1. (1) Rates as Full Compensation. The rates under 101 CMR 362.00 constitute full compensation for community support program services provided by community support programs to publicly aided and industrial accident patients, including full compensation for necessary administration and professional supervision associated with patient care.

2. (2) Rates of Payment. Payment rates under 101 CMR 362.00 are the lower of

   1. (a) the eligible provider's usual charge to the general public; or
   2. (b) the schedule of allowable rates for services provided by community support programs as set forth in 101 CMR 362.03(4).

3. (3) Modifiers.

   1. (a) -HK: Specialized mental health programs for high-risk populations (Community Support Program for Homeless Individuals).
   2. (b) -HH: Integrated mental health/substance abuse program (Community Support Program for Individuals with Justice Involvement).
   3. (c) -HE: Mental health program (Community Support Program Tenancy Preservation Program).
4. (4) Rates for Community Support Program Services. The payment rates for community support programs are as follows:

Code Rate Service Description

H2015 $17.54 Comprehensive community support services, per 15 minutes (Community

Support Program)

H2016-HE $23.33 Comprehensive community support services, per diem, mental health

program (Community Support Program Tenancy Preservation Program)

H2016-HH $21.93 Comprehensive community support program, per diem, integrated mental

health/substance abuse program (Community Support Program for Individuals with Justice Involvement)

3

Final Adoption

Date Published in Mass. Register: March 28, 2025

101 CMR 362.00: RATES FOR COMMUNITY SUPPORT PROGRAM SERVICES

Code Rate Service Description

H2016-HK $28.35 Comprehensive community support services, per diem, specialized mental

health programs for high-risk populations (Community Support Program for Homeless Individuals)