Department of Elder Affairs




Fiscal Year 2019 Resource Summary ($000)
DEPARTMENT FY 2019
Budgetary
Recommendation
FY 2019
Federal, Trust,
and ISF
FY 2019
Total
Spending
FY 2019
Budgetary
Non-Tax Revenue
Department of Elder Affairs 544,637 37,063 581,700 113,701

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account description amount
DEPARTMENT OF ELDER AFFAIRS 581,700,476
Budgetary Recommendation 544,637,068
9110-0100 ELDER AFFAIRS ADMINISTRATION
For the operation of the executive office of elder affairs and the regulation of assisted living facilities
2,099,609
9110-0600 COMMUNITY CHOICES
For health care services provided to MassHealth members who are seniors eligible for community-based waiver services; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that subject to the assessed needs of consumers and/or the terms of the waiver, the funding for benefits of community-based waiver services shall not be reduced below the level of services provided in fiscal year 2018; provided further, that the eligibility requirements for this program shall not be more restrictive than those established in fiscal year 2018; provided further, that funds shall be expended from this item to implement the pre-admission counseling and assessment program under the fourth paragraph of section 9 of chapter 118E of the General Laws, which shall be implemented on a statewide basis through the Aging and Disability Resource Consortia; and provided further, that funds from this item may be expended for the Clinical Assessment and Eligibility Program and the Comprehensive Service and Screening Model Program
228,150,762
9110-1455 PRESCRIPTION ADVANTAGE
For the costs of the drug insurance program under section 39 of chapter 19A of the General Laws and for the operations of the consolidated MassOptions, prescription advantage, and 800-age-info customer service centers; 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 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 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
16,939,784
9110-1604 SUPPORTIVE SENIOR HOUSING PROGRAM
For the operation of the supportive senior housing program at state or federally assisted housing sites
5,910,893
9110-1630 HOME CARE SERVICES
For the operation of the state elder home care program, including contracts with aging service access points 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 $16,000,000 in revenues accrued from sliding-scale fees shall be retained by the individual home care organizations without reallocation by the executive office of elder affairs and shall be expended for 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 not more than 3 per cent of the funds appropriated in this item to line item 9110-1633 for case management services and the administration of the home care program
175,019,124
9110-1633 HOME CARE CASE MANAGEMENT AND ADMIN
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 organizations funded through item 9110-1630; 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 not more than 3 per cent of the funds appropriated in this item to line item 9110-1630
58,948,934
9110-1636 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
31,611,680
9110-1660 CONGREGATE HOUSING
For congregate and shared housing services for the elderly
1,986,482
9110-1700 ELDER HOMELESS PLACEMENT
For residential assessment and placement programs for homeless elders
186,000
9110-1900 NUTRITION SERVICES PROGRAMS
For the elder nutrition program
7,268,675
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
16,515,125

account description amount
Federal Grant Spending 37,063,408
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
883,747
9110-1157 OMBUDSMAN ONE CARE PLAN INITIATIVE
For the purposes of a federally funded grant entitled, Ombudsman One Care Plan Initiative
315,000
9110-1163 MA EOEA PROTECTIVE SERVICES PROJECT
For the purposes of a federally funded grant entitled, MA EOEA Protective Services Project
206,000
9110-1164 MA NWD ADRC PROJECT
For the purposes of a federally funded grant entitled, MA NWD ADRC Project
200,000
9110-1165 MA ADSSP PART B PROJECT
For the purposes of a federally funded grant entitled, MA ADSSP Part B Project
325,000
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
1,721,010
9110-1189 MA MODEL SYSTEMS FOR LEGAL ASSISTANCE PROJECT
For the purposes of a federally funded grant entitled, MA Model Systems for Legal Assistance Project
178,500
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


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