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Department of Elder Affairs
| DEPARTMENT | FY 2009 Budgetary Recommendations |
FY 2009 Federal, Trust, and ISF |
FY 2009 Total Spending |
FY 2009 Budgetary Non-Tax Revenue |
|---|---|---|---|---|
| Department of Elder Affairs | 2,740,440 | 34,033 | 2,774,473 | 1,398,341 |
| account | description | amount |
|---|---|---|
| DEPARTMENT OF ELDER AFFAIRS | 2,774,473,308 | |
| Budgetary Direct Appropriations | 2,740,440,349 | |
| 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 recipients in prior fiscal years |
2,158,355,058 |
| 4000-0640 | MassHealth Nursing Home Supplemental Rates
For nursing facility Medicaid rates; provided, that the division of health care finance and policy shall establish rates effective July 1, 2008 through June 30, 2009, 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 $287,950,000 shall be expended for the purposes of Medicaid per diem rate payments to nursing homes participating in the MassHealth program for services provided to MassHealth members during fiscal year 2009; provided further, that as a condition for funding, the division shall require that each nursing home document to the division that its allotted share of at least $50,000,000 of the funds are spent only on direct care staff by increasing the wages, hours and benefits of direct care staff, increasing the facility's staff-to-patient ratio or by demonstrably improving the facility's recruitment and retention of nursing staff to provide quality care, which shall include expenditure of funds for nursing facilities which document actual nursing spending that is higher than the median nursing cost per management minute in the base year used to calculate Medicaid nursing facility rates; provided further, that a facility's direct care staff shall include any and all nursing personnel including registered nurses, licensed practical nurses and certified nurses' aides hired by the facility from any temporary nursing agency or nursing pool registered with the department of public health; provided further, that the division shall credit wage increases that are over and above any previously collectively bargained for wage increases; provided further, that in monitoring compliance under this item, the division's regulations shall adjust any spending compliance test to reflect any Medicaid nursing facility payment reductions, including, but not limited to, rate reductions imposed on or after October 1, 2002; provided further, that the expenditure of these funds shall be subject to audit by the division in consultation with the department of public health and the executive office of health and human services; provided further, that $300,000 shall be expended for the purposes of an audit of funds distributed under this item; provided further, that the division of health care finance and policy, in consultation with the department of public health and with the assistance of the executive office of health and human services, shall establish penalties sufficient to deter noncompliance to be imposed against any facility that expends any or all monies in violation of the provisions set forth in this item, including, but not limited to recoupment, assessment of fines or interest; and provided further, that $250,000 shall be expended for expenses at the division of health care finance and policy related to the implementation and administration of section 25 of chapter 118G of the General Laws |
288,500,000 |
| 9110-0100 | Department of Elder Affairs Administration
For the operation of the department of elder affairs |
3,809,356 |
| 9110-1455 | Prescription Advantage
For the costs of the drug insurance program authorized by section 39 of chapter 19A of the General Laws; provided, that amounts received by the department of elder affairs' vendor as premium or enrollment fee revenue for this program may be retained and expended by the vendor for the purposes of the program; and provided further, that notwithstanding any general or special law to the contrary, unless otherwise prohibited by state or federal law, prescription drug coverage or benefits payable by the department of elder affairs, and the entities with which it has contracted for administration of the subsidized catastrophic drug insurance program under section 39 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 these eligible persons |
57,599,774 |
| 9110-1500 | Elder Enhanced Home Care Services Program
For the operation of the enhanced home care services program |
48,024,305 |
| 9110-1604 | Supportive Senior Housing Program
For the operation of the supportive senior housing program, including congregate and shared housing services for the elderly |
4,202,915 |
| 9110-1630 | Elder Home Care Purchased Services
For the operation of elder home care programs to provide services to the elderly, including case management and administration; provided, that a sliding fee shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of sliding fees in cases of extreme financial hardship; and provided further, that not more than $8,000,000 in total sliding fee revenues shall be retained by the individual home care corporations without re-allocation by the department and shall be expended for the purposes of the home care programs consistent with guidelines issued by the department |
106,715,568 |
| 9110-1633 | Elder Home Care Case Management and Administration
For the operation of the elder home care case management program, including administrative costs and contracts with aging service access points or other qualified entities for home care case management services; provided, that the costs of administration for the home care corporations funded through items 9110-1500 and 9110-1630 shall be funded in this item; 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 |
40,368,041 |
| 9110-1636 | Elder Protective Services
For the operation of the elder protective services program |
15,146,087 |
| 9110-1640 | Geriatric Mental Health Services Program
For the operation of the geriatric mental health services program |
225,000 |
| 9110-1650 | Family Caregivers Program
For the operation of the family caregivers program |
253,406 |
| 9110-1660 | Congregate Housing Program
For congregate and shared housing services for the elderly |
2,639,031 |
| 9110-1700 | Residential Placement for Homeless Elders
For residential assessment and placement programs for homeless elders |
350,000 |
| 9110-1900 | Elder Nutrition Program
For the elder nutrition program |
6,364,740 |
| 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 |
7,887,068 |
| account | description | amount |
|---|---|---|
| Federal Grant Spending | 34,032,959 | |
| 9110-1074 | Older Americans Act - Title III and Title VII
For the purposes of a federally funded grant entitled, Older Americans Act - Title III and Title VII |
9,122,198 |
| 9110-1077 | National Family Caregiver Support Program
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program |
3,673,479 |
| 9110-1095 | Health Information Counseling and Assistance
For the purposes of a federally funded grant entitled, Health Information Counseling and Assistance |
676,386 |
| 9110-1150 | Empowering Older People
For the purposes of a federally funded grant entitled, Empowering Older People |
300,000 |
| 9110-1173 | Older Americans Act - Title III Nutrition Program
For the purposes of a federally funded grant entitled, Older Americans Act - Title III Nutrition Program |
13,936,717 |
| 9110-1174 | Nutrition Services Incentive Program
For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program |
4,056,178 |
| 9110-1178 | Community Service Employment Program
For the purposes of a federally funded grant entitled, Community Service Employment Program |
1,881,501 |
| 9110-1179 | Performance Outcome Measures Project
For the purposes of a federally funded grant entitled, Performance Outcome Measures Project |
30,000 |
| 9110-2760 | New England Massachusetts Aging and Disability Resource Center
For the purposes of a federally funded grant entitled, New England Massachusetts Aging and Disability Resource Center |
350,000 |
| 9110-2761 | Aging and Disability Resource Center - Center for Medicaid and Medicare Services
For the purposes of a federally funded grant entitled, Aging and Disability Resource Center - Center for Medicaid and Medicare Services |
6,500 |
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