Commonwealth of Massachusetts
Executive Office of Health and Human Services
Office of Medicaid
600 Washington Street
Boston, MA  02111
www.mass.gov/masshealth	
	MassHealth
	Long Term Care Facility Bulletin 87
	May 2004

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

	FROM:	Beth Waldman, Medicaid Director  

	RE:	Annual Accounting for Personal Needs Allowance Funds

Background	MassHealth’s regulations at 130 CMR 456.615 require that long-term-
	care facilities make an accounting of the balances of the personal needs allowance (PNA) funds for each MassHealth member for whom the facility handles funds.  This accounting is usually due to MassHealth by June 1 of each year.

July 1 Deadline 	To comply with these regulations, long-term-care facilities must use the
for PNA-1	PNA-1.  This form must be dated and signed by the facility administrator
Submissions	and sent to the following address by July 1, 2004.
	
Office of Medicaid
ATTN:  Sarah Meacham
Office of Financial Compliance
600 Washington Street
Boston, MA  02111

On the PNA-1, state the PNA balance for each MassHealth member as of March 31, 2004.  Attach to the form a copy of the bank statement(s) and reconciliation(s) of the aggregate trustee bank account(s) as of March 31, 2004, along with a copy of the surety bond held by the facility, and submit these documents to the above address.

	Providers may use their own reconciliation form or may use the reconciliation form attached to this bulletin (PNA-2).  This form is available on-line on the MassHealth Provider Services Web site at www.mahealthweb.com/publications_and_forms.htm, where it can be printed and mailed to the above address.   Please Note:  The reconciled bank balance must agree with the Total PNA Balance on the PNA-1 form.
										
(continued on back)

	

July 1 Deadline 	Providers using Microsoft Excel or Access to maintain listings of patient 
for PNA-1	balances may submit these on a 3½” floppy disk or CD.  It is suggested
Submissions 	that these disks be enclosed in a disk mailer envelope.  Attach the disk or
(cont.)	CD to the PNA-1 form and indicate the list as an attachment on the PNA‑1.  The PNA-1 form can be downloaded from the MassHealth Provider Services Web site at www.mahealthweb.com/publications_and_forms.htm.

If a facility does not handle PNA funds for any members, the facility must state this on the PNA-1.  The form must then be dated and signed by the facility administrator, and sent to the address listed on the front of this bulletin.

	If a facility does not submit the PNA-1 by July 1, 2004, or if the form is
	incomplete, the facility may be subject to administrative sanction.

	Copies of the PNA-1 and PNA-2 are enclosed with this bulletin.  These forms may be photocopied as needed.

Questions	If you have any questions about this bulletin, contact Sarah Meacham at 617-241-6115.