Governor Deval Patrick's Budget Recommendation - House 1 Fiscal Year 2014

Health and Social Services


Government supported functions targeted to promote the general well-being and self-sufficiency of persons in need of safety net services as well as functions provided to the general public to protect and maintain the public health.

Hide details for this program

Clinical Behavioral Healthcare or Medical Care

Program

Description
Clinical Behavioral Healthcare or Medical Care Programs targeted to offer ambulatory or outpatient clinical care including evaluative services.
Early Intervention Programs for Children For the purpose of fostering and increasing positive developmental outcomes for children 0-3 years old who have developmental difficulties due to identified disabilities or are at risk for developmental issues due to social or environmental circumstances.
Family Health Services For the purpose of providing comprehensive family planning services targeted to low-income residents and adolescents in order to prevent unintended pregnancies and sexually transmitted diseases, including HIV/AIDS, reduce infant mortality and morbidity, and improve the health of individuals and communities.
Health Services for Youth in Custody For the purpose of providing health services for youth who are in the custody and care of the Commonwealth and in residential placements, including urgent care, disease stabilization, and primary health care.
Oral Health Services For the purpose of ensuring that all residents have access to dental services and providing prevention programs including monitoring community water fluoridation and school fluoride and sealant programs in cities and towns.
Out-Patient Services for Veterans For the purpose of providing quality medical care to veterans living in the community and Soldiers' Homes including health promotion, disease prevention, and referrals. Clinical services include dental, podiatry, urology, general surgery, optometry and dietary consultations.
Pharmacy Services For the purpose of providing pharmacy services to individuals residing in state facilities across multiple departments. Drug costs are minimized through contract pricing and a drug return and reuse program.
Psychiatric Mental Health Services For the purpose of providing protective services to prevent and remediate abusive situations, mitigate recurrence, keep individuals safe, enable law enforcement to investigate cases, and provide services for victims and non-offending family members.
Substance Abuse Treatment Services For the purpose of providing a range of addiction treatment programs to assist people in initiating and maintaining abstinence from alcohol and other drugs of abuse, including inpatient detoxification, residential treatment, and outpatient counseling services for youth and adults, as well as medication-assisted treatment for adults.

Community Prevention, Screening, and Public Health Services

Program

Description
Community Prevention, Screening, and Public Health Services Programs targeted to offer preventative health, state laboratory and environmental health and inspection services, education and awareness opportunities, and lead prevention and other community prevention programs.
Community & School-based Health Centers For the purpose of promoting primary care access, identifying healthcare delivery system gaps, ensuring recruitment and retention of health care professionals in underserved areas, and facilitating healthcare partnerships.
Environmental Health For the purpose of providing environmental health assessments to address community concerns about environmental exposure, conduct health surveillance activities, and provide regulatory programs that ensure compliance with standards for radiation control, community sanitation, food safety, and prevention of childhood lead poisoning.
Food Safety For the purpose of ensuring the wholesomeness, safety, and security of food and other consumer products through conducting inspections, collecting samples, leading special investigations, responding to consumer complaints and food-borne illness reports, and conducting vulnerability assessments of food manufacturers and distributors.
Health Care Safety and Quality Assurance For the purpose of ensuring the safe care of patients through the licensing of health care facilities and health professionals, facility surveys and inspections, and the review and investigation of consumer complaints regarding health care facilities and health professionals.
Health Emergency Preparedness and Response For the purpose of addressing public health security and all-hazards preparedness and response activities in partnership with local public health organizations, hospitals, community health centers, emergency medical services, and organizations serving vulnerable populations.
Health Information, Research, and Evaluation For the purpose of monitoring emerging health trends; tracking of statistics on births, deaths, cancers, violence, injuries, birth defects, occupational safety and other health surveillance; surveying of adults and children about health behaviors; issuance of copies of vital records; and interpretation and dissemination of reports and research.
Health Professional Licensure and Enforcement For the purpose of licensing health care professionals through regulatory boards which establish rules and regulations to ensure that only qualified applicants are licensed, and which adjudicate complaints, and impose disciplinary actions to protect the public.
Health Promotion / Prevention Screening Services For the purpose of providing preventive screenings and health education for communities with high prevalence of chronic diseases using evidence-based interventions to promote health and wellness and ensure health equity.
HIV Treatment and Prevention For the purpose of providing clinical and community-based services to help residents avoid HIV infection, learn their HIV status, and, for HIV+ persons, access medical care and related social services to reduce HIV transmission and maintain optimal health.
Infectious Disease, Prevention, and Response For the purpose of providing epidemiologic tracking, behavioral and biomedical prevention, and preventive treatment of infections associated with human diseases including immunization, infection control measures, coordination with local health agents and clinicians, and analysis of disease trends.
Positive Youth Development For the purpose of implementing a comprehensive approach to youth violence prevention grounded in a framework that addresses risk and protective factors, including connection to healthy adult, family, education and employment supports, trauma and bereavement services, and afterschool activities.
Public Health Laboratory Services For the purpose of testing and surveillance activities targeted at sexually transmitted diseases, chemical illness/poisoning, food-borne illness, tuberculosis, viral illness, rabies, influenza and mosquito borne illness.
Healthy Workforce Programs For the purpose of increasing workplace wellness activities in small business settings through health insurance premium rebates contingent upon successfully promoting and adopting evidence-based wellness activities.
Substance Abuse, Gambling and Tobacco Prevention and Intervention For the purpose of prevention and cessation of substance abuse, gambling and the use of tobacco products, with the goal of changing community norms, including public education campaigns, alcohol and tobacco compliance checks at retail outlets and drug overdose prevention efforts.
Suicide Prevention For the purpose of reducing the number of suicides and suicide attempts through support to community agencies, education and training for professionals and caregivers, and funding programs for youth, veterans and older adults.
Teen Pregnancy Prevention For the purpose of promoting behavior change for at-risk youth to support delayed onset of premature sexual activity among adolescents, reducing rates of youth engaging in risk behaviors and decreased incidence of teen births, sexually transmitted diseases, and HIV infection.

Direct Client and Family Supports

Program

Description
Direct Client and Family Supports Programs targeted to offer a broad range of social services delivered directly to enrolled or specifically identified clients.
Citizenship Programs For the purpose of enabling Massachusetts legal permanent residents to become naturalized citizens of the U.S. through a network of community based organizations that provide English instruction, civics classes, application assistance, interview preparation, and additional support services to aspiring applicants.
Committed Youth Services For the purpose of providing case management and supervision to committed youth to facilitate and support transition and re-integration to their communities.
Community Services for the Deaf and Hard of Hearing For the purpose of providing services to deaf and hard of hearing infants, children, and adults and their families who are eligible to receive case management services on a voluntary basis including adult case management and family and children's case coordination, in collaboration with other state agencies.
Family Autism Services for Children For the purpose of providing supports to help children with autism remain in their homes and actively participate in their families and communities. The Autism Waiver provides one-to-one behavioral, social and communication based interventions through a service called Expanded Habilitation Education.
Mental Health Programs for Individuals For the purpose of providing support to individuals with serious mental illness or emotional disturbance, as well as their family and caregivers, through training, continuing education, consultation, direct client assessment, individual service plan development, and referrals to appropriate services and providers.
Pediatric Palliative Care For the purpose of improving the quality of life for children with life-limiting illness and their families by meeting their physical, emotional, and spiritual needs. Services are usually provided in the home and include pain/symptom management, case management, counseling, respite, advanced care planning, and spiritual care.
Services for Victims of Violence For the purpose of improving the criminal justice system's response to violence against individuals using a partnership of law enforcement, prosecution, courts, and non-profit victims programs.
Services to Support Families For the purpose of providing community-based services to children and families to prevent the removal of children from their home or to reduce the time children spend in placement.
Social Workers and Case Management For the purpose of supporting caseworkers who work directly with clients to assist them in accessing appropriate programs in a timely manner including assessing families' strengths and needs and working with families towards achieving targeted goals.
Women, Child, and Family Health Supports For the purpose of improving health outcomes for women, infants, children, and families, including home visits for high-need families, promoting quality maternal and infant care, building early childhood systems of care, and reducing childhood injuries and violence.

Emergency Short Term Intervention and Stabilization

Program

Description
Emergency Short Term Intervention and Stabilization Programs targeted to provide individuals in an emergency situation a place of overnight housing in a specialized residential facility or hospital setting for a limited period of time.
Detained Youth Residential Services For the purpose of providing detention services for youth charged with a criminal offense and being held on bail awaiting court action in either a locked secure detention program or in an alternative placement through the Juvenile Detention Alternatives Initiative.
Juvenile Offender Short Term Placements For the purpose of providing a short-term, non-secure placement for children who have been arrested but cannot be arraigned until the following business day in order to prevent overnight placement in an adult jail cell.
Pre-Arraignment Short-Term Placements For the purpose of providing pre-arraignment overnight placement for arrested youth to aid law enforcement in complying with the Juvenile Justice and Delinquency Prevention Act's requirement for sight and sound separation between juveniles and adult prisoners.
Short Term Residential Services For the purpose of providing a short-term placement where an intensive assessment to determine needs can take place and a determination can be made as to the most appropriate goals and placement for the individual's needs.
Youth Short Term Assessment For the purpose of assessing all youth newly committed to the care and custody of the Commonwealth to determine the appropriate placement and treatment plan to meet their individual needs.

Financial Assistance for Families and Individuals in Need

Program

Description
Financial Assistance for Families and Individuals in Need Programs targeted to offer financial assistance in the form of cash grants, annuities or other benefits to eligible individuals.
Assistance for Elderly, Disabled, and Children For the purpose of providing cash assistance to the elderly, disabled, those caring for a disabled person, or certain families ineligible for other types of assistance, with little or no assets and income. Many clients await approval for federal Supplemental Security Income (SSI) benefits from the Social Security Administration.
Assistance for Families with Dependent Children For the purpose of meeting the basic needs and reducing barriers to self-sufficiency for families with little or no assets or income including providing monthly grants through the Transitional Aid to Families with Dependent Children (TAFDC) program, limited transportation reimbursements for clients participating in work activities, and payment of GED test fees.
Low Income Home Energy Assistance For the purpose of assisting low income families to pay energy bills through cash payments sent directly to the utility company or a crisis grant for households in immediate danger of being without heat.
SSI State Supplemental Program For the purpose of administering the State Supplemental Program (SSP), a state-funded cash assistance program targeted to help the elderly, disabled, and blind individuals meet basic needs. Payments are in addition to federal SSI benefits and eligibility is determined by the federal SSI program and UMass Disability Evaluation Services (DES).
Veterans Benefits For the purpose of reducing indigence by providing a uniform program of financial and medical assistance for qualified veterans and their dependents including financial assistance for food, shelter, clothing, fuel and medical care, and an annual annuity to qualified disabled veterans.

Flexible Community Supports

Program

Description
Flexible Community Supports Programs targeted to provide a range of rehabilitative intervention, support services, and person-centered care to individuals and families to facilitate integration or continue stabilization in the community.
Community-Based Mental Health Programs For the purpose of treating eligible individuals at home, in a community-based residential setting, or another community-based site. These highly individualized services provide a range of rehabilitative interventions, support services, and person and family centered care to facilitate integration into or continued stabilization in the community.
Family Access Centers For the purpose of providing comprehensive and coordinated health and social services to families through a single door approach to services planning, delivery and referral targeted to meet the specific needs of host communities, including 24/7 access to information and referral to community and state-based services.
Home Care Services for the Elderly and Disabled For the purpose of providing in-home support services for individuals with daily living needs to help maintain independent community living. Services are designed to encourage independence and dignity for the individual as well as supporting caregivers by relieving on-going care giving responsibilities.
Homelessness Prevention For the purpose of providing stabilization services to prevent homelessness, provide emergency shelter, and assist individuals and families in securing permanent housing; including advocacy, information, referral, career, and education services.
Independent Living Programs and Supports For the purpose of providing individuals with assistive technology and community supports that allow them to remain and participate in the community and be as independent as possible.
Protective Services for Children, Elderly, and Disabled For the purpose of providing protective services to prevent and remediate abusive situations, mitigate recurrence, keep individuals safe, enable law enforcement to investigate cases, and provide services for victims and non-offending family members.
Refugee Support Services For the purpose of helping refugees adjust to life in the United States and to achieve economic stability including cash and medical assistance, case management, employment services, health assessment and foster care for unaccompanied refugee minors.
Special Health Care Needs For the purpose of providing family-centered, community-based, and coordinated care for children and youth with special health care needs including connecting families with appropriate services, helping them navigate the health care system, and promoting family involvement in care planning.
Substance Abuse, Gambling, and Tobacco Supportive Services For the purpose of providing a range of addiction intervention and support services to promote individual, family and community wellness, including home-based intervention and case management services for youth and adults as well as telephone help lines for the public to identify available drug addiction, gambling and tobacco services.
Veterans Outreach Services For the purpose of supporting and strengthening the veteran community by providing outreach programs to veterans at risk, directed at empowerment and reintegration of isolated veterans with family and community and the prevention of homelessness, broken families, and substance abuse.

Food and Nutrition Supports and Services

Program

Description
Food and Nutrition Supports and Services Programs targeted to offer financial subsidies for food purchases, nutrition education and awareness opportunities, and home delivered and congregate meals to eligible individuals.
Elder Nutritional Services For the purpose of remediating poor diets, health problems, food insecurity, and loneliness for elders. Nutrition services include nourishing meals, nutrition screening, assessment, education, and counseling to ensure that older people achieve and maintain optimal nutritional status.
Emergency Food Assistance For the purpose of providing food at no cost to low-income Massachusetts residents in need of short-term hunger relief.
Family Nutritional Assistance For the purpose of improving the nutrition and health of low/moderate-income pregnant, postpartum and breastfeeding women, infants and children under age five, by providing access to health care, nutrition education, nutritional cash benefits, counseling, and nutritious foods.

Group, Work, or Day Support Programs

Program

Description
Group, Work, or Day Support Programs Programs targeted to offer center-based services provided in a community setting delivering a variety of day programming, social recreation, rehabilitative, or other non-clinical services.
Group, Work, or Day Programs for Individuals with Intellectual Disabilities For the purpose of center-based, group, day, work and transportation services that lead to the acquisition, improvement, and/or retention of skills and abilities to prepare an individual for work and community participation including supported employment services.
Mental Health Day/Evening Support Programs For the purpose of assisting eligible individuals in becoming fully integrated into the community by facilitating employment, education and training, social skills development, positive family relationships, and engagement with community activities and supports.
Work Programs for Persons with Disabilities For the purpose of assisting individuals with disabilities who need ongoing supports in an integrated work setting including developing a transition plan as well as providing a job coach, supportive housing environment, and/or adaptive equipment.

Long Term Group Care

Program

Description
Long Term Group Care Programs targeted to provide long term or permanent living arrangements such as group homes, congregate housing and supported housing in which daily living, physical, social, and or clinical medical support may be provided.
Child to Adult Transition Services For the purpose of providing first year supports and services to eligible disabled individuals who turn 22 during the current fiscal year and are transitioning from child services to adult services.
Community Based Services for Individuals with Brain Injury For the purpose of providing 24/7 services for individuals with brain injury to prevent institutionalization and to support their integration into a community setting.
Community Residential Services for the Blind For the purpose of providing services to legally blind individuals with multiple disabilities who need residential or day placement services such as training and socialization and to provide the opportunity to live in a community setting.
Elder Congregate Housing For the purpose of promoting self-sufficiency for elders and younger disabled individuals in a shared living environment. Services are available to assist residents in managing activities of daily living in a supportive, non-custodial environment.
Long Term Care Services for Veterans For the purpose of providing quality 24-hour care to veterans who can no longer live in a community setting, including secure care centers, nursing home care centers, and comfort care center for veterans who require hospice services.
State Operated Long Term Residential Programs For the purpose of providing 24-hour ongoing services and supports by state staff in a certified or licensed home to individuals needing supervision, skills training for daily living, home management, and services to promote community integration.
Vendor Operated Long Term Residential Programs with <24 Hour Supports For the purpose of providing less than 24-hour ongoing services and supports by vendor staff in a certified or licensed home to individuals who need staff and supervision, including skills training for daily living, home management, and community integration services.
Vendor Operated Long Term Residential Programs with 24 Hour Supports For the purpose of providing 24-hour ongoing services and supports by vendor staff in a certified or licensed home to individuals who need staff and supervision, including skills training for daily living, home management, and community integration services.

State Operated Hospitals & Institutions

Program

Description
State Operated Hospitals & Institutions Programs targeted to offer both acute and longer term care delivered in facilities that are owned and operated by the Commonwealth.
State Contracted In-Patient Services For the purpose of serving eligible individuals whose mental status, behavior and/or level of functioning preclude treatment and stabilization in the community including secure hospital-based care, treatment to stabilize the person's psychiatric status, and improve functioning so that transition to community-based systems of care is possible.
State Hospitals For the purpose of providing acute and chronic medical and mental health services to the Commonwealth's most vulnerable citizens in state operated hospitals, including individuals in state care/custody.
State Institutions For the purpose of providing 24-hour residential services and supports by state staff to individuals residing at a state facility or developmental center.

Transitional or Intermediate Care

Program

Description
Transitional or Intermediate Care Programs targeted to provide individuals a place of overnight housing in a specialized residential facility or hospital setting for a limited period of time in order to enable and empower the individual to transition to a less restrictive community-based residential, own-home setting, or to a permanent family home.
Guardianship, Foster Care, Adoption, and Family Preservation For the purpose of providing services for children who have been abused or neglected, including support services to families, providing a safe placement with kin or a foster family to children who have been removed from their homes, and subsidies to parents or guardians of children who have achieved permanency through adoption or guardianship.
Intermediate Term Residential Services For the purpose of providing intermediate term residential services to facilitate the safe and timely transition of residents back into the community.

Health and Social Services General Operations

Program

Description
Health and Social Services General Operations Programs targeted to support statewide health and social service operations which are shared across multiple programs or agencies and cannot be allocated to specific programmatic areas.
Health and Social Services Central Administration For the purpose of providing health and social service business operations that support multiple programs and cannot be allocated to specific programmatic areas. Activities may include executive oversight, developing strategic plans, giving policy guidance, and other miscellaneous support functions.
Health and Social Services Contracts and Legal Services For the purpose of providing health and social services contract and legal services that support multiple programs and cannot be allocated to specific programmatic areas. Activities may include general counsel, contract development, document review, claims defense and prosecution, and negotiation and mediation.
Health and Social Services Facilities For the purpose of managing and maintaining health and social services facilities, including leased space, that support multiple programs and cannot be allocated to specific programmatic areas. Activities may include property construction, improvements, and maintenance in addition to plant operations and utility costs.
Health and Social Services Human Resources For the purpose of providing human resource management for health and social services that supports multiple programs and cannot be allocated to specific programmatic areas. Activities may include hiring, recruiting, training, collective bargaining, employee evaluations, and professional development.
Health and Social Services IT For the purpose of managing and supporting the health and social services technology infrastructure including technical support for multiple programs that cannot be allocated to specific programmatic areas. Activities may include software development, application hosting, communication systems, data processing, and security services.
Health and Social Services Planning, Accounting, and Finance For the purpose of providing health and social services financial management, processing, and tracking that support multiple programs and cannot be allocated to specific programmatic areas. Activities may include budget development, grants management, transaction processing, financial reporting, and long range planning.
Health and Social Services Procurement For the purpose of acquiring goods and services for health and social services that support multiple programs and cannot be allocated to specific programmatic areas. Activities may include proposal development, vendor selection, distribution of goods, and purchase negotiations.


top of page link top of page