Governor Deval Patrick's Budget Recommendation - House 2 Fiscal Year 2011

Governor's Budget Recommendation FY 2011

Department of Elder Affairs




Fiscal Year 2011 Resource Summary ($000)
DEPARTMENT FY2011
Budgetary
Recommendations
FY2011
Federal, Trust,
and ISF
FY2011
Total
Spending
FY2011
Budgetary
Non-Tax Revenue
Department of Elder Affairs 3,028,152 28,861 3,057,013 1,388,493

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account description amount
DEPARTMENT OF ELDER AFFAIRS 3,057,012,883
Budgetary Direct Appropriations 3,028,152,227
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 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 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 department, in consultation with the division, in recognition of the unique special innovative program status granted by the executive office, 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, that notwithstanding any general or special law to the contrary, nursing facility rates effective July 1, 2010 may be developed using the costs of calendar year 2005
2,488,616,244
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 2011 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; and 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
288,500,000
9110-0100 Department of Elder Affairs Administration
For the operation of the department of elder affairs
2,062,442
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 department of elder affairs' vendor as premium or enrollment fee revenue for this program may be retained and expended by the vendor for the purposes of the program; and 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 department of elder affairs, and the entities with which it has contracted for administration of the subsidized catastrophic drug insurance program under section 39 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 these eligible persons
31,515,454
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
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
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 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; 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 receipt and expenditure of revenues accrued from the sliding fees; 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
100,304,918
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 to line item 9110-1630
36,068,041
9110-1636 Elder Protective Services
For the operation of the elder protective services program
15,249,147
9110-1660 Elder Congregate Housing Program
For congregate and shared housing services for the elderly
1,503,617
9110-1700 Residential Placement for Homeless Elders
For residential assessment and placement programs for homeless elders
136,000
9110-1900 Elder Nutrition Program
For the elder nutrition program
6,277,154
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
8,115,068

account description amount
Federal Grant Spending 28,702,217
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
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 Nutrition 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
9110-3200 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, Mass Next Generation Performance Outcome Measurement Project
107,353
account description amount
Trust and Other Spending 158,439
9100-1850 Elder Service Training Program 9,508
9110-0103 Coming Home - Elder Affordable Assisted Living 5,301
9110-1155 NCOA Sustainable Systems Expendable Trust 143,630


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