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Budget Summary FY2016

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Department of Developmental Services
Data Current as of:  8/19/2015





FISCAL YEAR 2016 BUDGET SUMMARY ($000)
ACCOUNT FY2016
Conference
FY2016
Vetoes
FY2016
Overrides
FY2016
GAA
DDS Service Coordination and Administration 69,597 0 0 69,597
Transportation Services 21,996 0 0 21,996
Community Residential Services for Developmentally Disabled 1,084,667 0 0 1,084,667
State Operated Residential Services 214,737 0 0 214,737
Community Day and Work Programs 183,210 0 0 183,210
Community Based Employment 3,000 0 0 3,000
Respite Family Supports for the Developmentally Disabled 55,934 0 0 55,934
Autism Division 6,085 0 0 6,085
Autism Omnibus 12,667 0 0 12,667
Aging with Developmental Disabilities 250 0 0 250
Turning 22 Program and Services 7,000 0 0 7,000
State Facilities for the Developmentally Disabled 110,998 0 0 110,998
TOTAL    1,770,141 0 0 1,770,141

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account description amount
DEPARTMENT OF DEVELOPMENTAL SERVICES 1,776,723,792
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 the department shall not charge fees for eligibility determination for services provided by the department or for applications or requests for transfer of guardianship; provided further, that not less than the amount appropriated in item 5911-1003 of section 2 of chapter 139 of the acts of 2012 shall be expended for the Massachusetts Down Syndrome Congress, Inc.; and provided further, that not less than $150,000 shall be expended for the East School
69,596,985
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
21,996,018
5920-2000 Community Residential Services for 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 2015 under item 5920-5000 of section 2 of chapter 165 of the acts of 2014; provided further, that the commissioner of developmental services may transfer funds from this item to item 5920-2010, as necessary, under an allocation plan which shall detail, by object class, the distribution of the 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 2016
                General Fund ............... 98.43%
                Community First Trust Fund - Budgeted ............... 1.57%
1,084,666,855
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
214,737,045
5920-2025 Community Day and Work Programs
For community-based day and work programs and associated transportation costs for adults; provided, that the department shall provide transportation on the basis of priority of need as determined by the department; and provided further, that the department shall not reduce the availability or decrease funding for sheltered workshops serving persons with disabilities who voluntarily seek or wish to retain such employment services
183,209,830
5920-2026 Community Based Employment
For the operation of a pilot program to support individuals with disabilities transitioning from employment services offered at sheltered workshops to community-based employment or day support program services as part of the commonwealth's employment first initiative; provided, that the department may establish public-private partnerships with employers and non-profit organizations offering employment, job training, therapeutic day programs, recreational and other community-based day support services to individuals with disabilities; provided further, that such partnerships shall encourage the highest level of independence among individuals with disabilities as well as offering personalized day program planning and options to maximize community involvement and participation; and provided further, that the department shall issue a report, not later than December 31, 2015, to the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities regarding the effectiveness of the program and detailing the number and types of transitions funded by the pilot program since its inception and in combination with the fiscal year 2015 reserve, including recommendations to improve or expand the program as applicable
3,000,000
5920-3000 Respite Family Supports for the Developmentally Disabled
For respite services and intensive family supports
55,933,705
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 the department shall expend not less than $4,500,000 to provide services under the children's autism spectrum disorder waiver pursuant to section 1915(c) of the Social Security Act, 42 U.S.C. 1396n(c); provided further, that 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; provided further, that the department shall immediately file any waiver amendment 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 8, 2016; 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 amended waivers 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
6,085,431
5920-3020 Autism Omnibus
For the implementation of chapter 226 of the acts of 2014, including services and supports for individuals with a developmental disability attributable to autism spectrum disorder, Smith-Magenis syndrome, or Prader-Willi syndrome; provided, that the department shall submit a quarterly report to the house and senate committees on ways and means on the number of individuals served, type of services provided and the cost per individual; and provided further, that not less than $300,000 shall be expended for the commission on autism established under chapter 226 of the acts of 2014
                Community First Trust Fund - Budgeted ............... 100%
12,667,109
5920-3025 Aging with Developmental Disabilities
For funding to support an initiative to address the needs of individuals with developmental disabilities who are aging, including but not limited to, individuals with Down syndrome and Alzheimer's disease, through the identification of best practices for services for such individuals, including: (i) medical care coordination models that address conditions common to individuals with developmental disabilities who are aging; (ii) the provision of training for direct care and other staff in the identification of dementia or other age-related conditions; and (iii) the collection of data regarding the effectiveness of the items included in this item
250,000
5920-5000 Turning 22 Program and Services
For services to clients of the department who turn 22 years of age during fiscal year 2016; provided, that the department shall report to the house and senate committees on ways and means not later than January 11, 2016 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
7,000,000
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 ICFs/IID, 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 ICFs/IID; provided further, that any client transferred to another ICFs/IID 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 ICFs/IID; 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 ICFs/IID; and provided further, that the department shall report on all efforts to comply with the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 (1999), the enhancement of care within available resources to clients served by the department and the steps taken to consolidate or close ICFs/IID
110,998,314

account description amount
Retained Revenues

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 for the purposes of item 7061-0012
                Intragovernmental Service Fund ............... 100%
6,500,000

account description amount
Federal Grant Spending 82,500
5947-0012 Lifespan Respite Care Program
For the purposes of a federally funded grant entitled, Lifespan Respite Care Program
82,500

account description amount