Commonwealth of Massachusetts 

Executive Office of Health and Human Services 

Office of Medicaid 

www.mass.gov/masshealth 



 

 Eligibility Operations Memo 10-11 

 October 2010 

 

 

 

 

TO: MassHealth Eligibility Operations Staff 

 

FROM: Russ Kulp, Director, MassHealth Operations 

 

RE: New Level of Care Coding for Department of Developmental Services Waiver 

 

 

Introduction The Department of Developmental Services (DDS), in conjunction with 
the Office of Medicaid, has made changes to the Home and Community 
Based Services Waiver formerly called the DMR Waiver. The following 
three new waivers will replace the existing DMR Waiver. 

• Adult Supports Waiver 


• Community Living Waiver 


• Adult Residential Waiver 




Financial eligibility guidelines for the DDS waivers will remain as: 

• income = 300% SSI Federal Benefit Rate (FBR) 


• assets = $2,000 




NOTE: If there is a spouse, the spouse’s income and assets are not 
counted. Deductibles should follow the requirements in 130 CMR 
520.028. 

 

 

MA21 Impact The MA21 level of care (LOC) event will be updated as follows. 

• Remove the DMR Waiver code; and 


• Add the following three new DDS Waiver codes. 


o Adult Supports Waiver MA21 LOC code - DDS-AS 


o Community Living Waiver MA21 LOC code - DDS-CL 


o Adult Residential Waiver MA21 LOC code - DDS AR 






In addition, the SSI Waiver option will reflect the new codes for the DDS 
Waiver. 

 

 

Conversion Existing DMR members will have their LOC coding updated to one of the 
three new DDS Waivers, based on information provided by DDS. 

 

 

Questions If you have any questions about this memo, please have your MEC 
designee contact the Policy Hotline.