Commonwealth of Massachusetts
Fiscal Year 1999 Budget
Department of Mental Health
Department of Mental Health.
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5011-0100
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For the operation of the department; provided, that the department shall not refer or discharge a
child or adolescent to the custody or care of the department of social services until the
department of mental health forwards its assessment and recommendation as to whether said
child or adolescent is appropriate for foster care, or if due to severe emotional disturbance, is
only appropriate for group care
- ...............................................................$19,947,182
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5011-0300
-
For the costs of certifying direct care employees of private human services providers that deliver
services under contract with the department of mental health in pharmaceutical administration;
provided, that funds from this item shall be available to said providers, upon the approval of the
commissioner of said department, for additional temporary staffing to ensure all direct care
employees attend said certification training
- ...............................................................$538,675
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5042-5000
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For child and adolescent services; provided, that of the sum appropriated herein, not less than
$69,408 shall be expended on the Franklin community action corporation in Greenfield for a
youth and adolescent services program; provided further, that not less than $25,000 be expended
for the purposes of sending children to existing summer programs funded through the
department of mental health's camperships, so-called; provided further, that not less than
$189,000 shall be expended for the purposes of providing educational services in institutional
settings; provided further, that $125,000 shall be expended for adolescent mental health services
in the South Boston section of the city of Boston; and provided further, that said services may
include a mobile crisis intervention team and a pilot program for juveniles and adolescents
before the South Boston district court on matters concerning drug dependence and mental health
- ...............................................................$58,008,149
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5046-0000
-
For adult mental health and support services; provided, that the department is hereby authorized
to allocate funds in an amount not to exceed $5,000,000 from item 5095-0000 of section 2, to
this item, as necessary, pursuant to allocation plans submitted to the house and senate
committees on ways and means 30 days prior to any such transfer, for residential and day
services for clients formerly receiving care at department facilities; provided further, that
$60,000 shall be expended for comprehensive vocational rehabilitation services to be provided to
mentally ill adults who are homeless or are at-risk of being homeless; provided further, that said
services shall be provided at the multi-service center located in the city of Lynn by a vocational
rehabilitation agency specializing in employment issues of mentally ill adults; provided further,
that not less than $163,000 shall be expended for western Massachusetts community enterprise
programs; provided further, that not less than $394,502 shall be expended for the lighthouse
clubhouse program, so-called, in the city of Springfield; provided further, that not less than
$43,460 shall be expended for the provision of community based case management for
participants in the tenant-based rental assistance program funded under HUD's shelter plus care
program, administered by Quincy interfaith sheltering coalition in conjunction with the Quincy
housing authority; provided further, that any allocations from this item for services provided in
the metro-Boston area, so-called, shall not cause funding decreases in other areas; provided
further, that the Fairwinds clubhouse shall be allocated the same number of full time equivalent
staff in fiscal year 1999 as they were in fiscal year 1998 which shall be reflected in their budget
allocation; provided further, that not less than $1,500,000 shall be expended for supported
housing services beyond the level of services provided in fiscal year 1998; and provided further,
that the department shall report to the house and senate committees on ways and means on the
distribution of funds per adult and child planning population, so-called, and the types of services
received in each region for fiscal year 1999 not later than December 1, 1998
- ...............................................................$211,870,198
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5046-1000
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For rental subsidies to eligible clients; provided, that the department shall establish the amounts
of said subsidies so that payment thereof and of any other commitments from this item shall not
exceed the amount appropriated herein
- ...............................................................$3,107,550
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5046-2000
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For homelessness services; provided, that not less than $200,000 shall be expended for a
program by project AIM, so-called, of community enterprises for residents of Berkshire county
who have a dual diagnosis of major mental illness and substance abuse, and who have either
been homeless or are in jeopardy of becoming homeless; provided further, that $50,000 shall be
expended for the provision of health services to the homeless and uninsured by Primary Care
and Mental Health, Inc., located in the city of Lynn
- ...............................................................$18,289,431
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5046-4000
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The department of mental health is hereby authorized to expend revenues collected up to a
maximum of $125,000 from occupancy fees charged to the tenants in the creative housing option
in community environments, the CHOICE program, so-called, authorized by chapter 167 of the
acts of 1987; provided, that all such fees collected shall be expended for the routine maintenance
and repair of facilities in the CHOICE program, so-called, including the costs of personnel
- ...............................................................$125,000
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5046-9999
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For the payment of charges assessed to the department of mental health for the payment of
workers compensation, unemployment insurance, medicare taxes, health security plan, and the
group insurance commission extended leave chargeback, so-called; provided, that
notwithstanding the provisions of any general or special law to the contrary, prior to April 15,
1999 all funds appropriated herein shall be scheduled in the DD subsidiary, so-called; provided
further, that after said date, the commissioner of the department of mental health, with the
approval of the secretary of administration and finance, is hereby authorized to transfer from
said DD subsidiary to the KK subsidiary, so-called, or the NN subsidiary, so-called, of this
account, an amount not to exceed 15 per cent of the funds appropriated herein, if the secretary of
administration and finance certifies in writing to the house and senate committees on ways and
means that the following conditions have been met: (1) that the charges owed by the department
for workers compensation, unemployment insurance, medicare taxes, health security plan, and
the group insurance commission extended leave chargeback are less than the amount
appropriated herein; (2) that the department does not require any supplemental appropriation in
any of its other items of appropriation; (3) that the department is expected to meet the revenue
targets established in sections 1A and 1B; and (4) that the department has not expended any
funds for the payment of workers compensation, unemployment insurance, medicare taxes,
health security plan, and the group insurance commission extended leave chargeback, so-called,
in any of its other items of appropriation; provided further, that the secretary of administration
and finance shall notify the house and senate committees on ways and means of all transfers of
funds between subsidiaries as authorized herein; and provided further, that, no funds shall be
scheduled to any subsidiary in this account which is not explicitly referenced herein
- ...............................................................$7,854,776
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5047-0001
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For emergency service programs and acute inpatient mental health care services; provided, that
the department is authorized to continue an interagency service agreement with the division of
medical assistance for the purchase of said services and for such other services as said agreement
may provide, including, but not limited to, acute inpatient care and diversionary services;
provided further, that the most recent savings projection from the implementation of said
agreement may be expended for community services in the MM subsidiary, so-called, of this
item; provided further, that said emergency service programs shall take all reasonable steps to
identify and invoice the third party insurer of all persons serviced by said programs; provided
further, that the department shall report to the house and senate committees on ways and means
not later than October 31, 1998 on the utilization of said emergency programs and acute
inpatient beds by clients of the department during each month of fiscal year 1998; provided
further, that said report shall detail the number of clients of the department determined to be
eligible for the medicaid program during fiscal year 1998; and provided further, that said report
shall detail expenditures made by the division of medical assistance on behalf of clients of the
department and those uninsured persons not deemed to be clients of said department from the
amounts appropriated in item 5047-0001 of section 2 of chapter 43 of the acts of 1997 during
fiscal year 1998 for said acute inpatient care and emergency services
- ...............................................................$32,242,235
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5047-0002
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Notwithstanding any general or special law to the contrary, the department may expend revenues
on continuing care services in the community in an amount not to exceed $6,000,000 from
increased service federal reimbursements collected for services rendered in emergency programs
and acute inpatient and diversionary settings; provided, that no funds shall be expended from
this item until the secretary of administration and finance shall certify in writing to the house and
senate committees on ways and means that not less than $1,000,000 from said reimbursements
has been deposited in the General Fund; provided further, that for the purpose of accommodating
discrepancies between the receipt of retained revenues and related expenditures, the department
may incur expenses and the comptroller may certify for payments amounts not to exceed the
lower of this authorization or the most recent revenue estimate as reported in the state
accounting system; provided further, that the department shall submit a report to the house and
senate committees on ways and means not later than February 3, 1999, detailing the use of any
funds encumbered or expended from this item, including, but not limited to, the number of
clients served, the types of services purchased by region, and the annualized impact of said
expenditures in the subsequent fiscal year
- ...............................................................$6,000,000
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5051-0100
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For community mental health centers
- ...............................................................$80,723,185
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5055-0000
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For forensic services provided by the department; provided, that not less than the amount
expended in fiscal year 1998 shall be expended in fiscal year 1999 for mental health services at
the Barnstable and Middlesex houses of correction
- ...............................................................$7,418,222
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5095-0000
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For adult inpatient and facilities' services, including the operation of the secure unit at
Medfield state hospital; provided, that the department is hereby authorized to allocate funds in
an amount not to exceed $5,000,000 from this item to item 5046-0000, as necessary, pursuant to
allocation plans submitted to the house and senate committees on ways and means 30 days prior
to any such transfer, for residential and day services for clients formerly receiving care at
department facilities
- ...............................................................$106,599,797
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