This is not the official budget document.

Budget Summary FY2014

Office of the Secretary of Health and Human Services
Data Current as of:  9/11/2013





FISCAL YEAR 2014 BUDGET SUMMARY ($000)
ACCOUNT FY2014
Conference
FY2014
Vetoes
FY2014
Overrides
FY2014
GAA
Safe and Successful Youth Initiative 4,000 0 0 4,000
Personal Care Attendant Council 238 0 0 238
Family Access Centers 850 0 0 850
EOHHS and MassHealth Administration 91,786 -2,420 2,420 91,786
MassHealth Auditing and Utilization Reviews 4,417 0 0 4,417
MassHealth Recoveries from Current and Prior Fiscal Years RR 225,000 0 0 225,000
MassHealth CommonHealth Plan 91,075 0 0 91,075
MassHealth Managed Care 4,500,412 0 0 4,500,412
MassHealth Fee-for-Service Payments 2,196,315 -200 200 2,196,315
MassHealth Basic Coverage 180,437 0 0 180,437
MassHealth Breast and Cervical Cancer Treatment 5,725 0 0 5,725
MassHealth Family Assistance Plan 222,767 0 0 222,767
MassHealth Premium Assistance and Insurance Partnership 30,877 0 0 30,877
Healthy Start Program 14,440 0 0 14,440
ACA Expansion Populations 448,000 0 0 448,000
Children's Behavioral Health Initiative 203,200 0 0 203,200
Children's Medical Security Plan 13,214 0 0 13,214
MassHealth HIV Plan 18,745 0 0 18,745
MassHealth Essential 489,878 0 0 489,878
Medicare Part D Phased Down Contribution 284,153 0 0 284,153
MassHealth Operations 2,084 0 0 2,084
Health Care System Reform 850 0 0 850
Health and Human Services IT Costs 98,349 0 0 98,349
TOTAL    9,614,260 -2,620 2,620 9,614,260 0  

Hide line item language

account description amount
OFFICE OF THE SECRETARY OF HEALTH AND HUMAN SERVICES 9,698,334,312
Direct Appropriations
4000-0005 Safe and Successful Youth Initiative
For youth violence prevention program grants administered by the executive office of health and human services; provided, that the programs shall be targeted at reducing youth violence among young persons at highest risk for being perpetrators of, or victims of, gun violence; provided further, that the application for receipt of grants shall require applicants to: (i) identify the target population for services; (ii) identify a method for identifying youths in the target population; (iii) estimate the total number of youths in the target population; and (iv) propose a method for selecting youths for services if the amount of the grant will not cover all youths in the target population; provided further, that the 20 municipalities with the highest average violent crime rate between 2009 and 2011, as measured by the Federal Bureau of Investigation's uniform crime reports, shall be eligible to apply for grants under this item; provided further, that in selecting grant recipients, the executive office shall ensure that all programs can be consistently evaluated by a single statewide evaluator and that all programs are committed to providing the data and cooperation necessary for comprehensive program evaluation; provided further, that the evaluator shall, to the extent feasible, advise the office on the development of the request for proposals for the grants and shall assist the office in the review and selection of grant applications; provided further, that the secretary shall report to the house and senate committees on ways and means not later than March 3, 2014 detailing: (a) successful grant applications; (b) a set of clearly-defined goals and benchmarks on which grant recipients will be evaluated; and (c) outside evaluation that will be utilized to measure program implementation and preliminary outcomes; and provided further, that funds may be set aside for the administration of these programs
4,000,000
4000-0050 Personal Care Attendant Council
For the operation of the PCA quality home care workforce council established pursuant to section 71 of chapter 118E of the General Laws
237,517
4000-0051 Family Access Centers
For the establishment and operation of family resource centers to provide community-based services to families, including families with children requiring assistance and to provide a mechanism to the juvenile court to refer families to community-based services pursuant to section 16U of chapter 6A of the General Laws and section 39E of chapter 119 of the General Laws
850,000
4000-0300 EOHHS and MassHealth 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 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 ensure that any collaborative assessments for children receiving services from multiple agencies within the secretariat shall be performed within existing resources; 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, housing, and travel costs and shall provide no more than $30,000 for the increased costs associated with travelling to and from said islands; 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 center for health information and analysis, no rate increase shall be provided to existing Medicaid provider rates without taking all measures possible under Title XIX of the Social Security Act, as codified at 42 U.S.C. chapter 7, subchapter XIX, 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 no expenditures shall be made that are not federally reimbursable, including those related to Titles XIX or XXI of the Social Security Act, as codified at 42 U.S.C. chapter 7, subchapters XIX or XXI or the MassHealth demonstration waiver pursuant to section 1115(a) of said Social Security Act, as codified at 42 U.S.C. section 1315(a) or the community first demonstration waiver pursuant to section 1115 of the Social Security Act, as codified at 42 U.S.C. section 1315, whether made by the executive office or another commonwealth entity, except as required for: (a) the equivalent of MassHealth Standard benefits for children under age 21 who are in the care or custody of the department of youth services or the department of children and families; (b) dental benefits provided to clients of the department of developmental services who are age 21 or over; or (c) cost containment efforts the purposes and amounts of which have been submitted to the executive office for administration and finance and the house and senate committees on ways and means 30 days prior to making these expenditures; provided further, that in calculating rates of payment for children enrolled in MassHealth receiving inpatient and outpatient services at acute care pediatric hospitals and pediatric specialty units as defined in section 8A of Chapter 118E of the General Laws, the executive office shall provide additional reimbursement to the pediatric acute hospital in the Commonwealth, above the base rates, to compensate for high-complexity pediatric care in an amount no less than $11,800,000 and to the pediatric specialty unit in the Commonwealth in an amount no less than $3,000,000; 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 funds shall be provided in an amount not less than the total appropriated in item 1599-2009 in section 2 of chapter 182 of the acts of 2008; 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 in calculating rates of inpatient and outpatient services for neonatal intensive care units, also known as NICU, with at least 55 licensed NICU beds within an acute hospital that has at least 109 pediatric intensive NICU licensed beds, the executive office shall make a supplemental payment of no more than $200,000; provided further, that no funds shall be expended for 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, $150,000 shall be expended for the work of the Massachusetts Unaccompanied Homeless Youth Commission to determine the scope of need among unaccompanied youth and young adults ages 24 and younger who are experiencing homelessness, and to identify and implement potential models for appropriate service delivery to unaccompanied homeless youth in urban, suburban, and rural areas of the commonwealth; provided further, that notwithstanding any general or special law to the contrary, the commissioner of mental health shall 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 not less than $1,500,000 shall be provided to the town of Webster to support emergency department capacity for a regional Medicare eligible disproportionate share, geographically isolated, community healthcare provider affiliated with the University of Massachusetts Medical School; provided further, that such funds shall be provided only if they will be matched by an equal or greater amount of private funds; provided further, that these funds shall be made available to said provider not later than December 31, 2013; provided further, that the executive office of health and human services shall report to the house and senate committees on ways and means not later than December 16, 2013 on the number of members that received case management services in fiscal year 2013, the scope of services provided and the spending impact of these services in both the primary care clinician and managed care organization populations; provided further, that the executive office of health and human services shall report to the house and senate committees on ways and means not later than January 13, 2014 on the number of members served in the dual eligible initiative, the average expenditure per member, the average expenditure per member prior to the demonstration project and the number of clients that receive care at skilled nursing facilities; provided further, that the executive office shall submit to the house and senate committees on ways and means and the joint committee on health care financing not later than December 6, 2013 a report detailing utilization of the Health Safety Net Trust Fund, established pursuant to section 66 of chapter 118E of the General Laws; provided further, that the report shall include: (a) the number of persons whose medical expenses were billed to the Health Safety Net Trust Fund in fiscal year 2013; (b) the total dollar amount billed to the Health Safety Net Trust Fund in fiscal year 2013; (c) the demographics of the population using the Health Safety Net Trust Fund; and (d) the types of services paid for out of the Health Safety Net Trust Fund in fiscal year 2013; provided further, that the executive office shall include in the report an analysis on hospitals' responsiveness to enrolling eligible individuals into the MassHealth program upon the date of service rather than charging those individuals to the Health Safety Net Trust Fund; 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, 4000-0940, 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 any unexpended balance in these accounts shall revert to the General Fund on June 30, 2014; provided further, that for purposes of long-term health care cost savings and enhanced patient care, the commonwealth shall recognize telehealth remote patient monitoring provided by home health agencies as a service to clients otherwise reimbursable through Medicaid; and provided further, that the funds authorized in this item for telehealth reimbursement shall be short-term reimbursement made through MassHealth
91,785,813
4000-0301 MassHealth Auditing and Utilization Reviews
For the costs of MassHealth provider and member audit and utilization review activities, including eligibility verification, disability evaluations, provider financial and clinical audits and other initiatives intended to enhance program integrity; provided, that no expenditures shall be made from this item that are not federally reimbursable; provided further, that notwithstanding any general or special law to the contrary, the state Medicaid office may conduct a trial to determine the effectiveness of various fraud management tools to identify potential fraud at claims submission and validation in order to reduce Medicaid fraud before payment; provided further, that the state Medicaid office may employ strategies to improve systems for detection and may allow for the use of external data sources; provided further, that any such trial may test innovative technologies to improve Medicaid fraud detection and, at the least, evaluate the efficacy of a real-time model to identify and investigate potential Medicaid fraud cases prior to payment; provided further, that the Medicaid office may use actual claims data, in accordance with federal law, to identify specific suspicious provider billing patterns, document the results of any potential fraud findings and estimate anticipated savings and benefits to the commonwealth associated with such a fraud detection system; provided further, that the executive office shall report to the house and senate committees on ways and means not later than January 17, 2014 detailing total audit findings and recoveries in fiscal year 2013 and estimated recoveries in fiscal year 2014; provided further, that the report shall also identify any audits and recoveries referred by the office of the state auditor; provided further, that the executive office shall report to the house and senate committees on ways and means not later than April 1, 2014 on prepayment audit efforts; and provided further, that the report shall include only: (i) the original amount of estimated payments prior to prepayment audit; and (ii) the actual amount of payments made following prepayment audits
4,416,519
4000-0430 MassHealth CommonHealth Plan
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 funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, 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 the medical care and assistance if they meet the disability standards as defined by the executive office, which shall be no more restrictive than the standards in effect on July 1, 1996; and provided further, that the executive office shall process a CommonHealth application within 45 days of receipt of a completed application or within 90 days if a determination of disability is required
91,074,613
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 health maintenance organization under contract with the executive office and for MassHealth benefits provided to children, adolescents and adults under clauses (a) to (d), inclusive, and clause (h) of subsection (2) of section 9A of chapter 118E of the General Laws and section 16C of said chapter 118E; provided, that no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose family incomes, as determined by the executive office, exceed 150 per cent of the federal poverty level; provided further, that expenditures from this item shall be made only for the purposes expressly stated in this item; provided further, that the executive office shall maximize federal reimbursements for state expenditures made to these providers; provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that MassHealth shall provide not less than $1,000,000 in the fiscal year 14 capitated rate for the PCC mental health and substance abuse plan for inpatient behavioral health providers; provided further, that the office of Medicaid shall work with the managed care organizations that are under contract with the commonwealth to deliver managed care services to MassHealth enrollees and other relevant stakeholders to develop changes to Medicaid payment policies, quality improvement programs and any other programmatic changes that promote provider efficiencies; provided further, that the office of Medicaid shall work with its actuary to ensure that the development of capitation rates for contracting managed care organizations appropriately account for changes in MassHealth provider rates,that take effect during state fiscal year 2014; provided further, that MassHealth shall report to the house and senate committees on ways and means not later than October 1, 2013 on proposed provider efficiencies and the methodology used to develop actuarially sound capitation rates for managed care organizations, which account for changes to provider rates and develop actuarially sound rates; and provided further, that if MassHealth fails to produce the report and develop actuarially sound capitation rates that account for changes in provider rates that take effect during state fiscal year 2014 then, to the extent permissible under federal law and regulations and subject to the availability of federal financial participation, MassHealth shall adjust each Medicaid managed care organization's base capitation rate to reflect increases in hospital payments paid by Medicaid managed care organizations to their network acute hospitals as a result of state fiscal year 2014 base hospital rate increases
4,500,411,804
4000-0700 MassHealth Fee-for-Service Payments
For health care services provided to medical assistance recipients under the executive office's health care indemnity or third party liability plan, to medical assistance recipients not otherwise covered under the executive office's managed care or senior care plans and for MassHealth benefits provided to children, adolescents and adults under clauses (a) to (d), inclusive, and clause (h) of subsection (2) of section 9A of chapter 118E of the General Laws and section 16C of said chapter 118E; provided, that no payments 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 no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose family incomes, as determined by the executive office, exceed 150 per cent of the federal poverty level; provided further, that children who have aged out of the custody of the department of children and families shall be eligible for benefits until they reach age 21; provided further, that funds shall be expended from this item for members who qualify for early intervention services; provided further, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, that $23,000,000 shall be expended from this item, or item 4000-0500 if necessary, to achieve maximum federal financial participation, to enhance the ability of hospitals and community health centers to serve populations in need more efficiently and effectively; provided further, that the executive office shall maximize federal reimbursements for state expenditures made to these providers; provided further, that the executive office shall not, in fiscal year 2014, fund programs relating to case management with the intention of reducing length of stay for neonatal intensive care unit cases; 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; provided further, that the executive office may reduce MassHealth premiums or copayments or offer other incentives to encourage enrollees to comply with wellness goals; 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; provided further, that MassHealth shall expend not less than $13,683,965 to provide an additional 5 per cent of its standard payment amount per discharge, or SPAD, or of reimbursement provided under any subsequent inpatient payment methodologies and $12,332,013 to provide an additional 5 per cent of its outpatient payment amount per episode or PAPE, or of reimbursement provided under any subsequent outpatient payment methodologies to any acute care hospital that has greater than 63 per cent of its gross patient service revenue from governmental payers and free care as determined by the executive office of health and human services; provided further, that not more than $17,200,000 shall be expended for fillings for all teeth, reducing extractions and loss of teeth for adult MassHealth members; and provided further, that not later than October 1,2013 MassHealth shall report to the house and senate committees on ways and means the date at which full coverage for dental services may be restored given the funding level provided for those services
2,196,315,039
4000-0870 MassHealth Basic Coverage
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; provided, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years
180,437,109
4000-0875 MassHealth Breast and Cervical Cancer Treatment
For the provision of benefits to eligible women who require medical treatment for either breast or cervical cancer in accordance with 42 U.S.C. section 1396a(a)(10)(A)(ii)(XVIII) and section 10D of chapter 118E of the General Laws; provided, that the executive office shall provide these benefits to women whose incomes, as determined by the executive office, do not exceed 250 per cent of the federal poverty level, subject to continued federal approval; provided further, that eligibility for benefits shall be extended solely for the duration of the cancerous condition; provided further, that before the provision of any benefits covered by this item, the executive office shall require screening for either breast or cervical cancer through the comprehensive breast and cervical cancer early detection program operated by the department of public health, in accordance with item 4570-1543 of section 2D; and provided further, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years
5,725,199
4000-0880 MassHealth Family Assistance Plan
For MassHealth benefits under clause (c) of subsection (2) of section 9A of chapter 118E of the General Laws and section 16C of said chapter 118E for children and adolescents whose family incomes, as determined by the executive office, are above 150 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to those children and adolescents in prior fiscal years
222,766,943
4000-0890 MassHealth Premium Assistance and Insurance Partnership
For the cost of health insurance subsidies paid to employees and employers of small businesses in the insurance reimbursement program under section 9C of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to those persons in prior fiscal years; provided further, that effective January 1, 2014, funds may be expended for a pilot program for MassHealth to provide health insurance premium assistance for eligible individuals who work for small employers, who are ineligible for subsidized insurance through the commonwealth health insurance connector and ineligible for any other program in MassHealth; and provided further, that enrollment in such a pilot program may be capped to ensure that MassHealth expenditures do not exceed the amount appropriated herein
30,877,115
4000-0895 Healthy Start Program
For the healthy start program to provide medical care and assistance to pregnant women and infants pursuant to section 10E of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years
14,439,991
4000-0940 ACA Expansion Populations
For the purposes of providing health care services related to the federal Patient Protection and Affordable Care Act, Public Law 111-148, and streamlining current programs to promote alignment, access and administrative simplification
448,000,379
4000-0950 Children's Behavioral Health Initiative
For administrative and program expenses associated with the children's behavioral health initiative, in accordance with the settlement agreement in the case of Rosie D. v. Romney, 410 F.Supp.2d 18 (D.Mass 2006), to provide comprehensive, community-based behavioral health services to children suffering from severe emotional disturbances; provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years; provided further, that the secretary of health and human services shall report biannually to the house and senate committees on ways and means relative to implementation of the initiative; provided further, that such biannual reports shall include, but not be limited to, details of the implementation plan, results of the scheduled plan to date, including a schedule detailing commencement of services and associated costs by service type, an analysis of compliance with the terms of the settlement agreement to date, a detailed itemization of services and service utilization by service type, geographical location and the age of the member receiving the service, data detailing the time that elapses between a member's request for services and commencement of an initial assessment for services, the time to complete the initial assessment and the time that elapses between initial assessment for services and commencement of services and a quarterly update of whether projected expenditures are likely to exceed the amount appropriated herein; provided further, that any unexpended balance in this item shall revert to the General Fund on June, 30, 2014; and provided further, that funds shall not be transferred from this item without notifying the house and senate committees on ways and means not less than 30 days prior to such a transfer
203,200,101
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; provided, that the executive office shall prescreen 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; provided further, that the executive office shall maximize federal reimbursements for state expenditures made on behalf of the children; provided further, that the executive office shall expend all necessary funds from this item to ensure the provision of the maximum benefit levels for this program, as authorized by section 10F of chapter 118E of the General Laws; provided further, that the maximum benefit levels for this program shall be made available only to those children who have been determined by the executive office to be ineligible for MassHealth benefits; and provided further, that funds may be expended from this item for health care services provided to those persons in prior fiscal years
13,214,180
4000-1400 MassHealth HIV Plan
For the provision of MassHealth benefits to persons diagnosed with human immunodeficiency virus with incomes up to 200 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to those persons in prior fiscal years
18,744,723
4000-1405 MassHealth Essential
For the operation of a program of preventive and primary care for chronically unemployed persons who are not receiving unemployment insurance benefits and who are not eligible for medical assistance but who are determined by the executive office of health and human services to be long-term unemployed; provided, that such persons shall meet the eligibility requirements of the MassHealth program established in section 9A of chapter 118E of the General Laws; provided further, that persons eligible under subsection (7) of section 16D of said chapter 118E shall also be eligible to receive benefits under this item; provided further, that the income of such persons shall not exceed 100 per cent of the federal poverty level; provided further, that the eligibility requirements shall not exclude from eligibility persons who are employed neither intermittently nor on a regular basis; provided further, that the provision of care to such persons under this program may be restricted to certain providers; provided further, that the secretary may limit or close enrollment if necessary in order to ensure that expenditures from this item do not exceed the amount appropriated in this item; provided further, that no such limitation shall be implemented unless the secretary has given 60 days notice to the house and senate committees on ways and means and the joint committee on health care financing; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years
489,878,244
4000-1420 Medicare Part D Phased Down Contribution
For payment to the federal Centers for Medicare and Medicaid Services in compliance with Title XIX of the Social Security Act as codified at 42 U.S.C. chapter 7, subchapter XIX
284,153,027
4000-1602 MassHealth Operations
For the costs associated with improving MassHealth field operations; provided, that no expenditures shall be made from this item that are not federally reimbursable; and provided further, that MassHealth shall submit a report to the house and senate committees on ways and means not later than April 24, 2014 on the service received by MassHealth clients, including: (i) average wait time before a call is answered; (ii) percentage of issues resolved; and (iii) customer satisfaction survey results
2,083,756
4000-1604 Health Care System Reform
For MassHealth costs associated with the implementation of the Patient Protection and Affordable Care Act, Public Law 111-148 and payment reform; provided, that no expenditures shall be made from this item that are not federally reimbursable; and provided further, that MassHealth shall submit a report to the house and senate committees on ways and means not later than April 24, 2014 on the implementation of the Affordable Care Act and payment reform initiatives
849,766
4000-1700 Health and Human Services IT Costs
For the provision of information technology services within the executive office of health and human services
98,348,924

account description amount
Retained Revenues
4000-0320 MassHealth Recoveries from Current and Prior Fiscal Years RR
For the executive office of health and human services which may expend for medical care and assistance rendered in the current year an amount not to exceed $225,000,000 from the monies received from recoveries and collections of any current or prior year expenditures; provided, that notwithstanding any general or special law to the contrary, the balance of any personal needs accounts collected from nursing and other medical institutions upon the death of a medical assistance recipient and held by the executive office for more than 3 years may be credited to this item; and provided further, that no funds from this item shall be used for the purposes of item 4000-0300
225,000,000

account description amount
Section 2E
1595-1067 Delivery System Transformation Initiatives Trust Fund
For an operating transfer to the Delivery System Transformation Initiatives Trust Fund established pursuant to section 35UU of chapter 10 of the General Laws; provided, that these funds shall be expended pursuant to the deliverysystem transformation initiative master plan and hospital-specific plans approved in the MassHealth demonstration waiver pursuant to section 1115 of the Social Security Act, as codified at 42 U.S.C. section 1315 for fiscal year 2014; provided further, that all payments from the delivery system transformation initiatives trust fund shall be subject to the availability of federal financial participation, shall be made only under federally-approved payment methods, shall be consistent with federal funding requirements and all federal payment limits as determined by the secretary of health and human services and shall be subject to the terms and conditions of an agreement with the executive office of health and human services; provided further, that the secretary of health and human services shall make payments of up to $22,426,667 from the Delivery System Transformation Initiatives Trust Fund to the Cambridge public health commission for fiscal year 2014 only after the Cambridge public health commission transfers up to $11,213,334 of its funds to the Delivery System Transformation Initiatives Trust Fund using a federally-permissible source of funds which shall fully satisfy the non-federal share of the payment; provided further, that the executive office of health and human services shall report to the house and senate committees on ways and means not later than March 14, 2014 on: (i) the payments made to each hospital; (ii) the investments each hospital has made with this funding; and (iii) each hospital's performance on the quality measures assessed under the delivery systemtransformation initiatives program; and provided further, that the executive office of health and human services shall notify the house and senate committees on ways and means 15 days in advance of any changes in payments made to these hospitals
93,449,470
1595-1068 Medical Assistance Trust Fund
For an operating transfer to the MassHealth provider payment account in the Medical Assistance Trust Fund established pursuant to section 2QQQ of chapter 29 of the General Laws; provided, that, except as otherwise provided in this item, these funds shall be expended only for services provided during state or federal fiscal year 2014, and no amounts previously or subsequently transferred into the Medical Assistance Trust Fund shall be expended on payments described in the demonstration waiver pursuant to section 1115 of the Social Security Act, as codified at 42 U.S.C. section 1315 for services provided during state fiscal year 2014, or payments described in the state plan for services provided during federal fiscal year 2014; provided further, that all payments from the Medical Assistance Trust Fund shall be subject to the availability of federal financial participation, shall be made only under federally-approved payment methods, shall be consistent with federal funding requirements and all federal payment limits as determined by the secretary of health and human services and shall be subject to the terms and conditions of an agreement with the executive office of health and human services; provided further, that the secretary of health and human services shall notify, in writing, the house and senate committees on ways and means and the joint committee on health care financing of any increases in payments within 15 days; provided further, that the secretary of health and human services shall make a payment of up to $312,050,000from the Medical Assistance Trust Fund to the Cambridge public health commission for dates of service in state and federal fiscal year 2014 only after the Cambridge public health commission transfers up to $156,025,000of its funds to the Medical Assistance Trust Fund using a federally permissible source of funds which shall fully satisfy the non-federal share of such payment
394,000,000

account description amount
Intragovernmental Service Spending 61,075,021
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
                Intragovernmental Service Fund ............... 100%
7,893,194
4000-0103 Chargeback for Human Services Administration
For the costs of core administrative functions performed within the executive office of health and human services; provided, that the secretary 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 may designate such functions as core administrative functions in order to improve administrative efficiency and preserve fiscal resources; provided further, that common functions that may be designated core administrative functions include human resources, financial management and leasing and facility management; provided further, that all employees performing functions so designated may be employed by the executive office and the executive office shall charge the agencies, departments, offices, divisions and commissions for such services; 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 pursuant to 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 item shall impair or change an employee's status, rights or benefits pursuant to chapter 150E of the General Laws
                Intragovernmental Service Fund ............... 100%
21,430,223
4000-1701 Chargeback for Health and Human Services IT
For the cost of information technology services provided to agencies of the executive office of health and human services
                Intragovernmental Service Fund ............... 100%
31,751,604

account description amount
Federal Grant Spending 22,999,059
4000-0025 Affordable Care Act
For the purposes of a federally funded grant entitled, Affordable Care Act
98,022
4000-0033 Integrate Care for Dual Eligible
For the purposes of a federally funded grant entitled, Integrate Care for Dual Eligibles
500,000
4000-0323 Personal and Home Care Aid State Training
For the purposes of a federally funded grant entitled, Personal and Home Care Aid State Training Program
187,436
4000-0544 Children's Health Insurance Program Quality Demo Grant
For the purposes of a federally funded grant entitled, Children's Health Insurance Program Quality Demo Grant
2,666,404
4000-0826 Money Follows the Person Demonstration Grant
For the purposes of a federally funded grant entitled, Money Follows the Person Demonstration Grant
5,937,313
4000-1120 Adult Quality Medicaid Measures Grant
For the purposes of a federally funded grant entitled, Adult Quality Medicaid Measures Grant
783,894
4000-1169 State Innovation Models Model Design Test Assistance Fund
For the purposes of a federally funded grant entitled, State Innovation Model Grant
2,515,803
4000-9058 My Young Child Health Initiative for Local Education Agencies
For the purposes of a federally funded grant entitled, My Young Child Health Initiative for Local Education Agencies
1,500,000
4000-9401 Community Mental Health Services Block Grants
For the purposes of a federally funded grant entitled, Community Mental Health Services Block Grants
8,810,187

account description amount