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Budget Summary FY2018

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Department of Developmental Services
Data Current as of:  12/6/2017





FISCAL YEAR 2018 BUDGET SUMMARY ($000)
ACCOUNT FY2018
Conference
FY2018
Vetoes
FY2018
Overrides
FY2018
GAA
DDS Service Coordination and Administration 67,753 -50 50 67,753
Transportation Services 22,202 -363 363 22,202
Community Residential Services for Developmentally Disabled 1,164,905 -6,845 6,845 1,164,905
State Operated Residential Services 208,097 -180 180 208,097
Community Day and Work Programs 202,120 -25 25 202,120
Respite Family Supports for the Developmentally Disabled 63,533 0 0 63,533
Autism Division 6,474 0 0 6,474
Autism Omnibus 13,338 0 0 13,338
Aging with Developmental Disabilities 100 -100 100 100
Turning 22 Program and Services 23,102 0 0 23,102
State Facilities for the Developmentally Disabled 103,956 0 0 103,956
TOTAL    1,875,581 -7,563 7,563 1,875,581

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account description amount
DEPARTMENT OF DEVELOPMENTAL SERVICES 1,882,431,265
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 issue a report to the house and senate committees on ways and means not later than February 23, 2018 detailing significant expense increases incurred by the department and measures implemented by the department to reduce costs and improve outcomes in programs and services funded by the department; 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 $175,000 shall be expended for the Massachusetts Down Syndrome Congress, Inc; and provided further, that not less than $50,000 shall be expended for the Center for Autism and Neurodevelopmental Disorders at the University of Massachusetts memorial medical center and the University of Massachusetts medical school based on the patient-centered medical home concept
67,753,226
5911-2000 Transportation Services
For transportation costs associated with community-based day and work programs; provided, that the department shall provide transportation prioritized by need
22,201,781
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 2017 under item 5920-5000 of section 2 of chapter 133 of the acts of 2016; provided further, that the commissioner of the department 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 not less than 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 2018
1,164,904,714
5920-2010 State Operated Residential Services
For state-operated, community-based residential services for adults, including community-based health services; provided, that not less than $180,000 shall be expended to the town of Cohasset for the completion of an accessible 4-bedroom home for clients of the department of developmental services at the Trettis House, 689-1 site at 72 Elm street in the town of Cohasset
208,097,398
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 prioritized by need; provided further, that the department shall support individuals with disabilities who transitioned from employment services offered at sheltered workshops to community-based employment as part of the commonwealth's employment first initiative; provided further, that any public-private partnerships with employers and nonprofits shall encourage the highest level of independence among individuals with disabilities and options to maximize community involvement and participation; provided further, that the department shall issue a report, not later than December 15, 2017, to the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities regarding: (i) eligible individuals who transitioned to community-based employment in fiscal year 2017 and those projected for fiscal year 2018; and (ii) the number and types of transitions funded by the pilot program since its inception, delineated by year; and provided further, that not less than $25,000 shall be expended for the Project SEARCH program
202,120,152
5920-3000 Respite Family Supports for the Developmentally Disabled
For respite services and intensive family supports
63,532,818
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 under 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 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 no later than January 9, 2018; 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
6,474,349
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: (i) the number of individuals eligible for services; (ii) the number of eligible individuals served; (iii) the type of services provided and cost per service; and (iv) the cost per individual; and provided further, that not less than $300,000 shall be expended for the commission on autism established pursuant to chapter 226 of the acts of 2014
                Community First Trust Fund - Budgeted ............... 100%
13,338,362
5920-3025 Aging with Developmental Disabilities
For funding to support initiatives 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) 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 initiatives included in this item; provided, that not later than March 15, 2018 the department shall report to the executive office for administration and finance and the house and senate committees on ways and means on the status of these initiatives including, but not limited to: (a) the number of participants served by each initiative; (b) the participant outcomes, including impacts on the physical and cognitive health of participants; (c) the cost of each initiative and cost per participant; (d) the implementation plans for these initiatives in fiscal year 2019 and fiscal year 2020; and (e) recommendations for enhancing the care of individuals with developmental disabilities who are aging
100,000
5920-5000 Turning 22 Program and Services
For services to clients of the department who turn 22 years of age during fiscal year 2018; provided, that the department shall report to the house and senate committees on ways and means no later than January 11, 2018 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
23,102,218
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 (ICF/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 an ICF/IID; provided further, that any client transferred to another ICF/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 ICF/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 not less than 30 days before any transfer for residential and day services for clients formerly receiving inpatient care at an ICF/IID; and provided further, that the department shall report to the house and senate committees on ways and means on or before December 18, 2017 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 an ICF/IID
103,956,247

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 Services Fund ............... 100%
6,500,000

account description amount
Federal Grant Spending 350,000
5947-0012 Lifespan Respite Care Program
For the purposes of a federally funded grant entitled, Lifespan Respite Care Program
100,000
5947-0021 Partnership for Transition to Employment
For the purposes of a federally funded grant entitled, Partnership for Transition to Employment
250,000

account description amount