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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 Proposed Amendments to the Traumatic Brain Injury Waiver

PUBLIC NOTICE

Public Input Process for Proposed Amendment to the Traumatic Brain Injury Waiver

Wednesday, March 17, 2021 at 2:00 p.m.

A public listening session for the Traumatic Brain Injury 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):

https://statema.webex.com/statema/j.php?MTID=m20b5e862127da4ab7d9451979b498177

Phone Number:

1-866-692-3580

Meeting number (access code): 185 622 6843

Password: ebYiz8A6mK3 

Comments must be submitted by April 1, 2021.

 

Overview

MassHealth and the Massachusetts Rehabilitation Commission (MRC) jointly propose an amendment to the Traumatic Brain Injury Waiver. The purpose of this amendment is to address certain needs of the population served by this waiver that were identified population- and system-wide during the COVID-19 emergency, and that are anticipated to continue beyond the public health emergency. This amendment expands the scope of the existing Specialized Medical Equipment waiver service to cover assistive technology devices that enable the individual to engage in waiver services and service planning remotely/via telehealth if necessary, expands the scope of the existing Transitional Assistance waiver service to cover assistive technology devices that enable the individual to participate in planning their transition remotely/via telehealth if necessary, and increases flexibility for certain waiver related administrative activities to occur remotely/via telehealth. The amendment also contains changes to align with long-term goals of expanding access to certain brain injury-specific day services for waiver participants by revising the existing waiver service, Day Services, by adding a new provider type, updating the service definition, and adding new rates.  Additional changes include updating the Adult Companion and Individual Support and Community Habilitation provider qualifications to align with current procurement processes and adding a new rate regulation for Individual Support and Community Habilitation.

Please see below for links to the draft amendment and information about how to provide feedback on the amendment to MassHealth and MRC. Please note that feedback must be submitted by April 1, 2021.

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

Please state “TBI Waiver Comments” in the subject line

Or

  • By regular mail:      

UMass Waiver Unit
Attn: TBI Comments
333 South Street
Shrewsbury, MA 01545

Send Us Your Comments

We invite public comment on the draft TBI Waiver amendment before we submit it to the federal Centers for Medicare and Medicaid Services (CMS) for approval. Comments must be submitted by April 1, 2021. Please see below for how you can submit comments.

Please state “TBI Waiver Comments” in the subject line

Or

  • By regular mail:      

UMass Waiver Unit
Attn: TBI Comments
333 South Street
Shrewsbury, MA 01545

Or

  • Orally at a public listening session to be held remotely on March 17, 2021.

Additional Resources

Public Input Process for changes to Adult Supports, Intensive Supports, and Community Living Waivers

PUBLIC NOTICE

Public Input Process for Proposed Amendments to the Intensive Supports Waiver, Adult Supports Waiver, and Community Living Waiver

Monday, January 25, 2021, at 10:00 a.m.

A public listening session for the Intensive Supports Waiver, Adult Supports Waiver, and Community Living 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):

https://statema.webex.com/statema/j.php?MTID=m5490da9ba710cb56e3a7f4c1daab81dc

Phone Number:

(866) 692-3580

Meeting number: 178 935 9699

Password: eJKdCwzx365

Comments must be submitted by February 12, 2021

 

Overview

MassHealth and the Department of Developmental Services (DDS) jointly propose amendments to the Intensive Supports Waiver, Adults Supports Waiver, and Community Living Waiver. The purpose of these amendments is to add Remote Supports as a waiver service, expand the scope of the existing Individualized Home Supports waiver service, expand the scope of the existing Assistive Technology waiver service, and increase flexibility for certain waiver related administrative activities to occur remotely/via telehealth. In addition, the proposed amendment to the Intensive Supports waiver expands the scope of existing Transitional Assistance waiver service in that Waiver.

Please see below for links to the draft amendments and information about how to provide feedback on the proposed amendments to MassHealth and DDS. Please note that feedback must be submitted by February 12, 2021.

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

By e-mail:  HCBSWaivers@Mass.gov 

Please state “ID Waiver Comments” in the subject line

or

By regular mail:      

UMass Waiver Unit
Attn: ID Waiver Comments
333 South Street
Shrewsbury, MA 01545

Send Us Your Comments

We invite public comment on the draft amendments to the Intensive Supports Waiver, Adults Supports Waiver, and Community Living Waiver before we submit them to the federal Centers for Medicare and Medicaid Services (CMS) for approval. Comments must be submitted by February 12, 2021. Please see below for how you can submit comments.

By e-mail:  HCBSWaivers@Mass.gov 

Please state “ID Waiver Comments” in the subject line

or

By regular mail:      

UMass Waiver Unit
Attn: ID Waiver Comments
333 South Street
Shrewsbury, MA 01545

or

Orally at a public listening session to be held remotely on January 25, 2021.

Additional Resources

Public Input Process for Proposed Amendments to the Frail Elder Waiver

PUBLIC NOTICE

Public Input Process for Proposed Amendment to the Frail Elder Waiver

Wednesday, February 3, 2021, at 12:30 p.m.

The Frail Elder Waiver Public Listening Session will be held remotely, with an option for people to do a video conference on their computer or call into a designated phone number.

Online Video (from computer):

https://statema.webex.com/statema/j.php?MTID=ma356dd5928fbd42c4fdb5ad9b8451656

Phone Number: (866) 692-3580

Meeting number (access code): 178 311 6101

Password: Kfj99p43PPu

Comments must be submitted by February 12, 2021.

Overview

MassHealth and the Executive Office of Elder Affairs (EOEA) jointly propose an amendment to the Frail Elder Waiver. The purpose of this amendment is to address certain needs of the population served by this waiver that were identified population- and system-wide during the COVID-19 emergency, and that are anticipated to continue beyond the public health emergency. This amendment adds Assistive Technology for Telehealth Delivery of Waiver Services as a waiver service to cover devices that enable participants to engage in waiver services, expands the scope and renames the existing Cellular Personal Emergency Response System waiver service to cover devices that enable participants to interact and communicate remotely, and expands the scope of the existing Transitional Assistance waiver service to cover assistive technology devices that enable the individual to participate in planning their transition remotely/via telehealth if necessary. The proposed amendment also includes other technical changes to increase flexibility for service planning and case management to occur remotely/via telehealth by removing some references to specific modalities (i.e., “in person”, “telephone”) while maintaining operational integrity and removes transportation from the Companion service definition.

Please see below for links to the draft amendment and information about how to provide feedback on the amendment to MassHealth and EOEA. Please note that feedback must be submitted by February 12, 2021.

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

By e-mail:  HCBSWaivers@Mass.gov 

Please state “FEW Comments” in the subject line

or

By regular mail:     

UMass Waiver Unit 
Attn: FEW Comments

333 South Street
Shrewsbury, MA 01545

Send Us Your Comments

We invite public comment on the draft Frail Elder Waiver amendment before we submit it to the federal Centers for Medicare and Medicaid Services (CMS) for approval. Comments must be submitted by February 11, 2021. Please see below for how you can submit comments.

 

By e-mail:  HCBSWaivers@Mass.gov 

Please state “FEW Comments” in the subject line

or

By regular mail:     

UMass Waiver Unit 
Attn: FEW Comments

333 South Street
Shrewsbury, MA 01545

or

Orally at a public listening session to be held remotely on February 3, 2021.

Additional Resources

Public Input Process for Proposed Amendments to the Children’s Autism Spectrum Disorder Waiver

PUBLIC NOTICE

Public Input Process for Proposed Amendments to the Children’s Autism Spectrum Disorder Waiver

Thursday, October 22, 2020
1:00 p.m.

The Autism Waiver Public Listening Session will be held remotely, with an option for people to do a video conference on their computer or call into a designated phone number.

Online Video (from computer):

https://statema.webex.com/statema/j.php?MTID=m6e40358bc97649180b0fbf80aa769c28

Meeting number: 171 037 4142
Password: rWjjHMdS467

Phone Number:

1-866-692-3580 US Toll Free
Enter access code: 612 331 862

Comments must be submitted by November 1, 2020.

Overview

Home- and Community- Based Services (HCBS) waivers are typically approved for a five-year period. Changes to an approved waiver must be submitted to the Centers for Medicare and Medicaid Services (CMS) in the form of a Request for an Amendment.  This webpage contains information about the proposed amendments to the Children’s Autism Spectrum Disorder Waiver (Autism Waiver). The purpose of these amendments is to address certain needs of the populations served by these waivers that were identified population- and system-wide during the COVID-19 emergency, and that are anticipated to continue beyond the public health emergency.

MassHealth and the Department of Developmental Services (DDS) jointly propose an amendment to the Autism Waiver. The purpose of this amendment is to add a new service, Home Delivered Meals, to the Autism Waiver. In this entirely self-directed waiver, Home Delivered Meals is added as a self-directed service with budget authority only. The amendment also includes other technical changes to increase flexibility for service planning and case management to occur remotely/via telehealth by removing some references to specific modalities (i.e., “in person”, “telephone”) while maintaining operational integrity.

Please see below for links to the waiver amendment application and information about how to provide feedback on the amendment to MassHealth and DDS. Please note that feedback must be submitted by November 1, 2020.

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

By e-mail:  HCBSWaivers@Mass.gov  

Or

By regular mail:

UMass Waiver Unit
Attn: Autism Comments
333 South Street
Shrewsbury, MA 01545

Send Us Your Comments

We invite public comment on the draft Autism Waiver amendment application before we submit them to the federal Centers for Medicare and Medicaid Services (CMS) for approval. Comments must be submitted by Sunday, November 1, 2020. Please see below for how you can submit comments.

By e-mail:  HCBSWaivers@Mass.gov

Or

regular mail:

UMass Waiver Unit
Attn: Autism Comments
333 South Street
Shrewsbury, MA 01545

Or

Orally at a public listening session to be held remotely on Thursday, October 22, 2020, at 1 p.m.

Additional Resources

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