Governor Charles D. Baker's Budget Recommendation - House 1 Fiscal Year 2016

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Department of Elder Affairs




Fiscal Year 2016 Resource Summary ($000)
DEPARTMENT FY 2016
Budgetary
Recommendations
FY 2016
Federal, Trust,
and ISF
FY 2016
Total
Spending
FY 2016
Budgetary
Non-Tax Revenue
Department of Elder Affairs 3,546,752 35,358 3,582,110 1,646,390

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account description amount
DEPARTMENT OF ELDER AFFAIRS 3,582,109,866
Budgetary Direct Appropriations 3,546,752,303
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 (SCO) 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 SCO benefits shall not be reduced below the services provided in fiscal year 2015; 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, the Emergency Aid to Elders, 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 center for health information and analysis, in recognition of the 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 October 1, 2015 may be developed using the costs of calendar year 2007
                General Fund ............... 99.90%
                Community First Trust Fund - Budgeted ............... 0.10%
2,972,950,333
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 center for health information and analysis shall establish nursing facility Medicaid rates that cumulatively total $291,600,000 more than the annual payment rates established 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 63 of chapter 118E of the General Laws shall be transferred to the executive office of health and human services; 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
291,600,000
9110-0100 Department of Elder Affairs Administration
For the operation of the executive office of elder affairs
2,343,832
9110-1455 Prescription Advantage
For the costs of the drug insurance program under 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 under 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 said 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 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
18,759,240
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 of elder affairs shall actively seek to obtain federal financial participation for all services provided to seniors who qualify for Medicaid benefits under the section 1915C waiver
                General Fund ............... 98.62%
                Community First Trust Fund - Budgeted ............... 1.38%
70,255,327
9110-1604 Supportive Senior Housing Program
For the operation of the supportive senior housing program at state or federally assisted housing sites
5,493,672
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, 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
                General Fund ............... 93.76%
                Community First Trust Fund - Budgeted ............... 6.24%
106,667,534
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
34,680,284
9110-1636 Elder Protective Services
For the operation of the elder protective services program
23,173,139
9110-1660 Elder Congregate Housing Program
For congregate and shared housing services for the elderly
2,154,626
9110-1700 Elder Homeless Placement
For residential assessment and placement programs for homeless elders
186,000
9110-1900 Elder Nutrition Program
For the elder nutrition program
7,253,316
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
11,235,000

account description amount
Federal Grant Spending 34,687,221
9110-1074 Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act
8,992,181
9110-1076 Title IIIB Supportive Service
For the purposes of a federally funded grant entitled, Older Americans Act - Title IIIB
1,190,451
9110-1077 National Family Caregiver Support Program
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program
3,700,000
9110-1095 Health Information Counseling
For the purposes of a federally funded grant entitled, Health Information Counseling
275,755
9110-1173 Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act
13,383,620
9110-1174 Nutrition Services Incentive Program
For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program
4,885,300
9110-1178 Community Service Employment Program
For the purposes of a federally funded grant entitled, Community Service Employment Program
1,881,340
9110-1190 MA Chronic Disease Self-Management Education Program
For the purposes of a federally funded grant entitled, MA Chronic Disease Self-Management Education Program
100,714
9110-1191 Enhanced Alcohol and Drug Recovery Options Counseling Program
For the purposes of a federally funded grant entitled, Enhanced Alcohol and Drug Recovery Options Counseling Program
198,706
9110-1194 2013 MIPPA ADRC
For the purposes of a federally funded grant entitled, 2013 MIPPA ADRC
79,154
account description amount
Trust and Other Spending 670,342
9110-0093 Veterans Independence Plus Initiative Trust Fund 670,342


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