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Massachusetts Independent Living Services Policy Manual

Massachusetts Independent Living Services Policy Manual

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The Massachusetts Independent Living Services Policy Manual provides a comprehensive framework for operating state-compliant agencies delivering independent living services to individuals with disabilities in Massachusetts. This manual aligns with the Massachusetts Code of Regulations (130 CMR 630.000 and 45 CFR Part 1329), the Massachusetts Rehabilitation Commission (MRC) standards, and MassHealth Home- and Community-Based Services (HCBS) waiver requirements to ensure full regulatory compliance and high-quality service delivery.
Key Features of the Manual:
  • Regulatory Compliance: The manual adheres to state-specific regulations, including 130 CMR (Home- and Community-Based Services Waivers) and federal guidelines under the Rehabilitation Act of 1973, as amended. It ensures providers meet all licensing, operational, and documentation standards required for independent living services.
  • Service Scope: Independent living services are designed to empower individuals with disabilities to live autonomously in their communities. Services include skills training, peer counseling, advocacy, housing assistance, transportation coordination, assistive technology support, and personal care management.
  • Eligibility Criteria: Services are available to individuals with significant disabilities who require support to achieve or maintain independence. Eligibility assessments conducted by the Massachusetts Rehabilitation Commission (MRC) or through MassHealth HCBS waiver programs.
  • Conditions of Payment: Payment for independent living services is contingent upon prior authorization by MRC or MassHealth. Services included in the participant's individualized service plan (ISP) and adhere to established billing procedures under HCBS guidelines.
  • Operational Standards: Policies include staffing qualifications, such as training in person-centered planning and disability rights advocacy. 
  • Nonpayable Services: The manual specifies exclusions such as services provided in institutional settings or those covered by other funding sources (e.g., vocational rehabilitation programs). 
  • Quality Assurance: Agencies must implement robust quality assurance measures, including regular assessments of participant satisfaction, monitoring of service outcomes, and adherence to individualized service plans. 
 
This policy manual serves as a guide for agencies seeking licensure or certification to provide independent living services in Massachusetts. It supports the delivery of individualized supports that foster autonomy while ensuring adherence to the state's regulatory framework for home- and community-based services (HCBS).
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