Section 458.424 - Service Limitations(A)Transportation. Medical respite providers may provide referrals to community-based transportation resources. Medical respite providers may pay for a member's transportation costs related to the provision of medical respite services. The MassHealth agency does not reimburse medical respite providers for transportation costs.(B)Funding Availability. Reimbursement for MassHealth services is subject to limitation based on the availability of full federal financial participation, and requirements for federal funding, pursuant to EOHHS' § 1115 Demonstration waiver and any other applicable federal statute, regulation, or payment limit.(C)Admission Conditions. The MassHealth agency will not reimburse a medical respite provider for post-hospitalization medical respite services for a member who is in the community more than two calendar days after leaving an acute care hospital following an inpatient stay or from an emergency department visit.(D)Duplicative Billing. A medical respite provider that also operates a different provider program in the same service location per 130 CMR 438.404(D)(10) is prohibited from billing the MassHealth agency for the same bed on the same day from both programs.(E)Medical Respite Service Period. The MassHealth agency will not reimburse a medical respite provider for any days in the medical respite stay beyond the last day of the member's 12-month medical respite service period.Adopted by Mass Register Issue 1538, eff. 1/3/2025.