Select Budgets
Clear All Select All
Inflation Adjustment
  • CPI: adjusts for changes in the cost of goods and services purchased by consumers
  • IPD: adjusts for changes in the cost of goods and services purchased by governments
  • Economic Growth: adjusts for changes in the size of the state economy (measured in terms of total personal income)
  • None: does not capture changes in the value of a dollar over time.

MassHealth Fee-for-Service

4000-0700

funding levels adjusted for inflation (CPI)

  • Funding History
  • Description
  • Proposals
Adjusted for inflation (CPI) NOT adjusted
FY18 $2,187,898,930 $2,187,898,930
FY17 $2,404,495,915 $2,351,838,433
FY16 $2,756,053,215 $2,646,527,197
FY15 $2,658,335,990 $2,535,669,537
FY14 $2,336,026,851 $2,212,377,039
FY13 $2,064,892,512 $1,925,660,476
FY12 $2,212,556,521 $2,029,206,633
FY11 $2,226,842,966 $1,984,041,224
FY10 $2,036,718,845 $1,779,349,286
FY09 $1,705,727,845 $1,475,659,571
FY08 $1,973,514,609 $1,683,746,704
FY07 $1,870,335,279 $1,538,637,750
FY06 $1,762,049,626 $1,412,837,911
FY05 $1,604,303,570 $1,239,530,000
FY04 $1,689,571,241 $1,267,332,669
FY03 $1,503,601,072 $1,103,497,000
FY02 $1,315,387,423 $944,557,935
FY01 $1,044,234,136 $736,800,329
  • See Changes in Funding
Between and
Funding for MassHealth Fee-for-Service
10.9%

comparisons adjusted for inflation (CPI)

Notes

  • In FY16, a total of $6 million for emergency services in southeastern Mass. shifts from line items in the Dept. of Mental Health to MassHealth Fee-for-Service (4000-0700).
  • In FY15, $47.9 million shifted from MassHealth Fee-for-Service (4000-0700) to the Hutchinson Settlement (4000-1425) for $34.3 million, PCA training (4000-0050) for $1.0 million, and $12.6 million for Community Residential Supports for the Developmentally Disabled (5920-2000).
  • Starting in FY10, funding for MassHealth Fee-for-Service included MassHealth funding for the early intervention program. In FY13, an additional $4.3 million for early intervention shifted into MassHealth. In prior years, this MassHealth funding was included in the total for the Early Intervention line item (4513-1020) in the Dept. of Public Health.
  • In FY14, approximately $11.0 million shifted from MassHealth Fee-for-Service Payments (4000-0700) and $6.8 million from State Facilities for the Developmentally Disabled (5930-1000) to provide $11.9 million for Community Day and Work programs, $5.5 million for Community Residential Supports, and $509,000 for State-Operated Residences within the Dept. of Developmental Services.
  • 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.

MassHealth Fee-for-Service covers payments for coverage provided to children and adults through fee-for-service arrangements with providers.

Children in families with incomes up to 150 percent of the federal poverty level are eligible for MassHealth Standard, the most comprehensive health coverage program. Typically, these children enroll in a managed care plan (see MassHealth Managed Care).

However, certain groups of children or certain services are also covered under fee-for-service arrangements. For instance, if children have access to private insurance that is partially subsidized by MassHealth, MassHealth Fee-for-Service will cover the costs of benefits provided under MassHealth Standard that are not provided by the private insurance.

Children who are enrolled in Department of Children and Families (DCF) or Department of Youth Services (DYS) programs are not required to enroll in managed care plans and may receive coverage paid for by MassHealth Fee-for-Service.

MassHealth Fee-for-Service also covers services for children while a child's initial MassHealth application is undergoing eligibility review.

MassHealth policy changes sometimes result in program and funding shifts among MassHealth line items in the state budget, and children likely account for a very small amount of the costs funded from this line item. Use caution when comparing these line items from year to year.

Updated, March 2015

Adjusted for inflation (CPI) NOT adjusted
FY18 GAA $2,187,898,930 $2,187,898,930
FY18 Leg $2,397,298,930 $2,397,298,930
FY18 Sen $2,639,047,224 $2,639,047,224
FY18 SWM $2,638,047,224 $2,638,047,224
FY18 Hou $2,664,848,930 $2,664,848,930
FY18 HWM $2,663,848,930 $2,663,848,930
FY18 Gov $2,751,697,224 $2,751,697,224
FY17 $2,404,495,915 $2,351,838,433

Notes

  • In FY16, a total of $6 million for emergency services in southeastern Mass. shifts from line items in the Dept. of Mental Health to MassHealth Fee-for-Service (4000-0700).
  • In FY15, $47.9 million shifted from MassHealth Fee-for-Service (4000-0700) to the Hutchinson Settlement (4000-1425) for $34.3 million, PCA training (4000-0050) for $1.0 million, and $12.6 million for Community Residential Supports for the Developmentally Disabled (5920-2000).
  • Starting in FY10, funding for MassHealth Fee-for-Service included MassHealth funding for the early intervention program. In FY13, an additional $4.3 million for early intervention shifted into MassHealth. In prior years, this MassHealth funding was included in the total for the Early Intervention line item (4513-1020) in the Dept. of Public Health.
  • In FY14, approximately $11.0 million shifted from MassHealth Fee-for-Service Payments (4000-0700) and $6.8 million from State Facilities for the Developmentally Disabled (5930-1000) to provide $11.9 million for Community Day and Work programs, $5.5 million for Community Residential Supports, and $509,000 for State-Operated Residences within the Dept. of Developmental Services.
  • 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.