Current through Register 1531, September 27, 2024
A participant is eligible for HCBS waiver services according to
the applicable HCBS waiver under which the participant is enrolled.
See
130 CMR
519.007: Individuals Who Would Be
Institutionalized. Each HCBS waiver coverage type is described in 130
CMR 630.405(A) through (D). Payment for the covered services listed in 130 CMR
630.000 is subject to all conditions and restrictions of MassHealth, including
all applicable prerequisites for payment.
(A)
Acquired Brain Injury with
Residential Rehabilitation (ABI-RH) Waiver . The following ABI
waiver services are covered for eligible MassHealth members who are enrolled as
participants under the ABI-RH Waiver:
(1)
residential habilitation;
(2)
assisted living services;
(3)
shared living - 24 hour supports;
(4) supported employment;
(5) community-based day supports;
(6) day services;
(7) occupational therapy;
(8) physical therapy;
(9) specialized medical equipment;
(10) speech therapy;
(11) transitional assistance; and
(12) transportation.
(B)
Acquired Brain Injury
Non-residential Habilitation (ABI-N) Waiver . The following ABI
waiver services are covered for eligible MassHealth members who are enrolled as
participants under the ABI-N Waiver:
(1)
homemaker;
(2) personal
care;
(3) respite;
(4) supported employment;
(5) adult companion;
(6) chore;
(7) community-based day supports;
(8) day services;
(9) home accessibility adaptations;
(10) individual support and community
habilitation;
(11) occupational
therapy;
(12) physical
therapy;
(13) specialized medical
equipment;
(14) speech
therapy;
(15) transitional
assistance; and
(16)
transportation.
(C)
Moving Forward Plan Residential Supports (MFP-RS)
Waiver . The following HCBS waiver services are covered for
eligible MassHealth members who are enrolled as participants under the MFP-RS
Waiver:
(1) assisted living
services;
(2) community-based day
supports;
(3) community behavioral
health support and navigation;
(4)
day services;
(5) home
accessibility adaptations;
(6)
individual support and community habilitation;
(7) occupational therapy;
(8) orientation and mobility;
(9) peer support;
(10) physical therapy;
(11) prevocational services;
(12) residential family training;
(13) residential habilitation;
(14) shared living - 24 hour
supports;
(15) skilled
nursing;
(16) specialized medical
equipment;
(17) speech
therapy;
(18) supported
employment;
(19) transitional
assistance; and
(20)
transportation.
(D)
Moving Forward Plan Community Living (MFP-CL) Waiver .
The following HCBS waiver services are covered for eligible MassHealth members
who are enrolled as participants under the MFP-CL Waiver:
(1) adult companion;
(2) chore;
(3) community-based day supports;
(4) community behavioral health support and
navigation;
(5) community family
training;
(6) day
services;
(7) home accessibility
adaptations;
(8)
homemaker;
(9) home health
aide;
(10) independent living
supports;
(11) individual support
and community habilitation;
(12)
occupational therapy;
(13)
orientation and mobility;
(14) peer
support;
(15) personal
care;
(16) physical
therapy;
(17) prevocational
services;
(18) respite;
(19) shared home supports;
(20) skilled nursing;
(21) specialized medical equipment;
(22) speech therapy;
(23) supported employment;
(24) supportive home care aide;
(25) transitional assistance;
(26) transportation; and
(27) vehicle modification.
