Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 427.00 - Rates for Certain Youth and Young Adult Support Services
Section 427.03 - Rate Provisions

Universal Citation: 101 MA Code of Regs 101.427

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(s).

(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 will be 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.

(4) Administrative Adjustment for Extraordinary Circumstances. A method whereby, subject to availability of funds, a purchasing governmental unit may provide additional resource allocations to a qualified provider in response to unusual and unforeseen circumstances that substantially increase the cost of service delivery in ways not contemplated in the development of current rates. It must be demonstrated that such cost increases gravely threaten the stability of service provision such that client or consumer access to necessary services is at risk. The purchasing governmental unit will evaluate the need for the administrative adjustment, determine whether funding is available, and convey that information to EOHHS for review to determine the amount of any adjustment.

(5) Approved Rates. 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 427.03.

Service

Model

Unit of Service

Rate

Alternative Lock-up Program

A

Month

$12,725

B

Month

$21,928

C

Month

$27,967

Conflict of Interest Services

1 Family

Month

$1,248

5 Families

Month

$6,202

Extraordinary Circumstances/Flex Funding

N/A

N/A

I.C.

Teen Pregnancy Prevention Program

In school

Curriculum Hour

$380.85

Outside school

Curriculum Hour

$476.06

Remote Add-on

Hour

$95.21

Peer Leadership & Youth Development

N/A

Contact Hour

$285.64

Partnership Development

N/A

Hour

$53.81

Therapeutic Day Services

Model 1

Month

$32,797

Model 2

Month

$27,789

Model 3A

Month

$29,917

Model 3B

Month

$40,722

Model 4A

Month

$23,425

Model 4B

Month

$43,943

Young Parent Support Program (YPS)

A

Month

$9,295

B

Month

$18,590

YPS Specialty Direct Care III Add-on (.5 FTE)

A

Month

$2,708

YPS Specialty Direct Care III Add-on (1 FTE)

B

Month

$5,415

Add-on Staff for Teen Pregnancy Prevention Program

Title

Unit of Service

Rate

Direct Care

Hourly

$24.49

Direct Care III

Hourly

$31.24

Add-on Staff for Therapeutic Day Services

Title

Unit of Service

.25 FTE

.5 FTE

.75 FTE

1 FTE

Clinical (LICSW)

Monthly

$1,965

$3,929

$5,894

$7,858

Peer/Direct Care

Monthly

$1,061

$2,122

$3,183

$4,245

Direct Care III

Monthly

$1,354

$2,708

$4,061

$5,415

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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