Code of Massachusetts Regulations › 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES › Title 101 CMR 417.00 - Rates For Certain Elder Care Services › Section 417.02 - Definitions

Current through Register 1525, July 5, 2024
As used in
				101 CMR
				417.00, unless the context requires otherwise, terms
				have the meanings in 101 CMR 417.02.
Aging Services Access Points (ASAPs)
.
				One or more nonprofit agencies, one or more home care providers as defined in
				M.G.L. c. 19A, § 4(c), a combination of said home care corporations acting
				jointly, or a state agency that is/are designated by and under contract with
				EOEA to provide services for Medicaid community-based long-term care pursuant
				to an interagency agreement between EOEA and the Office of Medicaid. ASAPs
				contract with EOEA to purchase community-based long-term-care services for
				certain clients, provide protective services (and in some cases provide
				nutrition services), provide information and referral services, provide case
				management services, coordinate and authorize the delivery of home care program
				services, and provide clinical screening for nursing facility and
				community-based long-term-care services. Each agency is organized to plan,
				develop, and implement the coordination and delivery of community-based
				long-term-care services.
ASAP Services
. Those functions that
				are performed by the ASAP according to the terms of an ASAP contract. The
				functions include screenings, interdisciplinary case management, protective
				services, information and referral, and, in cases in which the ASAP elects to
				provide rather than subcontract the function, nutrition services.
Client
. A person who receives
				community-based long-term-care services purchased by a governmental
				unit.
Congregate Housing Services
				Coordination
. Services provided to eligible seniors and adults
				with disabilities living in a multi-unit housing setting in which residents
				have a private bedroom or apartment and share living space; and in which a
				congregate coordinator evaluates applicants, arranges for community-based
				support services that residents may need, and provides living support and
				social activities.
Cost Report
. The document used to
				report costs and other financial and statistical data. The Uniform Financial
				Statements and Independent Auditor's Report (UFR) is used when required.
Enhanced Community Options Program (ECOP) Direct
				Services
. A program administered by ASAPs for frail elders who are
				clinically eligible for nursing facility services under MassHealth and who meet
				criteria set forth by EOEA. ECOP provides a broad range of community services
				for these elders to remain in the community that includes services available
				under the Home Care Program.
EOEA
. The Executive Office of Elder
				Affairs, also known as the Department of Elder Affairs, established under
				M.G.L. c. 19A.
EOHHS
. The Executive Office of Health
				and Human Services, established under M.G.L. c. 6A.
Governmental Unit
. The Commonwealth,
				any board, commission, department, division, or agency of the Commonwealth and
				any political subdivision of the Commonwealth.
Guardianship Services
. A legal service
				administered by EOEA by which the Probate and Family Court appoints a guardian
				and grants the guardian authority to care for and to make decisions on behalf
				of an incapacitated person.
Home Care Program Case Management
				Services
. Services under the Basic Home Care and ECOP programs to
				coordinate a variety of homemaker and assisted daily living services within the
				client's home and community. Services are provided by Basic Home Care and ECOP
				case managers, based on the needs and acuity level of the client.
Home Care Program Direct Services
.
				Home Care Program services include homemaker, personal care, laundry,
				home-delivered meals, chores, home health, transportation, social day care
				services, adult day health, dementia day care, adaptive housing, personal
				emergency response, grocery shopping/delivery, companion, emergency shelter,
				respite care, and other Home Care Program services as set forth in
				651
				CMR 3.01:
Scope and Purpose
.
				Service definitions and service standards are established by EOEA in
				651 CMR
				3.00:
Home Care Program
.
Incapacitated Person
. An adult who has
				a clinically diagnosed medical condition that results in an inability to
				receive and evaluate information or make or communicate decisions about his or
				her everyday personal care, health, and safety, and who has been determined to
				be an incapacitated person by the Massachusetts Probate and Family
				Court.
Money Management Program
. Services
				that assist low-income elders who have difficulty with money management or bill
				paying and, as a result, are vulnerable to financial exploitation, or are at
				serious risk due to an inability to meet critical needs. Services under this
				program include representative payee and bill payer services.
Protective Services (PS)
. A statewide
				system administered by EOEA to receive and investigate reports of elder abuse,
				including physical, emotional, and sexual abuse, neglect by a caregiver,
				self-neglect, and financial exploitation, and to provide protective services as
				necessary. Services are provided by designated (PS) agencies to respond to
				reports of elder abuse, to remedy or alleviate the abusive situation, and to
				prevent the recurrence of abuse.
Protective Services Central Intake
				Unit
. A live data entry, protective services call center that
				takes an elder abuse report directly from a reporter and enters the information
				into the EOEA web based Protective Services Case Management System. An elder
				abuse report submitted directly by a reporter through the EOEA online reporting
				system does not constitute a Protective Services Intake for billing
				purposes.
Protective Services Intake
. The
				ancillary service, provided by an ASAP, of taking an elder abuse report
				directly from a reporter and entering the information into the EOEA web based
				Protective Services Case Management System. An Elder abuse report submitted
				directly by a reporter through the EOEA online reporting system does not
				constitute a Protective Services Intake for billing purposes.
Reporting Year
. The provider's fiscal
				year for which costs incurred are reported to the Operational Services Division
				on the Uniform Financial Statements and Independent Auditor's Report
				(UFR).
State Funding
. The aggregate state
				fiscal year amount of payments to a provider by a governmental unit for
				services purchased at rates established in
				101 CMR
				417.00. State funding does not include any amounts
				attributable to federal funding or grant funds.
Supportive Senior Housing
. A program
				administered by EOEA to develop supportive senior housing in public housing
				with the goal of promoting independence and aging in place. Supportive senior
				housing services include service coordination, 24-hour emergency coverage
				on-site or on call, social activities, and at least one congregate meal per
				weekday.