FISCAL YEAR 2013 BUDGET SUMMARY ($000)
ACCOUNT FY2013
Conference
FY2013
Vetoes
FY2013
GAA
MassHealth Senior Care 2,756,131 0 2,756,131
MassHealth Nursing Home Supplemental Rates 318,700 0 318,700
Department of Elder Affairs Administration 1,990 0 1,990
Prescription Advantage 18,501 0 18,501
Elder Enhanced Home Care Services Program 47,461 0 47,461
Supportive Senior Housing Program 4,015 0 4,015
Elder Home Care Purchased Services 97,781 0 97,781
Elder Home Care Case Management and Administration 35,738 0 35,738
Elder Protective Services 17,251 0 17,251
Elder Congregate Housing Program 1,825 0 1,825
Elder Homeless Placement 186 0 186
Elder Nutrition Program 6,375 0 6,375
Veterans Independence Plus Initiative 750 0 750
Grants to Councils on Aging 9,434 0 9,434
TOTAL    3,316,137 0 3,316,137

Hide line item language

account description amount
DEPARTMENT OF ELDER AFFAIRS 3,350,833,256
Direct Appropriations
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 these recipients in prior fiscal years; provided further, that funds shall be expended for the community choices initiative; provided further, 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 benefits of the community choices initiative shall not be reduced below the services provided in fiscal year 2012; provided further, that the eligibility requirements for this demonstration project shall not be more restrictive than those established in fiscal year 2012; 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, not later than December 5, 2012, detailing the projected costs and the number of individuals served by the community choices initiative in fiscal year 2013 delineated by the federal poverty level; provided further, that funds shall be expended from this item to implement the pre-admission counseling and assessment program under the third paragraph of section 9 of chapter 118E of the General Laws, which shall be implemented on a statewide basis through aging and disability resource consortia; provided further, that notwithstanding any general or special law to the contrary, funds shall be expended from this item for the purpose of maintaining a personal needs allowance of $72.80 per month for individuals residing in nursing homes and rest homes who are eligible for MassHealth, Emergency Aid to the Elderly, Disabled and Children program or Supplemental Security Income; provided further, that notwithstanding any general or special law to the contrary, for any nursing home or non-acute chronic disease hospital that provides kosher food to its residents, the executive office of elder affairs, in consultation with the division of health care finance and policy, in recognition of the special innovative program status granted by the executive office of health and human services, shall continue to make the standard payment rates established in fiscal year 2006 to reflect the high dietary costs incurred in providing kosher food; provided further, that notwithstanding any general or special law to the contrary, nursing facility rates effective July 1, 2012 may be developed using the costs of calendar year 2005; provided further, that MassHealth shall continue to provide the same number of nursing home leave of absence days to clients as were provided in the fiscal year beginning July 1, 2010; provided further, that no nursing home shall be permitted to reassign a patient's bed during a leave of absence eligible for reimbursement under this clause; and provided further, that MassHealth shall reimburse nursing home leave of absence days at a rate of not less than $30 per day
2,756,130,662
4000-0640 MassHealth Nursing Home Supplemental Rates
For nursing facility Medicaid rates; provided, that notwithstanding any general or special law to the contrary, in fiscal year 2013 the division of health care finance and policy shall establish nursing facility Medicaid rates 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 an amount for expenses related to the collection and administration of section 25 of chapter 118G of the General Laws shall be transferred to the division of health care finance and policy; provided further, that effective July 1, 2012 for the fiscal year ending June 30, 2013, not less than $27,400,000 above the amount expended in fiscal year 2011 shall be expended for the purpose of recognizing the Medicaid share of the nursing home assessment established by section 25 of chapter 118G of the General Laws; provided further, that not less than $2,800,000 shall be expended as incentive payments to nursing facilities meeting the criteria determined under the MassHealth Nursing Facility Pay-for-Performance Program and that have established and participated in a cooperative effort in each qualifying nursing facility between representatives of employees and management that is focused on implementing that criteria and improving the quality of services available to MassHealth members; provided further, that the MassHealth agency shall adopt regulations and procedures necessary to carry out the purposes of the foregoing incentive payment program; and provided further, that the payments made under this item shall be allocated in an amount sufficient to implement section 622 of chapter 151 of the acts of 1996
318,700,000
9110-0100 Department of Elder Affairs Administration
For the operation of the executive office of elder affairs and regulation of assisted living facilities; provided, that the executive office of elder affairs shall report to the house and senate committees on ways and means the number of assisted living units certified and the total revenues generated from application and certification fees for such units
1,990,108
9110-1455 Prescription Advantage
For the costs of the drug insurance program authorized in section 39 of chapter 19A of the General Laws; 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 purposes of the program; provided further, that funds shall be expended for the operation of the pharmacy outreach program established in section 4C of said chapter 19A; 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 pursuant to 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 such eligible persons; provided further, that the executive office shall notify the house and senate committees on ways and means not less than 90 days in advance of any action to limit or cap the number of enrollees in the program; provided further, that notification shall be given to the house and senate committees on ways and means at least 30 days prior to any coverage or benefits expansions; 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 pursuant to the federal Medicare Prescription Drug Improvement and Modernization Act of 2003, Public Law 108-173, to ensure that residents of the commonwealth take advantage of this benefit; provided further, that a person shall also 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
18,500,869
9110-1500 Elder Enhanced Home Care Services Program
For enhanced home care services, including case management to elders who meet the eligibility requirements of the home care program and need services above the level customarily provided under the program to remain safely at home, including elders previously enrolled in the managed care in housing, enhanced community options and chronic care enhanced services programs; provided, that the secretary shall seek to obtain federal financial participation for all services provided to seniors who qualify for Medicaid benefits under the section 1915(c) waiver; provided further, that the executive office shall collect income data on persons receiving services provided in this item; provided further, that the executive office shall submit a report to the house and senate committees on ways and means detailing the population served by this item delineated by both 2012 federal poverty income levels and 2012 social security income standards; provided further, that the report shall be submitted not later than February 8, 2013; and provided further, that the executive office shall submit a report not later than October 8, 2012, to the house and senate committees on ways and means which shall include the number of individuals on a waiting list for these services on October 1, 2012, compared to the number of individuals on a waiting list on July 1, 2012
47,461,487
9110-1604 Supportive Senior Housing Program
For the operation of the supportive senior housing program at state or federally-assisted housing sites; provided, that funds shall be expended to fund existing sites
4,014,802
9110-1630 Elder Home Care Purchased Services
For the operation of the elder home care program, including contracts with aging service access points or other qualified entities 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 $11,500,000 in revenues accrued from sliding-scale fees shall be retained by the individual home care corporations without re-allocation by the executive office of elder affairs and shall be expended for the purposes of the home care program, consistent with guidelines to be issued by the executive office; provided further, that no rate increase shall be awarded in fiscal year 2013 which would cause a reduction in client services or the number of clients served; provided further, that no funds shall be expended from this item to pay for salary increases for direct service workers who provide state-funded homemaker and home health aide services which would cause a reduction in client services; provided further, that funding shall be expended for provider training and outreach to lesbian, gay, bisexual and transgender elders and caregivers; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated in this item to item 9110-1633 for case management services and the administration of the home care program
97,780,898
9110-1633 Elder Home Care Case Management and Administration
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 corporations funded through items 9110-1630 and 9110-1500; provided, that such 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; provided further, that no funds appropriated in this item shall be expended for the enhancement of management information systems; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated herein to item 9110-1630
35,738,377
9110-1636 Elder 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
17,250,554
9110-1660 Elder Congregate Housing Program
For congregate and shared housing services and naturally occurring retirement communities for the elderly; provided, that not less than $214,000 shall be expended from this item for providers of naturally occurring retirement communities with whom the department of elder affairs entered into service agreements with in fiscal year 2012 at not less than the amount expended to those providers in fiscal year 2012
1,824,616
9110-1700 Elder Homeless Placement
For residential assessment and placement programs for homeless elders
186,000
9110-1900 Elder Nutrition Program
For the elder nutrition program; provided, that funds shall be expended for the senior farm share program
6,375,328
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; provided, that notwithstanding the foregoing, all monies appropriated in this item shall be expended in accordance with the distribution schedules for formula and incentive grants established by the secretary of elder affairs; provided further, that not less than $100,000 shall be spent for the Needham Senior Center located in the town of Needham; and provided further, that such distribution schedules shall be submitted to the house and senate committees on ways and means
9,433,748

account description amount
Retained Revenues
9110-2500 Veterans Independence Plus Initiative
For the department of elder affairs which may expend not more than $750,000 from revenues from federal reimbursements received for the operation of the Veterans Independence Plus Initiative, a joint initiative of the United States Department of Veterans Affairs and the United States Administration on Aging; provided, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate as reported in the state accounting system
750,000

account description amount
Federal Grant Spending 34,695,807
9110-1074 Older Americans Act - Title III and Title VII
For the purposes of a federally funded grant entitled, Older Americans Assistance - Title III and Title VII
7,509,748
9110-1077 National Family Caregiver Support Program
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program
4,983,746
9110-1095 Health Information Counseling and Assistance
For the purposes of a federally funded grant entitled, Health Information Counseling and Assistance
802,000
9110-1173 Older Americans Act - Title III Nutrition Program
For the purposes of a federally funded grant entitled, Older Americans Act - Title III Nutritional Program
12,366,039
9110-1174 Nutrition Services Incentive Program
For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program
5,525,088
9110-1178 Community Service Employment Program
For the purposes of a federally funded grant entitled, Community Service Employment Program
1,831,035
9110-1183 Massachusetts Options Counseling Standards Initiative
For the purposes of a federally funded grant entitled, Massachusetts Options Counseling Standards Initiative
450,000
9110-1184 Standard Care For People With Alzheimer's
For the purposes of a federally funded grant entitled, Standards Care for People with Alzheimer's in Home Care Program
350,000
9110-3031 Five Year Plan
For the purposes of a federally funded grant entitled, ADRC Strategic Planning
267,058
9110-3037 Massachusetts Community Living Program
For the purposes of a federally funded grant entitled, Massachusetts Community Living Program
250,000
9110-3100 Nursing Home Diversion Modernization
For the purposes of a federally funded grant entitled, Nursing Home Diversion Modernization
361,093