101 C.M.R. 361.04
(1) Continuous Skilled Nursing Services.
(a) Single Patient, per Straight-time Hour. Weekend rates are the same as night rates.
Rates per 15 Minutes: Single Patient, per Straight-time Hour
Code Modifier Agency Individual Description
Practitioner
T1002 $23.61 $19.46 RN Services, Weekday T1002 UJ $25.14 $20.88 RN Services, Nights T1002 $33.12 $28.22 RN Services, Holidays T1003 $16.35 $13.47 LPN Services, Weekday T1003 UJ $17.41 $14.46 LPN Services, Nights T1003 $23.01 $19.60 LPN Services, Holidays
(b) Multiple-patient Nursing.
1. Two Individuals, per Straight-time Hour. When only one of the individuals is publicly aided, the fee for services to the publicly aided individual will be ½ of the appropriate rate listed in the table “Two Individuals, per Straight-time Hour.” Weekend rates are the same as night rates.
Rates per 15 Minutes: Two Individuals, per Straight-time Hour
Code Modifier Agency Individual Description
Practitioner
T1002 TT $33.21 $28.13 RN Services, Weekday T1002 U1 $35.36 $30.18 RN Services, Nights T1002 TT $46.59 $40.80 RN Services, Holidays T1003 TT $23.10 $19.56 LPN Services, Weekday T1003 U1 $24.61 $20.99 LPN Services, Nights T1003 TT $32.52 $28.46 LPN Services, Holidays
2. Three Individuals, per Straight-time Hour. When only one of the individuals is publicly aided, the fee for services to the publicly aided individual will be ⅓ of the appropriate rate listed. When two of the individuals are publicly aided, the fee for services to the publicly aided individuals will be ⅔ of the appropriate rate listed. Weekend rates are the same as night rates.
4
Final Adoption
Date Published in Mass. Register: August 2, 2024
101 CMR 361.00: RATES FOR CONTINUOUS SKILLED NURSING AGENCY AND
INDEPENDENT NURSING SERVICES
Rates per 15 Minutes: Three Individuals, per Straight-time Hour
Code Modifier Agency Individual Description
Practitioner
T1002 U2 $39.68 $32.62 RN Services, Weekday T1002 U3 $42.24 $35.00 RN Services, Nights T1002 U2 $55.66 $47.31 RN Services, Holidays T1003 U2 $28.04 $22.68 LPN Services, Weekday T1003 U3 $29.87 $24.34 LPN Services, Nights T1003 U2 $39.47 $33.00 LPN Services, Holidays
(c) Overtime. Weekend rates are the same as night rates.
Rates per 15 Minutes: Overtime
Code Modifier Agency Individual Description
Practitioner
T1002 TU $32.66 $27.88 RN Services, Weekday T1002 U4 $34.77 $29.91 RN Services, Nights T1002 TU $48.77 $40.43 RN Services, Holidays T1003 TU $22.74 $19.41 LPN Services, Weekday T1003 U4 $24.22 $20.83 LPN Services, Nights T1003 TU $32.01 $28.25 LPN Services, Holidays
(d) Complex Care Assistant and RN Supervisory Visits.
Rate per 15 Minutes: Complex Care Assistant and
RN Supervisory Visits
Code Modifier Agency Description T1002 U5 $23.61 60-day Supervisory Visit (RN) T1004 $11.25 Complex Care Assistant Visit