101 C.M.R. 417.03 – 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 set forth in the terms of the purchase agreement between the eligible provider and the purchasing governmental unit(s).
(2) Reimbursement as Full Payment. Each eligible 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 publicly assisted client.
3
Final Adoption
Date Published in Mass. Register: March 27, 2026
101 CMR 417.00: RATES FOR CERTAIN ELDER CARE SERVICES
(3) Payment Limitations. No purchasing governmental unit may pay less than or more than the approved program 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 417.03(4).
Service Unit Rate
Enhanced Community Options Program (ECOP)
Per client per month $1,025.12
Direct Services Home Care Program Services Direct Services Per client per month $457.41 Congregate Housing Services Coordination Per client per month $394.89 Central Intake and Assessment Program Per client report $138.85 Basic Home Care Case Management Per client per month $202.47 ECOP Case Management Per client per month $373.83 Protective Services Per client per month $656.56
Per protective service
Protective Services Intake $85.24
report
Supportive Senior Housing Per site per month $17,545.39 Money Management Services Per client per month $143.86 Guardianship Services Per client per month $1,304.65