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Budget Summary FY2016

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40000640 - MassHealth Nursing Home Supplemental Rates
Data Current as of:  8/19/2015





Account Description FY2015
Spending
FY2016
GAA
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 2016 the executive office of health and human services, in consultation with the center for health information and analysis, shall establish nursing facility Medicaid rates that cumulatively total $297,600,000 more than the annual payment rates established under the rates in effect as of June 30, 2002; provided, that an amount for expenses related to the collection and administration of section 63 of chapter 118E of the General Laws shall be transferred to the executive office of health and human services; provided further, that the payments made under this item shall be allocated in an amount sufficient to implement section 622 of chapter 151 of the acts of 1996; provided further, that not less than $2,500,000 or 70 per cent of any supplemental rate reimbursements in excess of $297,600,000 made pursuant to this item in fiscal year 2016 shall be expended to fund a rate add-on for wages, benefits and related employee costs of direct care staff of nursing homes; provided further, that not less than $2,800,000 shall be expended as incentive payments to nursing facilities meeting the criteria determined under the MassHealth Nursing Facility Pay for Performance Program and that have established and participated in a cooperative effort in each qualifying nursing facility between representatives of employees and management that is focused on implementing that criteria and improving the quality of services available to MassHealth members and that shall decide jointly how to expend such incentive payments; and provided further, that the MassHealth agency shall adopt all additional regulations and procedures necessary to carry out this section

292,300,000 302,900,000

Veto Explanation:   I am striking language which earmarks funding for programs not recommended. The reduction in the item incorporates the amount of the stricken earmarked funds.