Acquired Brain Injury (ABI), Moving Forward Plan (MFP), and Traumatic Brain (TBI) Injury Waiver Stakeholder Advisory Committee

The MassHealth Home and Community Based Waiver Services (HCBS) Team, the Massachusetts Rehabilitation Commission (MRC), and the Massachusetts Department of Developmental Services (DDS) jointly operate the Acquired Brain Injury (ABI), Moving Forward Plan (MFP), and Traumatic Brain Injury (TBI) Waiver Stakeholder Advisory Committee. The ABI/MFP/TBI Waiver Stakeholder Advisory Committee is a diverse group of waiver participants, family members, providers, advocates, and state agency staff.

The mission of the committee is to identify and support all the ways we can assess and ensure the highest quality services. Committee members analyze data while also listening to and sharing unique perspectives. This balance is essential in achieving our goal of providing the highest quality services. 

Overview of ABI, MFP, and TBI Waivers

Waiver	Operating Agency	Target Population
Acquired Brain Injury with Residential Habilitation (ABI-RH)	Department of Developmental Services (DDS)	Adults with ABI sustained at age 22 and older
Acquired Brain Injury Non-Residential Habilitation (ABI-N)	Massachusetts Rehabilitation Commission (MRC)	Adults with ABI sustained at age 22 and older
Moving Forward Plan Residential Supports (MFP-RS)	DDS	Adults age 18 and older who are disabled and Seniors age 65 and older
Moving Forward Plan Community Living (MFP-CL)	MRC	Adults age 18 and older who are disabled and Seniors age 65 and older
Traumatic Brain Injury (TBI)	MRC	Adults with TBI age 18 and older

Acquired Brain Injury (ABI) Waivers

• Serves individuals with an acquired brain injury sustained at age 22 or older. Individuals under age 65 must also have been determined disabled.
• Examples of qualifying ABIs include brain injuries resulting from stroke, brain trauma, infection of the brain, brain tumor, anoxia, and traumatic brain injury.
• To qualify, a person must apply while they are living in a facility, and their facility stay must be at least 90 days.
• There are two ABI waivers, which differ based on the individual’s need.
  1. ABI-RH (Residential Habilitation). This waiver is for participants who need 24-hour supervision and staffing in a provider-operated and staffed setting such as a residential habilitation group home. DDS provides case management.
  2. ABI-N (Non-Residential Habilitation). This waiver is for participants who do not need 24-hour supports or supervision and who can live in their own home or apartment, family home, or Adult Foster Care. MRC provides case management.

Moving Forward Plan (MFP) Waivers

• Serves individuals who are 18 or older and disabled or age 65 or older.
• To qualify, a person must apply while they are living in a facility, and their facility stay must be at least 90 days.
• There are two MFP waivers, which differ based on the individual’s need:
  1. MFP-RS (Residential Supports). This waiver is for participants who need 24-hour supervision and staffing in a provider-operated and staffed setting such as a residential habilitation group home. DDS provides case management.
  2. MFP-CL (Community Living). This waiver is for participants who do not need 24-hour supports or supervision and who can live in their own home or apartment, family home, or Adult Foster Care. MRC provides case management.

Traumatic Brain Injury (TBI) Waiver

• Serves individuals who are 18 or older.
• To qualify, a person must have a traumatic brain injury (i.e., a brain injury caused by external force).
• The TBI Waiver supports individuals with a TBI who qualify for a nursing facility or chronic/rehabilitation hospital level of care to live in their homes or other community settings. This program supports the choice of individuals with TBI to remain in the community and provides services that help them to avoid or delay institutional placement.

Stakeholder position description

• Overview for Stakeholders: PDF | Word
• Overview for Stakeholders-Spanish: PDF | Word
• Stakeholders Position Description: PDF | Word
• Stakeholders Position Description-Spanish: PDF | Word

How to volunteer for a stakeholder position

For more information or to volunteer for a stakeholder position, please contact:

Email: [e-mail]

Mail:
MassHealth Office of Long-Term Services and Supports
Home and Community Based Services Waivers
ATTN: ABI/MFP/TBI Stakeholder Advisory Committee
1 Ashburton Place, 10^th Floor 
Boston, MA 02108

Quarterly meeting agendas & materials

• Q3 ABI MFP TBI Waiver Stakeholder Advisory Committee: PDF | Word
• Q2 ABI MFP TBI Waiver Stakeholder Advisory Committee: PPT | Word

Additional Information

For more information about the Acquired Brain Injury (ABI), Moving Forward Plan (MFP), and Traumatic Brain (TBI) Injury Waivers, including specific eligibility criteria, services offered, service delivery options, and application materials, please see the links below. 

• Acquired Brain Injury (ABI) Waivers
• Moving Forward Plan (MFP) Waivers
• Traumatic Brain Injury (TBI) Waiver

Date published:	September 24, 2024