| DEPARTMENT | FY 2017 Budgetary Recommendations |
FY 2017 Federal, Trust, and ISF |
FY 2017 Total Spending |
FY 2017 Budgetary Non-Tax Revenue |
|---|---|---|---|---|
| Department of Elder Affairs | 4,135,460 | 37,791 | 4,173,251 | 1,927,793 |
| account | description | amount |
|---|---|---|
| DEPARTMENT OF ELDER AFFAIRS | 4,173,250,867 | |
| Budgetary Direct Appropriations | 4,135,459,802 | |
| 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 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, 2016 may be developed using the costs of calendar year 2007, or any subsequent year that the secretary of health and human services may select in the secretary's discretion |
3,516,116,093 |
| 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 executive office of health and human services, in consultation with the center for health information and analysis, shall establish nursing facility Medicaid rates that cumulatively total at least $297,600,000 more than the annual payment rates established under the rates in effect as of June 30, 2002; 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; provided further, that not less than $2,800,000 shall be expended on a MassHealth nursing facility pay for performance program; and provided further, that notwithstanding any general or special law to the contrary, the secretary of health and human services may, in the secretary's discretion, either increase the nursing facility Medicaid rates established under to this item by an amount not to exceed the remaining appropriation under this item, or transfer up to an amount not to exceed to the remaining appropriation under this item to item 4000-0600 for the purpose of establishing nursing facility Medicaid rates using a base year subsequent to calendar year 2007 |
332,900,000 |
| 9110-0100 | Department of Elder Affairs Administration
For the operation of the executive office of elder affairs |
2,076,565 |
| 9110-0104 | HCBS Policy Lab
For the support of the Home and Community-Based Services Policy Lab Fund established in section 2MMMM of chapter 29 of the General Laws; provided, that in addition to this item, the secretary of elder affairs may transfer an amount not to exceed a total of $150,000 from the funds appropriated to items 9110-1630, 9110-1636 and 9110-1900 to this item; provided further, that the comptroller shall transfer the amount appropriated in this item into the Home and Community-Based Services Policy Lab Fund not later than July 15, 2016; provided further, that the comptroller shall transfer any funds transferred to this item from items 9110-1630, 9110-1636 and 9110-1900 into the Home and Community-Based Services Policy Lab Fund not more than 30 days after they are made available; and provided further, that the executive office of elder affairs shall identify and pursue non-state sources of funding for the home and community-based services policy lab |
150,000 |
| 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 |
18,521,922 |
| 9110-1604 | Supportive Senior Housing Program
For the operation of the supportive senior housing program at state or federally assisted housing sites |
5,668,475 |
| 9110-1630 | Elder Home Care Purchased Services
For the purchase of direct services provided to qualified elders enrolled in the state home care program as established in sections 4, 4A and 4B of chapter 19A of the General Laws; provided, that aging service access points (ASAPs) shall be responsible for authorizing and purchasing community long-term care services from qualified direct service providers as determined by the comprehensive service plan developed by the ASAPs; provided further, that all qualified service plans eligible for enhanced service provision shall receive the enhanced reimbursement rate as established by 101 CMR 417.00; 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 $16,000,000 in revenues accrued from sliding fees shall be retained by the ASAPs 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 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; provided further, that the secretary of elder affairs shall transfer funds appropriated in this item to item 4000-0600 for supporting the costs of consumers enrolled in the home care program as of July 1, 2016 and who subsequently enroll in the MassHealth senior care options (SCO) program during fiscal year 2017; and provided further, that a transfer amount to item 4000-0600 may not exceed the estimated annual cost of care in the home care program for the fiscal year 2017 SCO enrollees |
158,143,535 |
| 9110-1633 | Elder Home Care Case Management and Administration
For the operation of the elder home care program as established by sections 4, 4A and 4B of chapter 19A of the General Laws, including contracts with aging service access points (ASAPs) for home care case management services, information and referral, coordination and oversight of direct service provider network, and the general administration of the statewide home care program; 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; 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 |
51,482,919 |
| 9110-1636 | Elder Protective Services
For the operation of the elder protective services program |
28,098,120 |
| 9110-1660 | Elder Congregate Housing Program
For congregate and shared housing services for the elderly |
2,059,798 |
| 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 |
7,256,375 |
| 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 |
12,800,000 |
| account | description | amount |
|---|---|---|
| Federal Grant Spending | 36,591,065 | |
| 9110-1074 | Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act |
109,606 |
| 9110-1075 | Title VII Ombudsman
For the purposes of a federally funded grant entitled, Title VII Ombudsman |
336,169 |
| 9110-1076 | Title IIIB Supportive Service
For the purposes of a federally funded grant entitled, Title IIIB Supportive Service |
10,182,633 |
| 9110-1077 | National Family Caregiver Support Program
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program |
3,700,000 |
| 9110-1079 | IIID Preventative Health
For the purposes of a federally funded grant entitled, IIID Preventative Health |
436,823 |
| 9110-1094 | State Health Insurance Assistance Program
For the purposes of a federally funded grant entitled, State Health Insurance Assistance Program |
1,097,000 |
| 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 |
| 9110-1197 | Alzheimer's Disease Supportive Service Program
For the purposes of a federally funded grant entitled, Alzheimer's Disease Supportive Service Program |
200,000 |
| account | description | amount |
|---|---|---|
| Trust and Other Spending | 1,200,000 | |
| 9110-0093 | Veterans Independence Plus Initiative Trust Fund | 1,200,000 |