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 94 April 2007 TO: Nursing Facilities and Chronic Disease and Rehabilitation Inpatient Hospitals Participating in MassHealth FROM: Tom Dehner, Acting Medicaid Director RE: 2007 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities Background Effective January 1, 2007, a Social Security cost-of-living adjustment (COLA) increased monthly benefits for most recipients of Retirement/Survivors/Disability Insurance (RSDI) by 3.3%. Patient-Paid Amount Increase for Residents Long-Term-Care Facilities An increase in monthly income will usually result in an increase to the monthly patient-paid amount (PPA) for residents of long-term-care of facilities. PPA increases must be applied toward claims submitted to MassHealth for January 2007, and for each month thereafter. Recently, system-generated notices about the new PPAs were mailed to members, spouses, and responsible parties. Notices indicating old and new PPAs for each member were mailed to affected providers. A notice is not generated if there is no change in the PPA. Personal Needs Allowances The personal needs allowance (PNA) for MassHealth members in nursing facilities and chronic disease hospitals remains $60 per month. The PNA for SSI recipients in nursing facilities and chronic disease hospitals remains $65 per month. Questions If you have any questions about the information in this bulletin please contact MassHealth Customer Service at 1-800-841-2900, e-mail your inquiry to providersupport@mahealth.net, or fax your inquiry to 617-988-8974.