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Budget Summary FY2016

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40000500 - MassHealth Managed Care
Data Current as of:  8/19/2015

Account Description FY2015
4000-0500 MassHealth Managed Care
For health care services provided to medical assistance recipients under the executive office of health and human services' primary care clinician, mental health and substance abuse plan or through a health maintenance organization under contract with the executive office and for MassHealth benefits provided to children, adolescents and adults under clauses (a) to (d), inclusive, and clause (h) of subsection (2) of section 9A of chapter 118E of the General Laws and section 16C of said chapter 118E; provided, that no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose family incomes, as determined by the executive office, exceed 150 per cent of the federal poverty level; provided further, that up to $30,000,000 shall be expended from this item, or item 4000-0700 if necessary, to achieve maximum federal financial participation and to enhance the ability of hospitals and community health centers to serve populations in need more efficiently and effectively; provided further, that the executive office shall maximize federal reimbursements for state expenditures made to these providers; provided further, that such expenditures may include up to $30,000,000 for fiscal year 2015 or fiscal year 2016; provided further, that expenditures from this item shall be made only for the purposes expressly stated in this item; provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; and provided further, that not less than $1,500,000 shall be expended for providers in the primary care clinician mental health and substance abuse plan
4,954,442,844 5,933,039,597