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MassHealth COVID-19 Guidance for Nursing Facilities

This page provides MassHealth Coronavirus Disease (COVID-19) guidance and information from MassHealth specific to nursing facilities.

For MassHealth COVID-19 guidance and information covering all MassHealth providers, please see MassHealth COVID-19 Guidance for All Providers. You may also find it helpful to review DPH’s COVID-19 guidance for health care professionals.

Table of Contents

Bulletins

  • Nursing Facility Bulletin 173: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccines Administered by Nursing Facilities states that nursing facility providers enrolled in the MassHealth nursing facility program may bill and receive payment for administering COVID-19 vaccines at the rates, and beginning on the effective dates, listed in this bulletin. PDF | Word
  • Nursing Facility Bulletin 172: Nursing Facility COVID-19 Booster/Third Vaccination Dose Supplemental Payment details a one-time supplemental payment, provided by MassHealth, for nursing facilities that meet established criteria around staff uptake of the COVID-19 vaccine third dose and booster dose by January 16, 2022. PDF | Word
  • Nursing Facility Bulletin 167: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities supersedes Nursing Facility Bulletin 164 to align with Department of Public Health surveillance testing requirements, effective August 12, 2021 PDF | Word
  • Nursing Facility Bulletin 166: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities supersedes Nursing Facility Bulletin 163. Use of the Payroll-Based Journal (PBJ) replaces the requirement for facilities to report monthly staffing level reports directly to MassHealth, effective July 1, 2021. PDF | Word
  • Nursing Facility Bulletin 164: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities supersedes Nursing Facility Bulletin 162 to align with Department of Public Health surveillance testing requirements, effective June 3, 2021. PDF | Word
  • Nursing Facility Bulletin 162: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities supersedes MassHealth Nursing Facility Bulletin 158 beginning March 18, 2021, to update surveillance testing requirements for nursing facilities in light of ongoing staff vaccinations. PDF | Word
  • Nursing Facility Bulletin 161: Termination of Coronavirus Disease 2019 (COVID-19) Isolated Spaces Program for Nursing Facilities ​provides guidance to nursing facilities participating in the Isolation Spaces Program regarding the program ending as of April 1, 2021, including notification to local hospitals and requirements for transfers or discharges of residents in these spaces. PDF | Word
  • Nursing Facility Bulletin 160: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Monoclonal Antibody Product Infusion administered by Nursing Facilities provides guidance on MassHealth coverage and payment for two investigational monoclonal antibody therapies​ when administered to members in nursing homes. PDF | Word
  • Nursing Facility Bulletin 159: Updated Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities ​updates the policy for nursing facilities that meet the criteria to establish designated wings, units, floors or other isolation spaces separated from the rest of the facility to care for COVID-19 positive residents and new COVID-positive admissions PDF | Word
  • Nursing Facility Bulletin 158: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities This Bulletin provides updated guidance for Ongoing COVID-19 Surveillance Testing Requirements at Resident Care Facilities. This Nursing Facility Bulletin is effective January 1, 2021, and supersedes relevant provisions in Nursing Facility Bulletins 152 and 157 to align with and incorporate the testing requirements established under the Department of Public Health’s Updates to Long-Term Care Surveillance Testing guidance (DPH LTC Testing Guidance). PDF | Word
  • Nursing Facility Bulletin 155: Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities requires nursing facilities to report on staffing levels, including information demonstrating the facility’s average staffing hours per patient day and whether the facility holds a signed contract with one or more temporary nursing agencies, on a bi-weekly basis. PDF | Word
  • Nursing Facility Bulletin 154: Updated Room Density Reporting and Planning for Nursing Facilities supersedes MassHealth Nursing Facility Bulletin 151 and MassHealth Nursing Facility Bulletin 153, requiring nursing facilities implement measures to monitor or decrease the number of residents per room to encourage rooming arrangements that are better suited to physically distance residents and protect against the spread of COVID-19​. PDF | Word
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