EXECUTIVE OFFICE OF ELDER AFFAIRS

Office of the Secretary.

9110-0100

For the operation and administration of the executive office of elder affairs; provided, that the secretary of elder affairs shall work with the commissioner 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 said organization shall be allocated one-half of one full-time equivalent staff person for the purpose of providing secretarial and clerical support for said organization; 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 not more than $100,000 shall be provided for an interdepartmental service agreement with the University of Massachusetts at Lowell to support research activities of the university performed during fiscal year 1999 on or after the effective start date of such interdepartmental service agreement, which investigate the causes and potential cures for Alzheimer's disease and associated forms of dementia; and provided further, that said university shall file a report on the results of the research conducted with funds provided by such interdepartmental service agreement with the clerks of the house of representatives and the senate and the house and senate committees on ways and means on or before June 30, 1999

...............................................................$1,981,096

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 such units

...............................................................$226,613

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 such individuals shall be subject to the same rules and regulations as clients served under item 9110-1630; and provided further, that no rate increase for managed care services shall be awarded in fiscal year 1999 which would cause a reduction in client services or in the number of clients served

...............................................................$8,592,668

9110-1630

For contracts with aging service access points, so-called, or other qualified entities for the home care program including home care, health aides, home health and respite 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 such sliding fees in cases of extreme financial hardship; provided further, that not more than $4,500,000 in revenues accrued from such 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 said executive office; provided further, that said executive office shall report quarterly to the house and senate committees on ways and means on the receipt and expenditure of revenues accrued from such sliding fees; provided further, that the executive office shall report monthly to the house and senate committees on ways and means and the executive office of administration and finance on the amount expended from this item and item 9110-1634 for purchase of service expenditures by category of service as set forth in 651 CMR 3.01 and 651 CMR 3.06; provided further, that no rate increase shall be awarded in fiscal year 1999 which would cause a reduction in client services or the number of clients served; 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

...............................................................$82,040,871

9110-1633

For contracts with aging service access points, so-called, or other qualified entities for home care case management services and the administration of the home care corporations funded through item 9110-1630 and item 9110-1603 of section 2; provided, that such contracts 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

...............................................................$32,294,458

9110-1634

The executive office may expend 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; provided, that not more than $1,000,000 may be expended pursuant to the provisions of item 9110-1630; and provided further, that not more than $2,000,000 may be expended pursuant to the provisions of item 9110-1633

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

9110-1636

For the elder protective services program, including protective services case management, the statewide elder abuse hotline, guardianship services and the elder-at-risk program; provided, that $180,000 shall be expended for the money management program for the elderly

...............................................................$6,481,394

9110-1660

N.B. - The Acting Governor has struck the itlalicized language and reduced the appropriation for this item by $125,000 to $1,323,474

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 the Dorchester section of the city of Boston; and provided further, that $75,000 shall be expended for a resident coordination program administered by the Committee to End Elder Homelessness, Inc.

...............................................................$1,448,474

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 $4,075,387 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; provided further, that $30,000 shall be obligated for a youth/elder outreach position at the Roche Family Community Center in the West Roxbury section of the city of Boston; and provided further, that not less than $20,000 shall be expended for the Grandparents as Parents Initiative, so-called

...............................................................$5,268,573

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

9110-9002

N.B. - The Acting Governor has struck the itzlicized language and reduced the appropriation for this item by $15,000 to $5,785,000

For the local services program for grants to the councils on aging and for grants to or contracts with nonpublic entities which are consortia or associations of councils on aging; provided, that notwithstanding the foregoing, 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 such 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

...............................................................$5,800,000

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