Code of Massachusetts Regulations › 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES › Title 101 CMR 429.00 - Rates for Certain Sexual and Domestic Violence Services › Section 429.03 - 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(s).
(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 will be 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.
(4)
Certain Unit Contract Payment
			 Rates for Certain Sexual and Domestic Violence Services
. The
			 payment rate for certain sexual and domestic violence services established in
			 101
			 CMR 429.03(6)(a), provided
			 pursuant to contracts purchasing only one unit in total, is at the rate
			 established in
			 101
			 CMR 429.03(6)(a) times a
			 factor of 1.18. The payment rate for certain sexual and domestic violence
			 services established in
			 101
			 CMR 429.03(6)(a), provided
			 pursuant to contracts purchasing only two units in total, is at the rate
			 established in
			 101
			 CMR 429.03(6)(a) times a
			 factor of 1.06
(5)
Administrative Adjustment for Extraordinary
			 Circumstances
. A method whereby, subject to availability of funds,
			 a purchasing governmental unit may provide additional resource allocations to a
			 qualified provider in response to unusual and unforeseen circumstances that
			 substantially increase the cost of service delivery in ways not contemplated in
			 the development of current rates. It must be demonstrated that such cost
			 increases gravely threaten the stability of service provision such that client
			 or consumer access to necessary services is at risk. The purchasing
			 governmental unit will evaluate the need for the administrative adjustment,
			 determine whether funding is available, and convey that information to EOHHS
			 for review to determine the amount of any adjustment.
(6)
Approved Rates
.
			 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 429.03.
(a)
Rates of Payment for Certain
			 Sexual and Domestic Violence Services
.
Program
Unit
Rate
Frequency
Domestic Violence Community-based
							 Services
.25 Direct Care FTE
$2,201
Monthly
Child Exposed to Domestic Violence
							 Services
.25 Direct Care FTE
$2,310
Monthly
Supervised Visitation Services
.25 Direct Care FTE
$2,201
Monthly
Sexual and Domestic Violence Equity
							 Services
.25 Direct Care FTE
$2,201
Monthly
Sexual and Domestic Violence Equity Legal
							 Services
.25 Direct Care FTE
$3,282
Monthly
Intimate Partner Abuse Education
							 Services
Per cohort
$2,973
Monthly
(b)
Rates of Payment for Rape Crisis Centers and for Certain Sexual and
			 Domestic Violence Service Add-ons
.
Program
Unit
Rate
Frequency
Rape Crisis Centers - Dual Agency
Tier 1
$74,503
Monthly
Tier 2
$65,419
Monthly
Tier 3
$56,335
Monthly
Tier 4
$47,252
Monthly
Tier 5
$38,168
Monthly
Tier 6
$29,084
Monthly
Tier 7
$20,001
Monthly
Tier 8
$10,917
Monthly
Rape Crisis Centers - Stand-alone
							 Agency
Tier 1
$77,240
Monthly
Tier 2
$67,821
Monthly
Tier 3
$58,403
Monthly
Tier 4
$48,984
Monthly
Tier 5
$39,566
Monthly
Tier 6
$30,147
Monthly
Tier 7
$20,729
Monthly
Tier 8
$11,310
Monthly
Add-on
							 Rates
Rate
Frequency
Rape Crisis Satellite Center
$45.18
Hourly
Rape Crisis Statewide Specialized
							 Hotline
$1,949
Monthly
Rape Crisis Direct Care.25 FTE
$2,201
Monthly
Housing Stabilization
I.C.
N/A
Extraordinary Circumstances/Flex
							 Funding
I.C.
N/A
New SANE or SANE Telemedicine Site
							 Development
I.C.
N/A
Supervised Visitation Security Add-on per
							 Site
$952.26
Monthly
Intimate Partner Abuse Education Services - Outreach
							 and Development
$488
Monthly