Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 351.00 - Rates for Certain Adult Foster Care Services
Section 351.02 - Definitions
As used in 101 CMR 351.00, unless the context requires otherwise, terms have the meanings in 101 CMR 351.02.
Activities of Daily Living (ADLs). Fundamental personal care tasks as defined in 130 CMR 408.402: Activities of Daily Living (ADLs) performed as part of an individual's routine of self-care. ADLs include, but are not limited to, eating, toileting, dressing, bathing, transferring, and ambulation.
Adult Foster Care (AFC). Services as defined in 130 CMR 408.402: Adult Foster Care.
Adult Foster Care (AFC) Caregiver. A person selected, supervised, and paid by the provider for the provision of direct care in accordance with 130 CMR 408.415(A): Direct Care.
AFC Level I. A level of payment for adult foster care services provided to a member who meets the clinical criteria of 130 CMR 408.419(D)(1): AFC Level I Service Payment.
AFC Level II. A level of payment for adult foster care services provided to a member who meets the clinical criteria of 130 CMR 408.419(D)(2): AFC Level II Service Payment.
Alternative Caregiver Days. A short-term placement during which a member receives adult foster care from an alternative care provider when the AFC caregiver is temporarily unavailable or unable to provide care.
EOHHS. The Executive Office of Health and Human Services established under M.G.L. c. 6A.
Governmental Unit. The Commonwealth, any board, commission, department, division, or agency of the Commonwealth, and any political subdivision of the Commonwealth.
Group Adult Foster Care (GAFC). Services as defined in 130 CMR 408.402: Adult Foster Care.
Intake and Assessment Services. Services as defined in 130 CMR 408.402: AFC Intake and Assessment Services and outlined in 130 CMR 408.431(A): Preadmission Procedures provided to a MassHealth member referred to a provider for AFC services.
MassHealth. A program of medical care and assistance that includes, but is not limited to, payment for certain health care services to eligible residents of the Commonwealth established under M.G.L. c. 118E and administered by the Executive Office of Health and Human Services through its Office of Medicaid.
Medical Leave of Absence (MLOA). A short-term absence during which a member does not receive AFC from the AFC caregiver because the member is temporarily admitted to a hospital or nursing facility. Member. A MassHealth eligible member who has received clinical authorization by either MassHealth or its designated screening agent for payment of adult foster care.
Member. A MassHealth eligible member who has received clinical authorization by either MassHealth or its designated screening agent for payment of adult foster care.
Nonmedical Leave of Absence (NMLOA). A short-term absence during which a member does not receive AFC from the AFC caregiver because the member is away from the AFC-qualified setting for nonmedical reasons.
Procedure Code. The service code from the Healthcare Common Procedure Coding System (HCPCS).
Provider. An organization that meets the requirements of 130 CMR 408.000: Adult Foster Care and that contracts with MassHealth to provide adult foster care or group adult foster care to eligible MassHealth members.
Publicly Aided Individual. A person who receives health care and other services for which a governmental unit is in whole or in part liable under a statutory program of public assistance.
