130 C.M.R. 422.000 – Personal Care Attendant Services | Midpage

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Code of Massachusetts Regulations (CMR)

Chapter 422.000

130 C.M.R. 422.000

Personal Care Attendant Services

M.G.L. c. 118E, §7 M.G.L. c. 118E, §12MassHealth

422.401Introduction 422.402Definitions 422.403Eligible Members 422.404Provider Eligibility 422.405Personal Care Management Agency and Fiscal Intermediary Functions 422.410Activities of Daily Living and Instrumental Activities of Daily Living 422.411Covered Services 422.412Noncovered Services 422.413Payment for PCA Services 422.414Complex Care Authorization 422.416PCA Program: Prior Authorization for PCA Services 422.417PCA Program: Notice of Approval, Denial, or Modification of Prior Authorization Request 422.418PCA Program: Special Payments 422.419PCA Program: Scope of PCA Services and Personal Care Management and Fiscal Intermediary Functions 422.420PCA Program: Member Responsibilities 422.421PCA Program: Personal Care Management Agency Intake and Orientation and Functional Skills Training 422.422PCA Program: Personal Care Management Agency Operating Procedures 422.423PCA Program: Service Agreement 422.431Transitional Living Program: Prior Authorization 422.432Transitional Living Program: Notice of Approval or Denial for Transitional Living Services 422.433Transitional Living Program: Scope of Services 422.434Transitional Living Program: Administrative Day Rate 422.435Transitional Living Program: Leaves of Absence 422.436Transitional Living Program: Staffing Requirements 422.437Transitional Living Program: Functional Skills Training 422.438Transitional Living Program: Operating Procedures 422.439Transitional Living Program: Service Agreement 422.440Transitional Living Program: Physical Site 422.441Transitional Living Program: Emergency Procedures 422.446Recordkeeping Requirements 422.447Billing Responsibility 422.448Rates of Payment