FISCAL YEAR 2014 BUDGET SUMMARY ($000)
ACCOUNT FY2014
Conference
FY2014
Vetoes
FY2014
Overrides
FY2014
GAA
DDS Service Coordination and Administration 64,042 0 0 64,042
Transportation Services 13,024 0 0 13,024
Community Residential Services for the Developmentally Disabled 847,152 0 0 847,152
State Operated Residential Services 189,938 0 0 189,938
Community Day and Work Programs 161,873 0 0 161,873
Respite Family Supports for the Developmentally Disabled 52,364 0 0 52,364
Autism Division 5,613 0 0 5,613
Turning 22 Program and Services 6,500 0 0 6,500
State Facilities for the Developmentally Disabled 122,672 0 0 122,672
Templeton Farm Product Sales Retained Revenue 150 0 0 150
TOTAL    1,463,329 0 0 1,463,329 0  

Hide line item language

account description amount
DEPARTMENT OF DEVELOPMENTAL SERVICES 1,469,852,155
Direct Appropriations
5911-1003 DDS Service Coordination and Administration
For the administration and operation of the department of developmental services; provided, that the department shall not charge user fees for transportation or community day services; provided further, that no less than the amount appropriated in this line item in Chapter 139 of the acts of 2012 shall be expended for the Massachusetts Down Syndrome Congress; and provided further, that the department shall not charge fees for eligibility determination for services provided by the department or for applications or requests for transfer of guardianship
64,042,324
5911-2000 Transportation Services
For transportation costs associated with community-based day and work programs; provided, that the department shall provide transportation on the basis of priority of need as determined by the department
13,023,918
5920-2000 Community Residential Services for the Developmentally Disabled
For vendor-operated, community-based residential adult services, including intensive individual supports; provided, that annualized funding shall be expended for turning 22 clients who began receiving the services in fiscal year 2013 under item 5920-5000 of section 2 of chapter 131 of the acts of 2010; provided further, that the commissioner of the department of developmental services shall transfer funds from this item to item 5920-2010, as necessary, under 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 30 days before any such transfer; and provided further, that not more than $5,000,000 shall be transferred from this item in fiscal year 2014
847,151,588
5920-2010 State Operated Residential Services
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
189,938,363
5920-2025 Community Day and Work Programs
For community-based day and work programs for adults
161,873,253
5920-3000 Respite Family Supports for the Developmentally Disabled
For respite services and intensive family supports; provided, that the department shall pursue the highest rates of federal reimbursement possible for such services
52,364,298
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 pursuant to section 1915(c) of the Social Security Act, as codified at 42 U.S.C. section 1396n(c); provided further, that the department shall expend not less than $4,000,000 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 department shall take all steps necessary to ensure that the waiver program is fully enrolled and eligible children with autism immediately begin to receive services under said waiver including, but not limited to, establishing at least 1 regularly scheduled enrollment period per year; provided further, that the department shall immediately file any waiver amendments necessary to comply with the requirements of this item with the federal 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 9, 2014; 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
5,613,086
5920-5000 Turning 22 Program and Services
For services to clients of the department who turn 22 years of age during state fiscal year 2014; provided, that the department shall report to the house and senate committees on ways and means not later than January 9, 2014, 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
6,500,000
5930-1000 State Facilities for the Developmentally Disabled
For the operation of facilities for individuals with intellectual disabilities; provided, that in order to comply with the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 (1999), and to enhance care for clients served by the department, the department shall discharge clients residing in intermittent care facilities for individuals with intellectual disabilities, called ICF/MRs, to residential services in the community if the following criteria are met: (i) the client is deemed clinically suited for a more integrated setting; (ii) community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and (iii) 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 greater than the care that had been received at the closed ICF/MR; 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 to 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 at least 6 months prior to closing any ICF/MRs, the secretary of housing and economic development, or a designee, and the commissioner of capital asset management and maintenance, or a designee, shall meet jointly with affected municipal 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; provided further, that the department shall report on all efforts to comply with the Olmstead decision, the enhancement of care within available resources to clients served by the department and the steps taken to consolidate or close intermittent care facilities for persons with intellectual and developmental disabilities in this item called ICF/MRs; and provided further, that the department shall submit a progress report to the joint committee on children, families and persons with disabilities and the house and senate committees on ways and means on such initiatives by December 3, 2013, including both past actions and proposed future actions
122,672,119

account description amount
Retained Revenues
5982-1000 Templeton Farm Product Sales Retained Revenue
For the department of developmental services, which 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; provided, that 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 as reported in the state accounting system
150,000

account description amount
Intragovernmental Service Spending 6,500,000
5948-0012 Chargeback for Special Education Alternatives
For the operation of a program providing alternatives to residential placements for children with intellectual disabilities, including the costs of intensive home-based supports, provided in item 7061-0012 of section 2; provided, that the department of developmental services shall take all steps necessary to maximize federal reimbursement for the cost of services provided through the program, including filing any necessary amendments to existing waivers or filing an application for a new home and community-based services waiver with the federal Centers for Medicare and Medicaid Services
                Intragovernmental Service Fund ............... 100%
6,500,000

account description amount
Federal Grant Spending 23,206
5947-0012 Lifespan Respite Care Program
For the purposes of a federally funded grant entitled, Lifespan Respite Care Program
23,206

account description amount