Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 630.000 - Home- and Community-Based Services Waiver services
Section 630.424 - Personal Care Services
Universal Citation: 130 MA Code of Regs 130.630
Current through Register 1531, September 27, 2024
(A) Conditions of Payment . Personal care services are covered when the participant requires a range of assistance with ADLs related to independent living and when the personal care service enables the participant to function with greater independence within the participant's home and community. Personal care services under an HCBS waiver may include supervision and cuing of participants. Personal care services may also include assistance with IADLs. Personal care services provided under an HCBS waiver may not duplicate personal care services provided under the state plan.
(B) Nonpayable Services .
(1) Personal care
services are not covered when duplicative services are provided to the
participant.
(2) Homemaker, home
health aide, personal care, adult companion, individual support and community
habilitation, and supportive home care aide services, in combination are
limited to no more than 84 hours per week. The MassHealth agency or its
designee may grant exceptions to the limit on a 90-day basis in order to
maintain a participant's tenure in the community, to provide respite to a
caregiver who lives with the participant, to facilitate transitions to a
community setting, to ensure that a participant at risk for medical facility
admission is able to remain in the community, or to otherwise stabilize a
participant's medical condition. Exceptions may also be granted for
participants awaiting transition to a residential waiver. Exceptions to the 84
hours per week limit must be included in the participant's waiver plan of
care.
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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