Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 630.000 - Home- and Community-Based Services Waiver services
Section 630.435 - Transitional Assistance
Universal Citation: 130 MA Code of Regs 130.630
Current through Register 1531, September 27, 2024
(A) Services and Expenses Included under Transitional Assistance Services . Transitional assistance consists of the following items, when appropriate and necessary for the participant's discharge from a nursing facility or hospital and safe transition to the community:
(1) assistance with housing search and
housing application processes;
(2)
security deposits that are required to obtain a lease on an apartment or
home;
(3) assistance arranging for
and supporting the details of the move;
(4) essential personal household furnishings
required to occupy and use a community domicile, including furniture, window
coverings, food preparation items, and bed/bath linens;
(5) set-up fees or deposits for utility or
service access, including telephone, electricity, heating, and water;
(6) services necessary for the individual's
health and safety, such as pest eradication and one-time cleaning prior to
occupancy;
(7) moving
expenses;
(8) home accessibility
adaptations; and
(9) activities to
assess need, arrange for, and procure resources related to personal household
expenses, specialized medical equipment, or community services.
(B) Conditions of Payment . To qualify for payment as transitional assistance services, expenses must be:
(1) authorized and
included in the participant's service plan;
(2) incurred within 180 days before a
participant's discharge from a nursing facility or hospital or another
provider-operated living arrangement or during the period following discharge
from the facility; and
(3)
necessary for the participant's safe transition to the community.
(C) Nonpayable Services and Expenses . Transitional assistance services does not include expenses:
(1) for monthly rental or
mortgage expense, food, regular utility charges, and/or household appliances or
items that are intended for pure diversion or recreational purposes;
(2) for furnishing living arrangements that
are owned or leased by an HCBS waiver provider where the provision of these
items and services is inherent to the service being provided; or (3) that are
not necessary for the participant's safe transition to the community.
(D) Payer for Transitional Assistance Services . MRC is responsible for paying providers for transitional assistance services.
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