This is not the official budget document.

Budget Summary FY2012

40000300 - Executive Office of Health and Human Services and Medicaid Administration
Data Current as of:  7/11/2011





Account Description FY2011
Spending
FY2012
GAA
4000-0300 Executive Office of Health and Human Services and Medicaid Administration
For the operation of the executive office 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 of Health and Human Services and its agencies, when contracting for services on the islands of Martha's Vineyard and Nantucket, shall take into consideration the increased costs associated with the provision of goods, services and housing on said islands; 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 the executive office shall ensure that any collaborative assessments for children receiving services from multiple agencies within the secretariat shall be performed within existing resources; provided further, that funds appropriated in this item shall be expended for administrative and contracted services related to the implementation and operation of programs authorized by 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 the rates that 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 funds may be expended for the operation of the office of health equity within the executive office of health and human services; provided further, that expenditures for the purposes of each item appropriated for programs authorized by chapter 118E of the General Laws shall be accounted for in the Massachusetts management accounting and reporting system not more than 10 days after the expenditures have been made by the Medicaid management information system; provided further, that no expenditures shall be made that are not federally reimbursable, including those related to Titles XIX or XXI of the Social Security Act or the MassHealth demonstration waiver approved under section 1115(a) of said Social Security Act or the community first section 1115 demonstration waiver, whether made by the executive office or another commonwealth entity, except as specifically authorized herein, or unless made for cost containment efforts, the purposes and amounts of which have been submitted to the executive office of administration and finance and the house and senate committees on ways and means 30 days prior to making such expenditures; provided further, that the executive office of health and human services may continue to recover provider overpayments made in the current and prior fiscal years through the Medicaid management information system, and that these recoveries shall be considered 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 chapter 118E of the General Laws 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 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; provided further, that the executive office of health and human services shall submit a report to the house and senate committees on ways and means no later than September 1, 2011, providing a detailed analysis of savings to be achieved in fiscal year 2012; provided further, that this report shall include, but not be limited to, savings from provider rate cuts, reprocurement of contracts and changes to MassHealth benefits; provided further, that the executive office of health and human services shall report to the house and senate committees on ways and means no later than February 1, 2012 on savings achieved in the MassHealth program for the first half of fiscal year 2012; provided further, that any projection of deficiency in item 4000-0430, 4000-0500, 4000-0600, 4000-0700, 4000-0870, 4000-0875, 4000-0880, 4000-0890, 4000-0895, 4000-0950, 4000-0990, 4000-1400 or 4000-1405 shall be reported to the house and senate committees on ways and means not less than 90 days before the projected exhaustion of funding; provided further, that said reports shall include an explanation of said deficiencies, including but not limited to updated utilization and caseload information, as well as initiatives that did not generate expected savings; provided, however, that the information is provided in a manner that meets all applicable federal and state privacy and security requirements; provided further, that any unexpended balance in these accounts shall revert to the General Fund on June 30, 2012; provided further, that the secretary of health and human services shall report annually to the house and senate committees on ways and means on the percentage of MassHealth recipients receiving dental care in emergency rooms, community health centers or dentists offices, and the number and types of procedures performed; and provided further, that MassHealth shall notify the house and senate committees on ways and means not less than 90 days in advance of any change in rates paid to providers of adult day habilitation, adult day health, adult foster care, and group adult foster care services
87,086,613 83,484,473