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09-340 Office of Mental Retardation

The Office of Mental Retardation is responsible for developing an effective, integrated, comprehensive system for the delivery of services to the mentally retarded and developmentally disabled. The Office also is charged with establishing fiscal procedures and mechanisms to support such a system to ensure that mentally retarded individuals in need of service receive appropriate care and treatment close to their families and community. With this mandate, the Office operates a system of developmental centers and community-based programs. The costs described in this section do not include additional State investments for mentally retarded children through the Medicaid supported Home and Community-Based Waiver; by the Department of Education in the District No. 1 school component of the public developmental center programs or programs for mentally retarded children supported through the Department of Social Services, Office of Public Health and the Office of Mental Health.

The Community-Based programs provide a broad array of community-based services to mentally retarded and developmentally disabled adults and children. The Office of Mental Retardation has developed a plan to reduce the census in public and private residential facilities as a means to develop additional community support services. This reduction will be accomplished through normal attrition, transfers to the community and through the Home and Community-Based Waiver. The services provided include adult day habilitation, regional office staff, administrative case management, early intervention, substitute family care, supervised apartment (an adult option) and respite care.

Regional Office's staff provide a comprehensive system of support services to individuals with mental retardation and developmental disabilities and their families, to permit these individuals to continue to remain in non-institutionalized settings, and to assist in the return of previously institutionalized individuals to community-based settings.

Regional Office staff and contract providers support particular individuals with ongoing family support services. A primary component of their activities is case management. These activities are billed to Medicaid Targeted Case Management by contract providers, to the extent the clients are Medicaid eligible.

The Early Intervention section in accordance with P.L. 99-457, (Part H of IDEA) provides day habilitation services, augmented with therapeutic nursing, parent training and related speech and language services to mentally retarded and developmentally disabled infants from birth to three years of age.

The Substitute Family Care section will continue to provide support to foster families to enable them to care for mentally retarded and developmentally disabled individuals in their homes, as an alternative to institutional placement, for persons unable to remain with their natural family.

Respite Care is an essential service for an effective family support program. The demand for this service far surpasses available resources.

The Developmental Centers provide residential care and treatment for multi-handicapped and/or medically fragile severely or profoundly mentally retarded, and developmentally disabled individuals for whom community living arrangements are inappropriate. These facilities generate Medicaid reimbursement under the Medicaid program as Intermediate Care Facilities for the Mentally Retarded (ICF/MR). They also receive funds from the Department of Education from the School Lunch Program. The Department of Education also provides educational services for children in these facilities as part of the School District No.1 special education program. Several of the developmental centers also offer community group home services and adult and infant habilitation day services.

It is estimated that approximately 21% of the community-based services provided by the Office of Mental Retardation directly benefit children, and that about 20% of the residents of the Developmental Centers are children. Consequently, it is assumed that 21% of community-based mental retardation services expenditures and 20% of Developmental Center expenditures are for children. Shown below is a compilation of the estimated amounts for children's mental retardation services that are included in the Governor's Executive Budget Recommendation.

RESOURCE ALLOCATION FOR CHILDREN

 

 

1998-1999

 

 

(MILLIONS $)

MEANS OF FINANCING:

 

 

 

 

 

STATE GENERAL FUND

 

$6.7

   Interagency Transfers

 

31.6

   Fees and Self-Generated Revenues

 

    1.5

 

 

 

TOTAL

 

$39.8

 

 

 

EXPENDITURES:

 

 

 

 

 

Community-Based Programs

 

$  6.3

Developmental Centers

 

  33.5

 

 

 

TOTAL

 

$39.8


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