1. Commonwealth of Massachusetts Executive Office of Health and Human Services Executive Order No. 536: Establishing the Chapter 257 of the Acts of 2008 Provider and Consumer Advisory Council January 22, 2014 www.mass.gov/hhs/chapter257

2. 1 EOHHS Agenda Chapter 257 Current Status Chapter 257 Funding in H.2 in FY2015 Updated Chapter 257 Implementation Plan Enhancing Chapter 257 Source Data Other Topics

3. 2 EOHHS Chapter 257 – Current Status The current Chapter 257 status is noted below – StatusFY13 Spending%Overall Regulated$844,591,98437.3% Procurement$759,856,65033.5%70.8% Hearing$83,086,2283.7%74.5% Development$305,956,09313.5%88.0% Planned$273,034,96812.0% Grand Total$2,266,525,923

4. 3 EOHHS Chapter 257 Funding in H.2 for FY2015 Agency maintenance requests for FY2015 include $188M in funding for the following projects – Adult Long-Term Residential - DDS, MRC, MCB Placement and Support Services - DCF, DYS, DDS, MRC, MCB Clinical and Medical Counseling, Therapy, and Treatment - DPH Competitive Integrated Employment - DTA, DDS, MRC Family Transitional Supports - DCF Family Resource Centers - DCF, EHS

5. 4 EOHHS Chapter 257 Funding in H.2 for FY2015 A Chapter 257 Reserve will fund $25M in anticipated costs for the following projects – Day Hab Supplemental Staffing - DDS Capacity Building (Support Services) - DYS Adult Homelessness Supports - DMH Youth Intermediate-Term Stabilization - DPH Community Based Flexible Supports - DMH ASAP Purchased Services - ELD Substance Abuse Residential - DPH Violence & Injury Prevention - DCF, DPH Education, Vocational and Skills Training - DTA Guardianship and Legal Protective Services - ELD Family Stabilization - MCB, DDS, DMH MCB Remaining Projects - MCB DYS Day Reporting - DYS Community Based Flexible Supports - DDS, MRC Clinical and Medical Counseling, Therapy and Treatment - DDS Substance Abuse Case Management - DPH

6. 5 EOHHS Chapter 257 Status – Updated Workplan Based on an extensive review of the remaining programs subject to Chapter 257, staff at EHS and the agencies are working on an updated “workplan”. While we had hoped to be able to share it with the PCAC at this meeting, it is still being reviewed internally, and thus is not ready for publication. The process has been helpful to identify which projects to fund in FY2015 as part of H.2. The goal of the workplan is to list each program on one list – either for the initial rate development or rate review.

7. 6 EOHHS Chapter 257 – Improving Source Data In developing rates under Chapter 257, EOHHS and CHIA have relied in large part on contract data (Attachment 3) and provider Uniform Financial Report (UFR) submissions, among a variety of other sources. Once contracts are paid under rates, Attachment 3s are no longer required, so the only readily available source for rate reviews will be UFR data. EOHHS is planning to review UFR data fields in conjunction with OSD to ensure that the data fields are clearly defined. In addition, EOHHS agencies will be encouraged to participate in the UFR field definition exercise, as well as outreach to providers to ensure consistent use of the redefined fields.

8. 7 EOHHS Chapter 257 – Provider Salary Reports In addition to the refined UFR fields, EOHHS is interested in tracking salary information more closely. UFR data is reported in summary fashion, but more granular detail would be helpful both for rates and other policy initiatives. EOHHS is drafting a policy to require that providers being paid under a regulated rate submit a salary report every 6 months. The report would include de-identified salary information for all provider staff members. Each rate regulation includes a clause requiring submission of additional supporting information to CHIA within 21 dates of a request, or be subject to a rate reduction of 15% or 25% (depending on the regulation).

9. 8 EOHHS Chapter 257 – Provider Salary Report Fields F IELD T YPE D ESCRIPTION Unique Staff IDGeneralProvider-generated field that will be consistent for a particular individual from one reporting period to the next. Working TitleTextInternal title used by a provider for a particular position UFR GroupingDrop-DownList of UFR titles Activity CodeGeneralPrimary activity code which pays for an employee’s salary; Contract NumberGeneral20-digit contract number which is primary source for an employee’s salary Hourly Rate$Hourly gross compensation paid to employee for regular hours worked Standard Weekly Hours #The normal hours worked by an individual, excluding overtime Base Salary$Calculated field – Rate * hours * 52 Full-Time Hours in Organization #The number of hours considered “full-time” in an organization. Most will be 40 hours. FTE Value#Calculated field – Standard hours divided by Full-Time hours Eligible for Health Care Benefits Y/NIs the employee eligible to receive health care benefits? Accessing Health Care Benefits Y/NDoes the employee access health care benefits from your organization? Job Location Zip Code $Zip code of primary job site of employee Original Hire Date What was the date the employee first started within the organization? GenderDrop-DownMale/Female/Not Specified RaceDrop-DownWhite, Black or African American, American Indian and Alaska Native, Asian, Native Hawaiian and Other Pacific Islander, Some other race, Two or more races, Race Not Reported HispanicDrop-DownY/N/Not Specified Year born#4 characters

10. 9 EOHHS Wrap-up, Next Meeting Next Scheduled Meetings, Matta Conference Room April 17, 2013 – 2:00-3:00 July 17, 2013 – 2:00-3:00