OPWDD DevelopmentThe budget contains about $30 million in development for new services. Along with federalfunds this amounts to about $60 million. The exact breakout of this funding has not yet beendetermined but it is expected to include supported work, residential supports and various dayoptions.However, the budget also projects a reduction of $32.1 million in development for FY 13-14expanding to $64.2 million in FY 14-15.
Enhanced Family Care RatesAbout $5 million is recommended to enhance rates for Family Care to make it a more viableoption.F.
Various OPWDD reforms – According to the Executive Budget these include the following
Increased hiring qualifications and training standards in State-run programs for directsupport professionals, including pre-employment psychological and fitness training,mandatory drug testing, rigorous background checks, and a minimum of a high schooldiploma.
Refocused efforts on cases of abuse, with creation of a centralized Incident ManagementUnit with real time oversight of incidents, and an overhauled investigations process thathas direct relationships with local law enforcement/State Police.
Holding non-profit providers more accountable for their performance via a restructuredEarly Alert program to quickly remedy deficiencies in non-profit provider services, withimposition of fines and revocation of operating certificates when appropriate.
An improved statewide standardized objective process to ensure potential new non-profitproviders have the requisite fiscal and programmatic expertise, and an initiative thatsupports and recognizes providers that have achieved excellence in service delivery.
Enhanced fire safety efforts, implementing recommendations of outside experts tocomply with enhanced standards, including unannounced fire drills, better training andsafety plans, direct relations with local fire personnel, and capital improvements.G.
Payback of federal funding for institutional rate controversy$1.1 billion in federal funds at risk. The issue of the $5,000 per day New York Statedevelopmental center rate, originally reported on over 2 years ago in the
, erupted in a major controversy which included hearings by the House OversightCommittee last summer. In response to the controversy generally and the hearingsspecifically, CMS has demanded that New York State return substantial federal Medicaidfunding totaling approximately $1.1 billion.