Executive Office of Elder Affairs

EXECUTIVE OFFICE OF ELDER AFFAIRS.

Office of the Secretary.

State Appropriations

9110-0100

For the operation and administration of the executive office of elder affairs; provided, that the secretary of elder affairs is hereby authorized and directed to work with the commissioner of the division of medical assistance and the deputy purchasing agent of the division of purchased services to identify all home care services which meet the federal definition of personal care services in 42 CFR 440.170(f) and case management in 1915(g) of Title XIX, and to seek federal matching funds for such services furnished to persons eligible for medical assistance under the provisions of chapter 118E of the General Laws which are not presently reimbursed; provided further, that the secretary of elder affairs shall seek private funding of not more than $37,000 for the elder advocacy organization known as the silver-haired legislature; provided further, that the executive office of elder affairs shall enter into an interagency service agreement with the department of veterans' services to maximize revenues by identifying individuals who are eligible for veterans' pensions and are currently receiving home care and home health services; provided further, that said secretary is hereby authorized and directed to expend not more than $100,000 to the Lowell Alzheimer's Disease Center to formulate a research and development plan in conjunction with the University of Massachusetts at Lowell; provided further, that said study shall include consideration of the ability of said center to: (1) conduct researches into the causes of and potential cures for Alzheimer's disease and associated forms of dementia; and (2) support and assist other such activities related to the foregoing; provided further, that said study shall consider the possible structure and composition, corporate or otherwise, of said center and the possible role of the University of Massachusetts at Lowell in the research phase; and provided further, that said center shall report on the results of said report by filing the same with the clerks of the house of representatives and the senate and the house and senate committees on ways and means on or before the first Wednesday in December, 1997

......................................................$1,814,924

9110-0102

For the regulation of assisted living facilities; provided, that the executive office of elder affairs shall report quarterly 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 said units

......................................................$235,069

Assisted Living Administrative Fund .................. 100.0%

9110-1603

For managed care in housing for individuals at risk of institutionalization due to functional impairments not of sufficient severity to meet medicaid nursing home clinical admissions criteria; provided, that said individuals shall be subject to the same rules and regulations as clients served under item 9110-1630 of section 2; and provided further, that no rate increase for managed care services shall be awarded in fiscal year 1998 which would cause a reduction in client services or in the number of clients served

......................................................$8,435,340

9110-1630

For the home care program including home care, health aides, home health and respite services, protective services and other services provided to the elderly; provided, that a sliding fee shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of said sliding fees in cases of extreme financial hardship; provided further, that not more than $4,000,000 in revenues accrued from said sliding 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 of elder affairs; provided further, that the executive office of elder affairs shall report quarterly to the house and senate committees on ways and means on the receipt and expenditure of revenues accrued from said sliding fees; provided further, that home care corporations shall report monthly to the executive office of elder affairs on the receipt and expenditure of revenues accrued from said sliding fees; provided further, that not less than $3,000,000 shall be obligated for a program of respite care services to provide relief for caregivers who normally provide care to severely impaired individuals, especially those with Alzheimer's disease; provided further, that the executive office of elder affairs shall submit a detailed report of aggregate monthly home care purchase of service expenditures, as described in item 9110-1630 of section 2 of chapter 164 of the acts of 1988; provided further, that the secretary of elder affairs shall submit said report to the house and senate committees on ways and means and the secretary of administration and finance, no later than two months following the month reported; provided further, that funds appropriated herein which exceed the fiscal year 1997 funding level shall be used to provide a reasonable increase to the per member per month rate and to accommodate expansion of the home care program caseload; and provided further, that no funds shall be expended from this item to pay for any salary increases for direct service workers who provide state-funded homemaker and home health aid services, which would cause a reduction in client services

......................................................$78,125,086

9110-1633

For contracts with home care corporations or other qualified entities for home care case management services, protective services, and the administration of the home care corporations funded through item 9110-1630 and item 9110-1603 of section 2; provided, that said contract shall include the costs of administrative personnel, home care case managers, travel, rent and any other costs deemed appropriate by the executive office of elder affairs

......................................................$32,978,096

9110-1634

The secretariat may expend for the purposes of 9110-1633 an amount not to exceed $3,000,000 from federal revenues collected pursuant to the provisions of Title XIX of the Social Security Act for case management and personal care and related services provided to Medicaid-eligible home care clients

......................................................$3,000,000

9110-1660

For congregate and shared housing services for the elderly; provided, that not less than $50,000 shall be expended for congregate housing services at the Tuttle House facility in Dorchester; and provided further, that no new congregate housing sites not otherwise authorized in fiscal year 1997 shall be established in fiscal year 1998

......................................................$1,354,492

9110-1900

For local services; provided, that all funds appropriated under this item for an elder service corps shall be for corpsmen stipends, for the cost of mailing corpsmen stipends and for corpsmen participation in group insurance programs, as set forth in chapter 1168 of the acts of 1973; provided further, that the stipend for full-time corpsmen shall not exceed the maximum allowed under earnings limitation sections of the Social Security Act and the stipend for part-time corpsmen shall not exceed $130 per month; provided further, that not less than $3,300,000 shall be obligated for the administration of a meals program for elderly persons; provided further, that the executive office of elder affairs shall maximize federal reimbursement for meals funded herein; and provided further, that not less than $80,000 shall be expended to pay for the cost of the Money Management program for the elderly

......................................................$4,639,341

Local Aid Fund .................. 100.0%

9110-9002

For the local services program for grants to the councils on aging; provided, that notwithstanding the above, all monies appropriated herein shall be expended in accordance with the distribution schedules for formula and incentive grants established by the secretary; provided further, that said distribution schedules shall be submitted to the house and senate committees on ways and means; and provided further, that not less than $15,000 shall be obligated for the Massachusetts senior games

......................................................$4,800,000

Local Aid Fund .................. 100.0%