Notes

• Starting in FY18, funding for MassHealth Nursing Home Supplemental Rates shifted from one line item to another.
• Funding for rate supplements for nursing homes was off-budget in a special trust from FY03-FY08, after which it became a line item appropriation. In order to allow for accurate year-to-year comparisons, MassBudget makes an adjustment to the totals in FY03-FY08 to include the off-budget funding in the line item.
• In FY01, funding for a rate increase for certified nurses aides was a separate line item (4000-1005) Starting in FY03, this funding was incorporated into the off-budget funding for MassHealth Nursing Home Supplemental Rates in line item 4000-0640.
• Funding for MassHealth often shifts among line item appropriations and special trust funds from year to year, so it is helpful to look at total MassHealth and Health Reform 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.