Maryland Department of Disabilities KEY GOALS ......Maryland Department of Disabilities MISSION The...

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155 Maryland Department of Disabilities MISSION The Maryland Department of Disabilities advances the rights and interests of people with disabilities so they may fully participate in their communities. VISION All Marylanders are valued and respected and have the knowledge, opportunity, and power to make a difference in their lives and the lives of others. KEY GOALS, OBJECTIVES, AND PERFORMANCE MEASURES Note: Measures for the Maryland Department of Disabilities (MDOD) come from the Maryland State Department of Education (MSDE), the Department of Labor, Licensing and Regulation (DLLR), the Maryland Department of Health - Developmental Disabilities Administration (MDH - DDA), the Behavioral Health Administration (MDH - BHA), the Medical Care Programs Administration (MDH - Medicaid), the Department of Housing and Community Development (DHCD), the Maryland Transit Administration (MTA), Maryland Department of Transportation (MDOT), and the Washington Metropolitan Area Transit Authority (WMATA). Goal 1. Persons with disabilities have access to integrated training and competitive employment options in the community. Obj. 1.1 Increase the number of people with disabilities receiving training that leads to competitive employment. Performance Measures 2013 Act. 2014 Act. 2015 Act. 2016 Act. 2017 Act. Consumers with an Individual Plan for Employment (MSDE) 15,188 15,683 16,006 16,233 14,746 Consumers receiving training (MSDE) 7,257 7,441 7,390 7,068 7,071 Consumers obtaining competitive employment (MSDE) 2,360 2,420 2,441 2,520 1,853 Job-seekers with disabilities registered in Maryland Workforce Exchange (DLLR) 9,877 10,553 9,453 7,564 7,825 Job-seekers with disabilities receiving training through America’s Job Centers programs (DLLR) 807 891 807 614 421 Job-seekers with disabilities obtaining competitive employment (DLLR) 6,414 7,012 7,041 6,744 6,608 People with developmental disabilities receiving state-funded services in State Residential Facilities or in community alternatives (MDH – DDA) 24,445 25,183 25,315 23,501 24,509 Number of adults receiving employment services and supports (MDH – DDA) 4,765 4,800 4,800 3,893 11,398 Number of adults being supported in integrated competitive employment (MDH – DDA) N/A N/A 3,970 3,693 2,360 D12 http://mdod.maryland.gov/

Transcript of Maryland Department of Disabilities KEY GOALS ......Maryland Department of Disabilities MISSION The...

  • 155

    Mar

    ylan

    d D

    epar

    tmen

    t of

    Dis

    abili

    ties

    MIS

    SIO

    NTh

    e M

    aryl

    and

    Dep

    artm

    ent o

    f Disa

    bilit

    ies a

    dvan

    ces t

    he ri

    ghts

    and

    inte

    rest

    s of p

    eopl

    e w

    ith d

    isabi

    litie

    s so

    they

    may

    fully

    par

    ticip

    ate

    in th

    eir c

    omm

    uniti

    es.

    VIS

    ION

    All

    Mar

    ylan

    ders

    are

    val

    ued

    and

    resp

    ecte

    d an

    d ha

    ve th

    e kn

    owle

    dge,

    oppo

    rtuni

    ty, a

    nd p

    ower

    to m

    ake

    a di

    ffer

    ence

    in th

    eir l

    ives

    and

    the

    lives

    of o

    ther

    s.

    KEY

    GO

    ALS

    , OBJ

    ECTI

    VES

    , AN

    D P

    ERFO

    RMA

    NCE

    MEA

    SURE

    S

    Not

    e: M

    easu

    res f

    or th

    e M

    aryl

    and

    Dep

    artm

    ent o

    f Disa

    bilit

    ies (

    MD

    OD

    ) com

    e fr

    om th

    e M

    aryl

    and

    Stat

    e D

    epar

    tmen

    t of E

    duca

    tion

    (MSD

    E),

    the

    Dep

    artm

    ent o

    f Lab

    or, L

    icen

    sing

    and

    Regu

    latio

    n(D

    LLR)

    , the

    Mar

    ylan

    d D

    epar

    tmen

    t of H

    ealth

    - D

    evel

    opm

    enta

    l Disa

    bilit

    ies A

    dmin

    istra

    tion

    (MD

    H -

    DD

    A),

    the

    Beha

    vior

    al H

    ealth

    Adm

    inist

    ratio

    n (M

    DH

    - BH

    A),

    the

    Med

    ical

    Car

    e Pr

    ogra

    ms

    Adm

    inist

    ratio

    n (M

    DH

    - M

    edic

    aid)

    , the

    Dep

    artm

    ent o

    f Hou

    sing

    and

    Com

    mun

    ity D

    evel

    opm

    ent (

    DH

    CD

    ), th

    e M

    aryl

    and

    Tran

    sit A

    dmin

    istra

    tion

    (MTA

    ), M

    aryl

    and

    Dep

    artm

    ent o

    f Tra

    nspo

    rtatio

    n(M

    DO

    T), a

    nd th

    e W

    ashi

    ngto

    n M

    etro

    polit

    an A

    rea

    Tran

    sit A

    utho

    rity

    (WM

    ATA

    ).

    Goa

    l 1.

    Pers

    ons

    with

    dis

    abili

    ties

    have

    acc

    ess

    to in

    tegr

    ated

    trai

    ning

    and

    com

    petit

    ive

    empl

    oym

    ent o

    ptio

    ns in

    the

    com

    mun

    ity.

    Obj

    . 1.1

    In

    crea

    se th

    e nu

    mbe

    r of p

    eopl

    e w

    ith d

    isabi

    litie

    s rec

    eivi

    ng tr

    aini

    ng th

    at le

    ads t

    o co

    mpe

    titiv

    e em

    ploy

    men

    t.

    Perf

    orm

    ance

    Mea

    sure

    s 20

    13 A

    ct.

    2014

    Act

    . 20

    15 A

    ct.

    2016

    Act

    . 20

    17 A

    ct.

    Con

    sum

    ers w

    ith a

    n In

    divi

    dual

    Pla

    n fo

    r Em

    ploy

    men

    t (M

    SDE

    ) 15

    ,188

    15

    ,683

    16

    ,006

    16

    ,233

    14

    ,746

    C

    onsu

    mer

    s rec

    eivi

    ng tr

    aini

    ng (M

    SDE

    )7,

    257

    7,44

    1 7,

    390

    7,06

    8 7,

    071

    Con

    sum

    ers o

    btai

    ning

    com

    petit

    ive

    empl

    oym

    ent (

    MSD

    E)

    2,

    360

    2,42

    0 2,

    441

    2,52

    0 1,

    853

    Job-

    seek

    ers w

    ith d

    isabi

    litie

    s reg

    ister

    ed in

    Mar

    ylan

    d W

    orkf

    orce

    Exc

    hang

    e (D

    LLR)

    9,87

    7 10

    ,553

    9,

    453

    7,56

    4 7,

    825

    Job-

    seek

    ers w

    ith d

    isabi

    litie

    s rec

    eivi

    ng tr

    aini

    ng th

    roug

    h A

    mer

    ica’s

    Jo

    b C

    ente

    rs p

    rogr

    ams (

    DLL

    R)

    807

    891

    807

    614

    421

    Job-

    seek

    ers w

    ith d

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    s obt

    aini

    ng c

    ompe

    titiv

    e em

    ploy

    men

    t(D

    LLR)

    6,41

    4 7,

    012

    7,04

    1 6,

    744

    6,60

    8 P

    eopl

    e w

    ith d

    evel

    opm

    enta

    l disa

    bilit

    ies r

    ecei

    ving

    stat

    e-fu

    nded

    serv

    ices

    in S

    tate

    Res

    iden

    tial F

    acili

    ties o

    r in

    com

    mun

    ity a

    ltern

    ativ

    es

    (MD

    H –

    DD

    A)

    24,4

    45

    25,1

    83

    25,3

    15

    23,5

    01

    24,5

    09

    Num

    ber o

    f adu

    lts re

    ceiv

    ing

    empl

    oym

    ent s

    ervi

    ces a

    nd su

    ppor

    ts

    (MD

    H –

    DD

    A)

    4,76

    5 4,

    800

    4,80

    0 3,

    893

    11,3

    98

    Num

    ber o

    f adu

    lts b

    eing

    supp

    orte

    d in

    inte

    grat

    ed c

    ompe

    titiv

    eem

    ploy

    men

    t (M

    DH

    – D

    DA

    )N

    /A

    N/A

    3,

    970

    3,69

    3 2,

    360

    D12

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  • Mar

    ylan

    d D

    epar

    tmen

    t of

    Dis

    abili

    ties

    Obj

    . 1.1

    In

    crea

    se th

    e nu

    mbe

    r of p

    eopl

    e w

    ith d

    isabi

    litie

    s rec

    eivi

    ng tr

    aini

    ng th

    at le

    ads t

    o co

    mpe

    titiv

    e em

    ploy

    men

    t.

    156

    1 1 1

    Perf

    orm

    ance

    Mea

    sure

    s20

    13 A

    ct.

    2014

    Act

    . 20

    15 A

    ct.

    2016

    Act

    . 20

    17 A

    ct.

    Adu

    lts (1

    8 or

    ove

    r) re

    ceiv

    ing

    com

    mun

    ity-b

    ased

    Out

    patie

    nt O

    MS

    men

    tal h

    ealth

    trea

    tmen

    t who

    ans

    wer

    the

    empl

    oym

    ent q

    uest

    ion

    (MD

    H –

    BH

    A)

    50,6

    75

    54,6

    18

    59,5

    32

    62,1

    84

    65,9

    68

    Adu

    lts (1

    8 or

    ove

    r) re

    ceiv

    ing

    com

    mun

    ity-b

    ased

    men

    tal h

    ealth

    treat

    men

    t rec

    eivi

    ng su

    ppor

    tive

    empl

    oym

    ent s

    ervi

    ces (

    MD

    H –

    BHA

    )3,

    138

    3,37

    0 3,

    446

    3,62

    8 3,

    474

    Adu

    lts (1

    8 or

    ove

    r) re

    ceiv

    ing

    com

    mun

    ity-b

    ased

    Out

    patie

    nt O

    MS

    men

    tal h

    ealth

    trea

    tmen

    t who

    repo

    rt be

    ing

    empl

    oyed

    (MD

    H –

    BHA

    )16

    ,968

    19

    ,388

    21

    ,723

    23

    ,053

    25

    ,695

    Goa

    l 2.

    Pers

    ons

    with

    dis

    abili

    ties

    have

    acc

    ess

    to c

    omm

    unity

    bas

    ed, s

    elf-

    dire

    cted

    long

    -ter

    m s

    ervi

    ces

    that

    ena

    ble

    them

    to li

    ve in

    the

    com

    mun

    ity.

    Obj

    . 2.1

    Inc

    reas

    e th

    e pr

    opor

    tion

    of in

    divi

    dual

    s with

    disa

    bilit

    ies r

    ecei

    ving

    Sta

    te se

    rvic

    es in

    com

    mun

    ity a

    ltern

    ativ

    es in

    stea

    d of

    nur

    sing

    faci

    litie

    s and

    oth

    er S

    tate

    faci

    litie

    s.

    Perf

    orm

    ance

    Mea

    sure

    s20

    13 A

    ct.

    2014

    Act

    . 20

    15 A

    ct.

    2016

    Act

    . 20

    17 A

    ct.

    Tot

    al u

    ndup

    licat

    ed n

    umbe

    r of p

    erso

    ns w

    ith d

    isabi

    litie

    s rec

    eivi

    ngst

    ate-

    fund

    ed se

    rvic

    es in

    nur

    sing

    faci

    litie

    s, as

    siste

    d liv

    ing

    faci

    litie

    s, or

    com

    mun

    ity a

    ltern

    ativ

    es (M

    DH

    – M

    edic

    aid)

    28

    ,025

    28

    ,627

    29

    ,039

    32

    ,914

    29

    ,704

    N

    umbe

    r of p

    erso

    ns w

    ith d

    isabi

    litie

    s rec

    eivi

    ng st

    ate-

    fund

    ed lo

    ng-

    term

    serv

    ices

    and

    supp

    orts

    in c

    omm

    unity

    alte

    rnat

    ives

    exc

    ludi

    ngas

    siste

    d liv

    ing

    faci

    litie

    s (M

    DH

    – M

    edic

    aid)

    12

    ,536

    13

    ,157

    13

    ,271

    17

    ,326

    12

    ,857

    P

    erce

    ntag

    e of

    indi

    vidu

    als w

    ith d

    isabi

    litie

    s rec

    eivi

    ng st

    ate-

    fund

    edse

    rvic

    es in

    com

    mun

    ity a

    ltern

    ativ

    es v

    ersu

    s nur

    sing

    and

    assis

    ted

    livin

    g fa

    cilit

    ies (

    MD

    H –

    Med

    icai

    d)45

    .0%

    46

    .0%

    46

    .0%

    52

    .5%

    43

    .0%

    T

    otal

    num

    ber o

    f per

    sons

    with

    dev

    elop

    men

    tal d

    isabi

    litie

    s rec

    eivi

    ngst

    ate-

    fund

    ed se

    rvic

    es in

    Sta

    te R

    esid

    entia

    l Cen

    ters

    (SRC

    s)

    129

    116

    108

    98

    117

    Num

    ber o

    f per

    sons

    with

    dev

    elop

    men

    tal d

    isabi

    litie

    s rec

    eivi

    ng st

    ate-

    fund

    ed se

    rvic

    es in

    com

    mun

    ity a

    ltern

    ativ

    es (M

    DH

    – D

    DA

    )24

    ,445

    25

    ,183

    25

    ,315

    23

    ,501

    24

    ,059

    P

    erce

    nt o

    f adu

    lts w

    ith d

    evel

    opm

    enta

    l disa

    bilit

    ies r

    ecei

    ving

    stat

    e-fu

    nded

    serv

    ices

    in c

    omm

    unity

    alte

    rnat

    ives

    ver

    sus S

    tate

    Res

    iden

    tial

    Cen

    ters

    (MD

    H –

    DD

    A)

    99.5

    %

    99.5

    %

    99.6

    %

    99.6

    %

    99.5

    %

    D12

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    http:http://mdod.maryland.gov

  • 157

    Mar

    ylan

    d D

    epar

    tmen

    t of

    Dis

    abili

    ties

    Obj

    . 2.1

    Inc

    reas

    e th

    e pr

    opor

    tion

    of in

    divi

    dual

    s with

    disa

    bilit

    ies r

    ecei

    ving

    stat

    e se

    rvic

    es in

    com

    mun

    ity a

    ltern

    ativ

    es in

    stea

    d of

    nur

    sing

    faci

    litie

    s and

    oth

    er st

    ate

    faci

    litie

    s.

    Perf

    orm

    ance

    Mea

    sure

    s20

    13 A

    ct.

    2014

    Act

    . 20

    15 A

    ct.

    2016

    Act

    . 20

    17 A

    ct.

    1 U

    ndup

    licat

    ed n

    umbe

    r of i

    ndiv

    idua

    ls se

    rved

    by

    the

    publ

    ic m

    enta

    lhe

    alth

    syst

    em (M

    DH

    – B

    HA

    )94

    ,217

    10

    3,95

    8 11

    9,80

    7 12

    5,75

    4 13

    1,90

    5 U

    ndup

    licat

    ed n

    on-fo

    rens

    ic in

    divi

    dual

    s ser

    ved

    in S

    tate

    inpa

    tient

    ps

    ychi

    atric

    faci

    litie

    s (M

    DH

    – B

    HA

    )38

    1 34

    3 29

    8 25

    6 22

    4 1

    Und

    uplic

    ated

    fore

    nsic

    indi

    vidu

    als s

    erve

    d in

    Sta

    te in

    patie

    ntps

    ychi

    atric

    faci

    litie

    s (M

    DH

    – B

    HA

    )1,

    240

    1,36

    8 1,

    330

    1,37

    1 1,

    368

    Ave

    rage

    leng

    th o

    f sta

    y fo

    r for

    ensic

    pat

    ient

    s in

    Stat

    e in

    patie

    ntps

    ychi

    atric

    faci

    litie

    s (M

    DH

    – B

    HA

    )1,

    122

    977

    963

    1,06

    1 75

    3 A

    vera

    ge le

    ngth

    of s

    tay

    for n

    on-fo

    rens

    ic p

    atie

    nts i

    n St

    ate

    inpa

    tient

    ps

    ychi

    atric

    faci

    litie

    s (M

    DH

    – B

    HA

    ) 2,

    097

    2,27

    2 2,

    225

    2,43

    0 2,

    066

    Per

    cent

    of i

    ndiv

    idua

    ls se

    rved

    in se

    tting

    s oth

    er th

    an S

    tate

    Psyc

    hiat

    ric fa

    cilit

    ies (

    MD

    H –

    BH

    A)

    98.3

    %

    98.4

    %

    98.7

    %

    98.7

    %

    98.8

    %

    Goa

    l 3.

    Pers

    ons

    with

    dis

    abili

    ties

    will

    hav

    e ac

    cess

    to a

    fford

    able

    , acc

    essi

    ble

    hous

    ing

    in c

    omm

    uniti

    es o

    f the

    ir ch

    oosi

    ng.

    Obj

    . 3.1

    Inc

    reas

    e af

    ford

    able

    and

    acc

    essib

    le h

    ousin

    g op

    portu

    nitie

    s for

    peo

    ple

    with

    disa

    bilit

    ies i

    n M

    aryl

    and.

    Perf

    orm

    ance

    Mea

    sure

    s20

    13 A

    ct.

    2014

    Act

    . 20

    15 A

    ct.

    2016

    Act

    . 20

    17 A

    ct.

    Num

    ber o

    f per

    sons

    rece

    ivin

    g Su

    pple

    men

    tal S

    ecur

    ity In

    com

    e (S

    SI)

    or S

    ocia

    l Sec

    urity

    Disa

    bilit

    y In

    sura

    nce

    (SSD

    I) w

    ho u

    se a

    Hou

    sing

    Cho

    ice

    Vou

    cher

    or p

    ublic

    hou

    sing

    as re

    porte

    d in

    a su

    rvey

    of s

    ix o

    fth

    e la

    rges

    t Pub

    lic H

    ousin

    g A

    utho

    ritie

    s13

    ,426

    12

    ,688

    15

    ,132

    16

    ,672

    16

    ,725

    N

    umbe

    r of G

    roup

    Hom

    e lo

    ans m

    ade

    for h

    omes

    lice

    nsed

    for f

    our

    or fe

    wer

    indi

    vidu

    als (

    DH

    CD

    )10

    4

    2 5

    3 N

    umbe

    r of l

    oans

    mad

    e to

    ass

    ist in

    divi

    dual

    s with

    disa

    bilit

    ies

    beco

    me

    hom

    eow

    ners

    thro

    ugh

    Hom

    eow

    ners

    hip

    for I

    ndiv

    idua

    lsw

    ith D

    isabi

    litie

    s Pro

    gram

    (DH

    CD

    )18

    25

    17

    15

    19

    N

    umbe

    r of l

    oans

    mad

    e fo

    r acc

    essib

    ility

    rela

    ted

    impr

    ovem

    ents

    th

    roug

    h th

    e A

    cces

    sible

    Hom

    es fo

    r Sen

    iors

    pro

    gram

    (age

    s 55

    and

    olde

    r) (D

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  • 159

    Department of Disabilities D12A02.01 General Administration

    Program Description The Department of Disabilities is the principal State agency responsible for developing, maintaining, revising and enforcing statewide disability policies and standards throughout the units of State government. The Department works to increase the capacity of Maryland communities to provide services in inclusive settings; create a citizen-centered delivery system in which consumers can exercise meaningful choice and maintain control of their lives; infuse the service delivery system with elevated expectations about the capacities of people with disabilities; incorporate accessible and universal design into Maryland ’s communities and technologies; and construct a seamless, responsive and coordinated service delivery system. To this end, the Department directs the development and implementation of the Statewide Disability Plan designed to improve, consolidate, coordinate, modify and unify services for people with disabilities. In addition, the Department provides information on programs and services available to Marylanders with disabilities, provides expertise regarding law and State compliance issues, and helps citizens with disabilities to access resources, information and technology. The Department also administers the Constituent Services Program, the Access Maryland Program, the Technology Assistance Program, and the Attendant Care Program.

    Appropriation Statement 2017 Actual

    2018 Appropriation

    2019 Allowance

    Number of Authorized Positions 26.60 27.60 27.80 Number of Contractual Positions 3.70 4.10 2.60

    01 Salaries, Wages and Fringe Benefits 2,746,855 2,828,892 2,932,241 02 Technical and Special Fees 238,218 265,434 161,346 03 Communications 33,504 34,782 33,698 04 Travel 61,776 107,160 87,468 06 Fuel and Utilities 5,925 8,176 5,904 07 Motor Vehicle Operation and Maintenance 30,335 28,500 29,360 08 Contractual Services 6,302,796 7,548,146 3,825,192 09 Supplies and Materials 30,280 35,164 26,100 10 Equipment - Replacement 9,291 6,762 25,208 11 Equipment - Additional 33,814 44,845 40,000 12 Grants, Subsidies, and Contributions 2,052,728 2,558,328 2,056,292 13 Fixed Charges 120,076 139,008 131,573

    Total Operating Expenses 8,680,525 10,510,871 6,260,795 Total Expenditure 11,665,598 13,605,197 9,354,382

    Net General Fund Expenditure 3,318,234 3,399,953 3,476,685 Special Fund Expenditure 375,100 322,792 324,732 Federal Fund Expenditure 6,940,726 8,832,525 5,307,446 Reimbursable Fund Expenditure 1,031,538 1,049,927 245,519

    Total Expenditure 11,665,598 13,605,197 9,354,382

    Special Fund Expenditure D12304 Assistive Technology Loan Fund Program 242,955 174,357 178,732 D12308 Transition Conference Registration Fees 5,791 0 0 D12309 The Harry and Jeanette Weinberg Foundation 2,378 0 0 D12310 DC Government Homeland Security 103,976 148,435 146,000 D12312 Disabilities Special Projects 20,000 0 0

    Total 375,100 322,792 324,732

    http:D12A02.01

  • Department of Disabilities D12A02.01 General Administration

    Federal Fund Expenditure 84.224 Assistive Technology 364,238 472,436 448,229 84.418 Promoting the Readiness of Minors in Supplemental Security

    Income 5,646,924 7,296,447 3,796,388

    93.630 Developmental Disabilities Basic Support and Advocacy Grants

    929,564 1,063,642 1,062,829

    Total 6,940,726 8,832,525 5,307,446 Reimbursable Fund Expenditure

    D12902 Transition Conference Registration Fees 8,292 0 0 D26A07 Department of Aging 26,857 52,802 0 M00F03 MDH - Prevention and Health Promotion Administration 62,668 26,500 26,500 M00M01 MDH - Developmental Disabilities Administration 63,020 7,056 0 M00Q01 MDH - Medical Care Programs Administration 839,178 963,569 219,019 R00A01 State Department of Education-Headquarters 24,990 0 0 R62I00 Maryland Higher Education Commission 6,533 0 0

    Total 1,031,538 1,049,927 245,519

    160

  • 161

    3 Year Position Summary Classification Title FY 2017

    Positions FY 2017

    Expenditures FY 2018

    Positions FY 2018

    Appropriation FY 2019

    Positions FY 2019

    Allowance

    D12 - Department of Disabilities D12A0201 - General Administration

    Admin Officer I Administrator I Administrator II Administrator III Administrator IV Computer Info Services Spec II Dep Secy Dept Disabilities Designated Admin Mgr II Designated Admin Mgr III Exec Assoc III Hlth Policy Analyst Advanced Office Secy I Office Secy II Prgm Mgr II Prgm Mgr III Prgm Mgr Senior I Secy Dept Disabilities

    1.00 51,905 5.00 252,531 3.00 160,533 2.60 166,528 3.00 200,046 0.00 0 1.00 107,380 1.00 80,584 1.00 91,828 1.00 58,586 1.00 49,692 1.00 30,556 1.00 43,206 1.00 62,334 2.00 172,804 1.00 110,721 1.00 140,356

    Total D12A0201 26.60 1,779,590

    1.00 52,596 5.00 284,237 3.00 171,644 2.80 206,308 3.00 205,658 1.00 62,179 1.00 107,510 1.00 81,352 1.00 91,835 1.00 58,548 0.80 53,940 1.00 31,061 1.00 43,209 1.00 63,522 2.00 173,665 1.00 110,729 1.00 140,526

    27.60 1,938,519

    1.00 52,596 5.00 284,237 3.00 171,644 2.80 206,308 3.00 205,658 1.00 62,179 1.00 107,510 1.00 81,352 1.00 91,835 1.00 58,548 1.00 67,425 1.00 31,061 1.00 43,209 1.00 63,522 2.00 173,665 1.00 110,729 1.00 140,526

    27.80 1,952,004

    FY19 Budget Book Volume 1 - Department of Disabilities