Commonwealth of Massachusetts
Executive Office of Health and Human Services
Office of Medicaid
www.mass.gov/masshealth    
MassHealth
Long-Term Care Facility Bulletin 107
April 2013




	TO:	Nursing Facilities and Chronic Disease and Rehabilitation Inpatient 
Hospitals Participating in MassHealth

	FROM:	Julian J. Harris, M.D., Medicaid Director      

	RE:	Annual Accounting for Personal Needs Account (PNA) Funds


Background

MassHealth requires that nursing facilities and chronic disease and 
rehabilitation inpatient hospitals account for the balances of personal needs 
account (PNA) funds (see 130 CMR 456.615).

Providers submit PNA forms to indicate that they maintain or do not maintain 
the PNA funds of MassHealth members. 
		

PNA Submissions

PNA forms and instructions needed to fulfill the annual filing requirement are 
available online. To access the forms, go to https://secure.chcf-umms.org 
and do the following.

1.	Enter your MassHealth provider number and location code as the Login ID.
2.	Enter the default password of “1Welcome.”
3.	Click the Login button. You will be prompted to change your password at 
the first login. Your new password must contain at least eight characters, which 
must include at least one alphabet, one capital letter, and one number. The 
initial screen will display an instruction file containing details for filing. 
Please refer to these instructions when filing your PNA accounting.
		
	 
Deadline for PNA Submissions

The PNA form seeks information about PNA funds managed by the provider, 
including members’ names and MassHealth ID numbers, amount of petty cash held in 
the facility, amount held in individual bank accounts, balance held in the 
trustee account, and information about any other money being held for the 
members by the facility as of February 28, 2013. These forms must be 
submitted by May 31, 2013.
		

	(continued on next page)


MassHealth
Long-Term Care Facility Bulletin 107
April 2013
Page 2
		
  
Deadline for PNA Submissions
(cont.)

Providers also must provide copies of bank statements and a reconciliation of 
the trustee account (if one is used) electronically. If electronic submission is 
not possible, faxed or mailed copies will be accepted.
	
The reconciled bank balance must agree with the total PNA balance on the 
PNA form. If providers do not handle PNA funds for any members, they must 
state this on the PNA form.
	
All PNA filings should be dated and signed electronically by the administrator, 
(under the pains and penalties of perjury,) and submitted via the secure web 
site.
		
  
Penalties

If a provider does not submit the PNA form by May 31, 2013, or if the filing is 
incomplete and not reconciled to the bank statement, the provider may be subject 
to administrative sanction.
		

Questions

If you have any questions about the information in this bulletin or have 
difficulty accessing the web site, please contact the MassHealth Financial 
Compliance Unit at PNAReview@umassmed.edu.