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Budget Summary FY2015

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Office of the Secretary of Health and Human Services
Data Current as of:  10/17/2014





FISCAL YEAR 2015 BUDGET SUMMARY ($000)
ACCOUNT FY2015
Conference
FY2015
Vetoes
FY2015
Overrides
FY2015
GAA
Safe and Successful Youth Initiative 4,600 0 0 4,600
Personal Care Attendant Council 1,750 0 0 1,750
Family Resource Centers 2,500 0 0 2,500
EOHHS and MassHealth Administration 91,558 0 0 91,558
MassHealth Auditing and Utilization Reviews 4,428 0 0 4,428
MassHealth Recoveries from Current and Prior Fiscal Years RR 225,000 0 0 225,000
EOHHS Contingency Contracts Retained Revenue 60,000 0 0 60,000
State Plan Amendment Support 400 0 0 400
MassHealth CommonHealth Plan 111,116 0 0 111,116
MassHealth Managed Care 4,792,820 0 0 4,792,820
MassHealth Fee-for-Service Payments 2,381,459 0 0 2,381,459
MassHealth Breast and Cervical Cancer Treatment 5,725 0 0 5,725
MassHealth Family Assistance Plan 204,795 0 0 204,795
Small Business Employee Premium Assistance 30,877 0 0 30,877
ACA Expansion Populations 1,702,697 0 0 1,702,697
Children's Behavioral Health Initiative 207,372 0 0 207,372
Children's Medical Security Plan 13,214 0 0 13,214
MassHealth HIV Plan 23,694 0 0 23,694
Medicare Part D Phased Down Contribution 302,670 0 0 302,670
Hutchinson Settlement 34,318 0 0 34,318
MassHealth Operations 2,122 0 0 2,122
Health Care System Reform 875 0 0 875
Health and Human Services IT Costs 108,719 0 0 108,719
TOTAL    10,724,708 0 0 10,724,708

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account description amount
OFFICE OF THE SECRETARY OF HEALTH AND HUMAN SERVICES 10,823,862,960
Direct Appropriations
4000-0005 Safe and Successful Youth Initiative
For youth violence prevention program grants administered by the executive office of health and human services; provided, that the programs shall be targeted at reducing youth violence among young persons at highest risk for being perpetrators or victims of gun violence; provided further, that any new grants awarded from this item in fiscal year 2015 shall comply with the grant application requirements set forth in item 4000-0005 of section 2 of chapter 38 of the acts of 2013; provided further, that the executive office of health and human services may select the same evaluator in fiscal year 2015 as selected in fiscal year 2014; provided further, that the secretary shall report to the house and senate committees on ways and means not later than March 13, 2015 detailing: (i) successful grant applications; (ii) a set of clearly-defined goals and benchmarks on which grant recipients will be evaluated; and (iii) preliminary outcomes and findings from the grant awards for fiscal year 2014; provided further, that not less than $100,000 shall be expended on the Martin Luther King, Jr. Family Services, Inc. to provide youth development and violence prevention services to at-risk youth; and provided further, that funds may be set aside for the administration of these programs
4,600,000
4000-0050 Personal Care Attendant Council
For the operation of the PCA quality home care workforce council established pursuant to section 71 of chapter 118E of the General Laws
1,749,928
4000-0051 Family Resource Centers
For the establishment and maintenance of a network of child and family service programs throughout the commonwealth, including family resource centers supported through this item and item 4800-0200; provided, that the network may make use of existing family resource centers overseen by state agencies and other state supported entities to the extent that existing centers are able to: (i) provide a program consistent with the requirements of section 16U of chapter 6A of the General Laws; and (ii) demonstrate adherence to an evidence-based model of service and use of measurable outcomes to assess quality; provided further, that not later than October 1, 2014, the executive office of health and human services shall report to the secretary of administration and finance, the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities on the extent to which family resource centers in operation in fiscal year 2014 may be included in the implementation of chapter 240 of the acts 2012; provided further, that all family resource centers supported through this item and item 4800-0200 shall be subject to a competitive selection process based on: (a) record of success in providing the services required by said section 16U of said chapter 6A; (b) demonstrated ability to gather data necessary to examine success in providing services; (c) use of evidence-based programing; and (d) willingness to participate in an independent evaluation of process and outcomes; provided further, that the executive office of health and human services shall report to the secretary of administration and finance, the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities within 30 days of awarding contracts to family resource centers under this item and item 4800-0200 detailing the family resource centers receiving contracts and the criteria used to select centers for contracting; provided further, that not less than $200,000 shall be expended for an independent evaluation of the efficacy of the network of child and family service programs supported through this item and item 4800-0200 in meeting the requirements of section 16U of chapter 6A of the General Laws; provided further, that the evaluator shall be selected through a competitive process that prioritizes: (1) prior experience in evaluating the impact of child welfare intervention systems; (2) prior experience in field evaluation; and (3) demonstrated skill in using quantitative analysis relevant for program evaluation; provided further, that the evaluator shall provide biannual progress updates to the secretary for administration and finance, joint committee on children, families and persons with disabilities and the house and senate committees on ways and means; and provided further, that the first biannual report shall detail the evaluation plan for each program, data required for analysis and outcomes measured and this report shall be filed not later than March 13, 2015; and provided further that said network of child and family service programs shall coordinate with the executive office of health and human services, the department of early education and care, and municipal police departments to provide emergency assistance to runaway children at times when the juvenile court is not open, consistent with the requirements of paragraph (ii) of section 39H of chapter 119 of the General Laws
2,500,000
4000-0300 EOHHS and MassHealth Administration
For the operation of the executive office of health and human services, including the operation of the managed care oversight board; provided, that the executive office shall provide technical and administrative assistance to agencies under the purview of the secretariat receiving federal funds; provided further, that the executive office shall ensure that any collaborative assessments for children receiving services from multiple agencies within the secretariat shall be performed within existing resources; provided further, that funds appropriated in this item shall be expended for administrative and contracted services related to the implementation and operation of programs authorized by chapter 118E of the General Laws; provided further that on or before December 31, 2014, not less than $100,000 shall be provided to Noble Hospital, a federal and state disproportionate share hospital that is geographically isolated, to improve the access entry way for all patients, especially those challenged with disabilities, provided that such funds are matched by an equal or greater amount by Noble Hospital; provided further, that in consultation with the center for health information and analysis, no rate increase shall be provided to existing Medicaid provider rates without taking all measures possible under Title XIX of the Social Security Act, as codified at 42 U.S.C. chapter 7, subchapter XIX, to ensure that rates of payment to providers do not exceed the rates that are necessary to meet only those costs which must be incurred by efficiently and economically operated providers in order to provide services of adequate quality; provided further, that funds may be expended for the operation of the office of health equity within the executive office of health and human services; provided further, that the executive office shall contract with Martha's Vineyard Community Services, Inc. for no less than $60,000 to increase access to health and human services on Martha's Vineyard and Nantucket, and such funds shall be used to cover feasible travel costs associated with arranging access to health and human services; provided further, that no expenditures shall be made that are not federally reimbursable, including those related to Titles XIX or XXI of the Social Security Act, as codified at 42 U.S.C. chapter 7, subchapters XIX or XXI or the MassHealth demonstration waiver pursuant to section 1115(a) of said Social Security Act, as codified at 42 U.S.C. section 1315(a) or the community first demonstration waiver pursuant to section 1115 of the Social Security Act, as codified at 42 U.S.C. section 1315, whether made by the executive office or another commonwealth entity, except as required for: (a) the equivalent of MassHealth Standard benefits for children under age 21 who are in the care or custody of the department of youth services or the department of children and families; (b) dental benefits provided to clients of the department of developmental services who are age 21 or over; or (c) cost containment efforts the purposes and amounts of which have been submitted to the executive office for administration and finance and the house and senate committees on ways and means 30 days prior to making these expenditures; provided further, that the office of Medicaid shall apply an add-on to reimburse the managed care organizations and senior care organizations under contract with the commonwealth for the full costs associated with the Affordable Care Act's annual insurer fee, as specified in section 9010(a) of the Affordable Care Act, Public Law 111-148; provided, that said add-on shall be exclusive of any additional rate increase currently being proposed for the fiscal year 2015; provided further, that subject to the availability of federal financial participation, said add-on shall include the related tax liability for the annual insurer fee; provided further, that MassHealth shall provide a report, not later than March 2, 2015, to the house and senate committees on ways and means and the joint committee on health care financing on the amount of reimbursement of the Affordable Care Act's insurer fee and the related tax liability and the methodology for calculating said reimbursement to the managed care organizations and senior care organizations; provided further, that the executive office of health and human services may continue to recover provider overpayments made in the current and prior fiscal years through the Medicaid management information system, and that these recoveries shall be considered current fiscal year expenditure refunds; provided further, that funds shall be provided in an amount not less than the total appropriated in item 1599-2009 in section 2 of chapter 182 of the acts of 2008; provided further, that of the amount allocated in this line item, the office of Medicaid shall provide a 2 per cent rate increase for Medicaid managed care organizations that are under contract with the commonwealth to deliver managed care services to Masshealth and care plus enrollees; provided further, that the executive office may collect directly from a liable third party any amounts paid to contracted providers under chapter 118E of the General Laws for which the executive office later discovers another third party is liable if no other course of recoupment is possible; provided further, that no funds shall be expended for interpretive services directly or indirectly related to a settlement or resolution agreement with the office of civil rights or any other office, group, or entity; provided further, that interpretive services currently provided shall not give rise to enforceable legal rights for any party or to an enforceable entitlement to interpretive services; provided further, $150,000 shall be expended for the work of the Massachusetts unaccompanied homeless youth commission to determine the scope of need among unaccompanied youth and young adults ages 24 and younger who are experiencing homelessness, and to identify and implement potential models for appropriate service delivery to unaccompanied homeless youth in urban, suburban, and rural areas of the commonwealth; provided further, that in calculating rates of payment for children enrolled in MassHealth receiving inpatient and outpatient services at acute care pediatric hospitals and pediatric specialty units as defined in section 8A of chapter 118E of the General Laws, the executive office shall make a supplemental payment to any acute care pediatric hospital and pediatric specialty unit in the commonwealth, above base rates, to compensate for high-complexity pediatric care in an amount not less than the amount appropriated in this item in chapter 38 of the acts of 2013; provided further, that not less than $1,000,000 shall be expended for costs associated with the purchase and renovation of a mental health and drug and alcohol rehabilitation facility in the town of Petersham to serve the North Quabbin region and North Central Massachusetts; provided further, that notwithstanding any general or special law to the contrary, the commissioner of mental health shall approve any prior authorization or other restriction on medication used to treat mental illness in accordance with written policies, procedures, and regulations of the department of mental health; provided further, that not later than January 16, 2015, the executive office of health and human services shall submit a report to the house and senate committees on ways and means detailing the methodology used to project caseload and utilization in fiscal year 2014 and fiscal year 2015; provided further, that the executive office of health and human services shall report to the house and senate committees on ways and means not later than January 13, 2015 on the number of members served in the dual eligible initiative, the average expenditure per member, the average expenditure per member prior to the demonstration project and the number of clients that receive care at skilled nursing facilities; provided further, that the executive office shall submit to the house and senate committees on ways and means and the joint committee on health care financing not later than December 5, 2014 a report detailing utilization of the Health Safety Net Trust Fund established pursuant to section 66 of said chapter 118E; provided further, that the report shall include: (a) the number of persons whose medical expenses were billed to the Health Safety Net Trust Fund in fiscal year 2014; (b) the total dollar amount billed to the Health Safety Net Trust Fund in fiscal year 2014; (c) the demographics of the population using the Health Safety Net Trust Fund; and (d) the types of services paid for out of the Health Safety Net Trust Fund in fiscal year 2014; provided further, that any projection of deficiency in item 4000-0430, 4000-0500, 4000-0600, 4000-0640, 4000-0700, 4000-0875, 4000-0880, 4000-0885, 4000-0940, 4000-0950, 4000-0990, 4000-1400, 4000-1420 or 4000-1425 shall be reported to the house and senate committees on ways and means not less than 90 days before the projected exhaustion of funding; provided further, that any unexpended balance in these accounts shall revert to the General Fund on June 30, 2015; and provided further, that for the purposes of long-term health care cost savings and enhanced patient care, the commonwealth shall recognize telehealth remote patient monitoring provided by home health agencies as a service to clients otherwise reimbursable through Medicaid
91,557,569
4000-0301 MassHealth Auditing and Utilization Reviews
For the costs of MassHealth provider and member audit and utilization review activities, including eligibility verification, disability evaluations, provider financial and clinical audits and other initiatives intended to enhance program integrity; provided, that no expenditures shall be made from this item that are not federally reimbursable
4,428,131
4000-0328 State Plan Amendment Support
For the executive office of health and human services, which shall use the funding in this item to pursue and submit applications for new state plan amendments, state plan options and state waiver or demonstration requests for federal approval under Public Law 111-148, the Patient Protection and Affordable Care Act, including but not limited to the following purposes: (i) the health homes state option authorized under 42 U.S.C. 1396w-4; and (ii) the 1915(i) home and community-based services state plan authorized under 42 U.S.C. 1396n(i); provided, that the executive office shall seek to maximize opportunities that expand community-based services and increase federal reimbursement, including enhanced federal medical assistance percentage rates; and provided further, that the executive office shall report not later than September 30, 2014 to the house and senate committees on ways and means on the status of submitted and pending applications and the projected fiscal impact to the commonwealth of federal approval for these applications
400,000
4000-0430 MassHealth CommonHealth Plan
For the CommonHealth program to provide primary and supplemental medical care and assistance to disabled adults and children under sections 9A, 16 and 16A of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, that the executive office shall maximize federal reimbursement for state expenditures made on behalf of those adults and children; provided further, that children shall be determined eligible for the medical care and assistance if they meet the disability standards as defined by the executive office, which shall not be more restrictive than the standards in effect on July 1, 1996; and provided further, that the executive office shall process a CommonHealth application within 45 days of receipt of a completed application or within 90 days if a determination of disability is required
111,115,925
4000-0500 MassHealth Managed Care
For health care services provided to medical assistance recipients under the executive office's 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 of the amount allocated in this line item, that $8,000,000 shall be allocated for providers in the PCC mental health and substance abuse plan; provided further, that expenditures from this item shall be made only for the purposes expressly stated in this item; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years
4,792,819,941
4000-0700 MassHealth Fee-for-Service Payments
For health care services provided to medical assistance recipients under the executive office's health care indemnity or third party liability plan, to medical assistance recipients not otherwise covered under the executive office's managed care or senior care plans and for MassHealth benefits provided to children, adolescents and adults under section 9 of chapter 118E of the General Laws and clauses (a) to (d), inclusive, and clause (h) of subsection (2) of section 9A of said chapter 118E and section 16C of said chapter 118E; provided, that no payments 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 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 children who have aged out of the custody of the department of children and families shall be eligible for benefits through the age limit specified in MassHealth's approved state plan; provided further, that in calculating rates of inpatient and outpatient services for neonatal intensive care units, also known as (NICU), with at least 55 licensed beds with-in an acute hospital that has at least 109 pediatric intensive NICU beds, the executive office shall make a supplemental payment of not less than $200,000; provided further, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, the funds appropriated in item 4000-0265 of section 2A of chapter 142 of the acts of 2011 shall again be appropriated for the same dollar amount as in said line item 4000-0265 and shall be distributed in and managed in the same manner as designated in section 60 of chapter 118 of the acts of 2012; provided further, that MassHealth shall provide an additional 5 per cent of its standard payment amount per discharge, or SPAD, above rate year 2013, or of reimbursement provided under any subsequent inpatient payment methodologies and to provide an additional 5 per cent of its outpatient payment amount per episode or PAPE above rate year 2013, or of reimbursement provided under any subsequent outpatient payment methodologies to any acute care hospital that has greater than 63 per cent of its gross patient service revenue from governmental payers and free care as determined by the executive office of health and human services; provided further, that MassHealth shall provide a supplemental payment of at least $12,307,769 for inpatient and outpatient behavioral and mental health services provided by any acute care hospital that has greater than 63 per cent of its gross patient service revenue from governmental payers and free care as determined by the executive office of health and human services; provided further, that such behavioral and mental health supplemental payments shall be subject to all required federal approvals and the availability of federal financial participation and shall be prioritized for services provided to children and adolescents; provided further, that if federal financial participation is not available for said behavioral and mental health supplemental payments, the executive office of health and human services shall make a payment of not less than $6,153,885; provided further, that the executive office shall not, in fiscal year 2015, fund programs relating to case management with the intention of reducing length of stay for neonatal intensive care unit cases; provided further, that notwithstanding the foregoing, funds may be expended from this item for the purchase of third party insurance including, but not limited to, Medicare for any medical assistance recipient; provided further, that the executive office may reduce MassHealth premiums or copayments or offer other incentives to encourage enrollees to comply with wellness goals; provided further, that funds may be expended from this item for activities relating to disability determinations or utilization management and review, including patient screenings and evaluations, regardless of whether such activities are performed by a state agency, contractor, agent, or provider; provided further, that not later than March 3, 2015, the executive office shall report to the house and senate committee on ways and means on the dental coverage available to MassHealth recipients as of January 1, 2015 as it compares to dental coverage available to MassHealth recipients on January 1, 2010; provided further, that the executive office shall maintain full-year coverage for adult dental fillings; and provided further, that the executive office shall implement adult denture coverage not later than May 15, 2015
2,381,458,986
4000-0875 MassHealth Breast and Cervical Cancer Treatment
For the provision of benefits to eligible women who require medical treatment for either breast or cervical cancer in accordance with 42 U.S.C. section 1396a(a)(10)(A)(ii)(XVIII) and section 10D of chapter 118E of the General Laws; provided, that the executive office shall provide these benefits to women whose incomes, as determined by the executive office, do not exceed 250 per cent of the federal poverty level, subject to continued federal approval; provided further, that eligibility for benefits shall be extended solely for the duration of the cancerous condition; provided further, that before the provision of any benefits covered by this item, the executive office shall require screening for either breast or cervical cancer through the comprehensive breast and cervical cancer early detection program operated by the department of public health, in accordance with item 4570-1543 of section 2D; and provided further, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years
5,725,199
4000-0880 MassHealth Family Assistance Plan
For MassHealth benefits under clause (c) of subsection (2) of section 9A of chapter 118E of the General Laws and section 16C of said chapter 118E for children and adolescents whose family incomes, as determined by the executive office, are above 150 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to those children and adolescents in prior fiscal years; and, provided further, that funds may be expended from this item for health care subsidies provided to eligible individuals under the last paragraph of section 9 and section 16D of said chapter 118E
204,795,301
4000-0885 Small Business Employee Premium Assistance
For the cost of health insurance subsidies paid to employees of small businesses in the insurance reimbursement program under section 9C of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to persons in prior fiscal years; provided further, that funds may be expended only for employees who are ineligible for subsidized insurance through the health connector and ineligible for any MassHealth program; provided further, that enrollment in this program may be capped to ensure that MassHealth expenditures do not exceed the amount appropriated; and provided further, that funds may be expended from this item for health care services provided to individuals eligible under clause (j) of subsection (2) of section 9A of chapter 118E of the General Laws
30,877,115
4000-0940 ACA Expansion Populations
For the purposes of providing health care services related to the federal Patient Protection and Affordable Care Act, Public Law 111-148; provided, that funds may be expended from this item for health care services to individuals ages 19 through 64, inclusive, whose family incomes as determined by the executive office of health and human services do not exceed 133 per cent of the federal poverty level and who are eligible under clauses (b) and (d) of subsection (2) of section 9A of chapter 118E of the General Laws
1,702,696,743
4000-0950 Children's Behavioral Health Initiative
For administrative and program expenses associated with the children's behavioral health initiative, in accordance with the settlement agreement in the case of Rosie D. v. Romney, 410 F.Supp.2d 18 (D.Mass 2006), to provide comprehensive, community-based behavioral health services to children suffering from severe emotional disturbances; provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years; provided further, that the secretary of health and human services shall provide not fewer than 2 reports separated by not fewer than 5 months to the house and senate committees on ways and means relative to implementation of the initiative; provided further, that such biannual reports shall include, but not be limited to, details of the implementation plan, results of the scheduled plan to date, including a schedule detailing commencement of services and associated costs by service type, an analysis of compliance with the terms of the settlement agreement to date, a detailed itemization of services and service utilization by service type, geographical location and the age of the member receiving the service, data detailing the time that elapses between a member's request for services and commencement of an initial assessment for services, the time to complete the initial assessment and the time that elapses between initial assessment for services and commencement of services, and a quarterly update of whether projected expenditures are likely to exceed the amount appropriated herein; provided further, that any unexpended balance in this item shall revert to the General Fund on June 30, 2015; and provided further, that funds shall not be transferred from this item without notifying the house and senate committees on ways and means not less than 30 days prior to such a transfer
207,371,693
4000-0990 Children's Medical Security Plan
For the children's medical security plan to provide primary and preventive health services for uninsured children from birth through age 18; provided, that the executive office shall prescreen enrollees and applicants for Medicaid eligibility; provided further, that no applicant shall be enrolled in the program until the applicant has been denied eligibility for the MassHealth program; provided further, that the MassHealth benefit request shall be used as a joint application to determine the eligibility for both MassHealth and the children's medical security plan; provided further, that the executive office shall maximize federal reimbursements for state expenditures made on behalf of the children; provided further, that the executive office shall expend all necessary funds from this item to ensure the provision of the maximum benefit levels for this program, as authorized by section 10F of chapter 118E of the General Laws; provided further, that the maximum benefit levels for this program shall be made available only to those children who have been determined by the executive office to be ineligible for MassHealth benefits; and provided further, that funds may be expended from this item for health care services provided to those persons in prior fiscal years
13,214,180
4000-1400 MassHealth HIV Plan
For the provision of MassHealth benefits to persons diagnosed with human immunodeficiency virus with incomes up to 200 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to those persons in prior fiscal years
23,693,668
4000-1420 Medicare Part D Phased Down Contribution
For payment to the federal Centers for Medicare and Medicaid Services in compliance with Title XIX of the Social Security Act
302,670,132
4000-1425 Hutchinson Settlement
For administrative and program expenses associated with community support services for persons with acquired brain injury who were residing in long-term care facilities under the mediated solution to the final settlement agreement in the case of Hutchinson v. Patrick, 683 F. Supp. 2d 121 (D. Mass. 2010); provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years
34,318,000
4000-1602 MassHealth Operations
For the costs associated with improving MassHealth field operations; provided, that no expenditures shall be made from this item that are not federally reimbursable
2,121,671
4000-1604 Health Care System Reform
For MassHealth costs associated with the implementation of the Patient Protection and Affordable Care Act, Public Law 111-148, and chapter 224 of the acts of 2012; provided, that no expenditures shall be made from this item that are not federally reimbursable
874,580
4000-1700 Health and Human Services IT Costs
For the provision of information technology services within the executive office of health and human services
108,718,835

account description amount
Retained Revenues
4000-0320 MassHealth Recoveries from Current and Prior Fiscal Years RR
For the executive office of health and human services, which may expend for medical care and assistance rendered in the current year an amount not to exceed $225,000,000 from the monies received from recoveries and collections of any current or prior year expenditures; provided, that notwithstanding any general or special law to the contrary, the balance of any personal needs accounts collected from nursing and other medical institutions upon the death of a medical assistance recipient and held by the executive office for more than 3 years may be credited to this item; and provided further, that no funds from this item shall be used for the purposes of item 4000-0300
225,000,000
4000-0321 EOHHS Contingency Contracts Retained Revenue
For the executive office of health and human services, which may expend not more than $60,000,000 for contingency fee contracts related to pursuing federal reimbursement or avoiding costs in its capacity as the single state agency under Title XIX and XXI of the Social Security Act and as the principal agency for all of the agencies within the executive office and other federally-assisted programs administered by the executive office; provided, that notwithstanding any general or special law to the contrary, such contingency contracts shall not exceed 3 years except with prior review and approval by the executive office for administration and finance; provided further, that the secretary of health and human services shall submit to the secretary of administration and finance and the house and senate committees on ways and means an annual report detailing the amounts of the agreements, the ongoing and new projects, and the amount of federal reimbursement and cost avoidance derived from the contracts not later than September 15, 2014 for the previous fiscal year activities; provided further, that for the purpose of accommodating timing discrepancies between the receipt of revenue and payments required under contingency contracts, the comptroller shall certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate as reported in the state accounting system; provided further, that notwithstanding any general or special law to the contrary, the executive office of health and human services, acting in its capacity as the single state agency under Title XIX of the Social Security Act and as the principal agency for all of the agencies within the executive office and other federally-assisted programs administered by the executive office, may enter into interdepartmental services agreements with the University of Massachusetts medical school to perform activities that the secretary of health and human services, in consultation with the comptroller, determines within the scope of the proper administration of said Title XIX and other federal funding provisions to support the programs and activities of the executive office; provided further, the activities may include: (a) providing administrative services including, but not limited to, providing the medical expertise to support or administer utilization management activities, determining eligibility based on disability, supporting case management activities, and similar initiatives; (b) providing consulting services related to quality assurance, program evaluation and development, integrity and soundness, and project management; and (c) providing activities and services to pursue federal reimbursement or avoid costs, third-party liability, and recoup payments to third parties; provided further, federal reimbursement for any expenditure made by the University of Massachusetts medical school relative to federally-reimbursable services the university provides under these interdepartmental service agreements or other contracts with the executive office shall be distributed to the university and recorded distinctly in the state accounting system; provided further, the secretary may negotiate contingency fees for activities and services related to pursuing federal reimbursement or avoiding costs and the comptroller shall certify these fees and pay them upon the receipt of this revenue, reimbursement or demonstration of costs avoided; provided further, contracts for contingency fees shall not exceed 3 years and shall not be renewed without prior review and approval by the executive office for administration and finance; provided further, the secretary shall not pay contingency fees to the University of Massachusetts medical school in excess of $40,000,000 for state fiscal year 2015; provided further, however, that contingency fees paid to the University of Massachusetts medical school under an interagency service agreement for recoveries related to the special disability workload projects shall be excluded from that $40,000,000 limit for state fiscal year 2015; and provided further, the secretary of health and human services shall submit to the secretary of administration and finance and the senate and house committees on ways and means a quarterly report detailing the amounts of the agreements, the ongoing and new projects undertaken by the university, the amounts expended on personnel, and the amount of federal reimbursement and recoupment payments that the university collected
60,000,000

account description amount
Section 2E
1595-1068 Medical Assistance Trust Fund
For an operating transfer to the MassHealth provider payment account in the Medical Assistance Trust Fund established pursuant to section 2QQQ of chapter 29 of the General Laws; provided, that, except as otherwise provided in this item, these funds shall be expended only for services provided during state or federal fiscal year 2015, and no amounts previously or subsequently transferred into the Medical Assistance Trust Fund shall be expended on payments described in the demonstration waiver pursuant to section 1115 of the Social Security Act, as codified at 42 U.S.C. § 1315 for services provided during state fiscal year 2015 or payments described in the state plan for services provided during federal fiscal year 2015; provided further, that all payments from the Medical Assistance Trust Fund shall be subject to the availability of federal financial participation, shall be made only under federally-approved payment methods, shall be consistent with federal funding requirements and all federal payment limits as determined by the secretary of health and human services and shall be subject to the terms and conditions of an agreement with the executive office of health and human services; provided further, that all payments made from the fund shall be consistent with applicable federal upper payment limit requirements; provided further, that the secretary of health and human services shall notify, in writing, the house and senate committees on ways and means and the joint committee on health care financing of any increases in payments within 15 days; and provided further, that the secretary of health and human services shall make a payment of up to $344,000,000 from the Medical Assistance Trust Fund to the Cambridge public health commission for dates of service in state and federal fiscal year 2015 only after the Cambridge public health commission transfers up to $172,000,000 of its funds to the Medical Assistance Trust Fund using a federally permissible source of funds which shall fully satisfy the non-federal share of such payment
412,000,000

account description amount
Intragovernmental Service Spending 62,177,534
4000-0102 Chargeback for Human Services Transportation
For the cost of transportation services for health and human services clients and the operation of the health and human services transportation office
                Intragovernmental Service Fund ............... 100%
7,950,245
4000-0103 Chargeback for Human Services Administration
For the costs of core administrative functions performed within the executive office of health and human services; provided, that the secretary of health and human services, notwithstanding any general or special law to the contrary, may identify administrative activities and functions common to the separate agencies, departments, offices, divisions and commissions within the executive office and may designate those functions as core administrative functions in order to improve administrative efficiency and preserve fiscal resources; provided further, that common functions that may be designated core administrative functions include human resources, financial management and leasing and facility management; provided further, that all employees performing functions so designated may be employed by the executive office and the executive office shall charge the agencies, departments, offices, divisions and commissions for such services; provided further, that upon the designation of a function as a core administrative function, the employees of each agency, department, office or commission who perform such core administrative functions may be transferred to the executive office of health and human services; provided further, that the reorganization shall not impair the civil service status of any such transferred employee who immediately before the effective date of this act either holds a permanent appointment in a position classified pursuant to chapter 31 of the General Laws or has tenure in a position by reason of section 9A of chapter 30 of the General Laws; and provided further, that nothing in this item shall impair or change an employee's status, rights or benefits pursuant to chapter 150E of the General Laws
                Intragovernmental Service Fund ............... 100%
22,256,827
4000-1701 Chargeback for Health and Human Services IT
For the cost of information technology services provided to agencies of the executive office of health and human services
                Intragovernmental Service Fund ............... 100%
31,970,462

account description amount
Federal Grant Spending 36,977,829
4000-0323 Personal and Home Care Aid State Training
For the purposes of a federally funded grant entitled, Personal and Home Care Aid State Training Program
16,015
4000-0544 Children's Health Insurance Program Quality Demo Grant
For the purposes of a federally funded grant entitled, Children's Health Insurance Program Quality Demonstration Grant
4,780
4000-0826 Money Follows the Person Demonstration Grant
For the purposes of a federally funded grant entitled, Money Follows the Person Demonstration Grant
4,700,000
4000-1120 Adult Quality Medicaid Measures Grant
For the purposes of a federally funded grant entitled, Adult Quality Medicaid Measures Grant
1,182,139
4000-1169 State Innovation Models Model Design Test Assistance Fund
For the purposes of a federally funded grant entitled, State Innovation Model Grant
13,865,440
4000-1235 Demonstration to Integrate Care for Dual Eligible Individual
For the purposes of a federally fund grant entitled, Demonstration to Integrate Care for Dual Eligible Individuals
4,589,303
4000-1314 Demonstration Ombudsman Programs
For the purposes of a federally funded grant entitled, Demonstration Ombudsman Programs
159,084
4000-1544 Children's Health Insurance Program Quality Demo Grant
For the purposes of a federally funded grant entitled, Children's Health Insurance Program Quality Demo Grant
1,338,448
4000-9058 My Young Child Health Initiative for Local Education Agencies
For the purposes of a federally funded grant entitled, My Young Child Health Initiative for Local Education Agencies
1,125,000
4000-9401 Community Mental Health Services Block Grants
For the purposes of a federally funded grant entitled, Community Mental Health Services Block Grants
9,997,620

account description amount