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Executive Office of Health and Human Services
| DEPARTMENT | FY 2008 Budgetary Recommendations |
FY 2008 Federal, Trust, and ISF |
FY 2008 Total Spending |
FY 2008 Budgetary Non-Tax Revenue |
|---|---|---|---|---|
| Executive Office of Health and Human Services | 6,094,811 | 1,068,387 | 7,163,199 | 3,868,536 |
| TOTAL | 6,094,811 | 1,068,387 | 7,163,199 | 3,868,536 |
| account | description | amount |
|---|---|---|
| EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES | 7,163,198,723 | |
| Budgetary Direct Appropriations | 6,094,811,476 | |
| Direct Appropriations | ||
| 4000-0250 | Homelessness Prevention and Elimination Services
For shelters and services for persons at risk of homelessness, including homeless individuals, families, and veterans; provided, that shelter and service spending shall be funded from this item at the discretion of the secretary of health and human services; provided further, that the emergency assistance program shall be funded from this item under the eligibility standards applied in fiscal year 2007; and provided further, that the secretary may restrict eligibility to remain within the funding allocated for the emergency assistance program, but 60 days before adopting any such restriction, the secretary shall file with the house and senate committees on ways and means and with the clerks of the house of representatives and the senate her determination that the amount allocated for the program will be insufficient to meet projected expenses and a report setting forth the proposed changes |
122,051,622 |
| 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 |
142,073,307 |
| 4000-0301 | MassHealth Auditing and Utilization Reviews
For the costs of MassHealth provider and member audit and utilization review activities, including, but not limited to, eligibility verification, disability evaluations, provider financial and clinical audits, and other initiatives intended to enhance program integrity |
2,200,000 |
| 4000-0352 | MassHealth Enrollment Outreach Grants
For MassHealth enrollment outreach grants to public and private non-profit groups to be administered by the executive office |
500,000 |
| 4000-0500 | MassHealth Managed Care
For health care services provided to medical assistance recipients under the executive office's primary care clinician, mental health and substance abuse plan, or through a managed care organization under contract with the executive office, and for MassHealth benefits provided to children, adolescents and adults under clauses (a), (b), (c), (d) and (h) of subsection (2) of section 9A and section 16C of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years |
2,982,946,748 |
| 4000-0700 | MassHealth Indemnity
For health care services provided to medical assistance recipients under the executive office's health care indemnity, third party liability plan and medical assistance recipients who are not seniors nor otherwise covered under the executive office's managed care plans, and for MassHealth benefits provided to children, adolescents and adults under clauses (a), (b), (c), (d), and (h) of subsection (2) of section 9A and section 16C of chapter 118E of the General Laws; provided, 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 funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that notwithstanding the foregoing, funds may be expended from this item for the purchase of third party insurance including, but not limited to, Medicare for any medical assistance recipient including, but not limited to, seniors; and provided further, that funds may be expended from this item for activities relating to disability determinations or utilization management and review, including patient screenings and evaluations, regardless of whether such activities are performed by a state agency, contractor, agent or provider |
1,803,508,439 |
| 4000-0950 | MassHealth Special Populations
For MassHealth benefits provided under the following programs: 1) for the CommonHealth program to provide primary and supplemental medical care and assistance to disabled adults and children under sections 9A, 16 and 16A of chapter 118E of the General Laws; provided, that the executive office shall maximize federal reimbursement for state expenditures made on behalf of those adults and children; provided further, that children shall be determined eligible for medical care and assistance if they meet the disability standards as defined by the executive office, and which shall not be more restrictive than those in effect on July 1, 1996; 2) for health care services provided to adults participating in the medical assistance program under clause (g) of subsection (2) of section 9A of chapter 118E of the General Laws; 3) for the provision of benefits to eligible women who require medical treatment for either breast or cervical cancer in accordance with 1902(a)(10)(A)(ii)(XVIII) of the Social Security Act, and in accordance with section 10D of chapter 118E of the General Laws; provided further, that the executive office shall provide those benefits to women whose income, as determined by the executive office, does not exceed 250 per cent of the federal poverty level, subject to continued federal approval; provided further, that eligibility for such benefits shall be extended solely for the duration of such cancerous condition; provided further, that prior to the provision of any benefits covered by this item, the division shall require screening for either breast or cervical cancer at the comprehensive breast and cervical cancer early detection program operated by the department of public health, in accordance with item 4570-1512; 4) for the cost of health insurance subsidies and premium subsidies paid to employers and to employees of small businesses participating in the insurance reimbursement program under section 9C of chapter 118E of the General Laws; 5) for the healthy start program to provide medical care and assistance to pregnant women and infants residing in the commonwealth under section 10E of chapter 118E of the General Laws; and 6) for the purposes of providing MassHealth benefits to persons with a diagnosis of human immunodeficiency virus under subsection 2(i) of section 9A of chapter 118E of the General Laws; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years |
304,742,274 |
| 4000-0990 | Children's Medical Security Plan
For the children's medical security plan to provide primary and preventive health services for uninsured children from birth through age 18 under section 10F of chapter 118E of the General Laws; provided, that the executive office shall pre-screen enrollees and applicants for Medicaid eligibility; provided further, that no applicant shall be enrolled in the program until the applicant has been denied eligibility for the MassHealth program; provided further, that the MassHealth benefit request shall be used as a joint application to determine the eligibility for both MassHealth and the children's medical security plan; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years |
15,223,144 |
| 4000-1405 | MassHealth Essential
For the operation of the essential program under section 10G of chapter 118E of the General Laws |
262,440,603 |
| 4000-1420 | Medicare Part D Phased Down Contribution
For the purposes of making payment to the federal Centers for Medicare and Medicaid Services in compliance with Title XIX of the Social Security Act, as amended by the Medicare Prescription Drug Improvement and Modernization Act of 2003 |
233,916,047 |
| 4100-2008 | Health Care Quality and Cost Council
For the operation of a health care quality and cost council to promote high-quality, cost-effective patient-centered care |
209,292 |
| account | description | amount |
|---|---|---|
| Retained Revenues | ||
| 4000-0320 | MassHealth Recoveries from Current and Prior Fiscal Years Retained Revenue
The executive office may expend an amount not to exceed $225,000,000 from recoveries of any current or prior year expenditures and collections from liens, estate recoveries, third party recoveries, drug rebates, accident and trauma recoveries, case mix recoveries, computer audits, insurance recoveries, provider overpayment recoveries, bankruptcy settlements, Medicaid fraud returns, data match returns, Medicare appeals, and program and utilization review audits; provided, that any revenues collected by the executive office that are not attributable to the aforementioned categories shall be deposited in the General Fund and shall be tracked separately; provided further, that no funds from this item shall be used for the purposes of item 4000-0300; provided further, that expenditures from this item shall be limited solely to payment obligations arising in the current fiscal year for the provision of medical care and assistance; and provided further, that additional categories of recoveries and collections, including the balance of any personal needs accounts collected from nursing and other medical institutions after a recipient's death and held by the executive office for more than 3 years may, notwithstanding any general or special law to the contrary, be credited to this item |
225,000,000 |
| account | description | amount | ||||
|---|---|---|---|---|---|---|
| Intragovernmental Service Spending | 33,884,734 | |||||
| 4000-0102 | Chargeback for Human Services Transportation
For the cost of transportation services for health and human services clients and the operation of the health and human services transportation office
|
7,252,388 | ||||
| 4000-0103 | Chargeback for Human Services Core Administrative Functions
The secretary of the executive office of health and human services may, notwithstanding any general or special law to the contrary, identify administrative activities and functions common to the separate agencies, departments, offices, divisions and commissions within the executive office and designate such functions "core administrative functions" in order to improve administrative efficiency and preserve fiscal resources; provided, that common functions that may be designated core administrative functions include, without limitation, human resources, financial management, information technology, and leasing and facility management; provided further, that all employees performing functions so designated may be employed by the executive office; provided further, that upon the designation of a function as a core administrative function, the employees of each agency, department, office or commission who perform such core administrative functions may be transferred to the executive office of health and human services; provided further, that the reorganization shall not impair the civil service status of any such transferred employee who immediately before the effective date of this act either holds a permanent appointment in a position classified under chapter 31 of the General Laws or has tenure in a position by reason of section 9A of chapter 30 of the General Laws; and provided further, that nothing in this section shall be construed to impair or change an employee's status, rights, or benefits under chapter 150E of the General Laws
|
26,632,346 | ||||
| account | description | amount |
|---|---|---|
| Federal Grant Spending | 53,873,056 | |
| 4000-0713 | Youth Development State Collaboration
For the purposes of a federally funded grant entitled, Youth Development State Collaboration |
222,227 |
| 4000-9401 | Community Mental Health Services
For the purposes of a federally funded grant entitled, Community Mental Health Services |
8,559,524 |
| 4000-9402 | Substance Abuse Prevention and Treatment Block Grant
For the purposes of a federally funded grant entitled, Substance Abuse Prevention and Treatment Block Grant |
34,256,454 |
| 4400-0705 | McKinney Emergency Shelter Grants Program
For the purposes of a federally funded grant entitled, McKinney Emergency Shelter Grants Program |
2,534,851 |
| 4400-0707 | Department of Housing and Urban Development Continuum of Care
For the purposes of a federally funded grant entitled, Department of Housing and Urban Development Continuum of Care |
6,000,000 |
| 4400-9404 | McKinney Shelter Plus Care - Continuum of Care
For the purposes of a federally funded grant entitled, McKinney Shelter Plus Care - Continuum of Care |
2,300,000 |
| account | description | amount |
|---|---|---|
| Trust and Other Spending | 980,629,457 | |
| 1595-1068 | Medical Assistance Trust Fund | 251,000,000 |
| 4000-3005 | Essential Community Provider Trust Fund | 28,000,000 |
| 4000-4000 | Health Insurance Portability and Accountability Act Fund | 15,766,779 |
| 4000-5819 | Commonwealth Care Trust Fund | 685,862,678 |