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Children's Medical Security Plan and Related Programs

4000-0990

funding levels adjusted for inflation (CPI)

  • Funding History
  • Description
  • Proposals
Adjusted for inflation (CPI) NOT adjusted
FY18 $12,096,978 $12,096,978
FY17 $17,862,288 $17,471,111
FY16 $13,761,046 $13,214,180
FY15 $13,853,434 $13,214,180
FY14 $13,952,721 $13,214,180
FY13 $14,260,237 $13,298,695
FY12 $13,738,479 $12,600,000
FY11 $14,141,955 $12,600,000
FY10 $16,238,644 $14,186,651
FY09 $19,072,495 $16,500,000
FY08 $17,843,003 $15,223,144
FY07 $22,162,787 $18,232,293
FY06 $26,288,330 $21,078,379
FY05 $27,664,021 $21,374,000
FY04 $15,830,073 $11,874,000
FY03 $20,843,633 $15,297,200
FY02 $21,207,212 $15,228,548
FY01 $22,974,837 $16,210,797
  • See Changes in Funding
Between and
Funding for Children's Medical Security Plan and Related Programs
32.2%

comparisons adjusted for inflation (CPI)

Notes

  • Funding for the Children's Medical Security Plan moved from a line item in the Dept. of Public Health to a line item in MassHealth in FY04.
  • 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 Medical Security Plan (CMSP) provides primary and preventive services for uninsured children through age 18 who are not eligible for MassHealth.

The program covers any child who is a resident of Massachusetts at any income level who is not eligible for MassHealth (with the exception of MassHealth Limited), and who does not have physician or hospital health care coverage.

CMSP was created in the early 1990s to serve uninsured children, before the state expanded MassHealth coverage for children, and now is an important source of health care coverage for children who do not meet the citizenship or immigration status requirements for MassHealth. The program is administered by UniCare Life and Health Insurance Company.

The program covers services that are frequently needed by children. These selected services include outpatient doctor visits, including preventive care, eye exams and hearing tests, as well as a limited number of outpatient mental health and substance abuse treatment visits, a limited amount of prescription drug coverage, and a limited amount of dental services. CMSP does not, however, cover hospitalization, emergency room visits, or ambulance services. Premiums and co-payments for the program are based on a sliding scale.

Coverage is also strictly limited by specific caps on individual services. For example, there is an annual $200 limit on coverage for prescription drugs, a $200 annual limit on durable medical equipment, and a 20 visit annual limit on outpatient behavioral health visits. Massachusetts may also place an enrollment cap on the program.

Updated, March 2015

Adjusted for inflation (CPI) NOT adjusted
FY18 GAA $12,096,978 $12,096,978
FY18 Leg $12,096,978 $12,096,978
FY18 Sen $12,471,111 $12,471,111
FY18 SWM $12,471,111 $12,471,111
FY18 Hou $12,471,111 $12,471,111
FY18 HWM $12,471,111 $12,471,111
FY18 Gov $12,471,111 $12,471,111
FY17 $17,862,288 $17,471,111

Notes

  • Funding for the Children's Medical Security Plan moved from a line item in the Dept. of Public Health to a line item in MassHealth in FY04.
  • 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.