Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 417.00 - Rates For Certain Elder Care Services
Section 417.02 - Definitions

As used in 101 CMR 417.00, unless the context requires otherwise, terms have the meanings in 101 CMR 417.02.

Aging Services Access Points (ASAPs). One or more nonprofit agencies, one or more home care providers as defined in M.G.L. c. 19A, § 4(c), a combination of said home care corporations acting jointly, or a state agency that is/are designated by and under contract with EOEA to provide services for Medicaid community-based long-term care pursuant to an interagency agreement between EOEA and the Office of Medicaid. ASAPs contract with EOEA to purchase community-based long-term-care services for certain clients, provide protective services (and in some cases provide nutrition services), provide information and referral services, provide case management services, coordinate and authorize the delivery of home care program services, and provide clinical screening for nursing facility and community-based long-term-care services. Each agency is organized to plan, develop, and implement the coordination and delivery of community-based long-term-care services.

ASAP Services. Those functions that are performed by the ASAP according to the terms of an ASAP contract. The functions include screenings, interdisciplinary case management, protective services, information and referral, and, in cases in which the ASAP elects to provide rather than subcontract the function, nutrition services.

Client. A person who receives community-based long-term-care services purchased by a governmental unit.

Congregate Housing Services Coordination. Services provided to eligible seniors and adults with disabilities living in a multi-unit housing setting in which residents have a private bedroom or apartment and share living space; and in which a congregate coordinator evaluates applicants, arranges for community-based support services that residents may need, and provides living support and social activities.

Cost Report. The document used to report costs and other financial and statistical data. The Uniform Financial Statements and Independent Auditor's Report (UFR) is used when required.

Enhanced Community Options Program (ECOP) Direct Services. A program administered by ASAPs for frail elders who are clinically eligible for nursing facility services under MassHealth and who meet criteria set forth by EOEA. ECOP provides a broad range of community services for these elders to remain in the community that includes services available under the Home Care Program.

EOEA. The Executive Office of Elder Affairs, also known as the Department of Elder Affairs, established under M.G.L. c. 19A.

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.

Guardianship Services. A legal service administered by EOEA by which the Probate and Family Court appoints a guardian and grants the guardian authority to care for and to make decisions on behalf of an incapacitated person.

Home Care Program Case Management Services. Services under the Basic Home Care and ECOP programs to coordinate a variety of homemaker and assisted daily living services within the client's home and community. Services are provided by Basic Home Care and ECOP case managers, based on the needs and acuity level of the client.

Home Care Program Direct Services. Home Care Program services include homemaker, personal care, laundry, home-delivered meals, chores, home health, transportation, social day care services, adult day health, dementia day care, adaptive housing, personal emergency response, grocery shopping/delivery, companion, emergency shelter, respite care, and other Home Care Program services as set forth in 651 CMR 3.01: Scope and Purpose. Service definitions and service standards are established by EOEA in 651 CMR 3.00: Home Care Program.

Incapacitated Person. An adult who has a clinically diagnosed medical condition that results in an inability to receive and evaluate information or make or communicate decisions about his or her everyday personal care, health, and safety, and who has been determined to be an incapacitated person by the Massachusetts Probate and Family Court.

Money Management Program. Services that assist low-income elders who have difficulty with money management or bill paying and, as a result, are vulnerable to financial exploitation, or are at serious risk due to an inability to meet critical needs. Services under this program include representative payee and bill payer services.

Protective Services (PS). A statewide system administered by EOEA to receive and investigate reports of elder abuse, including physical, emotional, and sexual abuse, neglect by a caregiver, self-neglect, and financial exploitation, and to provide protective services as necessary. Services are provided by designated (PS) agencies to respond to reports of elder abuse, to remedy or alleviate the abusive situation, and to prevent the recurrence of abuse.

Protective Services Central Intake Unit. A live data entry, protective services call center that takes an elder abuse report directly from a reporter and enters the information into the EOEA web based Protective Services Case Management System. An elder abuse report submitted directly by a reporter through the EOEA online reporting system does not constitute a Protective Services Intake for billing purposes.

Protective Services Intake. The ancillary service, provided by an ASAP, of taking an elder abuse report directly from a reporter and entering the information into the EOEA web based Protective Services Case Management System. An Elder abuse report submitted directly by a reporter through the EOEA online reporting system does not constitute a Protective Services Intake for billing purposes.

Reporting Year. The provider's fiscal year for which costs incurred are reported to the Operational Services Division on the Uniform Financial Statements and Independent Auditor's Report (UFR).

State Funding. The aggregate state fiscal year amount of payments to a provider by a governmental unit for services purchased at rates established in 101 CMR 417.00. State funding does not include any amounts attributable to federal funding or grant funds.

Supportive Senior Housing. A program administered by EOEA to develop supportive senior housing in public housing with the goal of promoting independence and aging in place. Supportive senior housing services include service coordination, 24-hour emergency coverage on-site or on call, social activities, and at least one congregate meal per weekday.