Code of Massachusetts Regulations › 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES › Title 101 CMR 422.00 - Rates for General Programs - Disability Services › Section 422.03 - Rate Provisions

Current through Register 1525, July 5, 2024
(1)
Services Included in the Rate
. The approved rate
			 includes payment for all care and services that are part of the program of
			 services of an eligible provider, as explicitly set forth by the purchasing
			 governmental unit(s).
(2)
Reimbursement as Full Payment
. Each eligible provider
			 must, as a condition of payment by any purchasing governmental unit, accept the
			 approved rate as full payment and discharge of all obligations for the services
			 rendered. Payments by the purchasing governmental unit for services rendered to
			 the client are reduced by the amount of any payment from any other
			 source.
(3)
Payment
			 Limitations
. Except as provided in 101 CMR 422.03(2) and (4), each
			 purchasing governmental unit pays for services at the rates established in 101
			 CMR 422.03(4).
(4)
Services Provided in Dukes or Nantucket County
. In
			 accordance with the provisions of St. 2016, c. 133, payment for services
			 provided in programs located in Dukes or Nantucket County is the rate for the
			 service contained in 101 CMR 422.03(5) times a factor of 1.185.
(5)
Approved Rates
.
			 The rates set forth in 101 CMR 422.03(5) govern payments for services provided
			 pursuant to contracts executed under the FY 2013 or subsequent procurements of
			 the governmental unit procuring the service. The approved rate is the lower of
			 the provider's charge or amount accepted as payment from another payer or the
			 rate listed in 101 CMR 422.03(5).
Service
							 Classification
Rate
Unit
Orientation and Mobility (Level 1)
$91.48
Per Hour
Orientation and Mobility (Level 2)
$105.36
Per Hour
Orientation and Mobility (Level 3)
$119.24
Per Hour
Deaf/Blind Community Access Network
$44.27
Per Hour
Assistive Technology Independent
							 Living
$142.16
Per Hour
Assistive Technology Independent
							 Living
I.C.
Device
Home Care Assistance
West
$26.68
Per Hour
Central
$25.10
Per Hour
Metropolitan Boston
$25.23
Per Hour
North
$25.99
Per Hour
South
$25.91
Per Hour
Vocational Rehabilitation Assistant
$58.12
Per Hour
Brain Injury Community Outreach
							 Service
$18.52
Per ¼ hour
Brain Injury Site-based Service
$6.35
Per ¼ hour
Brain Injury Direct Care Add-on
$5.51
Per ¼ hour
Add-on Rates
Unit
Rate
Workforce Initiatives
Annual
2.9% of the Provider's FY18 State Funding
Workforce Initiatives
Half year
1.45% of the Provider's FY18 State Funding
(6)
Geographic Areas for Home Care Assistance Rates
. The
			 following cities and towns comprise the geographic areas encompassed by the
			 rates for Home Care Assistance.
(a)
Central
: Ashburnham, Ashby, Ashland, Athol, Auburn,
			 Ayer, Barre, Bellingham, Berlin, Blackstone, Bolton, Boylston, Brookfield,
			 Charlton, Clinton, Douglas, Dover, Dudley, East Brookfield, Fitchburg,
			 Framingham, Franklin, Gardner, Grafton, Groton, Hardwick, Harvard, Holden,
			 Holliston, Hopedale, Hopkinton, Hubbardston, Hudson, Lancaster, Leicester,
			 Leominster, Lunenburg, Marlborough, Medway, Mendon, Milford, Millbury,
			 Millville, Natick, Needham, New Braintree, North Brookfield, Northborough,
			 Northbridge, Oakham, Oxford, Paxton, Pepperell, Petersham, Phillipston,
			 Princeton, Royalston, Rutland, Sherborn, Shirley, Shrewsbury, Southborough,
			 Southbridge, Spencer, Sterling, Sturbridge, Sudbury, Sutton, Templeton,
			 Townsend, Upton, Uxbridge, Warren, Wayland, Webster, Wellesley, West Boylston,
			 West Brookfield, Westborough, Westminster, Weston, Winchendon,
			 Worcester.
(b)
Metropolitan Boston
: Belmont, Boston, Brookline,
			 Cambridge, Chelsea, Newton, Revere, Somerville, Waltham, Watertown,
			 Winthrop.
(c)
North
: Acton, Amesbury, Andover, Arlington, Bedford,
			 Beverly, Billerica, Boxborough, Boxford, Burlington, Carlisle, Chelmsford,
			 Concord, Danvers, Dracut, Dunstable, Essex, Everett, Georgetown, Gloucester,
			 Groveland, Hamilton, Haverhill, Ipswich, Lawrence, Lexington, Lincoln,
			 Littleton, Lowell, Lynn, Lynnfield, Malden, Manchester-by-the-Sea, Marblehead,
			 Maynard, Medford, Melrose, Merrimac, Methuen, Middleton, Nahant, Newbury,
			 Newburyport, North Andover, North Reading, Peabody, Reading, Rockport, Rowley,
			 Salem, Salisbury, Saugus, Stoneham, Stow, Swampscott, Tewksbury, Topsfield,
			 Tyngsborough, Wakefield, Wenham, Westford, West Newbury, Wilmington,
			 Winchester, Woburn.
(d)
South
: Abington, Acushnet, Aquinnah, Attleboro, Avon,
			 Barnstable, Berkeley, Bourne, Braintree, Brewster, Bridgewater, Brockton,
			 Canton, Carver, Chatham, Chilmark, Cohasset, Dartmouth, Dedham, Dennis,
			 Dighton, Duxbury, East Bridgewater, Eastham, Easton, Edgartown, Fairhaven, Fall
			 River, Falmouth, Foxborough, Freetown, Gosnold, Halifax, Hanover, Hanson,
			 Harwich, Hingham, Holbrook, Hull, Kingston, Lakeville, Mansfield, Marion,
			 Marshfield, Mashpee, Mattapoisett, Medfield, Middleborough, Millis, Milton,
			 Nantucket, New Bedford, Norfolk, North Attleboro, Norton, Norwell, Norwood, Oak
			 Bluffs, Orleans, Pembroke, Plainville, Plymouth, Plympton, Provincetown,
			 Quincy, Randolph, Raynham, Rehoboth, Rochester, Rockland, Sandwich, Scituate,
			 Seekonk, Sharon, Somerset, Stoughton, Swansea, Taunton, Tisbury, Truro,
			 Walpole, Wareham, Wellfleet, West Bridgewater, Westport, West Tisbury,
			 Westwood, Weymouth, Whitman, Wrentham, Yarmouth.
(e)
West
: Adams,
			 Agawam, Alford, Amherst, Ashfield, Becket, Belchertown, Bernardston, Blandford,
			 Brimfield, Buckland, Charlemont, Cheshire, Chester, Chesterfield, Chicopee,
			 Clarksburg, Colrain, Conway, Cummington, Dalton, Deerfield, Easthampton, East
			 Longmeadow, Egremont, Erving, Florida, Gill, Goshen, Granby, Granville, Great
			 Barrington, Greenfield, Hadley, Hampden, Hancock, Hatfield, Hawley, Heath,
			 Hinsdale, Holland, Holyoke, Huntington, Lanesborough, Lee, Lenox, Leverett,
			 Leyden, Longmeadow, Ludlow, Middlefield, Monroe, Monson, Montague, Monterey,
			 Montgomery, Mount Washington, New Ashford, New Marlborough, New Salem, North
			 Adams, Northampton, Northfield, Orange, Otis, Palmer, Pelham, Peru, Pittsfield,
			 Plainfield, Richmond, Rowe, Russell, Sandisfield, Savoy, Sheffield, Shelburne
			 Falls, Shutesbury, Southampton, South Hadley, Southwick, Springfield,
			 Stockbridge, Sunderland, Tolland, Tyringham, Wales, Ware, Warwick, Washington,
			 Wendell, Westhampton, Westfield, West Springfield, West Stockbridge, Whately,
			 Wilbraham, Williamsburg, Williamstown, Windsor, Worthington.