101 C.M.R. 416.03 – Rate Provisions

(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 by the purchasing governmental unit(s).
(2) Reimbursement as Full Payment. Each eligible provider must, as a condition of payment by any purchasing governmental unit, accept the approved rate as full payment and discharge of all obligations for the services rendered. Payment by the purchasing governmental unit for services rendered to the client will be reduced by the amount of any payment from any other source.
(3) Payment Limitations. No purchasing governmental unit may pay less than, or more than, the approved rate.
(4) 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 416.03(4).
Clubhouse Services Rates Unit Rate
Average Daily Attendance of 29 and under Per Service Day $82.16 Average Daily Attendance of 30 through 70 Per Service Day $78.98 Average Daily Attendance of 71 and above Per Service Day $58.89 Program located in Nantucket or Dukes County Per Service Day $103.14