DDAWNY FACT SHEET 1

OPWDD SERVICES

COMMUNITY RESIDENTIAL, DAY PROGRAMMING, CASE MANAGEMENT, CLINIC AND FAMILY SUPPORT SERVICES DELIVERED BY VOLUNTARY NOT-FOR-PROFIT AGENCIES PROVIDE THE STATE WITH SIGNIFICANT ANNUAL FISCAL SAVINGS. INSTITUTIONAL SERVICES (OPERATIONS OF DEVELOPMENTAL CENTERS AND SPECIAL HOUSING UNITS) SERVE ONE PERCENT OF INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES CONSTITUTES 11% OF ALL FUNDS SPENDING 20% OF THE OPWDD STATE WORKFORCE IS EMPLOYED IN SUPPORT OF INSTITUTIONAL SERVICES 100% OF THOSE RESIDING IN AN INSTITUTIONAL SETTING ARE IN DEVELOPMENTAL CENTERS OR SPECIAL UNITS OPERATED BY THE STATE o IN 2009 THE STATE SPENT $419,561,000 TO PROVIDE CARE FOR 1551 INDIVIDUALS AT STATE-RUN DEVELOPMENTAL CENTERS OR SPECIAL UNITS OPERATED BY THE STATE. o AS OF JUNE OF 2011, FEWER THAN 1300 INDIVIDUALS RESIDE IN THESE INSTITUTIONS

RESIDENTIAL SERVICES & SUPPORT (SUPERVISED AND SUPPORTIVE IRA, FAMILY CARE, ICF & COMMUNITY RESIDENCES) SERVE 29% OF INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES CONSTITUTES 60% OF ALL FUNDS SPENDING 63% OF THE OPWDD STATE WORKFORCE IS EMPLOYED IN SUPPORT OF COMMUNITY HOUSING 28% OF THOSE RECEIVING HOUSING SERVICES RESIDE IN STATE-RUN RESIDENCES o IN 2009 THE STATE SPENT $888,791,000 TO PROVIDE HOUSING FOR 9994 INDIVIDUALS IN COMMUNITY HOUSING AND $74,000 TO SUPPORT INDIVIDUALS AT THEIR OWN HOMES o AS OF JUNE OF 2011, MORE THAN 9700 INDIVIDUALS RESIDE IN STATE-OPERATED COMMUNITY HOMES AND FAMILY CARE HOMES 72% OF THOSE RECEIVING HOUSING SERVICES RESIDE IN RESIDENCES OPERATED BY VOLUNTARY AGENCIES o IN 2009 THE STATE PAID VOLUNTARY AGENCIES $1,251,805,000 TO PROVIDE HOUSING FOR 26223 INDIVIDUALS IN COMMUNITY HOMES AND $64,288,000 TO SUPPORT INDIVIDUALS IN THEIR OWN HOMES o AS OF JUNE OF 2011, APPROXIMATELY 27000 INDIVIDUALS RESIDE IN COMMUNITY HOMES WITH SUPPORTS AND SERVICES PROVIDED BY OVER 600 NOT-FOR-PROFIT PROVIDERS 25,641 INDIVIDUALS RESIDE IN SUPERVISED IRAs & CRs, WHICH PROVIDE 24/7 SERVICES & SUPPORTS IN 2008 OPWDD INDICATED 17782 INDIVIDUALS RECEIVED THESE SERVICES AND SUPPORTS IN NOT-FOR PROFIT RUN FACILITIES AT A PER MONTH COST OF $3,902 WHILE 7107 RECEIVED THESE SERVICES AND SUPPORTS IN STATE- RUN RESIDENCES AT A COST OF $9,170 PER MONTH 2/7/2012

DDAWNY FACT SHEET 2 OPWDD SERVICES

NON-RESIDENTIAL SERVICES & SUPPORT (SUPPORTIVE WORK, SHELTERED WORK, DAY HABITATION & TREATMENT) SERVE 59% OF INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES CONSTITUTE 19% OF ALL FUNDS SPENDING 7% OF THE OPWDD STATE WORKFORCE IS EMPLOYED IN SUPPORT OF NON-RESIDENTIAL SERVICES 6% OF THOSE OBTAINING NON-RESIDENTIAL SERVICES RECEIVE THESE SERVICES AT OPWDD RUN FACILITIES EMPLOYING MEMBERS OF THE STATE WORKFORCE o IN 2009 THE STATE SPENT $111,562,000 TO PROVIDE THESE SERVICES TO 4689 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. 94% OF THOSE RECEIVING NON-RESIDENTIAL SERVICES OBTAINED THESE SERVICES FROM VOLUNTARY NOT-FOR-PROFIT AGENCIES OPERATING ACROSS NEW YORK STATE o IN 2009, THE STATE PAID VOLUNTARY AGENCIES $566,627,000 TO PROVIDE NON RESIDENTIAL SERVICES FOR 68671 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES ACCORDING TO OPWDD, AS OF 2011: o 78.2% OF THOSE RECEIVING DAY SUPPORTS WERE ENROLLED IN DAY HABILITATION WHICH FOCUSES ON SKILL BUILDING AND MEETING A PERSONS VALUED OUTCOMES o 17.2% WERE ENROLLED IN PRE-VOCATIONAL PROGRAMS WHICH FOCUS ON EMPLOYMENT SKILL BUILDING o 15.4% WERE ENGAGED IN SUPPORTIVE WORK WHICH PROVIDE INDIVIDUALS WITH JOB COACHES WHO ASSIST THESE INDIVIDUALS IN OBTAINING AND MAINTAINING EMPLOYMENT o 14.6% PARTICIPATED IN WORK CENTER EMPLOYMENT, A NON-MEDICAID PROGRAM, WITH STATE AID PROVIDED TO COUNTIES TO OPERATE, WHICH ALLOW INDIVIDUALS TO WORK IN A SETTING PREDOMINANTLY WITH OTHER INDIVIDUALS WHO HAVE DEVELOPMENTAL DISABILITIES

SERVICE COORDINATION (CASE MANAGEMENT) SERVE 60% OF INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES CONSTITUTES 3% OF ALL FUNDS SPENDING 3% OF THE OPWDD STATE WORKFORCE IS EMPLOYED IN SUPPORT OF SERVICE COORDINATION 15% OF THOSE OBTAINING THIS COORDINATION OF SERVICES ARE SERVED BY OPWDD EMPLOYEES o IN 2009 THE STATE SPENT $48,963,000 TO PROVIDE THESE SERVICES TO 10951 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. 85% OF THOSE RECEIVING COORDINATION SERVICES OBTAINED THESE SERVICES FROM VOLUNTARY NOT FOR PROFIT AGENCIES OPERATING ACROSS NEW YORK STATE o IN 2009 THE STATE PAID VOLUNTARY AGENCIES $47,976,000 TO PROVIDE SERVICE COORDINATION FOR 64118 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES IN JUNE OF 2011, THE STATE AND VOLUNTARY PROVIDERS COMBINED PROVIDED MEDICAID SERVICE COORDINATION (MSC) TO 81000 INDIVIDUALS 2/7/2012

DDAWNY FACT SHEET 3 OPWDD SERVICES

AN ADDITIONAL 1300 INDIVIDUALS WHO DO NOT TYPICALLY NEED ONGOING AND COMPREHENSIVE SERVICE COORDINATION RECEIVED PLAN OF CARE SUPPORT SERVICES (PCSS) MEDICALLY FRAIL CHILDREN WITH DISABILITIES WHO LIVE AT HOME RECEIVE CARE AT HOME (CAH) CASE MANAGEMENT AT A 2009 COST OF $2,139,000

ARTICLE 16 CLINICS SERVE 34% OF INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES CONSTITUTE 2% OF ALL FUNDS SPENDING 2% OF THE OPWDD STATE WORKFORCE IS EMPLOYED IN SUPPORT OF ARTICLE 16 CLINIC SERVICES 30% OF THOSE OBTAINING CLINIC SERVICES RECEIVE THESE SERVICES AT OPWDD-RUN FACILITIES EMPLOYING MEMBERS OF THE STATE WORKFORCE o IN 2009 THE STATE SPENT $30,283,000 TO DIRECTLY PROVIDE THESE CLINIC SERVICES TO 12,688 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. 70% OF THOSE RECEIVING ARTICLE 16 CLINIC SERVICES OBTAINED THESE SERVICES FROM VOLUNTARY NOT-FOR-PROFIT AGENCIES OPERATING ACROSS NEW YORK STATE o IN 2009, THE STATE PAID VOLUNTARY AGENCIES $31,259,000 TO PROVIDE CLINIC SERVICES FOR 29,754 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES

FAMILY SUPPORT SERVICES (RESPITE, RECREATION, COUNSELING, INFORMATION & REFERRAL) SERVE 33% OF INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES CONSTITUTE 2% OF ALL FUNDS SPENDING THE FAMILY SUPPORT SERVICES PROGRAM IS FUNDED WITH NON-MEDICAID DOLLARS ONE HALF OF ONE PERCENT OF THE OPWDD STATE WORKFORCE IS EMPLOYED IN SUPPORT OF FAMILY SUPPORT SERVICES THE STATE DOES NOT DIRECTLY PROVIDE THESE SERVICES, HOWEVER IN 2009, 121 STATE EMPLOYEES OVERSAW THE FAMILY SUPPORT PROGRAMS FUNDED BY OPWDD o IN 2009 THE STATE SPENT $7,531,000 TO ADMINISTER THESE SERVICES VOLUNTARY NOT-FOR-PROFIT AGENCIES OPERATING ACROSS NEW YORK STATE PROVIDE 100% OF ALL FAMILY SUPPORT SERVICES o IN 2009, THE STATE PAID VOLUNTARY AGENCIES $52,371,000 TO PROVIDE ESSENTIAL FAMILY SUPPORT SERVICES FOR 41445 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES IN JUNE OF 2011, THE PROGRAM PROVIDED MORE THAN 72,000 SERVICES TO MORE THAN 40000 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES WAIVER RESPITE, A MEDICAID-FUNDED PROGRAM, SERVES 8% OF INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES AND CONSTITUTES ONE-THIRD OF ONE PERCENT OF ALL FUNDS SPENDING 100% OF WAIVER RESPITE IS PROVIDED BY VOLUNTARY NOT-FOR-PROFIT AGENCIES OPERATING ACROSS NEW YORK STATE o IN 2009, THE STATE PAID VOLUNTARY AGENCIES $15,205,000 TO PROVIDE WAIVER RESPITE SUPPORT FOR 9,657 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 2/7/2012

DDAWNY FACT SHEET 4 OPWDD SERVICES

*A note about methodology

Services delivered by voluntary agencies and the state is based on June 30 2008 data as contained in the core mission data OPWDD provided DOB and which DOB published in October of 2008. http://www.budget.ny.gov/pubs/archive/fy0809archive/enacted0809/coreMissionBudgeting/OMRDD_CoreMission.pdf Spending is the projected 2009-10 spending as contained in this core mission data which OPWDD provided DOB and which DOB published in October of 2008. 2011 Data is derived from the OPWDD People First Briefing Book found at http://www.opwdd.ny.gov/2011_waiver/waiver_steering_committee.jsp. Discussion does not include DOH Medicaid spending for individuals receiving services and supports from OPWDD

2/7/2012