Section 351.03 - Rate Provisions(1)Reimbursement as Full Payment. The payment rates in 101 CMR 351.00 are full compensation for all adult foster care services or group adult foster care services rendered to members, including any related administrative or supervisory duties in connection with the provision of AFC services or GAFC services outlined in 130 CMR 408.000: Adult Foster Care.(2)Payment Rates. The rates for AFC services, including GAFC services, are set forth in 101 CMR 351.03(2). Service Code-Modifier | Rate | Unit | Service Description |
S5140 | $54.37 | Per Diem | AFC Level I |
S5140-TG | $91.31 | Per Diem | AFC Level II |
S5140-TF | $54.37 | Per Diem | AFC Level I Alternative Caregiver Day |
S5140-U5 | $91.31 | Per Diem | AFC Level II Alternative Caregiver Day |
S5140-U6 | $54.37 | Per Diem | AFC Level I MLOA Day |
S5140-TG-U6 | $91.31 | Per Diem | AFC Level II MLOA Day |
S5140-U7 | $54.37 | Per Diem | AFC Level I NMLOA Day |
S5140-TG-U7 | $91.31 | Per Diem | AFC Level II NMLOA Day |
T1028 | $266.62 | Per Admission | AFC Intake and Assessment Services |
H0043 | $50.00 | Per Diem | GAFC |
Amended by Mass Register Issue 1338, eff. 5/5/2017.Amended by Mass Register Issue 1340, eff. 5/5/2017.Amended by Mass Register Issue 1391, eff. 5/17/2019.Amended by Mass Register Issue 1438, eff. 3/5/2021.Amended by Mass Register Issue 1472, eff. 6/24/2022.Amended by Mass Register Issue 1499, eff. 7/7/2023.Amended by Mass Register Issue 1532, eff. 9/20/2024 (EMERGENCY).Amended by Mass Register Issue 1537, eff. 9/20/2024 (COMPLIANCE).