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Massachusetts Residential Habilitation Service Policy Manual

Massachusetts Residential Habilitation Service Policy Manual

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The Massachusetts Residential Habilitation Service Policy Manual provides a comprehensive framework for operating state-compliant agencies delivering residential habilitation services to individuals with disabilities in Massachusetts. This manual aligns with the Massachusetts Code of Regulations (115 CMR 7.00 and 130 CMR 630.429), the Department of Developmental Services (DDS) standards, and MassHealth 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 115 CMR 8.00 (Licensure and Certification of Providers) and MassHealth guidelines under 130 CMR 630.000. It ensures providers meet all licensing, certification, and operational standards required for residential habilitation services.
  • Service Scope: Residential habilitation services are designed to provide ongoing supports in provider-operated, 24-hour staffed residential settings. These services focus on assisting individuals with disabilities in achieving greater independence, personal development, and community integration.
  • Eligibility Criteria: Providers must demonstrate compliance with DDS standards for residential habilitation, including licensure and certification requirements under applicable regulations such as 105 CMR (Hospital Licensure) and 651 CMR (Certification Procedures for Assisted Living Residences).
  • Conditions of Payment: Residential habilitation services are covered only when authorized in a participant's individualized service plan (ISP). Payment is managed by DDS, ensuring providers adhere to established billing procedures through MassHealth.
  • Operational Standards: Policies include staffing qualifications, environmental safety protocols, individualized service planning, and periodic inspections by DDS survey teams to monitor compliance with health, safety, and programmatic outcomes.
  • Nonpayable Services: The manual specifies exclusions, such as participants living with immediate family members unless prior authorization is granted. Additionally, waiver services like assisted living or shared living cannot be combined with residential habilitation.
  • Quality Assurance: Providers must maintain robust documentation practices, implement positive behavior support strategies, and ensure person-centered planning that promotes community inclusion, choice, and self-determination.
This policy manual serves as a guide for agencies seeking licensure or certification to provide residential habilitation 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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