Home and Community Based Services (HCBS) waivers are programs for Mass Health members who otherwise need facility-based care. MRC HCBS waivers are specifically designed to service adults who transition from a nursing facility or long stay hospital back to the community.  The HCBS waivers follow the person centered model. The participant is actively involved in choosing his/her own services. Services provided to individuals are designed to help them achieve personal goals in their own way.

The MRC Community Living Division provides case management support to participants in the waivers below.  Case Management support is designed to ensure that waiver participants remain healthy and safe while receiving person-centered home based services. The waivers include:

  • Traumatic Brain Injury Waiver (TBI Waiver)
  • Acquired Brain Injury Non-Residential Waiver (ABI-N Waiver)
  • Money Follows the Person Community Living Waiver (MFP-CL Waiver)

Traumatic Brain Injury Waiver

The TBI waiver is designed to serve   individuals (ages 18-64) with a TBI and are SHIP eligible who are at (and remain at) a nursing facility or chronic/rehabilitation hospital level of care but have chosen to receive their care/services in their home or other community setting.

Waiver services are designed to complement and/or supplement services and support that are available through the state, such as SHIP, local communities and through informal supports of families and caregivers. 

A case manager will work with the individual in developing an individual service plan (ISP) that reflects the goals and values of the individuals. A plan of care will also be developed to include those waiver services and non-waiver services that are available to meet to the individuals need while maintaining them safely in the community.   Services provided under the TBI waiver include all SHIP services and programs and as well as other state plan Medicaid programs

Acquired Brain Injury (ABI) Waiver Programs

The Acquired Brain Injury (ABI) Waiver program is designed to support individuals who have resided in a NF or LTC hospital and have requested to move back into the community to receive their services. 

The ABI Program consist of two waiver programs:

*The ABI Non-Residential Waiver (ABI-N) provides supports for adults with ABI who do not require 24-hour supports/supervision, but need community-based waiver services provided in their home.  This waiver is operated by MRC.

Individuals who require 24-7 full-time support may be interested in the ABI-Residential Habilitation (ABI-RH) waiver.  This waiver, operated by the Department of Developmental Services, allows individuals with full time support needs to live in a more flexible environment.  

Eligibility Criteria:

Any resident of Massachusetts residing in a nursing facility or a chronic or rehabilitation hospital and has sustained a brain injury after the age of 22 may apply. Individuals must meet the following criteria:

  • be living in a nursing facility, chronic hospital or rehabilitation hospital and have resided there for at least 90 days
  • have experienced an acquired brain injury at age 22 or older. An ABI can result from a stroke, Multiple Sclerosis, anoxia, internal or external trauma.
  • meet the clinical requirements and the need for waiver services
  • be financially eligible for MassHealth
  • be able to be safely served in the community      

MFP Community Living Waiver

The MFP Community Living Waiver (MFP-CL) provides community based waiver service supports for individuals to return to the community. This waiver provides support for individuals to transition to their own home or apartment, for adults who do not require 24-hour supports and supervision. This waiver is operated by MRC.

Individuals who require 24-hour support may be interested in the MFP-Residential Support (MFP-RS) waiver.  This waiver, operated by the Department of Developmental Services, allows individuals with significant support needs to live in a more flexible environment.  

Any resident of Massachusetts, age 18 and older, that is residing in a nursing facility or a chronic or rehabilitation hospital and meets the following criteria may apply for the MFP waivers:

  • be living in a nursing facility or long-stay hospital for at least 90 days,
  • be 18yrs old or older and have a disability, or be age 65 or older
  • meet the clinical requirements for and be in need of MFP Waiver Services
  • be financially eligible for MassHealth
  • transition to a MFP qualified residence in the community as defined as
    • a home owned or leased by the applicant or family member;
    • an apartment with an individual lease;
    • or a community-based residential setting in which no more than four unrelated individuals reside

Applications and more information for the ABI non-residential, the MFP community living, the ABI residential and the MFP residential waivers can be found here: http://www.mass.gov/eohhs/gov/departments/masshealth/home-and-community-based-services-waivers.html

SERVICES

Services provided to participants in the ABI-N Waiver and MFP-CL waivers are identified below:

 

Waiver Services

Non-residential Waivers

See website below for details

ABI-N

MFP-CL

Assisted Living Services

 

 

Residential Habilitation

 

 

Shared Living - 24 Hour Supports

 

 

Adult Companion

Yes

Yes

Chore Service

Yes

Yes

Coordinated Behavioral Health Services

 

Yes

Day Services

Yes

Yes

Family Training

 

Yes

Home Accessibility Adaptations

Yes

Yes

Home Health Aide

 

Yes

Homemaker

Yes

Yes

Independent Living Supports

 

Yes

Individual Support and

Yes

Yes

Community Habilitation
Peer Support

 

Yes

Personal Care

Yes

Yes

Physical/Occupational/Speech Therapy

Yes

Yes

Prevocational Services

 

Yes

Respite

Yes

Yes

Shared Home Supports

 

Yes

Skilled Nursing

 

Yes

Specialized Medical Equipment

Yes

Yes

Supported Employment

Yes

Yes

Supportive Home Care Aide

 

Yes

Transitional Assistance 

Yes

Yes

Transportation

Yes

Yes

Vehicle Modification

 

Yes

 

 

 

 

Substance Abuse Treatment Programs-MFP/ABI

The MFP and ABI waivers work closely in conjunction with the Massachusetts Behavioral Health Partnership when there are participants in need of Substance Abuse Treatment or other counseling supports. Through MBHP, waiver participants are connected to resources in their local communities that provide various models of specialized substance abuse rehabilitation supports to adults with ABI and other significant medical conditions who are recovering from addiction to alcohol and other drugs.   

The overall goal of these services through MBHP is to provide individuals with a structured and comprehensive rehabilitative environment that supports their recovery from alcohol and/or other drug abuse and encourages movement toward an independent lifestyle.  Scheduled goal-oriented rehabilitative activities are provided in conjunction with ongoing assistance for developing and maintaining the skills necessary to lead an alcohol- and drug-free lifestyle.  Linkages are established to provide primary health care and skills for recovery. In addition, participants are assigned to a Community Support Person (when applicable) who will be able navigate and connect them to other resources in the community non-related to Substance Abuse Treatment such as daily supports management, other specialists, food stamps, Social Security benefits, among others.

In an emergency situation, the waiver unit case manager will work with the participant and their team to find the most appropriate resources to assist the participant in accessing substance abuse treatment.

For more information including how to apply, and to download application materials, please visit www.mass.gov/eohhs/provider/insurance/masshealth/mfp-demonstration-and-abi-mfp-waivers/home-and-community-based-services-waivers.html

 If you have specific questions about ABI or MFP waivers, call the ABI/MFP Waiver Unit at the University of Massachusetts Medical School at 855-499-5109
(TTY: 800-596-1746 for persons who are deaf, hard of hearing, or speech disabled)

 



This information is provided by the Massachusetts Rehabilitation Commission.