10- 144 C.M.R. ch. 332, § 12-1
Adult Foster Home (AFH):
Each AFH usually serves one to three individuals who are usually being served by the Office of Aging and Disability Services (OADS). OADS groups AFH into:
* Private AFH or "Foster Waiver Homes" where residents are also enrolled in the OADS Home & Community Based Waiver Program, and
* State Assisted AFH where residents are enrolled in SSI/State Supplement and/or OADS Home & Community Based Waiver Program. This distinction is used for OADS purposes only. Medicaid eligibility is determined using the same rules for all AFH but the State Supplement amount is different for each group (See Part 11 for information on the State Supplement).
Flat Rate Boarding Home (FRBH)
Each FRBH usually serves up to five individuals who are usually being served by OADS.
Cost Reimbursed Boarding Home (CRBH)
CRBH serve six or more individuals. These facilities are classified as Private Non-Medical Institutions (PNMI).
Residential Care Facility (RCF)
RCF serve six or more individuals. These facilities are classified as Private Non-Medical Institutions (PNMI).
Adult Family Care Home (AFCH)
AFCH serve up to five individuals. Residents of AFCH receive a greater level of care than is provided in a CRBH or RCF but less than that provided in a nursing facility. These facilities are classified as a Private Non-Medical Institutions (PNMI).
Eligibility for coverage requires that the individual:
* has a coverable group.
* meets asset criteria.
* meets income criteria For individuals residing in a CRBH, RCF, or AFCH above it is necessary to determine the amount that the individual is expected to pay toward the cost of their care if they are found to be eligible for coverage.
10- 144 C.M.R. ch. 332, § 12-1