1. (1) Services Included in the Rate. The approved rate includes payment for all care and services that are part of the program of services of an eligible provider, as explicitly set forth in the terms of the purchase agreement between the eligible provider and the purchasing governmental unit(s).

2. (2) Reimbursement as Full Payment. Each provider must, as a condition of acceptance of payment made by any purchasing governmental units for services rendered, accept the approved program rate as full payment and discharge of all obligations for the services rendered. Payment from any other source will be used to offset the amount of the purchasing governmental unit’s obligation for services rendered to the participant.

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   Final Adoption

   Date Published in Mass. Register: May 22, 2026

   101 CMR 414.00: RATES FOR FAMILY STABILIZATION SERVICES

3. (3) Payment Limitations. No purchasing governmental unit may pay less than or more than the approved program rate.
4. (4) Services Provided in Dukes or Nantucket County. In accordance with the provisions of St. 2016, c. 133, payment for services provided in programs located in Dukes or Nantucket County is the rate for the service contained in 101 CMR 414.03(6) times a factor of 1.07.
5. (5) Administrative Adjustment for Extraordinary Circumstances. A method whereby, subject to availability of funds, a purchasing governmental unit may provide additional resource allocations to a qualified provider in response to unusual and unforeseen circumstances that substantially increase the cost of service delivery in ways not contemplated in the development of current rates. It must be demonstrated that such cost increases gravely threaten the stability of service provision such that client or consumer access to necessary services is at risk. The purchasing governmental unit will evaluate the need for the administrative adjustment, determine whether funding is available, and convey that information to EOHHS for review to determine the amount of any adjustment.

6. (6) Approved Rates. 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 414.03(6).

   1. (a) Family Support Services.

      Center

      Service Unit of Service Agency Rate

      Size

Adolescent Support Network -- Enrolled day $31.88 Adult Companion -- 15 minutes $10.70 Adult Companion Group Services Group of 2 -- 15 minutes $5.35 Adult Companion Group Services Group of 3 -- 15 minutes $3.57 After-school Respite -- Half day $68.40 After-school Respite -- Full day $118.65

0.5 Month $6,480.73

Autism Support Center/Family Support Center

1 Month $12,961.46

Autism Support Center/Family Support Center

1.5 Month $19,442.20

Autism Support Center/Family Support Center

2 Month $25,922.93

Autism Support Center/Family Support Center

2.5 Month $30,789.73

Autism Support Center/Family Support Center

3 Month $36,232.82

Autism Support Center/Family Support Center

3.5 Month $41,606.07

Autism Support Center/Family Support Center

4 Month $46,894.42

Autism Support Center/Family Support Center

4.5 Month $52,094.30

Autism Support Center/Family Support Center

5 Month $57,262.78

Autism Support Center/Family Support Center

5.5 Month $62,392.46

Autism Support Center/Family Support Center Autism Support Center/Family Support Center 6 Month $67,666.93 Autism Support Center/Family Support Center 6.5 Month $72,935.61

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Final Adoption

Date Published in Mass. Register: May 22, 2026

101 CMR 414.00: RATES FOR FAMILY STABILIZATION SERVICES

Center

Service Unit of Service Agency Rate

Size

Autism Support Center/Family Support Center 7 Month $78,163.06 Autism Support Center/Family Support Center 7.5 Month $83,392.89 Autism Support Center/Family Support Center 8 Month $88,554.72 Autism Support Center/Family Support Center 8.5 Month $93,628.17 Autism Support Center/Family Support Center 9 Month $98,671.39 Autism Support Center/Family Support Center 9.5 Month $103,714.62 Autism Support Center/Family Support Center 10 Month $108,733.03 Autism Support Center/Family Support Center 10.5 Month $113,759.95 Autism Support Center/Family Support Center 11 Month $118,782.82 Autism Support Center/Family Support Center 11.5 Month $123,826.88 Autism Support Center/Family Support Center 12 Month $128,897.60 Agency with Choice -- N/A IC Agency with Choice Admin Fee -- Month $420.63 Behavioral Support Services Bachelor's -- 15 minutes $23.08 Behavioral Support Services Master’s -- 15 minutes $33.90 Behavioral Support Services PhD -- 15 minutes $43.65 Client Financial Assistance/Flex Funding -- N/A IC Client Financial Assistance/Flex Funding

-- Transaction $20.84

Administration Community-based After-school Social and

-- Group Hour $46.50

Recreation Programs Combined Hourly Services: Nonclinical -- Hour $76.20 Clinical -- Hour $107.71 Comprehensive Services: Model A-1 Direct Care–Nonclinical, Less $52.06

-- Enrolled day

Intensive Model A-2 Direct Care–Nonclinical, More $78.82

-- Enrolled day

Intensive Model B Direct Care and Clinical, Less $97.28

-- Enrolled day

Intensive Model C Direct Care and Clinical, More $98.89

-- Enrolled day

Intensive Model D Clinical -- Enrolled day $98.04 Model E Direct Care and Clinical, High $141.61

-- Enrolled day

Intensive Model F Direct Care and Clinical, Highest $236.58

-- Enrolled day

Intensive

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Final Adoption

Date Published in Mass. Register: May 22, 2026

101 CMR 414.00: RATES FOR FAMILY STABILIZATION SERVICES

Center

Service Unit of Service Agency Rate

Size

Model G Direct Care and Clinical, Higher $174.66

-- Enrolled day

Intensive Educational Coordination -- Enrolled day $24.26 Family Navigation -- 15 minutes $20.93 Family Resource Center -- Month $68,425 Micro Family Resource Center -- Month $27,988 Micro Family Resource Center Add-on -- Month $7,940 Family Resource Center Per Diem Add-on: Family

-- Per Diem $297.30

Support Worker Family Resource Center Per Diem Add-on:

-- Per Diem $411.81

Clinician (LCSW) Family Resource Center Per Diem Add-on:

-- Per Diem $490.58

Clinician (LICSW) Family Resource Center Per Diem Add-on: Family

-- Per Diem $228.71

Partner Family Resource Center Per Diem Add-on: School

-- Per Diem $377.95

Liaison Family Training Groups: Specialty Family Skills Development Program

-- Session $3,125.72

Model Add-ons for a Specialty Family Skills Development Program Model: Occupancy Purchase of Space -- Session $144.33 Family Skills Development Program Model -- Session $2,135.18 Add-ons for a Family Skills Development Program Model: Facilitator/Coordinator -- Session $72.36 Meals -- Session $177.48 Child Care -- Session $51.17 Occupancy Purchase of Space -- Session $144.33 Transportation -- Session $173.21 Parent Skill Development Program Model -- Session $1,672.49 Add-ons for a Parent Skill Development Program Model: Facilitator/Coordinator -- Session $72.36 Meals -- Session $177.48 Child Care -- Session $51.17 Occupancy Purchase of Space -- Session $144.33 Transportation -- Session $173.21

Family Training -- 15 minutes $14.67 Family Training Group of 2 -- 15 minutes $7.34

10

Final Adoption

Date Published in Mass. Register: May 22, 2026

101 CMR 414.00: RATES FOR FAMILY STABILIZATION SERVICES

Center

Service Unit of Service Agency Rate

Size

Family Training Group of 5 -- 15 minutes $2.93 Intensive Flexible Family Support Services -- Enrolled day $27.33 Medically Complex Programs -- Month $462.10 Peer Support -- 15 minutes $10.70 Peer Support Group of 2 -- 15 minutes $5.35 Peer Support Group of 5 -- 15 minutes $2.14 Planned Site-based Respite for Children -- Day $471.77 Planned Site-based Respite for Children, High-

-- Day $615.38

intensity Support Needs Planned Site-based Respite for Children -- 30 minutes $29.49 Planned Site-based Respite for Children, High-

-- 30 minutes $38.46

intensity Support Needs Respite in Caregiver’s Home, Level 1 -- Day $151.92 Respite in Caregiver’s Home, Level 2 -- Day $183.53 Respite in Caregiver’s Home, Level 3 -- Day $215.15 Respite in Recipient’s Home, 1:1 -- 15 minutes $10.70 Respite in Recipient’s Home, 1:2 -- 15 minutes $5.35 Respite in Recipient’s Home, 1:3 -- 15 minutes $3.57 Respite in Recipient’s Home -- Day $385.20 Site-based Respite -- Day $326.33 Site-based Respite with Nursing -- Day $410.36 Unbundled Intensive Foster Care Special Support -- Child day $67.44 Family Navigation Administrative Service -- Transaction $42.13

1. (b) Flexible Support Services.

   Monthly Monthly Monthly Monthly

Flexible Supports Hourly

Level Rate Rate Rate Rate

Service Rate

1.0 FTE 0.75 FTE 0.5 FTE 0.25 FTE

Program Manager 1 N/A $10,719 $8,040 $5,360 $2,680 Program Manager 2 N/A $11,053 $8,290 $5,527 $2,763 Clinician 1 $113.71 $9,637 $7,228 $4,819 $2,409 Clinician 2 $132.53 $11,232 $8,424 $5,616 $2,808 Clinician 3 $167.89 $13,389 $10,042 $6,694 $3,347 Family Partner 1 $84.16 $6,614 $4,960 $3,307 $1,653 Family Partner 2 $103.76 $8,154 $6,115 $4,077 $2,038 Peer Mentor/Therapeutic

1 $80.69 $6,435 $4,826 $3,218 $1,609

Support Specialist

11

Final Adoption

Date Published in Mass. Register: May 22, 2026

101 CMR 414.00: RATES FOR FAMILY STABILIZATION SERVICES

Monthly Monthly Monthly Monthly

Flexible Supports Hourly

Level Rate Rate Rate Rate

Service Rate

1.0 FTE 0.75 FTE 0.5 FTE 0.25 FTE

Peer Mentor/Therapeutic

2 $100.00 $7,975 $5,982 $3,988 $1,994

Support Specialist Support Specialist 1 $80.69 $6,435 $4,826 $3,218 $1,609