Home- and Community-Based Services Waiver Renewal and Amendment Applications: Public Input Process

How the public input process for HCBS waiver renewal and amendment applications work

Home- and Community- Based Services (HCBS) waivers are typically approved for a five-year period. They must then be renewed with the federal Centers for Medicare & Medicaid Services (CMS). During the five-year period, changes must be submitted to CMS in the form of a Request for an Amendment. This webpage contains information about waivers MassHealth is currently renewing and/or amending with CMS. Please see below for links to the waiver renewal and/or amendment applications and information about how to provide feedback on the applications to MassHealth.

Table of Contents

Public Input Process for the Amendment of the Three HCBS Waivers for Adults with ID

PUBLIC NOTICE

Public Input Process for the Amendment Applications for Three Home- and Community-Based Services Waivers: Adults Supports Waiver, Community Living Waiver, and Intensive Supports Waiver.

Monday, April 22, 2024, at 2:00 p.m.

A public listening session for the amendment applications for the Adults Supports (DDS-AS) Waiver, Community Living (DDS-CL) Waiver, and Intensive Supports (DDS-IS) Waiver will be held remotely, with an option for people to join a video conference on their computer or call into a designated phone number.

Online Video (from computer or smartphone):
https://zoom.us/j/96088158945?pwd=SnlocksrL0tjT3Z4K1BRTWRDOGFEdz09

Telephone: (646) 876-9923

Meeting ID: 960 8815 8945

Passcode: 798048

Comments will be accepted through Tuesday, April 30, 2024, at 5:00 p.m.

Overview

MassHealth and the Department of Developmental Services (DDS) jointly propose the amendment applications for the DDS-AS Waiver, DDS-CL Waiver, and DDS-IS Waiver.

The proposed amendment would

  • Increase the current spending limit in the DDS-AS Waiver from $40,000 to $60,000 to accommodate existing and future waiver service rate increases.
  • Increase the current spending limit in the DDS-CL Waiver from $70,000 to $100,000 to accommodate existing and future waiver service rate increases.
  • Amend the DDS-IS Waiver Placement Services (Shared Living) – 24 Hour Supports service definition to allow for cases where a third individual may be placed in the home.

Please see below for links to the draft amendment applications and information about how to provide comments on the amendment applications. Please note that comments will be accepted through 5:00 p.m. Tuesday, April 30, 2024.

Hard copies of these documents are available upon request. Please email or send a written request:

Please put “DDS Adult ID Waiver Comments” in the subject line

Or

  • By regular mail: 
    HCBS Waiver Unit

    Executive Office of Health and Human Services 
    RE: DDS Adult ID Waiver Comments
    1 Ashburton Place, 3rd Floor 
    Boston, MA  02108

Send Us Your Comments

We invite public comment on the draft amendment applications for the Three Home- and Community-Based Services Waivers for Adult with ID before we submit it to the federal Centers for Medicare & Medicaid Services for approval. Comments will be accepted through 5:00 p.m. Tuesday, April 30, 2024. Please see below for how you can submit comments.

Please state “DDS Adult ID Waiver Comments” in the subject line

Or

  • By regular mail: 
    HCBS Waiver Unit

    Executive Office of Health and Human Services 
    RE: DDS Adult ID Waiver Comments
    1 Ashburton Place, 3rd Floor 
    Boston, MA  02108

Or

Orally at a public listening session to be held remotely on Monday, April 22, 2024, at 2:00 p.m.

To request an accessible version of any of these documents, please email: HCBSWaivers@mass.gov. Please make sure to note which file you are requesting.

Additional Resources

Public Input Process for Renewal of the Traumatic Brain Injury Waiver

PUBLIC NOTICE

Public Input Process for the Renewal Application for the Home- and Community-Based Services Traumatic Brain Injury Waiver

Thursday, January 11, 2024, at 3:30 p.m.

A public listening session for the Traumatic Brain Injury (TBI) Waiver renewal application will be held remotely, with an option for people to join a videoconference on their computer or call in to a designated phone number.

Online Video (from computer or smartphone):
https://zoom.us/j/93600964719?pwd=TWw4TVJHWHR1Q0NaTVQwdDVUUVIrdz09

Telephone: 1-646-876-9923

Meeting ID: 936 0096 4719
Passcode: 031892

Comments will be accepted through Friday, January 26, 2024, at 5:00 p.m.

Overview

MassHealth and the Massachusetts Rehabilitation Commission (MRC) jointly propose the renewal application for the TBI Waiver.

The proposed changes include updating descriptions of operational and administrative processes to reflect current procedures, systems, staffing, and structure at MRC.

Please see below for links to the draft renewal application and information about how to provide comments on the renewal application. Please note that comments will be accepted through 5:00 p.m. Friday, January 26, 2024.

Hard copies of these documents are available upon request. Please email or send a written request:

Please put “TBI Waiver Comments” in the subject line

Or

  • By regular mail:  HCBS Waiver Unit

Executive Office of Health and Human Services 

RE: TBI Waiver Comments  

1 Ashburton Place, 3rd Floor 

Boston, MA  02108

Send Us Your Comments

We invite public comment on the draft renewal application for the TBI Waiver before we submit it to the federal Centers for Medicare & Medicaid Services for approval. Comments will be accepted through 5:00 p.m. Friday, January 26, 2024. Please see below for how you can submit comments.

Please state “TBI Waiver Comments” in the subject line

Or

  • By regular mail:  HCBS Waiver Unit

Executive Office of Health and Human Services

RE: TBI Waiver Comments 

1 Ashburton Place, 3rd Floor

Boston, MA  02108

Or

  • Orally at a public listening session to be held remotely on Thursday, January 11, 2024.

To request an accessible version of any of these documents, please email: HCBSWaivers@mass.gov. Please make sure to note which file you are requesting.

Additional Resources

Last updated: March 29, 2024

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