This is not the official budget document.

Budget Summary FY2010

Department of Developmental Services
Data Current as of:  1/26/2010



FISCAL YEAR 2010 BUDGET SUMMARY ($000)
ACCOUNT FY2010
Conference		 FY2010
Vetoes		 FY2010
GAA		 October
Budget
Reductions
Department of Developmental Services Administration and Operations 67,225 0 67,225 -1,388
Community Programs for the Intellectually Disabled 13,537 0 13,537 -1,500
Community and State Operated Residential Services 697,681 0 697,681 -4,870
State-Operated Residential Supports for the Intellectually Disabled 144,559 0 144,559 -6
Community Day and Work Programs for the Intellectually Disabled 119,989 0 119,989 0
Respite Family Supports for the Intellectually Disabled 46,521 0 46,521 0
Autism Division 4,123 0 4,123 -1
Turning 22 Program and Services 5,000 0 5,000 0
State Facilities for the Intellectually Disabled 161,581 0 161,581 -19
Templeton Developmental Center Farm Product Sales Retained Revenue 150 0 150 0
TOTAL    1,260,367 0 1,260,367 -7,785

Hide line item language

account description amount
DEPARTMENT OF DEVELOPMENTAL SERVICES 1,267,127,946
Direct Appropriations
5911-1003 Department of Developmental Services Administration and Operations
For the administration and operations of the department of developmental services; provided, that the department shall not charge user fees for transportation or community day services; provided further, that the department shall not charge fees for eligibility determination for services provided by the department or for applications of requests for transfer of guardianship; provided further, that notwithstanding any general or special law to the contrary, in fiscal year 2010 the comptroller shall transfer from the department of developmental services trust fund established under section 2RRR of chapter 29 of the General Laws an amount sufficient to reflect the costs of the assessment on public facilities collected under section 27 of chapter 118G of the General Laws and an amount sufficient to fund rate increases for services provided to MassHealth members by nonpublic intermediate care facilities and community-based residences; provided further, the comptroller shall transfer the federal financial participation received as a result of expenditures funded by the assessments to an account established for the department of developmental services to administer for the purposes described above; and provided further, that the assessments shall not be collected and the expenditures shall not be authorized until the department of developmental services and the executive office of health and human services certify the receipt of federal approval of any home and community-based waiver amendments and related Title XIX state plan amendments, if required 		67,224,506
5911-2000 Community Programs for the Intellectually Disabled
For transportation costs associated with the adult services program; provided, that the department shall provide transportation on the basis of priority of need as determined by the department 		13,537,324
5920-2000 Community and State Operated Residential Services
For vendor-operated, community-based, residential adult services, including intensive individual supports; provided, that funds shall be expended towards compliance with the terms of the Rolland settlement agreement, dated June 16, 2008, Civil Action No. 98-30208-KPN, filed in the United States District Court of Massachusetts in order to provide services for class members; provided further, that annualized funding shall be expended for turning 22 clients who began receiving the services in fiscal year 2009 pursuant to item 5920-5000 of section 2 of chapter 182 of the acts of 2008; provided further, that funds shall be expended to comply with the terms of the Boulet v. Cellucci settlement agreement; provided further, that the commissioner of the department of developmental services shall transfer funds from this item to item 5920-2010, as necessary, pursuant to an allocation plan, which shall detail, by object class, the distribution of said funds to be transferred and which the commissioner shall file with the house and senate committees on ways and means 15 days before any such transfer; and provided further, that not more than $5,000,000 shall be transferred from this item in fiscal year 2010 		697,680,652
5920-2010 State-Operated Residential Supports for the Intellectually Disabled
For state-operated, community-based, residential services for adults, including community-based health services; provided, that the department shall maximize federal reimbursement, whenever possible under federal regulation, for the direct and indirect costs of services provided by the employees funded in this item; and provided further, that funds shall be expended to comply with the terms of the Boulet v. Cellucci settlement agreement 		144,559,478
5920-2025 Community Day and Work Programs for the Intellectually Disabled
For community-based day and work programs for adults; provided that annualized funding shall be expended for turning 22 clients who began receiving services in fiscal year 2009 pursuant to item 5920-5000 of section 2 of chapter 182 of the acts of 2008 		119,988,888
5920-3000 Respite Family Supports for the Intellectually Disabled
For respite services and intensive family supports; provided, that the department shall pursue the highest rates of federal reimbursement possible for such services 		46,521,184
5920-3010 Autism Division
For contracted support services for families with autistic children through the autism division at the department of developmental services; provided, that funds shall be expended for the purposes of providing services under the Children's Autism Spectrum Disorder Waiver; provided further, that the department shall expend not less than the amount authorized in fiscal year 2009 on the Children's Autism Spectrum Disorder Waiver; provided further, that at a minimum, this waiver shall include children with autism spectrum disorder ages 0 to 8, inclusive, including children with autism spectrum disorder ages 0 to 3, inclusive, receiving services through the department of public health's early intervention program; provided further, that the income eligibility for the waiver shall not be any lower than MassHealth standard income eligibility for children; provided further, that the department shall take all steps necessary to ensure that eligible children with autism immediately begin to receive services pursuant to such waiver; provided further, that the department shall immediately file any waiver amendments necessary to comply with the requirements of this item with the Centers for Medicare and Medicaid services; provided further, that the department shall report to the house and senate committees on ways and means, the joint committee on education and the joint committee on children, families and persons with disabilities on the number of contracted support services provided for families with autistic children under this item and the costs associated with such services, not later than January 4, 2010; provided further, that such report shall include, but not be limited to, the services provided by the Children's Autism Spectrum Disorder Waiver, with information regarding the number of children enrolled in the waiver and receiving services, linguistic and cultural diversity, age, gender and geographic representation of the applicants and the children enrolled in the program, and department plans to continue to assess the demand for waiver services, any executive office of health and human services plans to expand the waiver for children on the autism spectrum of all ages in the future and any other information determined relevant by the department; and provided further, that the department shall submit copies of any amended waiver to the house and senate committees on ways and means, the joint committee on education and the joint committee on children, families and persons with disabilities upon submission of the amendment 		4,123,387
5920-5000 Turning 22 Program and Services
For services to clients of the department who turn 22 years of age during state fiscal year 2010; provided, that the department shall report to the house and senate committees on ways and means not later than January 15, 2010, on the use of any funds encumbered or expended from this item including, but not limited to, the number of clients served in each region and the types of services purchased in each region 		5,000,000
5930-1000 State Facilities for the Intellectually Disabled
For the operation of facilities for the mentally retarded; provided, that in order to comply with the provisions of the Olmstead decision and to enhance care within available resources to clients served by the department, the department shall take steps to consolidate or close intermittent care facilities for the mentally retarded, in this item called ICF/MRs, managed by the department and shall endeavor, within available resources, to discharge clients residing in the ICF/MRs to residential services in the community if the following criteria are met: a) the client is deemed clinically suited for a more integrated setting; b) community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and c) the cost to the commonwealth of serving the client in the community is less than or equal to the cost of serving the client in ICF/MRs; provided further, that any client transferred to another ICF/MR as the result of a facility closure shall receive a level of care that is equal to or better than the care that had been received at the closed ICF/MR; provided further, that the department shall report to the joint committee on children, families and persons with disabilities and the house and senate committees on ways and means on the progress of this initiative by December 1, 2009, including both past actions and proposed future actions; provided further, that the department may allocate funds from this item to items 5920-2000, 5920-2010, and 5920-2025, as necessary, under allocation plans submitted to the house and senate committees on ways and means 30 days before any transfer, for residential and day services for clients formerly receiving inpatient care at ICF/MRs; provided further, that the department shall maximize federal reimbursement, whenever possible under federal regulation, for the direct and indirect costs of services provided by the employees funded in this item; provided further, that prior to closing the Monson Development Center, the Templeton Development Center, and the Glavin Regional Center as part of the Community Services Expansion and Facilities Restructuring Plan, the executive office for administration and finance shall submit a report to the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities; provided further, that the report shall examine the prospective costs and benefits of maintaining the facilities, the quality of care in the facilities and in alternative community-based settings and alternative methods of providing the services currently provided by the facilities; provided further, that the report shall include options for the retention of the skilled workforce; provided further, that the secretary of administration and finance shall submit the findings and recommendations of the report to the house and senate committees on ways and means and the joint committee on children, families, and disabilities no later than July 1, 2010; and provided further, that at least 3 months prior to closing each of the aforementioned ICF/MRs, the secretary of housing and economic development or his designee and the commissioner of capital asset management and maintenance or his designee shall meet jointly with local officials and produce a plan for the timely demolition of buildings, remediation of hazardous materials and future use of the property, including disposition by the commonwealth for redevelopment or conservation, if appropriate 		161,581,427

account description amount
Retained Revenues
5982-1000 Templeton Developmental Center Farm Product Sales Retained Revenue
For the department of developmental services; provided, that the department may expend not more than $150,000 accrued through the sale of milk and other farm-related and forestry products at the Templeton Developmental Center for program costs of the center, including supplies, equipment, and maintenance of the facility; and provided further, that notwithstanding any general or special law to the contrary and for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the 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 therefore as reported in the state accounting system 		150,000

account description amount
Intragovernmental Service Spending 6,500,000
5948-0012 Chargeback for Special Ed Alternatives for Intellectually Disabled Children
For a program providing alternatives to residential placements for children with mental retardation, including the costs of intensive home-based supports, provided in item 7061-0012 of section 2
                Intragovernmental Service Fund ............... 100%
6,500,000

account description amount
Federal Grant Spending 261,100
5947-0010 Family Support 360 - Project of National Significance
For the purposes of a federally funded grant entitled, Family Support 360-Project of National Significance 		55,000
5947-0011 Real Choice Systems Change Grant Program
For the purposes of a federally funded grant entitled, Real Choice Systems Change Grant 		206,100

account description amount