Code of Massachusetts Regulations
118 CMR - DISABLED PERSONS PROTECTION COMMISSION
Title 118 CMR 4.00 - Screening Of Reports And Referrals To Other Agencies
Section 4.05 - Referral to Other Agencies
Universal Citation: 118 MA Code of Regs 118.4
Current through Register 1531, September 27, 2024
(1) Reports regarding Elders, Children, or Patients/Residents of Certain Long-term Care Facilities.
(a) Upon receipt of a report alleging abuse
of an elderly person (defined as an individual who is 60 years of age or
older), the Commission shall immediately refer such report to the Executive
Office of Elder Affairs for appropriate action pursuant to M.G.L. c.
19A.
(b) Upon receipt of a report
alleging abuse of a child (defined as an individual who is younger than 18
years old), the Commission shall immediately refer such report to the
Department of Children and Families for appropriate action pursuant to M.G.L.
c. 119.
(c) Upon receipt of a
report alleging abuse of a patient or resident of a long-term care facility as
defined in M.G.L. c. 111, § 71, and
118 CMR 2.02:
Meaning of Terms, the Commission shall immediately refer such
report to the Department of Public Health for appropriate action pursuant to
M.G.L. c. 111.
(2) Reports regarding Individuals Whose Caretaker is a State Agency.
(a) Upon receipt of a
report alleging abuse of a person with a disability whose caretaker is a state
agency, the Commission, after making the jurisdictional and urgency
determinations required by
118 CMR
4.03 and
4.04,
shall refer the report for investigation to either an investigator of the
Commission, or to the investigation division of the agency within the Executive
Office of Health and Human Services that has jurisdiction over the entity
providing services or treatment to the person with a disability or that
provides or has contracted for or licensed the provision of services or
treatment to the person with a disability.
(b) For purposes of investigation, when a
person with a disability has multiple caretaker agencies, the agency which is
designated as the referral agency shall be that agency which is deemed by the
Commission to be the agency with sufficient contacts with the person with a
disability and the circumstances of the alleged abuse so as to allow for the
most efficient and expedient investigation of the alleged abuse and the
provision of protective services. Unless the Commission intervenes in the case
pursuant to
118
CMR 4.09(2)(b) or (c), each
referral agency shall collaborate, as needed, with other agencies in the
investigation of cases involving such individuals, but shall retain the
responsibility for completing the investigation and preparing an evaluation and
investigation report.
(c) If the
referral agency objects to the Commission's designation of that agency as the
appropriate referral agency, the referral agency shall immediately contact the
Executive Director of the Commission, or his or her designee, and request an
immediate ruling on the designation. The ruling of the Executive Director or
designee shall be final.
(3) Reports regarding Individuals Whose Caretaker Is Not a State Agency.
(a) Upon receipt of a report alleging abuse
of a person with a disability whose caretaker is not a state agency, and the
person with a disability has a single type of disability, the Commission, after
making the determinations required by
118 CMR
4.03 and
4.04,
shall refer the report for investigation to either an investigator of the
Commission or to the appropriate agency as specified in 118 CMR 4.05(3)(b) and
(c) which agency shall appoint an investigator who shall conduct an
investigation pursuant to the time requirements of M.G.L. c. 19C, § 5, and
118 CMR
5.01(2):
Substantiated Investigations of Abuse of Persons with an Intellectual
or Developmental Disability. Unless the Commission intervenes in the
case pursuant to
118
CMR 4.09(2)(b), each
referral agency shall collaborate, as needed, with other agencies in the
investigation of cases involving such individuals, but shall retain the
responsibility for completing the investigation and preparing an evaluation and
investigation report.
(b) The case
shall be referred by the Commission as follows:
1. When, as can best be determined from the
intake, the alleged victim is a person with a developmental disability or a
person with an intellectual disability, as defined by M.G.L. c. 123B, the case
shall be referred to and investigated by the Department of Developmental
Services or an investigator of the Commission.
2. When, as can best be determined from the
intake, the alleged victim has a mental disability which is not the result of a
head injury nor is the alleged victim a person with a developmental disability
or person with an intellectual disability, the case shall be referred to and
investigated by the Department of Mental Health or an investigator of the
Commission.
3. When, as can best be
determined from the intake, the person who is the subject of the abuse report
has a head injury or one or more other physical disabilities and does not have
a mental disability, the case shall be referred to and investigated by the
Massachusetts Rehabilitation Commission or an investigator of the
Commission.
4. When a person with a
disability who is the subject of an abuse report has more than one type of
disability, the agency which is designated as the referral agency shall be that
agency deemed by the Commission to be the agency with sufficient contacts with
the person with a disability and the circumstances of the alleged abuse so as
to allow for the most efficient and expedient investigation of the alleged
abuse and the provision of protective services.
(c) If the referral agency objects to the
designation of that agency as the appropriate referral agency, the referral
agency shall immediately contact the Executive Director of the Commission, or
his or her designee, and request an immediate ruling on the designation. The
ruling of the Executive Director or designee shall be final.
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