Code of Massachusetts Regulations › 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES › Title 101 CMR 411.00 - Rates for Certain Placement, Support, and Shared Living Services › Section 411.03 - 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 in the terms of the
			 purchase agreement between the eligible provider and the purchasing
			 governmental unit or units.
(2)
Reimbursement as Full Payment
. Each eligible provider
			 must, as a condition of acceptance of payment made by any purchasing
			 governmental units for services rendered, accept the approved program rate as
			 full payment and discharge of all obligations for the services rendered.
			 Payment from any other source is used to offset the amount of the purchasing
			 governmental unit's obligation for services rendered to the publicly assisted
			 client.
(3)
Payment
			 Limitations
. No purchasing governmental unit may pay less than or
			 more than the approved program rate, except as cited in 101 CMR
			 411.03.
(4)
Blended
			 Contract Rate Calculation
. Purchasing governmental units may pay a
			 Blended Contract Rate for the purchase of programs serving two or more clients.
			 The blended rate will be calculated according to the following formula: {Sum of
			 [(Operational Rate 1 * Units purchased of Operational Rate 1) plus (Stipend
			 Rate 1 * Units Purchased of Stipend Rate 1)], plus [(Operational Rate 2 * Units
			 purchased of Operational Rate 2) plus (Stipend Rate 2 * Units Purchased of
			 Stipend Rate 2)], plus [(Operational Rate 3 * Units purchased of Operational
			 Rate 3) plus (Stipend Rate 3)*(Units Purchased of Stipend Rate 3)],..., plus
			 [Total funding for Add-ons] minus [Total Offsetting Revenue]} Divided by the
			 sum of the Operational Rate Units purchased for all clients in the
			 contract.
(5)
Approved
			 Program Rates
. For all purchases, 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 411.03(5).
(a).
Intensive Foster Care
.
Service
Operational
Stipend
Total
							 Rate
Unit
Community-based Alternative to Detention Bed
							 Hold
N/A
$30.72
$30.72
Per Day
Sibling
$8.45
$30.72
$39.17
Per Placement
Per Day
Intensive Foster Care One
$65.05
$66.36
$131.41
Per Placement
Per Day
Intensive Foster Care Two
$65.05
$77.46
$142.51
Per Placement
Per Day
Community-based Alternative to
							 Detention
$67.14
$92.57
$159.71
Per Placement
Per Day
Teen Parent
$73.80
$97.08
$170.88
Per Placement
Per Day
Enhanced Intensive Foster Care
$115.77
$99.64
$215.41
Per Placement
Per Day
(b)
Intensive Foster Care Specialty
.
Service
Operational
Stipend
Total
							 Rate
Unit
Transitions to Adulthood
$90.59
$75.23
$165.82
Per Placement Per Day
Emergency Shelter Homes
$79.89
$86.33
$166.22
Per Placement Per Day
Child Home-based Rehabilitation
$80.26
$88.55
$168.81
Per Placement Per Day
Transitions to Adult Services
$160.91
$67.78
$228.69
Per Placement Per Day
Multiple Acute Level A
$137.44
$117.27
$254.71
Per Placement Per Day
Multiple Acute Level B
$236.09
$117.27
$353.36
Per Placement Per Day
Sexually Exploited Youth
$133.86
$121.84
$255.70
Per Placement Per Day
Family Residential
$200.08
N/A
$200.08
Per Placement Per Day
(c)
AMSS
. All rates are paid upon completion of the
			 particular product-based service.
AMSS Product-based
							 Services
Rate
1. Adoption Consultation Services:
Adoption Assessment of a Child
$1,960.44
Adoption Assessment/Home Study of a Foster/relative
							 family (with whom the child is placed)
$1,960.44
Adoption Assessment/Home Study of a relative (child
							 is not in the home)
$2,465.78
MAPP training/Home Study of a referred person or
							 couple
$2,465.78
Appearance fee
$296.28
MAPP Training only
$511.31
2. Adoption Placement Case Management
							 Services:
Case acceptance/assignment
$511.31
Adoption Assessment of a child
$1,960.44
Adoption Assessment/Home Study of a family with whom
							 the child is placed
$1,960.44
Placement
Mild
$4,069.02
Moderate
$6,546.76
Severe
$9,894.21
Family
							 Development
Mild
$3,267.40
Moderate
$5,239.80
Severe
$7,859.69
Reevaluations
Mild
$801.62
Moderate
$1,306.96
Severe
$1,960.44
Child(ren)/Legalization
Mild
$4,069.02
Moderate
$6,546.76
Severe
$9,894.21
Adjustment for a case held at least three years, but
							 less than five.
$616.45
Sibling Bonus in Same
							 Home/Legalization
Two siblings
$1,158.82
Three siblings
$2,465.78
Four siblings
$4,561.23
Five or more siblings
$1,455.10
Family Bonus for Provider's Home at Legalization per
							 child, minimum of two children
$511.31
Closure
$1,306.96
Case Maintenance
$358.38
Delayed Adoption-legal Delay/Appeal
$444.41
Conflict of Interest Family Resource
$246.09
Transfer of case
$1,158.82
3. Adoption Family Development Services:
Purchase of Home
$4,931.57
Reuse of a Closed Home
$1,744.21
4. Recruitment:
Child-specific recruitment
$1,744.21
Child-specific recruitment renewal
$1,744.21
5. Intervention Services
$48.78 per hour
6. Interstate Cases:
Home Study
$2,314.86
Assignment
$511.31
Case Supervision
$4,069.02
7. Puerto Rico Cases:
Family Evaluation Home Study in Puerto
							 Rico
$1,671.33
Family Evaluation Home Study in Puerto Rico (Daily
							 Rate)
$28.20
8. International Cases:
International Family Evaluation Home
							 Study
I.C.
(d)
Additional Support Services
.
Support
							 Contracts
Rate
Unit
Youth Permanency Connections
$53.63
Per Client Per Day Rate
Multiple Pre-adoption Services
$70,806
Accommodation Rate Per Month
Complex Foster Care Medical
$326.21
Per Client Per Day Rate
Multiple Post-adoption Services
$151,092
Accommodation Rate Per Month
Multiple Foster Parent Support
							 Services
$175,629
Accommodation Rate Per Month
(e)
Shared Living
.
1.
Operational Rates
.
Service
Operational
Units
A
$55.81
Per Placement Per Day
B
$78.05
Per Placement Per Day
C
$125.37
Per Placement Per Day
Direct Care Add-on Rate
$22.76
Per Hour
Clinician (LICSW) Add-on Rate
$45.96
Per Hour
Registered Nurse (RN)
$65.20
Per Hour
Licensed Practical Nurse (LPN)
$43.28
Per Hour
2.
Stipend Rates
.
a.
			 Stipend amounts for caregivers are established at a rate within the applicable
			 rate range for a given Operational Rate tier, as noted in the chart in 101 CMR
			 411.403(5)(e)2.a.
Operational Rate Level
Minimum Stipend Level
Maximum Stipend Level
A
1
12
B
2
16
C
3
21
b.
			 Purchasing governmental units may approve exceptions to the maximum stipend
			 level in 101 CMR 411.03(4)(b)4.b. for caregivers providing services as of
			 September 30, 2016. In these cases, the stipend rate is no higher than the
			 amount paid as of September 30, 2016, as may be adjusted to reflect applicable
			 stipend inclusions and exclusions, in keeping with provisions contained in the
			 procurement for these services. This payment level continues at the current
			 level until such time as material changes in client circumstances occur to
			 warrant a reassessment of the stipend level or a change in caregiver takes
			 place, at which point revised stipend levels may not exceed applicable maximum
			 amounts. Stipend levels 22 through 25 are available only by special application
			 to the purchasing governmental unit.
Shared Living Stipend
							 Levels
Level
Daily Stipend
							 Rate
Stipend Level
1
$30.54
$10,597
2
$42.17
$14,633
3
$50.60
$17,558
4
$59.04
$20,487
5
$67.47
$23,412
6
$75.91
$26,341
7
$84.34
$29,266
8
$92.77
$32,191
9
$101.21
$35,120
10
$109.65
$38,049
11
$118.07
$40,970
12
$126.51
$43,899
13
$134.95
$46,828
14
$143.37
$49,749
15
$151.81
$52,678
16
$160.25
$55,607
17
$168.69
$58,535
18
$177.11
$61,457
19
$185.55
$64,386
20
$193.99
$67,315
21
$202.42
$70,240
22
$210.01
$72,873
23
$219.29
$76,094
24
$228.56
$79,310
25
$236.16
$81,948