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Massachusetts Personal Assistance Services Policy Manual

Massachusetts Personal Assistance Services Policy Manual

$4,199.00Price
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The Massachusetts Personal Assistance Services Policy Manual provides a comprehensive framework for operating state-compliant agencies delivering personal assistance services (PAS) to individuals with disabilities or chronic conditions in Massachusetts. This manual aligns with the Massachusetts Code of Regulations (130 CMR 422.000 and 130 CMR 630.000), MassHealth guidelines, and applicable federal regulations to ensure full compliance with state and Medicaid requirements.
Key Features of the Manual:
  • Regulatory Compliance: The manual adheres to state-specific regulations, including 130 CMR (Personal Care Attendant Program) and MassHealth Home- and Community-Based Services (HCBS) waiver standards. It ensures providers meet all licensing, operational, and documentation requirements for delivering PAS.
  • Service Scope: Personal assistance services are designed to support individuals in performing activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Services include assistance with mobility, bathing, dressing, meal preparation, medication reminders, housekeeping, and other tasks essential for independent living.
  • Eligibility Criteria: PAS are available to MassHealth members who meet medical necessity requirements and require assistance due to physical or cognitive limitations. Services must be authorized in the participant's individualized service plan (ISP).
  • Conditions of Payment: Payment for PAS is contingent upon prior authorization by MassHealth or DDS. Providers must adhere to established billing procedures and demonstrate compliance with HCBS waiver requirements.
  • Operational Standards: Policies include staffing qualifications, such as training for personal care attendants (PCAs), supervision protocols, safety standards, and periodic assessments of participant needs. Providers must ensure services are delivered in a manner that promotes dignity, independence, and choice.
  • Nonpayable Services: The manual specifies exclusions such as services provided in institutional settings or tasks performed by family members unless explicitly authorized under HCBS waivers.
  • Quality Assurance: Agencies must maintain thorough documentation of service delivery, implement person-centered planning approaches, and conduct regular evaluations of participant satisfaction and program effectiveness. Providers are required to ensure continuity of care through emergency backup plans for service interruptions.
 
This policy manual serves as a guide for agencies seeking licensure or certification to provide personal assistance services in Massachusetts. It supports the delivery of individualized care while ensuring adherence to the state's regulatory framework for home- and community-based services (HCBS).
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