1. (A) A nursing facility may only charge members for items requested by the member. Before charging the member, the facility must inform the member of the cost of the requested item. The facility must not charge a member for any item or service covered by MassHealth or Medicare.

2. (B) Items for which the nursing facility must not charge the member include, but are not limited to, the following:

   1. (1) group activities or entertainment that occur within the facility;
   2. (2) parties organized by the facility;
   3. (3) medically necessary drugs, medical supplies, or medical services;
   4. (4) funeral expenses;
   5. (5) room and board to the facility;
   6. (6) wheelchair purchase, rental, or repair;
   7. (7) transportation to obtain necessary medical treatment; and
   8. (8) service charges for maintaining the member’s personal needs allowance (PNA) account.

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 1. Program Regulations

4-15

Provider Manual Series (130 CMR 456.000)

Transmittal Letter Date

Nursing Facility Manual

NF-64 09/08/25