Governor Deval Patrick's Budget Recommendation - House 1 Fiscal Year 2010

Governor's Budget Recommendation FY 2010

4000-0500 - MassHealth Managed Care

Account Description FY2009
House 1
4000-0500 MassHealth Managed Care
For all health care services provided to medical assistance members who are enrolled in a managed care organization under contract with the executive office, including both Masshealth managed care organization covered services and MassHealth covered services not provided by the managed care organization; provided, that funds shall be expended from this item for the senior care option program and the program for all-inclusive elderly; provided further, that funds may be expended from this item for the children's behavioral health initiative (Rosie D. et al v. Romney, civil action No. 01-30199-MAP) implementation costs and services; provided further, that funds may be expended from this item for health care services provided to members in prior fiscal years; provided further, that these members shall meet the applicable eligibility requirements of the MassHealth program established in chapter 118E of the General Laws, including, but not limited to, CommonHealth, family assistance for persons under age 65 who are HIV positive, and MassHealth standard for women with breast or cervical cancer; provided further, that the secretary may limit or close enrollment to individuals made eligible solely through the MassHealth section 1115 demonstration waiver, consistent with the terms and conditions of the demonstration, if necessary in order to ensure that expenditures from this item do not exceed the amount appropriated; and provided further, that no such limitation shall be implemented unless the secretary has given 90 days notice to the house and senate committees on ways and means and the joint committee on health care financing
3,121,385,000 2,489,337,036

Consolidated with 1599-7050, 4000-0430, 4000-0600, 4000-0870, 4000-0875, 4000-0880, 4000-1400, and 4000-1405.


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