Notes

• 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.