About the Program

The Massachusetts Rehabilitation Commission and MassHealth, in conjunction with UMass Medical School, offer two home- and community-based services waivers to help Medicaid-eligible persons with acquired brain injury (ABI) move to the community and obtain community-based services.

The ABI waivers will serve 300 people in total over a period of three years.

The two waivers are:

  • ABI Waiver with Residential Habilitation (ABI-RH) –  for individuals who need supervision and staffing 24 hours a day, seven days a week in a provider-operated residence.
  • ABI Waiver with No Residential Habilitation (ABI-N) – for individuals who can move to their own home or apartment or to the home of someone else.

Beginning May 1, 2013, ABI-RH applications will be accepted on an ongoing basis. ABI-RH applications will not be accepted prior to May 1, 2013. ABI-N applications may be submitted at any time.

Population Served

MassHealth applicants or members who live in a nursing facility or chronic or rehabilitation hospital and have an ABI may apply for one of these waivers, which would support these persons to move into the community and offer resources to provide ongoing services in the community. An individual may not participate in more than one waiver at a time.

In order to be eligible for one of these waivers, applicants must:

  • be living in a nursing facility or chronic or rehabilitation hospital and have resided there for at least 90 days;
  • have experienced an acquired brain injury at age 22 or older. An acquired brain injury can result from a stroke, brain trauma, infection of the brain (such as encephalitis), brain tumor, or anoxia (lack of oxygen);
  • meet the clinical requirements and need of the waiver services available;
  • meet the financial requirements to qualify for MassHealth. Special financial rules exist for waiver participants; and
  • have service needs that are at or under the cost limit of one of the ABI waivers:
    • ABI-RH waiver cost limit: $194,486 per year;
    • ABI-N waiver cost limit: $99,890 per year.

Service Offerings

All waiver participants will work with a case manager to develop a service plan that will reflect their goals and the waiver services and supports the participants need in the community.

Services available in the ABI-RH Waiver include:

  • residential habilitation
  • day service
  • supported employment
  • transportation
  • community-based substance abuse treatment
  • occupational, physical, or speech therapy
  • specialized medical equipment
  • transitional assistance

Services available in the ABI-N Waiver include:

  • day services
  • supported employment
  • transportation
  • community-based substance abuse treatment
  • occupational, physical, or speech therapy
  • specialized medical equipment
  • transitional assistance
  • homemaker
  • personal care
  • adult companion
  • individual support and community habilitation
  • respite
  • chore
  • home accessibility adaptations

Application Process

Beginning May 1, 2013, applications for the ABI-RH Waiver will be accepted on an ongoing basis. ABI-RH applications will not be accepted prior to May 1, 2013. Applications for the ABI-N Waiver may be submitted at any time.

A brochure with more information about the waivers is also available.

Send the completed application to:

UMass ABI Waiver Unit
333 South Street
Shrewsbury, MA 01545-2732

For more information contact:

UMass ABI Waiver Unit

Phone: 1-866-281-5602

E-mail: ABIinfo@umassmed.edu


This information is provided by MassHealth .