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Department of Elder Affairs

FISCAL YEAR 2008 RESOURCE SUMMARY ($000)
DEPARTMENT	FY 2008 Budgetary Recommendations	FY 2008 Federal, Trust, and ISF	FY 2008 Total Spending	FY 2008 Budgetary Non-Tax Revenue
Department of Elder Affairs	2,598,857	41,282	2,640,139	1,292,097
TOTAL	2,598,857	41,282	2,640,139	1,292,097

MassHealth Account Summary

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account	description	amount
DEPARTMENT OF ELDER AFFAIRS		2,640,138,655
Budgetary Direct Appropriations		2,598,857,019
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 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 recipients in prior fiscal years	2,022,827,569
4000-0640	MassHealth Nursing Home Supplemental Rates For nursing facility Medicaid rates; provided, that the division of health care finance and policy shall establish rates effective July 1, 2007 through June 30, 2008, that cumulatively total $288,500,000 more than the annual payment rates established by the division under the rates in effect as of June 30, 2002; provided further, that $287,950,000 shall be expended for the purposes of Medicaid per diem rate payments to nursing homes participating in the MassHealth program for services provided to MassHealth members during fiscal year 2008; provided further, that as a condition for funding, the division shall require that each nursing home document to the division that its allotted share of at least $50,000,000 of the funds are spent only on direct care staff by increasing the wages, hours and benefits of direct care staff, increasing the facility's staff-to-patient ratio or by demonstrably improving the facility's recruitment and retention of nursing staff to provide quality care, which shall include expenditure of funds for nursing facilities which document actual nursing spending that is higher than the median nursing cost per management minute in the base year used to calculate Medicaid nursing facility rates; provided further, that a facility's direct care staff shall include any and all nursing personnel including registered nurses, licensed practical nurses and certified nurses' aides hired by the facility from any temporary nursing agency or nursing pool registered with the department of public health; provided further, that the division shall credit wage increases that are over and above any previously collectively bargained for wage increases; provided further, that in monitoring compliance under this item, the division's regulations shall adjust any spending compliance test to reflect any Medicaid nursing facility payment reductions, including, but not limited to, rate reductions imposed on or after October 1, 2002; provided further, that the expenditure of these funds shall be subject to audit by the division in consultation with the department of public health and the executive office of health and human services; provided further, that $300,000 shall be expended for the purposes of an audit of funds distributed under this item; and provided further, that the division of health care finance and policy, in consultation with the department of public health and with the assistance of the executive office of health and human services, shall establish penalties sufficient to deter noncompliance to be imposed against any facility that expends any or all monies in violation of the provisions set forth in this item, including, but not limited to recoupment, assessment of fines or interest; and provided further, that $250,000 shall be expended for expenses at the division of health care finance and policy related to the implementation and administration of section 25 of chapter 118G of the General Laws	288,500,000
9110-0100	Department of Elder Affairs Administration For the operation of the department of elder affairs	3,588,573
9110-1455	Prescription Advantage For the costs of the drug insurance program authorized by section 39 of chapter 19A of the General Laws; provided, that amounts received by the department of elder affairs' vendor as premium or enrollment fee revenue for this program may be retained and expended by the vendor for the purposes of the program; 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 department of elder affairs, and the entities with which it has contracted for administration of the subsidized catastrophic drug insurance program pursuant to said section 39 of said chapter 19A shall be the payer of last resort for such program for eligible persons with regard to any other third party prescription coverage or benefits available to such eligible persons; provided further, that the program is subject to appropriation; and provided further, that expenditures shall not exceed the amount appropriated in this item in fiscal year 2008	60,504,455
9110-1604	Supportive Senior Housing Program For the operation of the supportive senior housing program, including congregate and shared housing services for the elderly	5,329,199
9110-1630	Elder Home Care Purchased Services For the operation of elder home care programs to provide services to the elderly, including case management and administration; 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 $7,500,000 in total sliding fee revenues shall be retained by the individual home care corporations without re-allocation by the department and shall be expended for the purposes of the home care programs consistent with guidelines issued by the department	189,050,183
9110-1636	Elder Protective Services For the operation of the elder protective services program	15,009,445
9110-1640	Geriatric Mental Health Services Program For the operation of the geriatric mental health services program	350,000
9110-1650	Family Caregivers Program For the operation of the family caregivers program	500,000
9110-1900	Elder Nutrition Program For the elder nutrition program	5,645,303
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	7,552,292

account	description	amount
Federal Grant Spending		41,281,636
9110-1074	Older Americans Act - Title III and Title VII For the purposes of a federally funded grant entitled, Older Americans Act - Title III and Title VII	28,258,530
9110-1095	Health Information Counseling and Assistance For the purposes of a federally funded grant entitled, Health Information Counseling and Assistance	659,385
9110-1174	Nutrition Services Incentive Program For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program	4,074,000
9110-1178	Community Service Employment Program For the purposes of a federally funded grant entitled, Community Service Employment Program	1,901,968
9110-1755	State Pharmacy Assistance Program Transitional Grant For the purposes of a federally funded grant entitled, State Pharmacy Assistance Program Transitional Grant	6,048,468
9110-2760	New England Massachusetts Aging and Disability Resource Center For the purposes of a federally funded grant entitled, New England Massachusetts Aging and Disability Resource Center	89,285
9110-2761	Aging and Disability Resource Center - Center for Medicaid and Medicare Services For the purposes of a federally funded grant entitled, Aging and Disability Resource Center - Center for Medicaid and Medicare Services	250,000