Program:
MassHealth Home- and Community-Based Services (HCBS) Waivers
Related Waivers:
Acquired Brain Injury (ABI) Waiver; Moving Forward Plan (MFP) Waiver
Country:
United States
State:
Massachusetts
Administering Program:
MassHealth (Massachusetts Medicaid Program)
Related Agencies:
MassAbility; Department of Developmental Services (DDS); Department of Public Health (DPH); Department of Children & Families (DCF); Department of Mental Health (DMH)
Document Type:
Provider enrollment checklist and requirements guide
Purpose:
Documentation requirements and eligibility criteria for self-employed providers seeking enrollment in HCBS waiver services
Target Audience:
Self-employed applicants applying to become HCBS waiver service providers
Required Forms:
MassHealth HCBS Waiver Provider Application; Massachusetts Medicaid Program Provider Agreement; MassHealth Trading Partner Agreement; Substitute W-9 Form; CORI Request Form; Federally Required Disclosures Form
Compliance Requirements:
CPR and first aid certification; tuberculosis screening and testing; HCSIS registration; incident reporting; client encounter documentation for billing
Payment Method:
Electronic Funds Transfer (EFT) authorization for MassHealth payments
Service Areas:
Boston/Metro; Central; Southeast/Cape/Islands; Northeast; Western regions of Massachusetts
Population Served:
Individuals with acquired brain injury; older adults; individuals with physical disabilities; individuals with intellectual disabilities; individuals with behavioral health conditions; individuals with substance use disorders
Services Listed:
Adult Companion; Assistive Technology; Chore; Community/Residential Family Training; Homemaker; Individual Support and Community Habilitation; Orientation and Mobility Services; Personal Care; Specialized Medical Equipment; Occupational Therapy; Physical Therapy; Speech Therapy
Regulatory References:
MassHealth All Provider Regulations (130 CMR 450.000); MassHealth Rates for Home and Community Based Waiver Regulations (101 CMR 359.000); MassHealth Home and Community Based Waiver Services (130 CMR 630.000)
Information Systems:
Home and Community Services Information System (HCSIS)
Reporting Obligations:
Incident reporting through HCSIS and mandatory reporting of abuse or neglect to appropriate Massachusetts agencies
Screening Requirement:
Tuberculosis disease screening tool for staff