A participant is eligible for HCBS waiver services according to the applicable HCBS waiver under which the participant is enrolled. See 130 CMR 519.007: Individuals Who Would Be Institutionalized. Each HCBS waiver coverage type is described in 130 CMR 630.405(A) through (D). Payment for the covered services listed in 130 CMR 630.000 is subject to all conditions and restrictions of MassHealth, including all applicable prerequisites for payment.

1. (A) Acquired Brain Injury with Residential Habilitation (ABI-RH) Waiver. The following ABI waiver services are covered for eligible MassHealth members who are enrolled as participants under the ABI-RH Waiver:

   1. (1) assisted living services;
   2. (2) assistive technology;
   3. (3) community based day supports;
   4. (4) community behavioral health support and navigation;
   5. (5) day services;
   6. (6) home accessibility adaptations;
   7. (7) individual support and community habilitation;
   8. (8) occupational therapy;
   9. (9) orientation and mobility services;
   10. (10) peer support;

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-17

Provider Manual Series (130 CMR 630.000)

Transmittal Letter Date

Home- and Community-Based

Services Manual

HCBS-6 01/01/2025

1. (11) physical therapy;
2. (12) prevocational services;
3. (13) residential family training;
4. (14) residential habilitation;
5. (15) shared living – 24-hour supports;
6. (16) skilled nursing;
7. (17) specialized medical equipment;
8. (18) speech therapy;
9. (19) supported employment;
10. (20) transitional assistance services; and
11. (21) transportation.

1. (B) Acquired Brain Injury Non-residential Habilitation (ABI-N) Waiver. The following ABI waiver services are covered for eligible MassHealth members who are enrolled as participants under the ABI-N Waiver:

   1. (1) adult companion;
   2. (2) assistive technology;
   3. (3) chore;
   4. (4) community based day supports;
   5. (5) community behavioral health support and navigation;
   6. (6) community family training;
   7. (7) day services;
   8. (8) home accessibility adaptations;
   9. (9) home delivered meals;
   10. (10) home health aide;
   11. (11) homemaker;
   12. (12) independent living supports;
   13. (13) individual support and community habilitation;
   14. (14) laundry;
   15. (15) occupational therapy;
   16. (16) orientation and mobility services;
   17. (17) peer support;
   18. (18) physical therapy;
   19. (19) personal care;
   20. (20) prevocational services;
   21. (21) respite;
   22. (22) shared home supports;
   23. (23) skilled nursing;
   24. (24) specialized medical equipment;
   25. (25) speech therapy;
   26. (26) supported employment;
   27. (27) supportive home care aide
   28. (28) transitional assistance services;
   29. (29) transportation; and
   30. (30) vehicle modification.

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-18

Provider Manual Series (130 CMR 630.000)

Transmittal Letter Date

Home- and Community-Based

Services Manual

HCBS-6 01/01/2025

1. (C) Moving Forward Plan Residential Supports (MFP-RS) Waiver. The following HCBS waiver services are covered for eligible MassHealth members who are enrolled as participants under the MFP-RS Waiver:

   1. (1) assisted living services;
   2. (2) assistive technology;
   3. (3) community-based day supports;
   4. (4) community behavioral health support and navigation;
   5. (5) day services;
   6. (6) home accessibility adaptations;
   7. (7) individual support and community habilitation;
   8. (8) occupational therapy;
   9. (9) orientation and mobility services;
   10. (10) peer support;
   11. (11) physical therapy;
   12. (12) prevocational services;
   13. (13) residential family training;
   14. (14) residential habilitation;
   15. (15) shared living – 24-hour supports;
   16. (16) skilled nursing;
   17. (17) specialized medical equipment;
   18. (18) speech therapy;
   19. (19) supported employment;
   20. (20) transitional assistance services; and
   21. (21) transportation.

2. (D) Moving Forward Plan Community Living (MFP-CL) Waiver. The following HCBS waiver services are covered for eligible MassHealth members who are enrolled as participants under the MFP-CL Waiver:

   1. (1) adult companion;
   2. (2) assistive technology;
   3. (3) chore;
   4. (4) community based day supports;
   5. (5) community behavioral health support and navigation;
   6. (6) community family training;
   7. (7) day services;
   8. (8) home accessibility adaptations;
   9. (9) home delivered meals;
   10. (10) homemaker;
   11. (11) home health aide;
   12. (12) independent living supports;
   13. (13) individual support and community habilitation;
   14. (14) laundry;
   15. (15) occupational therapy;
   16. (16) orientation and mobility services;
   17. (17) peer support;
   18. (18) personal care;

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-19

Provider Manual Series (130 CMR 630.000)

Transmittal Letter Date

Home- and Community-Based

Services Manual

HCBS-6 01/01/2025

1. (19) physical therapy;
2. (20) prevocational services;
3. (21) respite;
4. (22) shared home supports;
5. (23) skilled nursing;
6. (24) specialized medical equipment;
7. (25) speech therapy;
8. (26) supported employment;
9. (27) supportive home care aide;
10. (28) transitional assistance services;
11. (29) transportation; and
12. (30) vehicle modification.