This is not the official budget document.

Budget Summary FY2014

Department of Elder Affairs
Data Current as of:  9/11/2013





FISCAL YEAR 2014 BUDGET SUMMARY ($000)
ACCOUNT FY2014
Conference
FY2014
Vetoes
FY2014
Overrides
FY2014
GAA
MassHealth Senior Care 2,853,836 0 0 2,853,836
MassHealth Nursing Home Supplemental Rates 319,300 0 0 319,300
Department of Elder Affairs Administration 2,081 0 0 2,081
Prescription Advantage 15,970 0 0 15,970
Elder Enhanced Home Care Services Program 52,946 0 0 52,946
Supportive Senior Housing Program 4,151 0 0 4,151
Elder Home Care Purchased Services 98,753 0 0 98,753
Elder Home Care Case Management and Administration 35,545 0 0 35,545
Elder Protective Services 22,034 0 0 22,034
Elder Congregate Housing Program 2,087 0 0 2,087
Elder Homeless Placement 186 0 0 186
Elder Nutrition Program 6,375 0 0 6,375
Veterans' Independence Plus Initiative 750 0 0 750
Grants to Councils on Aging 10,500 0 0 10,500
TOTAL    3,424,513 0 0 3,424,513 0  

Hide line item language

account description amount
DEPARTMENT OF ELDER AFFAIRS 3,460,970,019
Direct Appropriations
4000-0600 MassHealth Senior Care
For health care services provided to MassHealth members who are seniors and for the operation of the MassHealth senior care options initiative 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 2013; provided further, that the eligibility requirements for this demonstration project shall not be more restrictive than those established in fiscal year 2013; provided further, that funds shall be expended from this item to implement the pre-admission counseling and assessment program under the fourth 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 to maintain 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 center for health information and analysis, 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 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, 2012; provided further, that no nursing home may reassign a patient's bed during a leave of absence eligible for reimbursement under this item; provided further, that the executive office of health and human services shall complete a rate review of the MassHealth payment rates for adult foster care services and propose revised rates for the adult foster care program that are effective December 1, 2013; provided further, that the executive office shall submit a report to the house and senate committees on ways and means regarding the review not later than December 31, 2013; and provided further, that MassHealth shall reimburse nursing home leave of absence days at a rate of not less than $30 per day
2,853,835,505
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 2014, the executive office of health and human services in consultation with the center for health information and analysis shall establish nursing facility Medicaid rates that cumulatively total $288,600,000 more than the annual payment rates established by the division of healthcare finance under the rates in effect as of June 30, 2002; provided further that effective July 1, 2013 for the fiscal year ending June 30, 2014, the executive office of health and human services shall establish nursing facility MassHealth rates that fully recognize the Medicaid share of the nursing home assessment established by section 63 of chapter 118E 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 and that shall decide jointly how to expend such incentive payments; provided further, that the MassHealth agency shall adopt all additional regulations and procedures necessary to carry out this section; provided further, that an amount for expenses related to the collection and administration of section 63 of chapter 118E of the General Laws shall be transferred to the executive office of health and human services; 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
319,300,000
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
2,080,965
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 under 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 this program shall be subject to appropriation; 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; provided further, that the executive office shall coordinate benefits with the Medicare prescription drug benefit, created under 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; 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; provided further, that $360,000 shall be expended for the serving the health information needs of elders, or SHINE, program; provided further, that these funds shall be used to assist seniors in choosing the Medicare plan that best fits their budget while meeting their healthcare needs; and provided further, that the department shall report to the house and senate committees on ways and means not later than December 16, 2013 on the number of seniors served by the SHINE program and their average annualized premium savings
15,969,821
9110-1500 Elder Enhanced Home Care Services Program
For the provision of 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 pursuant to the waiver in section 1915(c)of the Social Security Act, as codified at 42 U.S.C. section 1396n(c); 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 2013 federal poverty income levels and 2013 social security income standards; provided further, that the report shall be submitted not later than February 7, 2014; and provided further, that the executive office shall submit a report not later than October 7, 2013, 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, 2013, compared to the number of individuals on a waiting list on July 1, 2013
52,946,054
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
4,150,900
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 reallocation 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 2014 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
98,752,624
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 the 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 in this item to item 9110-1630
35,545,490
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
22,033,832
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 $428,000 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 2013 at proportions of total available funding equal to those provided in fiscal year 2013; and provided further, that the department shall report to the house and senate committees on ways and means not later than March 14, 2014 on the number of seniors served in naturally occurring retirement communities, the services they receive and the number that leave the program during the year and their destination
2,086,626
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 not less than $50,000 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 all monies appropriated in this item shall be expended under the distribution schedules for formula and incentive grants established by the secretary of elder affairs; and provided further, that the distribution schedules shall be submitted to the house and senate committees on ways and means not later than February 17, 2014
10,500,000

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 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 36,456,874
9110-1074 Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act
10,182,633
9110-1077 National Family Caregiver Support Program
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program
3,700,000
9110-1095 Health Information Counseling
For the purposes of a federally funded grant entitled, Health Information Counseling
1,097,000
9110-1173 Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act
13,383,620
9110-1174 Nutrition Services Incentive Program
For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program
4,885,300
9110-1178 Community Service Employment Program
For the purposes of a federally funded grant entitled, Community Service Employment Program
1,933,321
9110-1190 MA Chronic Disease Self-Management Education Program
For the purposes of a federally funded grant entitled, MA Chronic Disease Self-Management Education Program
575,000
9110-1191 Enhanced Alcohol and Drug Recovery Options Counseling Program
For the purposes of a federally funded grant entitled, Enhanced ADRC Options Counseling Program
700,000