Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 630.000 - Home- and Community-Based Services Waiver services
Section 630.430 - Skilled Nursing
Universal Citation: 130 MA Code of Regs 130.630
Current through Register 1531, September 27, 2024
(A) Conditions of Payment . Skilled nursing services listed in a participant's service plan must be provided within the scope of the State's Nurse Practice Act at M.G.L. c. 112 and the Registered Nurse and Licensed Practical Nurse regulations at 244 CMR 3.00: Registered Nurse and Licensed Practical Nurse.
(B) Nonpayable Services .
(1) Skilled nursing
services are limited to one skilled nursing visit per week per participant. The
MassHealth agency or its designee may authorize an exception to the limit on a
temporary basis 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.
(2) Skilled nursing
services are not covered when duplicative nursing services are provided to the
participant.
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