This is not the official budget document.

Budget Summary FY2010

Department of Elder Affairs
Data Current as of:  1/26/2010



FISCAL YEAR 2010 BUDGET SUMMARY ($000)
ACCOUNT FY2010
Conference		 FY2010
Vetoes		 FY2010
GAA		 October
Budget
Reductions
MassHealth Senior Care 2,139,611 -25,000 2,114,611 0
MassHealth Nursing Home Supplemental Rates 288,500 0 288,500 0
Department of Elder Affairs Administration 2,120 0 2,120 -21
Prescription Advantage 40,000 0 40,000 -5,608
Elder Enhanced Home Care Services Program 45,789 0 45,789 0
Supportive Senior Housing Program 4,015 0 4,015 0
Elder Home Care Purchased Services 100,307 0 100,307 -2
Elder Home Care Case Management and Administration 37,568 -1,500 36,068 0
Elder Protective Services 16,252 0 16,252 -1,003
Elder Congregate Housing Program 1,504 0 1,504 0
Residential Placement for Homeless Elders 136 0 136 0
Elder Nutrition Program 6,280 0 6,280 -2
Grants to Councils on Aging 8,615 0 8,615 -500
TOTAL    2,690,697 -26,500 2,664,197 -7,136

Hide line item language

account description amount
DEPARTMENT OF ELDER AFFAIRS 2,698,862,446
4000-0600 MassHealth Senior Care
For health care services provided to MassHealth members who are seniors, and for the operation of the senior care options program under section 9D of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years; provided further, that funds shall be expended for the "community choices" initiative; provided further, that no payment for special provider costs shall be made from this item without the prior written approval of the secretary of administration and finance; provided further, that benefits for this demonstration project shall not be reduced below the services provided in fiscal year 2009; provided further, that the eligibility requirements for this demonstration project shall not be more restrictive than those established in fiscal year 2009; provided further, that the executive office of health and human services shall submit a report to the house and senate committees on ways and means detailing the projected costs and the number of individuals served by the "community choices" initiative in fiscal year 2010 delineated by the federal poverty level; provided further, that notwithstanding any general or special law to the contrary, funds shall be expended from this item for the purpose of maintaining a personal needs allowance of $72.80 per month for individuals residing in nursing homes and rest homes who are eligible for MassHealth, Emergency Aid to the Elderly Disabled and Children program or Supplemental Security Income; provided further, care management under section 3 of chapter 211 of the acts of 2006 shall be implemented through Aging & Disability Resource Consortiums, which shall include a combination of 1 or more Aging Services Access Points and Independent Living Centers; provided further, that not less than $2,500,000 shall be expended from this item to implement the provisions of section 2 of chapter 211 of the acts of 2006, the pre-admission counseling and assessment program, which shall be implemented on a statewide basis through aging and disability resource consortia; provided further, that notwithstanding any general or special law to the contrary, for any nursing home or non-acute chronic disease hospital that provides kosher food to its residents, the department, in consultation with the division, in recognition of the unique special innovative program status granted by the executive office, shall continue to make the standard payment rates established in fiscal year 2006 to reflect the high dietary costs incurred in providing kosher food; provided further, that notwithstanding any general or special law to the contrary, nursing facility rates effective July 1, 2009 may be developed using the costs of calendar year 2005; provided further, that funds shall be expended for the purpose of a housing with services demonstration project known as the 'Caring Homes' initiative designed to delay or prevent nursing home placement by providing care-giving services to an elder; provided further, that under said demonstration project, eligible MassHealth enrollees shall be able to live in the home of an individual or relative, with the exception of spouses and dependent children, to provide for their long term supports, pursuant to regulations promulgated by said executive office; provided further, that not later than December 1, 2009, the secretary of the executive office of health and human services shall submit a report to the house and senate committees on ways and means on the implementation of the commonwealth's Olmstead Plan to date; and provided further, that the secretary of elder affairs and the director of the office of Medicaid shall provide a monthly report to the secretary of administration and finance and to the house and senate committees on ways and means showing Medicaid nursing facility utilization in the current fiscal year compared to Medicaid nursing facility utilization in the same period for the prior fiscal year
 2,114,610,628
4000-0640 MassHealth Nursing Home Supplemental Rates
For nursing facility Medicaid rates; provided, that notwithstanding any general or special law to the contrary, in fiscal year 2010 the division of health care finance and policy shall establish nursing facility Medicaid rates that cumulatively total $288,500,000 more than the annual payment rates established by the division under the rates in effect as of June 30, 2002; provided further, that funds shall be expended in an amount not less than that appropriated in fiscal year 2009 for purposes of reimbursing nursing facilities for up to 10 bedhold days for patients of the facility on medical and non-medical leaves of absence; provided further, that an amount for expenses related to the collection and administration of section 25 of chapter 118G of the General Laws shall be transferred to the division of health care finance and policy; and provided further, that the payments made pursuant to this item shall be allocated in an amount sufficient to implement section 622 of chapter 151 of the acts of 1996 		288,500,000
9110-0100 Department of Elder Affairs Administration
For the operation of the executive office and regulation of assisted living facilities; provided, that the secretary shall continue to support community care ombudsman services; and provided further, that the executive office of elder affairs shall report annually to the house and senate committees on ways and means the number of assisted living units certified and the total revenues generated from application and certification fees for such units 		2,120,392
9110-1455 Prescription Advantage
For the costs of the drug insurance program authorized by section 39 of chapter 19A of the General Laws; provided, that amounts received by the executive office of elder affairs' vendor as premium revenue for this program may be retained and expended by the vendor for the purposes of the program; provided further, that funds shall be expended for the operation of the pharmacy outreach program established in section 4C of chapter 19A of the General Laws; provided further, that notwithstanding any general or special law to the contrary, unless otherwise prohibited by state or federal law, prescription drug coverage or benefits payable by the executive office of elder affairs, and the entities with which it has contracted for administration of the subsidized catastrophic drug insurance program pursuant to said section 39 of said chapter 19A, shall be the payer of last resort for this program for eligible persons with regard to any other third-party prescription coverage or benefits available to such eligible persons; provided further, that the executive office shall notify the house and senate committees on ways and means not less than 90 days in advance of any action to limit or cap the number of enrollees in the program; provided further, that this program shall be subject to appropriation and, in fiscal year 2010, expenditures shall not be more than the amount authorized in this item; provided further, that no action shall be taken to expand the benefits of the program, extend benefits to additional populations or reduce cost sharing in the program without approval of the general court; provided further, that the department shall submit drafts of legislation required to implement such actions for review and analysis by the general court; provided further, that the executive office shall take steps for the coordination of benefits with the Medicare prescription drug benefit created pursuant to the federal Medicare Prescription Drug Improvement and Modernization Act of 2003 to ensure that Massachusetts residents take advantage of said benefit; provided further, that the department shall provide assistance for prescription drug costs to enrollees who qualify for Medicare Part D as well as assistance for premiums, deductibles, payments, and co-payments required by the Part D or Medicare Advantage plans, or by other plans which provide creditable prescription drug coverage as defined by section 104 of said Medicare Modernization Act, and which provide coverage of the cost of prescription drugs actuarially equal to or better than that provided by Medicare Part D; provided further, that a person shall also be eligible to enroll in the program at any time within a year after reaching age 65; and provided further, that the department shall allow those who meet the program eligibility criteria to enroll in the program at any time during the year 		40,000,000
9110-1500 Elder Enhanced Home Care Services Program
For the provision of enhanced home care services, including case management to elders who meet the eligibility requirements of the home care program and who need services above the level customarily provided under the program to remain safely at home, including elders previously enrolled in the managed care in housing, enhanced community options, and chronic care enhanced services programs; provided, that the secretary shall actively seek to obtain federal financial participation for all services provided to seniors who qualify for Medicaid benefits under the section 1915C waiver; provided further, that the executive office shall collect income data on persons receiving services provided in this item; provided further, that the executive office shall submit a report to the house and senate committees on ways and means detailing the population served by this item delineated by both 2009 federal poverty income levels and 2009 social security income standards; provided further, that the report shall be submitted not later than February 1, 2010; and provided further, that the executive office shall submit a report not later than October 15, 2009, to the house and senate committees on ways and means which shall include the number of individuals on a waiting list for these services on October 1, 2009, compared to the number of individuals on a waiting list on July 1, 2009 		45,789,340
9110-1604 Supportive Senior Housing Program
For the operation of the supportive senior housing program at state or federally-assisted housing sites; provided, that the funds shall be expended to fully fund existing sites 		4,014,802
9110-1630 Elder Home Care Purchased Services
For the operation of the elder home care program, including contracts with aging service access points or other qualified entities for the home care program, home care, health aides, home health and respite services, geriatric mental health services, and other services provided to the elderly; provided, that a sliding fee shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of sliding fees in cases of extreme financial hardship; provided further, that not more than $11,500,000 in revenues accrued from sliding fees shall be retained by the individual home care corporations without re-allocation by the executive office of elder affairs, and shall be expended for the purposes of the home care program, consistent with guidelines to be issued by the executive office; provided further, that the executive office shall report quarterly to the house and senate committees on ways and means on the receipt and expenditure of revenues accrued from the sliding fees; provided further, that the executive office shall report quarterly to the house and senate committees on ways and means and the executive office for administration and finance on the amount expended from this item for purchase of service expenditures by category of service as set forth in 651 C.M.R. 3.01 and 651 C.M.R. 3.06; provided further, that no rate increase shall be awarded in fiscal year 2010 which would cause a reduction in client services or the number of clients served; provided further, that no funds shall be expended from this item to pay for salary increases for direct service workers who provide state-funded homemaker and home health aid services which would cause a reduction in client services; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated in this item to item 9110-1633 for case management services and the administration of the home care program 		100,307,274
9110-1633 Elder Home Care Case Management and Administration
For the operation of the elder home care case management program, including contracts with aging service access points, or other qualified entities for home care case management services and the administration of the home care corporations funded through item 9110-1630 and item 9110-1500; provided, that such contracts shall include the costs of administrative personnel, home care case managers, travel, rent and other costs deemed appropriate by the executive office of elder affairs; provided further, that no funds appropriated in this item shall be expended for the enhancement of management information systems; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated herein to item 9110-1630 		36,068,041
9110-1636 Elder Protective Services
For the elder protective services program, including protective services case management, guardianship services, the statewide elder abuse hotline, money management services, and the elder-at-risk program 		16,252,499
9110-1660 Elder Congregate Housing Program
For congregate and shared housing services for the elderly; provided, that funds may be expended for naturally occurring retirement communities 		1,503,617
9110-1700 Residential Placement for Homeless Elders
For residential assessment and placement programs for homeless elders 		136,000
9110-1900 Elder Nutrition Program
For the elder nutrition program 		6,279,770
9110-9002 Grants to Councils on Aging
For grants to the councils on aging and for grants to or contracts with non-public entities which are consortia or associations of councils on aging; provided, that notwithstanding the foregoing, all monies appropriated in this item shall be expended in accordance with the distribution schedules for formula and incentive grants established by the secretary; provided further, that funding shall be expended for provider training and outreach for LGBT elders and caregivers; and provided further, that such distribution schedules shall be submitted to the house and senate committees on ways and means 		8,615,068

account description amount
Federal Grant Spending 34,665,015
9110-1074 Older Americans Act - Title III and Title VII
For the purposes of a federally funded grant entitled, Older Americans Assistance, Title III and Title VII 		9,467,410
9110-1077 National Family Caregiver Support Program
For the purposes of a federally funded grant entitled, Older Americans Act, Title III-E, National Family Caregiver Support Program 		3,544,442
9110-1095 Health Information Counseling and Assistance
For the purposes of a federally funded grant entitled, Health Information Counseling and Assistance 		710,010
9110-1150 Empowering Older People
For the purposes of a federally funded grant entitled, Empowering Older People 		70,743
9110-1173 Older Americans Act - Title III Nutrition Program
For the purposes of a federally funded grant entitled, Older Americans Act, Title III Nutritional Program 		14,289,338
9110-1174 Nutrition Services Incentive Program
For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program 		3,155,164
9110-1178 Community Service Employment Program
For the purposes of a federally funded grant entitled, Community Service Employment Program 		1,931,361
9110-1179 Performance Outcome Measures Project
For the purposes of a federally funded grant entitled, Performance Outcome Measures Project 		28,100
9110-2760 New England Massachusetts Aging and Disability Resource Center
For the purposes of a federally funded grant entitled, New England Massachusetts Aging and Disability Resource Center 		187,782
9110-3000 Senior Medicare Patrol Integration
For the purposes of a federally funded grant entitled, Senior Medicare Patrol Integration 		100,898
9110-3100 Nursing Home Diversion
For the purposes of a federally funded grant entitled, Nursing Home Diversion 		885,165
9110-3200 Alzheimer's Disease
For the purposes of a federally funded grant entitled, Alzheimer's Disease 		234,627
9110-3300 Performance Outcome Measure Project
For the purposes of a federally funded grant entitled, Performance Outcome Measure Project 		59,975

account description amount