In addition to the recordkeeping requirements set forth in 130 CMR 450.205: Recordkeeping and Disclosure, all HCBS waiver providers must maintain a record for each participant receiving care and services that includes the following information:

1. (A) the member's name, member identification number, address, sex, age, and next of kin;
2. (B) the care plan for the specific service being provided, including information about coordination with other services, as appropriate;
3. (C) complete documentation of all services provided and events that occurred while providing HCBS waiver services;
4. (D) for products and materials, a copy of the original invoice showing the cost to the HCBS waiver provider, copies of written warranties, and any discounts;
5. (E) for transportation, the originating location, destination, and mileage of all trips; and
6. (F) other documentation as may be specified by EOHHS, DDS, or MRC.

REGULATORY AUTHORITY

130 CMR 630.000: M.G.L. c. 118E, §§ 7 and 12.