Guide Adult Day Health (ADH) Manual

The Adult Day Health Manual contains the regulations, administrative and billing instructions, and service codes for adult day health programs. The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. See 101 CMR 310.00.

MassHealth issues transmittal letters to update any part of the provider manual. MassHealth issues provider bulletins to communicate information that is not contained in the provider manual.

Each part of the Adult Day Health Manual is listed below from beginning to end. You can print each part separately (or any individual pages) or print all parts for a complete manual.

Table of Contents

Table of Contents

  • Table of contents pages i, ii, ii-a, and iii appear at the beginning of Subchapter 1 below
  • Table of contents page iv appears at the beginning of Subchapter 4 below
  • Table of contents page v (see below)  
  • Table of contents page vi (see below)

Additional Resources for Table of Contents

Preface

See below for the Adult Day Health (ADH) Manual Preface.

Additional Resources for Preface

Subchapters 1 through 3

Administrative and Billing Regulations (apply to all providers).

Additional Resources for Subchapters 1 through 3

Subchapter 4

See below for the Adult Day Health (ADH) regulations (130 CMR 404.000).

Additional Resources for Subchapter 4

Subchapter 5

The Administrative and Billing Instructions (Subchapter 5) are divided into seven parts. For instructions for electronic billing, refer to the MassHealth Companion Guides. To request a copy of any of the MassHealth Companion Guides please contact MassHealth Customer Service Center at 1-800-841-2900. For instructions for billing MassHealth using paper claim forms refer to MassHealth Billing Guides for Paper Claim Submitters.

Please see below for Subchapter 5: Administrative and Billing Instructions.

Additional Resources for Subchapter 5

Subchapter 6

See below for service codes for the Adult Day Health (ADH) Manual.

Additional Resources for Subchapter 6

MassHealth All Provider Manual Appendices

The MassHealth generic appendices contained in all provider manuals (Appendices A, C, T, U, V, W, X, Y, and Z).

Additional Resources for MassHealth All Provider Manual Appendices

Adult Day Health Manual Appendices

Appendix D: Dementia Day Service

This appendix contains guidelines for adult day health programs that offer services to dementia populations.

Additional Resources for Adult Day Health Manual Appendices

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