Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 361.00 - Rates for Continuous Skilled Nursing Agency and Independent Nursing Services
Section 361.04 - Rates of Payment

Universal Citation: 101 MA Code of Regs 101.361

Current through Register 1531, September 27, 2024

(1) Continuous Skilled Nursing Services.

(a) Single Patient, per Straight-time Hour. Weekend rates are the same as night rates.

Rates per 15 Minutes: Single Patient, per Straight-time Hour

Code

Modifier

Agency

Individual Practitioner

Description

T1002

$23.61

$19.46

RN Services, Weekday

T1002

UJ

$25.14

$20.88

RN Services, Nights

T1002

$33.12

$28.22

RN Services, Holidays

T1003

$16.35

$13.47

LPN Services, Weekday

T1003

UJ

$17.41

$14.46

LPN Services, Nights

T1003

$23.01

$19.60

LPN Services, Holidays

(b) Multiple-patient Nursing.
(1) Two Individuals, per Straight-time Hour. When only one of the individuals is publicly aided, the fee for services to the publicly aided individual will be U of the appropriate rate listed in the table "Two Individuals, per Straight-time Hour." Weekend rates are the same as night rates.

Rates per 15 Minutes: Two Individuals, per Straight-time Hour

Code

Modifier

Agency

Individual Practitioner

Description

T1002

TT

$33.21

$28.13

RN Services, Weekday

T1002

U1

$35.36

$30.18

RN Services, Nights

T1002

TT

$46.59

$40.80

RN Services, Holidays

T1003

TT

$23.10

$19.56

LPN Services, Weekday

T1003

U1

$24.61

$20.99

LPN Services, Nights

T1003

TT

$32.52

$28.46

LPN Services, Holidays

2. Three Individuals, per Straight-time Hour. When only one of the individuals is publicly aided, the fee for services to the publicly aided individual will be a of the appropriate rate listed. When two of the individuals are publicly aided, the fee for services to the publicly aided individuals will be % of the appropriate rate listed. Weekend rates are the same as night rates.

Rates per 15 Minutes: Three Individuals, per Straight-time Hour

Code

Modifier

Agency

Individual Practitioner

Description

T1002

U2

$39.68

$32.62

RN Services, Weekday

T1002

U3

$42.24

$35.00

RN Services, Nights

T1002

U2

$55.66

$47.31

RN Services, Holidays

T1003

U2

$28.04

$22.68

LPN Services, Weekday

T1003

U3

$29.87

$24.34

LPN Services, Nights

T1003

U2

$39.47

$33.00

LPN Services, Holidays

(c) Overtime. Weekend rates are the same as night rates.

Rates per 15 Minutes: Overtime

Code

Modifier

Agency

Individual Practitioner

Description

T1002

TU

$32.66

$27.88

RN Services, Weekday

T1002

U4

$34.77

$29.91

RN Services, Nights

T1002

TU

$48.77

$40.43

RN Services, Holidays

T1003

TU

$22.74

$19.41

LPN Services, Weekday

T1003

U4

$24.22

$20.83

LPN Services, Nights

T1003

TU

$32.01

$28.25

LPN Services, Holidays

(d) Complex Care Assistant and RN Supervisory Visits.

Rate per 15 Minutes: Complex Care Assistant and RN Supervisory Visits

Code

Modifier

Agency

Description

T1002

U5

$23.61

60-day Supervisory Visit (RN)

T1004

$11.25

Complex Care Assistant Visit

Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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