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 351.03 - Rate Provisions

Universal Citation: 101 MA Code of Regs 101.351

Current through Register 1518, March 29, 2024

(1) Reimbursement as Full Payment. The payment rates in 101 CMR 351.00 are full compensation for all adult foster care services or group adult foster care services rendered to members, including any related administrative or supervisory duties in connection with the provision of AFC services or GAFC services outlined in 130 CMR 408.000: Adult Foster Care.

(2) Payment Rates. The rates for AFC services, including GAFC services, are set forth in 101 CMR 351.03(2).

Service Code-Modifier

Rate

Unit

Service Description

S5140

$54.37

Per Diem

AFC Level I

S5140-TG

$91.31

Per Diem

AFC Level II

S5140-TF

$54.37

Per Diem

AFC Level I Alternative Caregiver Day

S5140-U5

$91.31

Per Diem

AFC Level II Alternative Caregiver Day

S5140-U6

$54.37

Per Diem

AFC Level I MLOA Day

S5140-TG-U6

$91.31

Per Diem

AFC Level II MLOA Day

S5140-U7

$54.37

Per Diem

AFC Level I NMLOA Day

S5140-TG-U7

$91.31

Per Diem

AFC Level II NMLOA Day

T1028

$266.62

Per Admission

AFC Intake and Assessment Services

H0043

$43.53

Per Diem

GAFC

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