Att 7 MassHealth LTSS Programs.docx

72 KB Posted

Attached to
22EHSLCe-CASRFR: Request for Responses for the EHS Comprehensive Assessment System Vendor
Solicitation number
BD-22-1039-EHS01-EHS01-70914
Issued by
Suffolk County, Massachusetts

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The provided document is an attachment detailing the Long-Term Services and Supports (LTSS) programs administered by MassHealth, the state's Medicaid program. It lists the various LTSS services covered, including adult day health, adult foster care, home health, and long-term care facilities. The document also outlines the MassHealth health plans, such as One Care, Program of All-Inclusive Care for the Elderly (PACE), and Senior Care Options (SCO), as well as the state's ten 1915(c) Home and Community-Based Services (HCBS) Waiver programs.

The related state and local contract opportunity is a request for responses (RFR) for the implementation, maintenance, and support of a software solution for digitized clinical assessments and workflows for certain MassHealth LTSS and behavioral health programs, with potential expansion to other MassHealth programs. The RFR is issued by the Executive Office of Health and Human Services (EOHHS) in the state of Massachusetts.

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ATTACHMENT 7: STATE PLAN LTSS, HEALTH PLANS, AND HCBS WAIVER PROGRAMS

MassHealth Long-Term Services and Supports (LTSS):

Adult Day Health services: 130 CMR 404.000 Adult Foster Care services: 130 CMR 408.000 Chronic Disease and Rehabilitation Inpatient Hospital services: 130 CMR 435.000 Chronic Disease and Rehabilitation Outpatient Hospital services: 130 CMR 410.000 Day Habilitation services: 130 CMR 419.000 Durable Medical Equipment (DME): 130 CMR 419.000 Group Adult Foster Care services: 130 CMR 408.000 Home Health Agency services: 130 CMR 404.000 Independent Nurse (Private Duty Nursing) services: 130 CMR 414.000 Long Term Care Facilities (Nursing Facilities): 130 CMR 456.000 Orthotics: 130 CMR 442.000 Oxygen and Respiratory Therapy Equipment: 130 CMR 427.000 Personal Care Attendant Services (including Transitional Living): 130 CMR 422.000 Prosthetic Services and Devices: 130 CMR 428.000 Therapy Services (OT, PT, SP): 130 CMR 432.000 MassHealth Health Plans:

One Care: https://www.mass.gov/one-care Program of All-Inclusive Care for the Elderly (PACE): https://www.mass.gov/program-of-all-inclusive-care-for-the-elderly-pace Senior Care Options (SCO): https://www.mass.gov/senior-care-options-sco MassHealth Home and Community-Based (HCBS) Waiver Programs:

EOHHS administers and oversees the state’s ten 1915(c) HCBS Waivers through MassHealth, and operates these waivers through the Executive Office of Elder Affairs (EOEA), the Massachusetts Rehabilitation Commission (MRC), and the Department of Developmental Services (DDS).

The HCBS Waivers include:

· Intensive Supports Waiver for Adults with Intellectual Disability

· Community Living Waiver for Adults with Intellectual Disability

· Adult Supports Waiver for Adults with Intellectual Disability

· Children’s Autism Spectrum Disorder Waiver

· Acquired Brain Injury Residential Habilitation Waiver

· Moving Forward Plan Residential Supports Waiver

· Traumatic Brain Injury Waiver

· Acquired Brain Injury Non-Residential Habilitation Waiver

· Moving Forward Plan Community Living Waiver

· Frail Elder Waiver For additional information on HCBS Waiver programs, please see Section 7: https://www.mass.gov/doc/130-cmr-519000-masshealth-coverage-types-effective-january-1-2020-0/download.

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