101 C.M.R. 411.03
(5) Approved Program Rates. For all purchases, the approved rate is the lower of the provider’s charge or amount accepted as payment from another payer or the rate listed in 101 CMR 411.03(5).
6
Final Adoption
Date Published in Mass. Register: November 22, 2024
101 CMR 411.00: RATES FOR CERTAIN PLACEMENT, SUPPORT, AND SHARED LIVING
SERVICES
Service Operational Stipend Total Rate Unit
Community-based Alternative to Detention N/A $36.79 $36.79 Per Day Bed Hold
Per Placement
Sibling $10.33 $36.79 $47.12
Per Day Per Placement
Intensive Foster Care One $79.54 $73.35 $152.88
Per Day Per Placement
Intensive Foster Care Two $79.54 $84.74 $164.27
Per Day
Community-based Per Placement
$82.09 $100.23 $182.32
Alternative to Detention Per Day
Per Placement
Teen Parent $90.23 $110.14 $200.38
Per Day
Enhanced Intensive Foster Per Placement
$143.03 $107.49 $250.52
Care Per Day
Service Operational Stipend Total Rate Unit
Transitions to Per Placement
$110.49 $82.45 $192.94
Adulthood Per Day Emergency Shelter Per Placement
$97.08 $93.84 $190.92
Homes Per Day Child Home-based Per Placement
$97.08 $96.27 $193.35
Rehabilitation Per Day Transitions to Adult Per Placement
$201.19 $74.80 $275.99
Services Per Day
Per Placement
Multiple Acute Level A $166.81 $125.80 $292.61
Per Day Per Placement
Multiple Acute Level B $282.94 $125.80 $408.75
Per Day
Sexually Exploited Per Placement
$161.45 $130.25 $291.70
Youth Per Day
Per Placement
Family Residential $243.14 N/A $243.14
Per Day
7
Final Adoption
Date Published in Mass. Register: November 22, 2024
101 CMR 411.00: RATES FOR CERTAIN PLACEMENT, SUPPORT, AND SHARED LIVING
SERVICES
(c) AMSS. All rates are paid upon completion of the particular product-based service.
AMSS Product-based Services Rate
1. Adoption Consultation Services: Adoption Assessment of a Child $2,380.85 Adoption Assessment/Home Study of a Foster/relative family
$2,380.85
(with whom the child is placed) Adoption Assessment/Home Study of a relative (child is not in the
$2,994.56
home) MAPP training/Home Study of a referred person or couple $2,994.56 Appearance fee $359.82 MAPP Training only $620.96
2. Adoption Placement Case Management Services: Case acceptance/assignment $620.96 Adoption Assessment of a child $2,380.85 Adoption Assessment/Home Study of a family with whom the
$2,380.85
child is placed
Placement
Mild $4,941.60 Moderate $7,950.67 Severe $12,015.96
Family Development
Mild $3,968.08 Moderate $6,363.44 Severe $9,545.16
Reevaluations
Mild $973.52 Moderate $1,587.23 Severe $2,380.85
Child(ren)/Legalization
Mild $4,941.60 Moderate $7,950.67 Severe $12,015.96 Adjustment for a case held at least three years, but less than five. $748.64
Sibling Bonus in Same Home/Legalization
Two siblings $1,407.33 Three siblings $2,994.56 Four siblings $5,539.35 Five or more siblings $1,767.14
8
Final Adoption
Date Published in Mass. Register: November 22, 2024
101 CMR 411.00: RATES FOR CERTAIN PLACEMENT, SUPPORT, AND SHARED LIVING
SERVICES
AMSS Product-based Services Rate
Family Bonus for Provider's Home at Legalization per child,
$620.96
minimum of two children Closure $1,587.23 Case Maintenance $435.23 Delayed Adoption-legal Delay/Appeal $539.72 Conflict of Interest Family Resource $298.86 Transfer of case $1,407.33 3. Adoption Family Development Services: Purchase of Home $5,989.11 Reuse of a Closed Home $2,118.25 4. Recruitment: Child-specific recruitment $2,118.25 Child-specific recruitment renewal $2,118.25 5. Intervention Services (per hour) $59.24 6. Interstate Cases: Home Study $2,811.26 Assignment $620.96 Case Supervision $4,941.60 7. Puerto Rico Cases: Family Evaluation Home Study in Puerto Rico $2,029.73 Family Evaluation Home Study in Puerto Rico (Daily Rate) $34.24 8. International Cases: International Family Evaluation Home Study IC
(d) Additional Support Services.
Support Contracts Rate Unit
Youth Permanency Connections $64.88 Per Client Per Day Rate Multiple Pre-adoption Services $83,386 Accommodation Rate Per Month Complex Foster Care Medical $383.58 Per Client Per Day Rate Multiple Post-adoption Services $173,430 Accommodation Rate Per Month Multiple Foster Parent Support Services $188,957 Accommodation Rate Per Month
9
Final Adoption
Date Published in Mass. Register: November 22, 2024
101 CMR 411.00: RATES FOR CERTAIN PLACEMENT, SUPPORT, AND SHARED LIVING
SERVICES
(e) Shared Living.
1. Operational Rates.
Service Operational Units
A $67.53 Per Placement Per Day B $103.60 Per Placement Per Day C $177.16 Per Placement Per Day Direct Care Add-on Rate $27.85 Per Hour Clinician (LICSW) Add-on Rate $59.84 Per Hour Registered Nurse (RN) $75.92 Per Hour Licensed Practical Nurse (LPN) $48.76 Per Hour
2. Stipend Rates.
a. Stipend amounts for caregivers are established at a rate within the applicable rate limit for a given Operational Rate tier, as noted in the chart in 101 CMR 411.403(5)(e)2.a.
Operational Rate Level Maximum Stipend Level
A 9 B 13 C 17
b. Purchasing governmental units may approve exceptions to the maximum stipend level in 101 CMR 411.03(5)(e)2.a. for caregivers providing services as of September 30, 2016. In these cases, the stipend rate is no higher than the amount paid as of September 30, 2016, as may be adjusted to reflect applicable stipend inclusions and exclusions, in keeping with provisions contained in the procurement for these services. This payment level continues at the current level until such time as material changes in client circumstances occur to warrant a reassessment of the stipend level or a change in caregiver takes place, at which point revised stipend levels may not exceed applicable maximum amounts. Stipend levels 18 through 21 are available only by special application to the purchasing governmental unit.
Shared Living Stipend Levels
Level Daily Stipend Rate Stipend Level 1 $79.59 $27,618 2 $89.55 $31,074 3 $99.49 $34,523 4 $109.43 $37,972 5 $119.39 $41,428
10
Final Adoption
Date Published in Mass. Register: November 22, 2024
101 CMR 411.00: RATES FOR CERTAIN PLACEMENT, SUPPORT, AND SHARED LIVING
SERVICES
Shared Living Stipend Levels
Level Daily Stipend Rate Stipend Level 6 $129.35 $44,884 7 $139.28 $48,330 8 $149.23 $51,783 9 $159.19 $55,239 10 $169.12 $58,685 11 $179.08 $62,141 12 $189.03 $65,593 13 $198.99 $69,050 14 $208.92 $72,495 15 $218.88 $75,951 16 $228.83 $79,404 17 $238.78 $82,857 18 $247.73 $85,962 19 $258.68 $89,762 20 $269.61 $93,555 21 $278.58 $96,667
Remote Direct Supports Per Hour
Remote Direct Supports $20.15