130 C.M.R. 456.000 – Long Term Care Services | Midpage

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Code of Massachusetts Regulations (CMR)

Chapter 456.000

130 C.M.R. 456.000

Long Term Care Services

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

456.402Definitions 456.403Eligible Members 456.404Requirements for Provider Participation: In-state 456.405Requirements for Provider Participation: Out-of-state 456.406Medicare Certification Requirement 456.407Clinical Authorization of Nursing Facility Services 456.408Conditions for Payment 456.409Clinical Eligibility Criteria 456.410The Preadmission Screening and Resident Review (PASRR) Process for Intellectual Disability (ID), Developmental Disability (DD), and/or Serious Mental Illness (SMI)456.411Review of Need for Continuing Care in a Nursing Facility 456.412Notification and Right of Appeal 456.413Resident Rights 456.414Mobility Systems 456.420Case-mix Classification 456.421Reconsideration of MassHealth-assigned Case-mix Classification Rating 456.422Hospice Services in Nursing Facilities 456.423Patient-paid Amount 456.424Limitations on Charges to Members 456.425Medical Leave of Absence (MLOA): Introduction 456.426Medical Leave of Absence: Conditions of Payment 456.427Medical Leave of Absence: Payment 456.428Medical Leave of Absence: Readmission 456.429Medical Leave of Absence: Failure to Readmit 456.430Nonmedical Leave of Absence (NMLOA): Introduction 456.431Nonmedical Leave of Absence: Limitations 456.432Nonmedical Leave of Absence: Conditions for Payment 456.433Nonmedical Leave of Absence: Payment 456.451Withdrawal by Nursing Facilities from MassHealth: Introduction 456.452Notice of Withdrawal 456.453Withdrawal Requirements 456.454Administrative Action Regarding Withdrawals 456.455Limitation of Provider Participation 456.601Personal Needs Allowance (PNA) Account 456.602Management of the PNA Account 456.603Autonomy of PNA Account 456.604PNA Recordkeeping Requirements