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MASSACHUSETTS STATE INFORMATION

MASSACHUSETTS STATE INFORMATION. Lead Agency Department of Public Health Projected Cumulative Enrollment SFY 2005 - 30,251 MA EI Budget (includes specialty) SFY 2005 - $89.9M Average Cum. Cost Per Child SFY 2005 - $2,730

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MASSACHUSETTS STATE INFORMATION

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  1. MASSACHUSETTS STATE INFORMATION • Lead Agency Department of Public Health • Projected Cumulative Enrollment SFY 2005 - 30,251 • MA EI Budget (includes specialty) SFY 2005 - $89.9M • Average Cum. Cost Per Child SFY 2005 - $2,730 (direct service, not including specialty) • State Contribution SFY 2005 - $31.9M • Contact Ron Benham, Part C Coordinator • Website www.mass.gov

  2. IMPETUS • All Massachusetts Health and Human Services Department’s charged with revenue maximization initiatives in FY-04. • State fiscal crisis from FY-02 forward • Continued growth of Massachusetts Early Intervention system

  3. APPROACH • Limit impact to families and providers • Respect utilization of private insurance • Respect expense of administration of cost participation system • Include stakeholder input • Meeting with providers • ICC input • Public Hearing

  4. Approach, cont. • Provider Assessment strategy • Providers assessed a projected yield • Offsets on payment vouchers October thru June • Utilization of children served/income stratification from two year prior • Assumes underreporting

  5. METHODOLOGY • Several proposal were drafted to ascertain potential revenue and impact on families • Draft proposals were reviewed with the Interagency Coordinating Council, providers, families and other stakeholders. • Public Hearing: coupled with Part C application public hearing

  6. Methodology, cont. • Depending on family size and income, your Early Intervention program will determine which category applies to your family. • Category A: Families whose income and size is below 200% of the Federal Poverty Income Guidelines will not pay a fee. Any child in foster care or who has any form of MassHealth will not pay a fee. • Category B: Families whose income and size falls between 200% and 300% of the Federal Poverty Income Guidelines will pay an annual fee of $25. There will be a fee of $25 for the second child receiving EI. A family will not be charged more than $50 annually.

  7. Methodology, cont. • Category C:Families whose size and income is between 301% and 400% of the Federal Poverty Income Guidelines will pay an annual fee of $50. There will be a fee of $50 for the second child receiving EI. A family will not be charged more than $100 annually. • Category D: Families whose size and income is between 401% and 550% of the Federal Poverty Income Guidelines will pay a fee of $150. There will be a fee of $150 for the second child receiving EI. A family will not be charged more than $300 annually. • Category E: Families whose size and income is above 550% of the Federal Poverty Income Guidelines will pay a fee of $250.There will be a fee of $250 for the second child receiving EI. A family will not be charged more than $500 annually

  8. LESSONS LEARNED • Most stakeholders are not supportive of system • No cost participation from mid-70’s forward making for challenging implementation • At present no policy for withholding of services if cost participation not paid • Raises approximately $800K to $1M

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