130 CMR, § 458.415

Current through Register 1538, January 3, 2025
Section 458.415 - Medical Leave of Absence Introduction
(A) MassHealth pays a medical respite provider to reserve a bed for up to 15 calendar days for each member's medical respite Service Period for a member who is on a medical leave of absence (MLOA) from the medical respite setting, if all the conditions of 130 CMR 458.415 through 130 CMR 458.418 are met.
(B) Following a MLOA of up to 15 calendar days, the medical respite provider must allow the member to return to the same medical respite service location unless the member:
(1) no longer requires the services provided by the medical respite provider; or
(2) no longer meets the criteria in 130 CMR 458.403(A); or
(3) has reached the end of their medical respite Service Period.
(C) When a member's MLOA exceeds 15 days or does not meet the requirements of 130 CMR 458.415 or 130 CMR 458.416 will not pay the medical respite provider for additional MLOA days. In such situations,
(1) The medical respite provider may implement its discharge process for the member when they reach their 16th day.
(2) If the member seeks to return to the medical respite setting following the member's discharge and the member has additional days left in their medical respite service period, the medical respite provider may readmit the member to the same or a different service location, if there is capacity, and would not need to offer the member the same bed and room to which they were previously assigned.

130 CMR, § 458.415

Adopted by Mass Register Issue 1538, eff. 1/3/2025.