“Helping People Return to the Community”

MassHealth Waivers

MassHealth makes waiver programs available that provide home- and community- based services to eligible individuals in their own homes or community settings who would otherwise require care in a nursing home or long-stay hospital.  Individuals in a waiver can receive both traditional MassHealth services and the additional services available under a waiver.

Money Follows the Person Waivers

MassHealth offers two Home- and Community-Based Services (HCBS) waivers called the Money Follows the Person Waivers (MFP Waivers), which will help individuals who are qualified for the MFP Demonstration to move from a nursing home or long-stay hospital to an MFP-qualified residence in the community and obtain community-based services.

The two MFP Waivers are:

  • MFP Residential Supports (MFP-RS) waiver – for individuals who need supervision and staffing 24 hours a day, seven days a week.
  • MFP Community Living (MFP-CL) waiver – for individuals who can move to their own home or apartment or to the home of someone else and receive services in the community.

Eligibility Criteria for MFP Waivers

To qualify for one of these waivers, you as an applicant must:

  1. be living in a nursing home or long-stay hospital for at least 90 consecutive days, excluding Medicare rehabilitation days
  2. be 18 years old or older and have a disability, or be age 65 or older;
  3. meet the clinical requirements for and be in need of MFP waiver services;
  4. be able to be safely served in the community within the terms of the MFP waivers;
  5. meet the financial requirements to qualify for MassHealth. Special financial rules exist for waivers participants;
  6. meet the requirements for participation in the MFP Demonstration; and
  7. transition to an a MFP qualified residence in the community. A qualified residence includes:
    • 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; or
    • an assisted-living residence that has an apartment with separate living, sleeping, bathing and cooking areas, lockable entrance and exit doors, and meets other criteria.

In addition to the above, to qualify for the MFP-RS waiver, you as an applicant must need residential support services with staff supervision 24 hours a day, seven days a week.

Services Offered to Waiver Participants

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

Waiver services available in the MFP Residential Supports (MFP-RS) Waiver include:

  • Residential Habilitation (group home)
  • Shared Living – 24-Hour Supports
  • Assisted Living Services
  • Day Services
  • Home Accessibility Adaptations
  • Individual Support and Community Habilitation
  • Occupational Therapy
  • Peer Support
  • Physical Therapy
  • Prevocational Services
  • Residential Family Training
  • Skilled Nursing
  • Specialized Medical Equipment
  • Speech Therapy
  • Supported Employment
  • Transportation

Waiver services available in the MFP Community Living (MFP-CL) Waiver include:

  • Adult Companion
  • Chore Service
  • Community Family Training
  • Day Services
  • Home Accessibility Adaptations
  • Home Health Aide
  • Homemaker
  • Independent Living Supports
  • Individual Support and Community Habilitation
  • Occupational Therapy
  • Peer Support
  • Personal Care
  • Physical Therapy
  • Prevocational Services
  • Respite
  • Shared Home Supports
  • Skilled Nursing
  • Specialized Medical Equipment
  • Speech Therapy
  • Supported Employment
  • Supportive Home Care Aide
  • Transportation
  • Vehicle Modification

In addition, if you are enrolled in one of the MFP waivers and need behavioral health services (mental health or substance abuse services), you will receive your behavioral health services through the Massachusetts Behavioral Health Partnership (MBHP). MBHP is the MassHealth behavioral health managed-care contractor that will work with you and your waiver case manager to help you get the behavioral health care you need.

MFP Waiver Application Process and Brochures

You may submit MFP waiver applications any time on or after April 1, 2013. A link to the waiver applications is found below.

A brochure with more information about the waivers is also available. Below is a link to the MFP Waiver brochure and a brochure with information about Self-directed Services in the MFP waivers.  

Send your completed MFP Waiver application to:

UMass MFP Waiver Unit
333 South Street
Shrewsbury, MA 01545

For more information about the MFP Waivers contact:

UMass MFP Waiver Unit
Tel: 855-499-5109
TTY: 800-596-1746 for persons who are deaf, hard of hearing, or speech disabled
e-mail: MFPinfo@umassmed.edu

 

 


This information is provided by MassHealth.