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Department of Elder Affairs
| DEPARTMENT | FY 2013 Budgetary Recommendations |
FY 2013 Federal, Trust, and ISF |
FY 2013 Total Spending |
FY 2013 Budgetary Non-Tax Revenue |
|---|---|---|---|---|
| Department of Elder Affairs | 3,289,802 | 34,696 | 3,324,497 | 1,523,122 |
| account | description | amount |
|---|---|---|
| DEPARTMENT OF ELDER AFFAIRS | 3,324,497,356 | |
| Budgetary Direct Appropriations | 3,289,801,549 | |
| Direct Appropriations | ||
| 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 2012; 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 up to $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, that funds may be expended from this item to implement the pre-admission counseling and assessment program under the third paragraph of section 9 of chapter 118E of the General Laws, 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 executive office of elder affairs, in consultation with the division of health care finance and policy, in recognition of the unique special innovative program status granted by the executive office of health and human services, shall continue to make the standard payment rates established in fiscal year 2006 to reflect the high dietary costs incurred in providing kosher food; and provided further, that notwithstanding any general or special law to the contrary, nursing facility rates effective July 1, 2012 may be developed using the costs of calendar year 2005 |
2,763,630,662 |
| 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 2013 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 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 department of elder affairs |
2,164,588 |
| 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 under said section 39 of 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 the eligible persons; provided further, that the executive office shall seek to obtain maximum federal funding for discounts on prescription drugs available to the executive office and to prescription advantage enrollees; provided further, that the executive office shall take steps for the coordination of benefits with the Medicare prescription drug benefit created under the federal Medicare Prescription Drug Improvement and Modernization Act of 2003 to ensure that Massachusetts residents take advantage of this benefit; 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 executive office shall allow those who meet the program eligibility criteria to enroll in the program at any time during the year |
18,996,516 |
| 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 |
46,461,487 |
| 9110-1604 | Supportive Senior Housing Program
For the operation of the supportive senior housing program at state or federally assisted housing sites |
4,106,339 |
| 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; 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 |
97,783,061 |
| 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 the 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 to line item 9110-1630 |
35,738,377 |
| 9110-1636 | Elder Protective Services
For the operation of the elder protective services program |
16,628,729 |
| 9110-1660 | Elder Congregate Housing Program
For congregate and shared housing services for the elderly |
1,658,117 |
| 9110-1700 | Elder Homeless Placement
For residential assessment and placement programs for homeless elders |
139,101 |
| 9110-1900 | Elder Nutrition Program
For the elder nutrition program |
4,810,824 |
| 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 |
8,433,748 |
| account | description | amount |
|---|---|---|
| Retained Revenues | ||
| 9110-2500 | Veterans Independence Plus Initiative
The Massachusetts department of elder affairs may not expend more than $750,000 from revenues from federal reimbursements received for the purpose of operating the Veterans Independence Plus Initiative, a joint initiative of the United States Department of Veterans' Affairs and the United States Administration on Aging |
750,000 |
| account | description | amount |
|---|---|---|
| Federal Grant Spending | 34,695,807 | |
| 9110-1074 | Older Americans Act - Title III and Title VII
For the purposes of a federally funded grant entitled, Older Americans Act - Title III and Title VII |
7,509,748 |
| 9110-1077 | National Family Caregiver Support Program
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program |
4,983,746 |
| 9110-1095 | Health Information Counseling and Assistance
For the purposes of a federally funded grant entitled, Health Information Counseling and Assistance |
802,000 |
| 9110-1173 | Older Americans Act - Title III Nutrition Program
For the purposes of a federally funded grant entitled, Older Americans Act - Title III Nutrition Program |
12,366,039 |
| 9110-1174 | Nutrition Services Incentive Program
For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program |
5,525,088 |
| 9110-1178 | Community Service Employment Program
For the purposes of a federally funded grant entitled, Community Service Employment Program |
1,831,035 |
| 9110-1183 | Massachusetts Options Counseling Standards Initiative
For the purposes of a federally funded grant entitled, Massachusetts Options Counseling Standards Initiative |
450,000 |
| 9110-1184 | Standard Care For People With Alzheimer's
For the purposes of a federally funded grant entitled, Standard Care For People With Alzheimer's |
350,000 |
| 9110-3031 | Five Year Plan
For the purposes of a federally funded grant entitled, Five Year Plan |
267,058 |
| 9110-3037 | Massachusetts Community Living Program
For the purposes of a federally funded grant entitled, Massachusetts Community Living Program |
250,000 |
| 9110-3100 | Nursing Home Diversion Modernization
For the purposes of a federally funded grant entitled, Nursing Home Diversion Modernization |
361,093 |
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