Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 512.00 - Nursing Facility User Fees
Section 512.03 - Facility Groups

Universal Citation: 101 MA Code of Regs 101.512

Current through Register 1518, March 29, 2024

(1) Nursing facility user fee payment liability will vary by facility group. The two groups of facilities for purposes of 101 CMR 512.00 are defined in 101 CMR 512.03(1)(a) and (b):

(a) Group I: All facilities that do not meet the criteria for group II, and;

(b) Group II: Any nursing facility meeting one or more of the following criteria:
1. a non-profit continuing care retirement community or non-profit residential care facility;

2. a non-profit facility that provides at least 39,000 annual Medicaid bed days, as determined by EOHHS; or

3. a facility with a Medicaid utilization rate of 87% or higher, as determined by EOHHS.

(2) New facilities that come into operation subsequent to the effective date of EOHHS's approved waiver under 42 CFR 433.68(e)(2), or facilities otherwise not included in the approved waiver application, will be considered Group I facilities until EOHHS determines the facility's group eligibility. Facilities that undergo a change in status that alters their group eligibility subsequent to January 1, 2023, will remain in their original group until EOHHS determines eligibility. If the determination of eligibility for a new facility or a facility's change in status would result in noncompliance with EOHHS's approved federal waiver, the facility will remain in its current group until such time as EOHHS is able to amend its approved waiver.

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.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.