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Children's Behavioral Health Initiative and Related Programs

4000-0950

funding levels adjusted for inflation (CPI)

  • Funding History
  • Description
  • Proposals
Adjusted for inflation (CPI) NOT adjusted
FY19 Sen $256,757,691 $256,757,691
FY18 $252,962,012 $247,337,564
FY17 $247,020,266 $236,377,183
FY16 $235,558,779 $221,298,049
FY15 $222,216,941 $207,371,693
FY14 $219,307,296 $203,200,101
FY13 $242,827,679 $221,549,097
FY12 $239,331,036 $214,743,708
FY11 $246,359,788 $214,743,708
FY10 $76,855,111 $65,688,963
FY09 $22,783,589 $19,283,600
FY08 $9,341,691 $7,797,429
FY07 $0 $0
FY06 $0 $0
FY05 $0 $0
FY04 $0 $0
FY03 $0 $0
FY02 $0 $0
FY01 $0 $0
  • See Changes in Funding
Between and
Funding for Children's Behavioral Health Initiative and Related Programs
2,607.9%

comparisons adjusted for inflation (CPI)

Notes

  • In FY17, approximately $8 million for MassHealth administrative and IT funding shifted into the Executive Office of Health and Human Services. Funding moved from several small administrative line items as well as approximately $3.7 million from the Children's Behavioral Health Initiative (4000-0920).
  • The Children's Behavioral Health Initiative (also known as "Rosie D.") was funded as a start-up reserve in FY08 and a line item in MassHealth starting in FY10.
  • Use caution comparing funding for this line item FY10-FY11. In FY11, funding for information technology was taken out of this line item and shifted to a centralized information technology account. The exact amount of this accounting change is not available.
  • Funding for MassHealth and related health reform programs often shifts among line item appropriations and special trust funds from year to year, so it is helpful to look at total funding, rather than at individual line items to get a sense of funding over time. In many years, the Administration has also been allowed to transfer funding among the MassHealth program line items without additional legislative approval. This means that there may be a meaningful difference between the budgeted amount and actual spending for individual line items, and that funding budgeted for one line item is ultimately spent in another.

* Funding and comparison information includes all line-items listed above. Download the spreadsheet to see funding levels for individual line-items.

The Children’s Behavioral Health Initiative (CBHI) supports comprehensive behavioral health screening during a pediatric well-child visit for all children eligible for MassHealth. CBHI also covers comprehensive, community-based behavioral health services for children diagnosed with severe emotional disturbance.

As part of the CBHI, primary care physicians or nurses screen patients under the age of 21 for behavioral health needs, using a standardized behavioral assessment tool during routine well-child visits. This assessment looks at a child’s behavior, mood, energy level, sleeping habits, social skills, and school performance. The primary care provider can then identify the need for further services to address emotional, psychiatric, or behavioral concerns. If appropriate, the primary care provider makes a referral to a mental health clinician.

CBHI requires mental health clinicians to assess children using the Child and Adolescent Needs and Strengths (CANS) assessment tool. This process is designed to focus on the strength and needs of the families. If a child is determined to be “seriously emotionally disturbed” the child may be eligible for Intensive Care Coordination and a System of Care treatment plan of “wraparound” services.

The Intensive Care Coordination program includes a home-based assessment and a coordinator who will help develop and implement a set of comprehensive community-based mental health, social service, or other services for the child and family. The individualized “wraparound” service plan is intended to be strengths-based, and promoting home and community life.

Children may also be eligible for other home- and community-based services such as Family Support and Training, In-Home Therapy, In-Home Behavioral Services, Therapeutic Mentoring and Mobile Crisis Intervention, however the availability of many of these services has been uneven.

The CBHI is the result of a lawsuit against the state (known as Rosie D.) that successfully argued that MassHealth had failed to meet its obligation under federal Medicaid law to provide Early Periodic Screening Diagnosis and Treatment (EPSDT) services to children with serious emotional disturbances.

Updated, February 2018

Adjusted for inflation (CPI) NOT adjusted
FY19 Sen $256,757,691 $256,757,691
FY19 SWM $256,757,691 $256,757,691
FY19 Hou $254,757,691 $254,757,691
FY19 HWM $254,757,691 $254,757,691
FY19 Gov $254,757,691 $254,757,691
FY18 $252,962,012 $247,337,564

Notes

  • In FY17, approximately $8 million for MassHealth administrative and IT funding shifted into the Executive Office of Health and Human Services. Funding moved from several small administrative line items as well as approximately $3.7 million from the Children's Behavioral Health Initiative (4000-0920).
  • The Children's Behavioral Health Initiative (also known as "Rosie D.") was funded as a start-up reserve in FY08 and a line item in MassHealth starting in FY10.
  • Use caution comparing funding for this line item FY10-FY11. In FY11, funding for information technology was taken out of this line item and shifted to a centralized information technology account. The exact amount of this accounting change is not available.
  • Funding for MassHealth and related health reform programs often shifts among line item appropriations and special trust funds from year to year, so it is helpful to look at total funding, rather than at individual line items to get a sense of funding over time. In many years, the Administration has also been allowed to transfer funding among the MassHealth program line items without additional legislative approval. This means that there may be a meaningful difference between the budgeted amount and actual spending for individual line items, and that funding budgeted for one line item is ultimately spent in another.

* Funding information includes all line-items listed above. Download the spreadsheet to see funding levels for individual line-items.