Section 422.412 - Non-covered ServicesMassHealth does not cover any of the following as part of the PCA program or the transitional living program:
(A) social services including, but not limited to, babysitting, respite care, vocational rehabilitation, sheltered workshop, educational services, recreational services, advocacy, and liaison services with other agencies;(B) medical services available from other MassHealth providers, such as physician, pharmacy, or community health center services;(C) assistance provided in the form of cueing, prompting, supervision, guiding, or coaching;(D) PCA services provided to a member while the member is a resident of a nursing facility or other inpatient facility, or a resident of a provider-operated residential facility subject to state licensure, such as a group home;(E) PCA services provided to a member during the time a member is participating in a community program funded by MassHealth including, but not limited to, day habilitation, adult day health, adult foster care, or group adult foster care;(F) services provided by family members, as defined in 130 CMR 422.402;(G) surrogates, as defined in 130 CMR 422.402; or(H) PCA services provided to a member without the use of EVV as required by the MassHealth agency.Amended by Mass Register Issue 1318, eff. 7/29/2016.Amended by Mass Register Issue 1338, eff. 5/5/2017.Amended by Mass Register Issue 1407, eff. 1/1/2020.Amended by Mass Register Issue 1459, eff. 1/1/2022.