“Helping People Return to the Community”

MassHealth Home and Community Based (HCBS) Waivers

MassHealth HCBS waivers provide home- and community-based services to eligible individuals in their own homes or community. These people would otherwise need care in a nursing facility or long-stay hospital.  People in a waiver program can receive both regular MassHealth services and the extra services available under a waiver.

Money Follows the Person Waivers (MFP Waivers)

MassHealth has two MFP waivers. These are HCBS waivers designed to help MassHealth members move from a nursing facility or long-stay hospital back to their community. The MFP waivers help by making the move from the facility to the community easier and by providing community-based services.

The two MFP Waivers are:

  • MFP Residential Supports (MFP-RS) waiver – for people who need supervision and staffing 24 hours a day, seven days a week.
  • MFP Community Living (MFP-CL) waiver – for people 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, an individual must

  • be living in a nursing facility or long-stay hospital for at least 90 days;
  • either be
    • 18 years of age or older and have a disability, or
    • 65 years of age or older;
  • meet the clinical level-of-care requirements;
  • need MFP waiver services;
  • be able to be safely served in the community within the terms of the MFP waivers; and
  • meet the financial requirements to qualify for MassHealth Standard. Special financial rules exist for waivers participants.

Also, for the MFP-RS waiver, the person 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 include their goals and the waiver services and supports the participant needs in the community.

MFP Waiver services include the following:

Yes means the service is available

No means it’s not available

Residential Habilitation (group home)YesNo
Shared Living – 24-Hour SupportsYesNo
Assisted Living ServicesYesNo
Day ServicesYesYes
Family TrainingYesYes
Home Accessibility AdaptationsYesYes
Individual Support and Community HabilitationYesYes
Occupational TherapyYesYes
Orientation and Mobility ServicesYesYes
Peer SupportYesYes
Physical TherapyYesYes
Prevocational ServicesYesYes
Skilled NursingYesYes
Specialized Medical EquipmentYesYes
Speech TherapyYesYes
Supported EmploymentYesYes
Transitional Assistance ServicesYesYes
Adult CompanionNoYes
Chore ServiceNoYes
Community Family TrainingNoYes
Home Health AideNoYes
Independent Living SupportsNoYes
Personal CareNoYes
Shared Home SupportsNoYes
Supportive Home Care AideNoYes
Vehicle ModificationNoYes

In addition, if you are enrolled in one of the MFP waivers and need behavioral health services (mental health or substance use disorder services), you may be eligible to receive these services through the Massachusetts Behavioral Health Partnership (MBHP). MBHP works with MassHealth 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. A link to the waiver applications is found below.

Send your completed MFP Waiver application to:

UMass MFP Waiver Unit
333 South Street
Shrewsbury, MA 01545


Below is a link to the MFP Waiver brochure and a brochure with information about self-directed services in the MFP waivers.

For more information about the MFP waivers contact:

UMass MFP Waiver Unit
333 South Street
Shrewsbury, MA  01545
Phone: 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.