Individuals in an HCBS waiver can receive both traditional MassHealth services and the additional services available through the HCBS waiver in which they are enrolled. All waiver participants will work with a case manager or service coordinator to develop a service plan that will reflect the waiver services and support they need in the community.
Providers may enroll in MassHealth to provide some of the services under the four home- and community-based service waivers described below.
Two Waivers to Help Persons with Acquired Brain Injury (ABI)
- ABI–Residential Habilitation (ABI-RH) Waiver – for individuals who need services in a provider-operated residence that has supervision and staffing 24 hours a day, seven days a week.
- ABI–Non-residential Habilitation (ABI-N) Waiver – for individuals who can move to their own home or apartment or to the home of someone else.
Two Moving Forward Plan (MFP) Waivers
- MFP Residential Supports (MFP-RS) Waiver – for individuals who need services in a provider-operated residence that has supervision and staffing 24 hours a day, seven days a week.
- MFP Community Living (MFP-CL) Waiver – for individuals who can move to their own home or apartment or to the home of someone else.
ABI and MFP Waiver Services
All waiver participants will work with a case manager/service coordinator to develop their individual service plan that will include their goals and the waiver services and supports the participant needs in the community.
Waiver services include the following:
- Adult Companion
- Assisted Living Services
- Chore Service
- Community/Residential Family Training
- Day Services
- Home Health Aide
- Independent Living Supports
- Individual Support and Community Habilitation
- Occupational Therapy
- Peer Support
- Personal Care
- Physical Therapy
- Prevocational Services
- Skilled Nursing
- Specialized Medical Equipment
- Speech Therapy
- Supported Employment
- Supportive Home Care Aide
Additional waiver services that are contracted through the Department of Developmental Services include:
- Residential Habilitation (group home)
- Shared Living - 24-Hour Supports
Additional waiver services that are contracted through the Massachusetts Rehabilitation Commission include:
- Vehicle Modification
- Home Accessibility Adaptations
- Transitional Assistance Services
MassHealth regulations, Massachusetts Rehabilitation Commission policies, and Department of Developmental Services policies that describe waiver service and provider requirements for the waiver providers may be found through the links below.
MassHealth Provider Regulations
MassHealth/Massachusetts Rehabilitation Commission Standards
DDS Waiver Policies
Waiver Provider Enrollment
Most organizations or self-employed applicants interested in providing the listed waiver services must enroll as a MassHealth provider. Those providing only residential habilitation or shared living-24 hour supports must contract through the Department of Developmental Services (DDS). Those providing only vehicle modification, home accessibility adaptations, or transitional assistance services must contract through the Massachusetts Rehabilitation Commission (MRC).
The MassHealth provider enrollment process includes completing and submitting the forms listed below.
In addition, providers must meet applicable MRC/DDS standards for the service(s) they provide.
The provider enrollment process begins with the submission of the completed MassHealth provider application along with the other forms listed on this page to the University of Massachusetts (UMass) HCBS Provider Network Administration Unit. Contact the UMass HCBS Provider Network Administration Unit for assistance in determining which information is required. The UMass HCBS Provider Network Administration Unit uses the Home- and Community-Based Service Provider Enrollment form (pdf) to guide providers through the application process. Providers of certain services will be required to submit additional information (for example, licenses, certifications, or letters of verification).
Send the completed provider enrollment documentation to:
University of Massachusetts Medical School
Disability and Community Services
HCBS Provider Network Administration Unit
333 South Street
Shrewsbury, MA 01545
Providers may obtain more information about how to enroll or assistance with the enrollment process by contacting:
UMass Provider Network Administration Unit
Phone: (855) 300-7058
Shrewsbury, MA 01545
|Last updated:||May 14, 2018|