Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 630.000 - Home- and Community-Based Services Waiver services
Section 630.413 - Community-based Day Supports
Universal Citation: 130 MA Code of Regs 130.630
Current through Register 1531, September 27, 2024
(A) Conditions of Payment . Community-based day supports are covered when the participant requires support to develop, enhance, and maintain a range of skills and competencies needed to engage in integrated activities in the community.
(B) Nonpayable Services .
(1) Community-based day supports services may
not be covered on the same day that waiver day services are covered.
(2) Day services, community-based day
supports, supported employment, and prevocational services, in combination, are
limited to no more than 156 hours per month, with each day of day services
considered to be six hours. The MassHealth agency or its designee may grant
individualized exceptions to the limit on a 30-day basis in order to maintain a
participant's tenure in the community, to facilitate transitions to a community
setting, or to otherwise facilitate the participant's successful engagement in
community-based waiver services. Exceptions to the 156 hours per month limit
must be included in the participant's waiver plan of care.
(C) Recordkeeping . In addition to the requirements of 130 CMR 630.441, the provider must maintain records that include detailed descriptions of community-based day supports services provided and documentation of all units of service provided.
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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