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Executive Office of Health and Human Services

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Account	Description	FY07 GAA	FY08 House 1
4000-0300	Executive Office of Health and Human Services and Medicaid Administration For the operation of the office of the secretary 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 monitor the expenditures and completion timetables for systems development projects and enhancements undertaken by all agencies under the purview of the secretariat and shall ensure that all measures are taken to make such systems compatible with one another for enhanced interagency interaction; provided further, that the executive office shall continue to develop and implement the common client identifier; provided further, that funds appropriated in this item shall be expended for the administrative, contracted services and non-personnel systems costs related to the implementation and operation of programs authorized by sections 9A, 9B, 9C, 16B and 16C of chapter 118E of the General Laws; provided further, that in consultation with the division of health care finance and policy, no rate increase shall be provided to existing Medicaid provider rates without taking all measures possible under Title XIX of the Social Security Act to ensure that rates of payment to providers do not exceed such rates as 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 expenditures for the purposes of each item appropriated for the purpose of programs authorized by said chapter 118E shall be accounted for according to such purpose on the Massachusetts management accounting and reporting system not more than 10 days after such expenditures have been made by the Medicaid management information system; provided further, that no expenditures shall be made for the purpose of such programs authorized by said chapter 118E that are not federally reimbursable, except as specifically authorized in this item, or unless made for cost containment efforts; provided further, that the executive office may continue to recover provider overpayments made in the current and prior fiscal years through the Medicaid management information system, and that such recoveries shall be deemed current fiscal year expenditure refunds; provided further, that the executive office may collect directly from a liable third party any amounts paid to contracted providers under said chapter 118E 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 the purpose of funding 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, that the federal financial participation received from claims filed based on in-kind administrative services related to outreach and eligibility activities performed by certain community organizations, under the "covering kids initiative", and in accordance with the federal revenue criteria in 45 CFR 74.23 or any other federal regulation which provides a basis for federal financial participation, shall be credited to this item and may be expended, without further appropriation, on administrative services including those covered under an agreement with the organizations participating in the initiative; and provided further, that notwithstanding any general or special law to the contrary, the executive office shall require the commissioner of mental health to 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	137,095,096	142,073,307

 
 

HISTORICAL SPENDING CATEGORIES ($000)

SPENDING CATEGORY	FY04 Expended	FY05 Expended	FY06 Expended	FY07 Projected Spending	FY08 House 1
Wages & Salaries	90,679	90,513	79,232	77,628	83,879
Pensions & Benefits	776	812	862	1,017	1,066
Operating Expenses	19,342	24,609	41,548	52,558	52,674
Public Assistance	4,336	4,246	4,559	4,429	4,455
Aid to Cities & Towns	0	0	0	2,662	0
TOTAL	115,133	120,180	126,201	138,295	142,073

* FY07 Projected Spending includes the budget plus nearly $1 billion in spending from FY06 supplemental budgets.

 

 

HISTORICAL EMPLOYMENT LEVELS

Account	Description	June 2004	June 2005	June 2006	Jan. 2007	Projected FY08
4000-0300	Executive Office of Health and Human Services and Medicaid Administration	712	782	792	800	817

* Figures represent full-time equivalents (FTEs) that paid from budgeted funds and are considered standard workforce.

* FY08 FTE figures are approximate and do not represent maximum allowable hires.