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Executive Office of Health and Human Services
Department of Mental Retardation
The Department of Mental Retardation creates innovative opportunities for individuals with mental retardation to participate fully and meaningfully as valued members in their communities. The Department provides residential, day, work, family and individual support, and transportation services to more than 27,000 individuals. The Department strives to support individuals and their families through a variety of options, including housing alternatives, training, and other services that meet each individual’s needs and preferences.
Objectives
In Fiscal Year 2000, the Cellucci/Swift Administration is recommending additional funding that will serve the entire Turning 22 graduating class of approximately 450 individuals who will be leaving the Department of Education’s special education programs. The Administration is also recommending additional funding that will allow approximately 200 more individuals currently not receiving services from the Department to begin receiving residential, day, and support services. In addition, the Department will begin providing community residential supports to approximately 107 individuals with mental retardation currently residing in nursing homes.
Budget Recommendations
The Fiscal Year 2000 budget recommendation includes four expansion items: 1) a $5 million increase for day and residential services targeted for individuals and families currently on the waiting list; 2) a $4.4 million increase in the Turning 22 account to allow the Department to provide services to the 160 most needy individuals who turn 22 years of age during Fiscal Year 2000; 3) a $2.55 million increase, also in the Turning 22 account, to allow the Department to provide day programs to 290 Turning 22 individuals who would otherwise be placed on the waiting list for services; and 4) a $2 million increase to allow the Department to begin providing community residential supports to nursing home residents. The cost of the new waiting list, Turning 22, and community residential services will be partially offset by an associated $5.6 million increase in federal Medicaid reimbursement revenue.
In addition, these recommendations include $8.7 million to improve salaries for the Department’s lowest paid, contracted, direct care workers. In Fiscal Year 1999, this funding was appropriated as part of a reserve account in the Executive Office for Administration and Finance.
These recommendations also include two account consolidations to promote administrative efficiency: 1) the provider worker certification account (5911-1210) will be consolidated into the administration account (5911-1000), the vendor-operated, community-based residential services account (5920-2000), and the community-based day and work programs account (5920-2025); and 2) the residential expenses for school placements account (5920-8010) will be consolidated into the child and adolescent community services account (5920-8000). In addition, part of the community transportation account (5911-2000) will be moved to three community accounts (5920-1000, 5920-2000, and 5920-2025) to better integrate service dollars. Finally, the $6.95 million in Turning 22 expansion funding plus $6.65 million in Fiscal Year 1999 annualized funding will be supported by the national tobacco settlement out of a new trust account (5920-0330). To better reflect the Department’s funding consolidations, the account structure in Fiscal Year 2000 will be as follows:
Fiscal Year 2000 Spending in Fiscal Year 1999 Account Structure
Budgetary Direct Appropriations
| DEPARTMENT OF MENTAL RETARDATION ADMINISTRATION |
| 5911-1000 |
For the administration of the department of mental retardation
|
6,656,534 |
| COMMUNITY SERVICES TRANSPORTATION |
| 5911-2000 |
For transportation costs associated with the adult services program
|
18,376,100 |
| DEPARTMENT OF MENTAL RETARDATION EMPLOYEE CHARGEBACK COSTS |
| 5911-9999 |
For the cost of universal health and unemployment insurance, Medicare tax, and workers` compensation charges assessed against the employees of the department of mental retardation
|
9,607,142 |
| COMMUNITY SUPPORT SERVICES |
| 5920-1000 |
For the operation of the adult services program
|
44,283,521 |
| RESIDENTIAL, DAY, AND WORK COMMUNITY PROGRAMS |
| 5920-2000 |
For vendor-operated community-based residential adult services
|
329,578,875 |
| STATE-OPERATED COMMUNITY-BASED RESIDENTIAL SERVICES |
| 5920-2010 |
For state-operated community-based residential adult services, including community-based health services for adults
|
91,898,654 |
| COMMUNITY-BASED DAY AND WORK PROGRAMS |
| 5920-2025 |
For community-based day and work programs for adults
|
85,498,369 |
| RESPITE SERVICES AND INTENSIVE FAMILY AND INDIVIDUAL SUPPORT |
| 5920-3000 |
For respite services and intensive family and individual supports
|
45,868,398 |
| SERVICES TO WAITING LIST UNSERVED OR UNDERSERVED CLIENTS |
| 5920-4050 |
For services to clients identified by the department as unserved or underserved, so called, on the waiting list for services compiled by the department
|
20,750,000 |
| OLDER UNSERVED ADULT SERVICES |
| 5920-6000 |
For services to the older unserved
|
6,750,000 |
| CHILD AND ADOLESCENT COMMUNITY SERVICES |
| 5920-8000 |
For child and adolescent services
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5,492,002 |
| STATE FACILITIES MAINTENANCE AND OPERATION |
| 5930-1000 |
For the operation of facilities for individuals with mental retardation
|
171,009,399 |
Budgetary Retained Revenues
| TEMPLETON FARM RETAINED REVENUE |
| 5982-1000 |
The department of mental retardation is hereby authorized to expend an amount not to exceed $100,000 accrued through the sale of milk and other farm-related products at the Templeton developmental center, for program costs of said center, including supplies, equipment, and maintenance of the facility; provided, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, said department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate therefor as reported in the state accounting system
|
100,000 |
Intragovernmental Service Spending
| RESIDENTIAL SERVICES PROGRAM INTRAGOVERNMENTAL CHARGEBACK |
| 5948-0012 |
For a residential services program, including the costs of residential services provided for the purposes of item 7061-0012
|
7,500,000 |
| |
| Intragovernmental Service Fund |
100% | | |
Trust and Other Spending
| 5483-9101 |
WALTER E FERNALD STATE SCHOOL |
14,312 |
| 5911-2001 |
DEPARTMENT OF MENTAL RETARDATION COMMISSIONER`S TRUST |
1,500,000 |
| 5920-0002 |
BELCHERTOWN CAROUSEL TRUST |
33,000 |
| 5920-0003 |
SELF-DETERMINATION FOR PERSONS WITH DEVELOPMENTAL DISABILITIES |
35,506 |
| 5920-0330 |
HEALTH CARE AND COMMUNITY SERVICES TRUST - TURNING 22 |
13,600,000 |
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