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 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. (3) Payment Limitations. No purchasing governmental unit may pay less than or more than the approved program rate.
4. (4) 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.

5. (5) 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 427.03.

   3

   Final Adoption

   Date Published in Mass. Register: December 5, 2025

101 CMR 427.00: RATES FOR CERTAIN YOUTH AND YOUNG ADULT SUPPORT SERVICES

Service Model Unit of Service Rate

A Month $13,981

Alternative to Lock-up Program B Month $24,117

C Month $30,759 1 Family Month $1,380

Conflict of Interest Services

5 Families Month $6,868

Extraordinary Circumstances/Flex Funding N/A N/A IC

In school Curriculum Hour $422.64

Teen Pregnancy Prevention Program Outside school Curriculum Hour $528.31

Remote Add-on Hour $105.66

Alternative School Engagement N/A Hour $493.07 Parent/Caregiver Engagement N/A Hour $67.54 Peer Leadership & Youth Development N/A Contact Hour $316.98 Partnership Development N/A Hour $59.71

Model 1 Month $35,713 Model 2 Month $30,554

Model 3A Month $33,048

Therapeutic Day Services

Model 3B Month $44,792 Model 4A Month $25,797 Model 4B Month $48,551 A Month $9,953

Young Parent Support Program (YPS)

B Month $19,906

YPS Specialty Direct Care III Add-on (.5

A Month $3,023

FTE) YPS Specialty Direct Care III Add-on (1

B Month $6,045

FTE)

Add-on Staff for Teen Pregnancy Prevention Program Title Unit of Service Rate

Direct Care Hourly $26.83 Direct Care III Hourly $34.88

Add-on Staff for Therapeutic Day Services

Title Unit of Service .25 FTE .5 FTE .75 FTE 1 FTE

Clinical (LICSW) Monthly $2,248 $4,497 $6,745 $8,994 Peer/Direct Care Monthly $1,163 $2,325 $3,488 $4,650 Direct Care III Monthly $1,511 $3,023 $4,534 $6,045

4

Final Adoption

Date Published in Mass. Register: December 5, 2025

101 CMR 427.00: RATES FOR CERTAIN YOUTH AND YOUNG ADULT SUPPORT SERVICES