A nursing facility is responsible for the provision of mobility systems for members residing in the facility. However, MassHealth will pay a durable medical equipment (DME) provider, in accordance with 130 CMR 409.415(A): MassHealth Members Residing in Nursing Facilities, for the purchase, rental, or repair of medically necessary mobility systems and positioning seating systems, except for equipment described in 130 CMR 409.415(A)(1) when being purchased solely for the full-time use of a member while residing in the nursing facility. The nursing facility in which the member resides is responsible for payment to the DME provider for the first $500 towards the purchase of the mobility system unless the member has a written discharge plan in accordance with 130 CMR 409.415(A)(1)(b). For custom positioning seating systems, the nursing facility must check its existing inventory for a wheelchair base that can be used for a customized seating system for the sole use of the member. In circumstances in which the nursing facility has a base, the nursing facility is not responsible for the $500.00.

(130 CMR 456.415 through 456.419 Reserved)

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 1. Program Regulations

4-12

Provider Manual Series (130 CMR 456.000)

Transmittal Letter Date

Nursing Facility Manual

NF-64 09/08/25