Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth

Table of Contents iv

Provider Manual Series

Transmittal Letter Date

Home- and Community-Based Services Waiver Manual

HCBS-6 01/01/2025

4. Program Regulations

130 CMR 630.000: Home- and Community-based Services Waiver Services

630.401: Introduction.. ...................................................................................................................... 4-1 630.402: Definitions .......................................................................................................................... 4-1 630.403: Eligible Members ............................................................................................................... 4-9 630.404: Provider Eligibility ............................................................................................................. 4-9 630.405: HCBS Coverage Types .................................................................................................... 4-16 630.406: HCBS Conditions for Payment ........................................................................................ 4-19 630.407: HCBS Coverage Requirements ........................................................................................ 4-20 630.408: Nonpayable Services ........................................................................................................ 4-20 630.409: Service Plan and Notice of Approval or Denial of HCBS Waiver Services .................... 4-21 630.410: Adult Companion ............................................................................................................. 4-23 630.411: Assisted Living Services .................................................................................................. 4-23 630.412: Assistive Technology ...................................................................................................... 4-24 630.413: Chore Services .................................................................................................................. 4-24 630.414: Community-based Day Supports ...................................................................................... 4-24 630.415: Community Behavioral Health Support and Navigation .................................................. 4-25 630.416: Community Family Training and Residential Family Training ....................................... 4-25 630.417: Day Services ..................................................................................................................... 4-26 630.418: Home Accessibility Adaptations ...................................................................................... 4-26 630.419: Home-delivered Meals ..................................................................................................... 4-27 630.420: Home Health Aide ............................................................................................................ 4-27 630.421: Homemaker ...................................................................................................................... 4-27 630.422: Independent Living Supports ........................................................................................... 4-28 630.423: Individual Support and Community Habilitation ............................................................. 4-28 630.424: Laundry ............................................................................................................................. 4-29 630.425: Orientation and Mobility Services.................................................................................... 4-29 630.426: Peer Support ..................................................................................................................... 4-29 630.427: Personal Care .................................................................................................................... 4-29 630.428: Prevocational Services ..................................................................................................... 4-30 630.429: Residential Habilitation .................................................................................................... 4-31 630.430: Respite………………. ..................................................................................................... 4-31 630.431: Shared Home Supports ..................................................................................................... 4-32 630.432: Shared Living – 24-Hour Supports .................................................................................. 4-32 630.433: Skilled Nursing ................................................................................................................. 4-33 630.434: Specialized Medical Equipment ....................................................................................... 4-34 630.435: Supported Employment .................................................................................................... 4-34 630.436: Supportive Home Care Aide ............................................................................................. 4-35 630.437: Occupational Therapy, Physical Therapy, and Speech Therapy ....................................... 4-35 630.438: Transitional Assistance Services ....................................................................................... 4-37 630.439: Transportation ................................................................................................................... 4-38 630.440: Vehicle Modification ........................................................................................................ 4-38 630.441: Location Requirements for HCBS Waiver Providers....................................................... 4-39 630:442: Personnel Requirements and Responsibilities of HCBS Waiver Providers ..................... 4-40 630.443: Withdrawal by a HCBS Provider from MassHealth ........................................................ 4-41 630.444: Recordkeeping Requirements ........................................................................................... 4-42

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-1

Provider Manual Series (130 CMR 630.000)

Transmittal Letter Date

Home- and Community-Based

Services Manual

HCBS-6 01/01/2025