
|
|
|
Fed Operating Grants Fund - (SRF) |
$80,000 |
$230,000 |
$150,000 |
187.5% |
|
|
|
|
|
|
|
OMRDD Copy Center Acct - (ISF) |
$150,000 |
$150,000 |
$0 |
0.0% |
|
|
|
|
|
|
|
Community Services |
$760,041,000 |
$779,901,000 |
$19,860,000 |
2.6% |
|
Personal Service |
$655,143,000 |
$668,518,000 |
$13,375,000 |
2.0% |
|
Nonpersonal Service |
$97,593,000 |
$103,795,000 |
$6,202,000 |
6.4% |
|
Maintenance Undist. |
$7,305,000 |
$7,588,000 |
$283,000 |
3.9% |
|
|
|
|
|
|
|
Institutional Services |
$377,183,000 |
$409,991,000 |
$32,808,000 |
8.7% |
|
Personal Service |
$220,897,000 |
$242,790,000 |
$21,893,000 |
9.9% |
|
Nonpersonal Service |
$54,542,000 |
$59,769,000 |
$5,227,000 |
9.6% |
|
Maintenance Undist. |
$98,890,000 |
$104,578,000 |
$5,688,000 |
5.8% |
|
Special Revenue-Other (SRO) |
$0 |
$504,000 |
$504,000 |
100.0% |
|
Enterprise (Ent) |
$2,350,000 |
$2,350,000 |
$0 |
0.0% |
|
Fiduciary (Fid) |
$504,000 |
$0 |
($504,000) |
-100.0% |
|
|
|
|
|
|
|
Gifts and Donations - (SRO) |
$0 |
$500,000 |
$500,000 |
100.0% |
|
OMRDD Nonexpendable Trust Acct - (SRO) |
$0 |
$4,000 |
$4,000 |
100.0% |
|
|
|
|
|
|
|
Sheltered Workshop Fund - (Ent) |
$1,400,000 |
$1,400,000 |
$0 |
0.0% |
|
|
|
|
|
|
|
MR Community Stores Fund Acct - (Ent) |
$950,000 |
$950,000 |
$0 |
0.0% |
|
|
|
|
|
|
|
Gifts and Donations - (Fid) |
$500,000 |
$0 |
($500,000) |
-100.0% |
|
|
|
|
|
|
|
OMRDD Nonexpendable Trust Acct - (Fid) |
$4,000 |
$0 |
($4,000) |
-100.0% |
|
|
|
|
|
|
|
Maintenance Undistributed |
$0 |
$0 |
$0 |
_ |
|
Offset |
($1,041,943,000) |
($1,118,500,000) |
($76,557,000) |
7.3% |
|
Special Revenue-Other (SRO) |
$1,041,943,000 |
$1,118,500,000 |
$76,557,000 |
7.3% |
|
|
|
|
|
|
|
Mental Hygiene Patient Income Acct - (SRO) |
$1,041,943,000 |
$1,118,500,000 |
$76,557,000 |
7.3% |
|
|
|
|
|
|
|
Research in MR |
$17,371,000 |
$15,671,000 |
($1,700,000) |
-9.8% |
|
Personal Service |
$4,945,000 |
$13,705,000 |
$8,760,000 |
177.1% |
|
Nonpersonal Service |
$508,000 |
$1,916,000 |
$1,408,000 |
277.2% |
|
Personal & Nonpersonal Service |
$11,868,000 |
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