Budget Summary FY2019

This is not the official budget document.

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    Home > Health and Human Services > Developmental Services - Budget Summary

    Department of Developmental Services
    Data Current as of:  8/10/2018


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    FISCAL YEAR 2019 BUDGET SUMMARY ($000)
    ACCOUNT FY2019
    Conference
    FY2019
    Vetoes
    FY2019
    Overrides
    FY2019
    GAA
    5911-1003  DDS Service Coordination and Administration 69,039 -50 50 69,039
    5911-2000  Transportation Services 24,325 0 0 24,325
    5920-2000  Community Residential Services 1,192,178 0 0 1,192,178
    5920-2010  State Operated Residential Services 211,639 0 0 211,639
    5920-2025  Community Day and Work Programs 210,705 -25 25 210,705
    5920-3000  Respite Family Supports 65,015 0 0 65,015
    5920-3010  Autism Division 6,974 0 0 6,974
    5920-3020  Autism Omnibus 18,084 0 0 18,084
    5920-3025  Aging with Developmental Disabilities 130 0 0 130
    5920-5000  Turning 22 Program and Services 25,155 0 0 25,155
    5930-1000  State Facilities for People with Intellectual Disabilities 102,784 0 0 102,784
    TOTAL    1,926,027 -75 75 1,926,027

    Hide line item language

    account description amount
    DEPARTMENT OF DEVELOPMENTAL SERVICES 1,932,726,587
    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 22, 2019 detailing: (a) significant expense increases incurred by the department; (b) measures implemented by the department to reduce costs; and (c) improved 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 not less than $175,000 shall be expended for the Massachusetts Down Syndrome Congress, Inc; 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; and provided further, that not less than $100,000 shall be allocated as mitigation amongst the cities and towns hosting a developmental center, referred to as a "state school" under chapter 19B of the General Laws
    69,038,505
    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
    24,324,627
    5920-2000 Community Residential Services
    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 2018 under item 5920-5000 of section 2 of chapter 47 of the acts of 2017; provided further that the department shall report to the house and senate committees and ways and means not later than October 24, 2018 detailing the use of shared living services in the commonwealth, which shall include, but not be limited to the: (a) number of clients living in shared living placements, broken down by age and location; (b) average cost of shared living services; (c) number of clients living in a shared living placement with individuals they knew prior to the arrangement; (d) department's oversight of the application and placement process; (e) safeguards in place for clients receiving these services; and (f) potential for growth of the program; 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 shall be filed 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 2019
    1,192,178,088
    5920-2010 State Operated Residential Services
    For state-operated, community-based residential services for adults, including community-based health services
    211,638,776
    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 non-profits shall encourage the highest level of independence among individuals with disabilities and provide options to maximize community involvement and participation; provided further, that not later than December 14, 2018, the department shall issue a report to the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities detailing: (a) eligible individuals who transitioned to community-based employment in fiscal year 2018 and those projected for fiscal year 2019; and (b) the number and types of transitions funded by the pilot program since its inception, delineated by fiscal year; provided further, that not less than $75,000 shall be expended to the town of Natick to support Camp Arrowhead to provide recreational programs for individuals with disabilities; and provided further, that not less than $25,000 shall be expended on the Opportunity Works for the Project SEARCH program
    210,704,791
    5920-3000 Respite Family Supports
    For respite services and intensive family supports
    65,014,863
    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 $5,000,000 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 not later than January 9, 2019; 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
    6,974,349
    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 quarterly reports to the house and senate committees on ways and means detailing: (a) the number of individuals eligible for services; (b) the number of eligible individuals served; (c) the type of services provided and cost per service; and (d) the cost per individual; and provided further, that not less than $300,000 shall be expended for the commission on autism established undersaid chapter 226
    18,083,764
    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 affected individuals, including: (a) medical care coordination models that address conditions common to individuals with developmental disabilities who are aging; (b) training for direct care and other staff in the identification of dementia or other age-related conditions; and (c) the collection of data regarding the effectiveness of the initiatives included in this item; provided, that not later than March 1, 2019, 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: (i) the number of participants served by each initiative; (ii) the participant outcomes, including impacts on the physical and cognitive health of participants; (iii) the cost of each initiative and the cost per participant; (iv) the implementation plans for these initiatives in fiscal years 2020 and 2021; and (v) recommendations for enhancing the care of individuals with developmental disabilities who are aging; and provided further, that not less than $30,000 shall be expended for the dementia-friendly community program in the town of Ashland
    130,000
    5920-5000 Turning 22 Program and Services
    For services to clients of the department who turn 22 years of age during fiscal year 2019; provided, that the department shall report to the house and senate committees on ways and means not later than January 11, 2019 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; and provided further, that not less than $110,000 shall be expended for WORK, Inc. to develop a program for individuals with disabilities to improve workforce development and employment opportunities
    25,154,805
    5930-1000 State Facilities for People with Intellectual Disabilities
    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, or an ICF/IID, to residential services in the community if (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 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 which shall be 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 not later than December 14, 2018 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
    102,784,019

    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 200,000
    5947-0015 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
    100,000

    account description amount


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