Section 359.01 - General Provisions(1)Scope. 101 CMR 359.00 governs the payment rates, effective as provided under 101 CMR 359.03 for services in four Home and Community-based Services (HCBS) Waivers purchased by a governmental unit. The four HCBS Waivers are: Acquired Brain Injury Non-residential Habilitation (ABI-N) Waiver, Acquired Brain Injury Residential Habilitation (ABI-RH) Waiver, Moving Forward Plan Community Living (MFP-CL) Waiver, and Moving Forward Plan Residential Supports (MFP-RS) Waiver. Listed in 101 CMR 359.01(1)(a) through (d) are the waiver services available in each waiver. (a) ABI-N Waiver Services: 4. Community-based Day Supports5. Community Family Training6. Community Support & Navigation8. Home Accessibility Adaptations12. Independent Living Supports13. Individual Support and Community Habilitation16. Orientation and Mobility Services20. Prevocational Services24. Specialized Medical Equipment27. Supportive Home Care Aide28. Transitional Assistance(b)ABI-RH Waiver Services:1. Assisted Living Services3. Community-based Day Supports4. Community Support & Navigation6. Home Accessibility Adaptations (available only in Shared Living - 24-hour Supports)7. Individual Support and Community Habilitation9. Orientation and Mobility Services12. Prevocational Services13. Residential Family Training14. Residential Habilitation15. Shared Living - 24-Hour Supports17. Specialized Medical Equipment20. Transitional Assistance(c)MFP-CL Waiver Services: 4. Community-based Day Supports5. Community Family Training6. Community Support and Navigation8. Home Accessibility Adaptations12. Independent Living Supports13. Individual Support and Community Habilitation16. Orientation and Mobility Services20. Prevocational Services24. Specialized Medical Equipment27. Supportive Home Care Aide29. Transitional Assistance(d) MFP-RS Waiver Services: 1. Assisted Living Services3. Community-based Day Supports4. Community Support and Navigation6. Home Accessibility Adaptations (available only in Shared Living - 24-hour Supports)7. Individual Support and Community Habilitation9. Orientation and Mobility Services12. Prevocational Services13. Residential Family Training14. Residential Habilitation15. Shared Living - 24-hour Supports17. Specialized Medical Equipment20. Transitional Assistance(2)Applicable Dates of Service. Rates contained in 101 CMR 359.00 apply for dates of service on or after July 1, 2023.(3)Disclaimer of Authorization of Services. 101 CMR 359.00 is neither authorization for nor approval of the services for which rates are determined pursuant to 101 CMR 359.00. Governmental units that purchase MFP Waiver Services and/or ABI Waiver Services are responsible for the definition, authorization, and approval of services extended to participants.(4)Administrative Bulletins. EOHHS may issue administrative bulletins to clarify its policy on substantive provisions of 101 CMR 359.00.(5)Coding Updates and Corrections. EOHHS may publish service code updates and corrections by administrative bulletin. Updates may reference coding systems including, but not limited to, the American Medical Association's Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) maintained by the Centers for Medicare and Medicaid Services (CMS). The publication of such updates and corrections will list (a) codes for which only the code numbers change, with the corresponding cross references between existing and new codes;(b) deleted codes for which there are no corresponding new codes; and(c) codes for entirely new services that require pricing. These codes will be paid on an individual consideration basis until rates are established.Adopted by Mass Register Issue S1331, eff. 1/27/2017.Amended by Mass Register Issue 1424, eff. 8/21/2020.Amended by Mass Register Issue 1499, eff. 7/7/2023.