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Department of Elder Affairs
Data Current as of: 8/6/2010

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FISCAL YEAR 2011 BUDGET SUMMARY ($000)
ACCOUNT		FY2011 Conference	FY2011 Vetoes	FY2011 GAA
4000-0600	MassHealth Senior Care	2,491,116	-6,830	2,484,286
4000-0640	MassHealth Nursing Home Supplemental Rates	288,500	0	288,500
9110-0100	Department of Elder Affairs Administration	1,994	0	1,994
9110-1455	Prescription Advantage	31,543	0	31,543
9110-1500	Elder Enhanced Home Care Services Program	45,789	0	45,789
9110-1604	Supportive Senior Housing Program	4,123	-108	4,015
9110-1630	Elder Home Care Purchased Services	103,251	-7,941	95,311
9110-1633	Elder Home Care Case Management and Administration	37,165	-2,853	34,312
9110-1636	Elder Protective Services	16,734	-1,483	15,251
9110-1660	Elder Congregate Housing Program	1,574	-70	1,504
9110-1700	Residential Placement for Homeless Elders	136	-136	0
9110-1900	Elder Nutrition Program	6,322	-46	6,275
9110-9002	Grants to Councils on Aging	8,265	-361	7,904
TOTAL		3,036,512	-19,829	3,016,683

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account	description	amount
DEPARTMENT OF ELDER AFFAIRS		3,045,885,559
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 2010; provided further, that the eligibility requirements for this demonstration project shall not be more restrictive than those established in fiscal year 2010; 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 2011 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, 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; provided further, care management under section 3 of chapter 211 of the acts of 2006 shall be implemented through aging and 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 may 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 upon receipt of a written certification by the secretary of administration and finance, addressed to the chairs of the house and senate committees on ways and means and the comptroller of the commonwealth, that legislation extending the commonwealth's eligibility for an enhanced federal medical assistance percentage pursuant to the American Recovery and Reinvestment Act of 2009, Pub. L. No. 111-5, not in effect as of June 1, 2010, has been duly enacted and signed into law by the President of the United States or that the federal government has otherwise obligated itself to release additional funding not available as of June 1, 2010, to the commonwealth during state fiscal year 2011, 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 not less than $2,800,000 shall be expended as fiscal year 2011 incentive payments if funding is available to support this expenditure as prescribed by section 159 to nursing facilities meeting the criteria determined by the MassHealth Nursing Facility Pay for Performance Program in 114.2 CMR 6.07 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 provided further that the MassHealth agency shall adopt regulations and procedures necessary to carry out section 159 General Fund 99.726% FMAP Budget Relief Fund 0.274%	2,484,285,778
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 2011 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 2010 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; 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; and provided further, that effective July 1, 2010 for the fiscal year ending June 30, 2011, the division shall establish nursing facility supplemental Medicaid rates from funding made available pursuant to section 159	288,500,000
9110-0100	Department of Elder Affairs Administration For the operation of the executive office of elder affairs and regulation of assisted living facilities; provided, 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	1,994,374
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 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 2011, 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 executive office shall submit drafts of legislation required to implement such actions for review and analysis by the general court; provided further, that any cost savings to this item realized pursuant to the Patient Protection and Affordability Act of 2010, Public Law 111-148 and the Health Care and Education Reconciliation Act of 2010, Public Law 111-152, shall be used to expand coverage and benefits available under this program upon the prior written approval of the secretary of administration and finance; provided further, that notification shall be given to the house and senate committees on ways and means at least 30 days prior to any coverage or benefits expansions; 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 pursuant to the federal Medicare Prescription Drug Improvement and Modernization Act of 2003 to ensure that Massachusetts residents take advantage of this benefit; provided further, that the executive office 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 the 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 executive office shall allow those who meet the program eligibility criteria to enroll in the program at any time during the year	31,542,765
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 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 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 2010 federal poverty income levels and 2010 social security income standards; provided further, that the report shall be submitted not later than February 1, 2011; and provided further, that the executive office shall submit a report not later than October 15, 2010, 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, 2010, compared to the number of individuals on a waiting list on July 1, 2010	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 funds shall be expended to fully fund existing sites General Fund 97.371% FMAP Budget Relief Fund 2.629%	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 sliding-scale fees shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of sliding-scale fees in cases of extreme financial hardship; provided further, that not more than $11,500,000 in revenues accrued from sliding-scale 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-scale 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 2011 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 General Fund 92.309% FMAP Budget Relief Fund 7.691%	95,310,630
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 General Fund 92.323% FMAP Budget Relief Fund 7.677%	34,311,827
9110-1636	Elder Protective Services For the elder protective services program, including, but not limited to, protective services case management, guardianship services, the statewide elder abuse hotline, money management services, and the elder-at-risk program General Fund 91.136% FMAP Budget Relief Fund 8.864%	15,250,554
9110-1660	Elder Congregate Housing Program For congregate and shared housing services and naturally occurring retirement communities for the elderly General Fund 95.534% FMAP Budget Relief Fund 4.466%	1,503,617
9110-1900	Elder Nutrition Program For the elder nutrition program General Fund 99.267% FMAP Budget Relief Fund 0.733%	6,275,328
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 of elder affairs; 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 General Fund 95.635% FMAP Budget Relief Fund 4.365%	7,904,327

account	description	amount
Federal Grant Spending		29,202,217
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	9,475,299
9110-1077	National Family Caregiver Support Program For the purposes of a federally funded grant entitled, National Family Caregiver Support Program	89,860
9110-1095	Health Information Counseling and Assistance For the purposes of a federally funded grant entitled, Health Information Counseling and Assistance	1,128,491
9110-1150	Empowering Older People For the purposes of a federally funded grant entitled, Empowering Older People	253,469
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
9110-1178	Community Service Employment Program For the purposes of a federally funded grant entitled, Community Service Employment Program	2,772,882
9110-3000	Senior Medicare Patrol Integration For the purposes of a federally funded grant entitled, Senior Medicare Patrol Integration	100,898
9110-3031	ADRC Strategic Planning For the purposes of a federally funded grant entitled, ADRC Strategic Planning	250,000
9110-3037	Mass Community Living For the purposes of a federally funded grant entitled, Massachusetts Community Living Program	500,000
9110-3200	Community Based Alzheimer Care Project For the purposes of a federally funded grant entitled, Community Based Alzheimer Care Project	234,627
9110-3300	Mass Next Generation Performance Outcome Measurement Project For the purposes of a federally funded grant entitled, MA Next Generation Performance Outcome Measurement Project	107,353

account	description	amount