Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 411.00 - Rates for Certain Placement, Support, and Shared Living Services
Section 411.03 - Rate Provisions

Universal Citation: 101 MA Code of Regs 101.411

Current through Register 1531, September 27, 2024

(1) Services Included in the Rate. The approved rate includes payment for all care and services that are part of the program of services of an eligible provider, as explicitly set forth in the terms of the purchase agreement between the eligible provider and the purchasing governmental unit or units.

(2) Reimbursement as Full Payment. Each eligible provider must, as a condition of acceptance of payment made by any purchasing governmental units for services rendered, accept the approved program rate as full payment and discharge of all obligations for the services rendered. Payment from any other source is used to offset the amount of the purchasing governmental unit's obligation for services rendered to the publicly assisted client.

(3) Payment Limitations. No purchasing governmental unit may pay less than or more than the approved program rate, except as cited in 101 CMR 411.03.

(4) Blended Contract Rate Calculation. Purchasing governmental units may pay a Blended Contract Rate for the purchase of programs serving two or more clients. The blended rate will be calculated according to the following formula: {Sum of [(Operational Rate 1 * Units purchased of Operational Rate 1) plus (Stipend Rate 1 * Units Purchased of Stipend Rate 1)], plus [(Operational Rate 2 * Units purchased of Operational Rate 2) plus (Stipend Rate 2 * Units Purchased of Stipend Rate 2)], plus [(Operational Rate 3 * Units purchased of Operational Rate 3) plus (Stipend Rate 3)*(Units Purchased of Stipend Rate 3)],..., plus [Total funding for Add-ons] minus [Total Offsetting Revenue]} Divided by the sum of the Operational Rate Units purchased for all clients in the contract.

(5) Approved Program Rates. For all purchases, the approved rate is the lower of the provider's charge or amount accepted as payment from another payer or the rate listed in 101 CMR 411.03(5).

(a). Intensive Foster Care.

Service

Operational

Stipend

Total Rate

Unit

Community-based Alternative to Detention Bed Hold

N/A

$30.72

$30.72

Per Day

Sibling

$8.45

$30.72

$39.17

Per Placement

Per Day

Intensive Foster Care One

$65.05

$66.36

$131.41

Per Placement

Per Day

Intensive Foster Care Two

$65.05

$77.46

$142.51

Per Placement

Per Day

Community-based Alternative to Detention

$67.14

$92.57

$159.71

Per Placement

Per Day

Teen Parent

$73.80

$97.08

$170.88

Per Placement

Per Day

Enhanced Intensive Foster Care

$115.77

$99.64

$215.41

Per Placement

Per Day

(b) Intensive Foster Care Specialty.

Service

Operational

Stipend

Total Rate

Unit

Transitions to Adulthood

$90.59

$75.23

$165.82

Per Placement Per Day

Emergency Shelter Homes

$79.89

$86.33

$166.22

Per Placement Per Day

Child Home-based Rehabilitation

$80.26

$88.55

$168.81

Per Placement Per Day

Transitions to Adult Services

$160.91

$67.78

$228.69

Per Placement Per Day

Multiple Acute Level A

$137.44

$117.27

$254.71

Per Placement Per Day

Multiple Acute Level B

$236.09

$117.27

$353.36

Per Placement Per Day

Sexually Exploited Youth

$133.86

$121.84

$255.70

Per Placement Per Day

Family Residential

$200.08

N/A

$200.08

Per Placement Per Day

(c) AMSS. All rates are paid upon completion of the particular product-based service.

AMSS Product-based Services

Rate

1. Adoption Consultation Services:

Adoption Assessment of a Child

$1,960.44

Adoption Assessment/Home Study of a Foster/relative family (with whom the child is placed)

$1,960.44

Adoption Assessment/Home Study of a relative (child is not in the home)

$2,465.78

MAPP training/Home Study of a referred person or couple

$2,465.78

Appearance fee

$296.28

MAPP Training only

$511.31

2. Adoption Placement Case Management Services:

Case acceptance/assignment

$511.31

Adoption Assessment of a child

$1,960.44

Adoption Assessment/Home Study of a family with whom the child is placed

$1,960.44

Placement

Mild

$4,069.02

Moderate

$6,546.76

Severe

$9,894.21

Family Development

Mild

$3,267.40

Moderate

$5,239.80

Severe

$7,859.69

Reevaluations

Mild

$801.62

Moderate

$1,306.96

Severe

$1,960.44

Child(ren)/Legalization

Mild

$4,069.02

Moderate

$6,546.76

Severe

$9,894.21

Adjustment for a case held at least three years, but less than five.

$616.45

Sibling Bonus in Same Home/Legalization

Two siblings

$1,158.82

Three siblings

$2,465.78

Four siblings

$4,561.23

Five or more siblings

$1,455.10

Family Bonus for Provider's Home at Legalization per child, minimum of two children

$511.31

Closure

$1,306.96

Case Maintenance

$358.38

Delayed Adoption-legal Delay/Appeal

$444.41

Conflict of Interest Family Resource

$246.09

Transfer of case

$1,158.82

3. Adoption Family Development Services:

Purchase of Home

$4,931.57

Reuse of a Closed Home

$1,744.21

4. Recruitment:

Child-specific recruitment

$1,744.21

Child-specific recruitment renewal

$1,744.21

5. Intervention Services

$48.78 per hour

6. Interstate Cases:

Home Study

$2,314.86

Assignment

$511.31

Case Supervision

$4,069.02

7. Puerto Rico Cases:

Family Evaluation Home Study in Puerto Rico

$1,671.33

Family Evaluation Home Study in Puerto Rico (Daily Rate)

$28.20

8. International Cases:

International Family Evaluation Home Study

I.C.

(d) Additional Support Services.

Support Contracts

Rate

Unit

Youth Permanency Connections

$53.63

Per Client Per Day Rate

Multiple Pre-adoption Services

$70,806

Accommodation Rate Per Month

Complex Foster Care Medical

$326.21

Per Client Per Day Rate

Multiple Post-adoption Services

$151,092

Accommodation Rate Per Month

Multiple Foster Parent Support Services

$175,629

Accommodation Rate Per Month

(e) Shared Living.
1. Operational Rates.

Service

Operational

Units

A

$55.81

Per Placement Per Day

B

$78.05

Per Placement Per Day

C

$125.37

Per Placement Per Day

Direct Care Add-on Rate

$22.76

Per Hour

Clinician (LICSW) Add-on Rate

$45.96

Per Hour

Registered Nurse (RN)

$65.20

Per Hour

Licensed Practical Nurse (LPN)

$43.28

Per Hour

2. Stipend Rates.
a. Stipend amounts for caregivers are established at a rate within the applicable rate range for a given Operational Rate tier, as noted in the chart in 101 CMR 411.403(5)(e)2.a.

Operational Rate Level

Minimum Stipend Level

Maximum Stipend Level

A

1

12

B

2

16

C

3

21

b. Purchasing governmental units may approve exceptions to the maximum stipend level in 101 CMR 411.03(4)(b)4.b. for caregivers providing services as of September 30, 2016. In these cases, the stipend rate is no higher than the amount paid as of September 30, 2016, as may be adjusted to reflect applicable stipend inclusions and exclusions, in keeping with provisions contained in the procurement for these services. This payment level continues at the current level until such time as material changes in client circumstances occur to warrant a reassessment of the stipend level or a change in caregiver takes place, at which point revised stipend levels may not exceed applicable maximum amounts. Stipend levels 22 through 25 are available only by special application to the purchasing governmental unit.

Shared Living Stipend Levels

Level

Daily Stipend Rate

Stipend Level

1

$30.54

$10,597

2

$42.17

$14,633

3

$50.60

$17,558

4

$59.04

$20,487

5

$67.47

$23,412

6

$75.91

$26,341

7

$84.34

$29,266

8

$92.77

$32,191

9

$101.21

$35,120

10

$109.65

$38,049

11

$118.07

$40,970

12

$126.51

$43,899

13

$134.95

$46,828

14

$143.37

$49,749

15

$151.81

$52,678

16

$160.25

$55,607

17

$168.69

$58,535

18

$177.11

$61,457

19

$185.55

$64,386

20

$193.99

$67,315

21

$202.42

$70,240

22

$210.01

$72,873

23

$219.29

$76,094

24

$228.56

$79,310

25

$236.16

$81,948

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