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MassHealth COVID-19 Guidance for Other Long-Term-Supports Services Providers

This page provides MassHealth Coronavirus Disease (COVID-19) guidance and information specific to certain long-term-supports (LTSS) providers.

During the COVID-19 emergency, LTSS providers play an important role in serving some of MassHealth’s most vulnerable members. The following guidance below is an addition to the MassHealth Guidance for Nursing Facilities, MassHealth Guidance for Home Health Agencies and Personal Care Attendants, and MassHealth Guidance for Day Programs.

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

Adult Foster Care

  • Adult Foster Care Bulletin 21: Extended MassHealth Telehealth Policy for Adult Foster Care and Group Adult Foster Care Services and New Telehealth Documentation Requirement describes a COVID-19-related telehealth flexibility for MassHealth adult foster care/group adult foster care services that will remain in effect beyond September 13, 2021, until the end of the FPHE; clarifies that telehealth visits may be used for visits that do not require any hands-on care; and describes a new recordkeeping and documentation requirement regarding telehealth services. PDF | Word
  • Adult Foster Care Bulletin 19: COVID-19-related Administrative Flexibilities for Adult Foster Care and Group Adult Foster Care Providers updates MassHealth’s COVID-19 related flexibilities for providers of MassHealth-covered adult foster care and group adult foster care services, and with the goal of helping to ensure members retain access to appropriate adult foster care/group adult foster care services, promote social distancing, and mitigate the spread of COVID-19. PDF | Word
  • Adult Foster Care Bulletin 18: MassHealth Telehealth Policy for Adult Foster Care and Group Adult Foster Care Services explains MassHealth’s policy for the use of telehealth for certain adult foster care services and certain group adult foster care services, which will remain in effect for 90 days after the final date of the Governor’s Declaration of a State of Emergency to Respond to COVID-19. PDF | Word

Durable Medical Equipment Bulletins

  • Durable Medical Equipment Bulletin 26​: COVID-19 Related Administrative Flexibilities for Durable Medical Equipment Providers - Extension extends COVID-19 related flexibilities for providers of MassHealth-covered durable medical equipment. Some of the flexibilities described in the bulletin will extend until the end of the federal public health emergency, while others do not have an end date. ​​PDF | Word
  • Durable Medical Equipment Bulletin 25: COVID-19 Related Administrative Flexibilities for Durable Medical Equipment Providers provides updates to MassHealth’s COVID-19 related flexibilities for providers of MassHealth-covered durable medical equipment to help ensure members retain access to appropriate durable medical equipment, promote social distancing, and mitigate the spread of COVID-19​. PDF | Word

HCBS Waiver Provider Bulletins

  • HCBS Waiver Provider Bulletin 14: Expanded Vaccine Requirement to Include Home Care Agency Workers states that all Home Care Agency Workers, as defined within the bulletin, must complete the full required regimen of COVID-19 vaccine doses, or document that they qualify for an exemption by October 31, 2021. This bulletin is in accordance with the Baker-Polito Administration’s September 1st vaccine requirement. PDF | Word
  • HCBS Waiver Provider Bulletin 13 Additional Guidance and Requirements for Day Services throughout the Remainder of the Federal Public Health Emergency and Billing Guidance for Community-Based Day Supports replaces and supersedes guidance and requirements for Acquired Brain Injury (ABI) and Moving Forward Plan (MFP) Waiver Providers with day services set in place by HCBS Waiver Provider Bulletin 9. The guidance and requirements within this bulletin are in addition to EOHHS guidance. PDF | Word
  • HCBS Waiver Provider Bulletin 11: Enhanced Rates and Billing Instructions for ABI and MFP Waiver Day Services, Community-based Day Supports, Prevocational Services, and Supported Employment for Dates of Service from June 1, 2021, through June 30, 2021 sets forth enhanced rates and billing instructions to address the reduced member utilization of day program services as waiver participants begin returning to day programs following closures and/or access limitations related to COVID-19 pandemic. PDF | Word
  • HCBS Waiver Provider Bulletin 10: Updated Guidance for Home and Community-Based Services (HCBS) Waiver Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency consolidates and restates MassHealth’s current telehealth policy for HCBS Waiver services which will extend through six months after the end of the federal Public Health Emergency for COVID-19, consistent with Appendix K. PDF | Word
  • HCBS Waiver Provider Bulletin 9: Additional Guidance and Requirements for Day Services During Phase IV of the Reopening Plan replaces and supersedes HCBS Waiver Provider Bulletin 5 to outline guidance and requirements for HCBS Waiver providers in addition to EOHHS guidance. PDF | Word
  • HCBS Waiver Provider Bulletin 8: Enhanced Rates and Billing Instructions for ABI and MFP Waiver Day Services, Community-based Day Supports, Prevocational Services, and Supported Employment for Dates of Service from December 1, 2020, through May 31, 2021 sets forth the enhanced rates and billing instructions for day services in effect for MassHealth-covered ABI and MFP Waiver day services, CBDS, prevocational services, and supported employment. PDF | Word
  • HCBS Waiver Provider Bulletin 6: Updated Guidance for Home and Community-Based Services (HCBS) Waiver Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency This bulletin is a restatement of HCBS Waiver Provider Bulletin 4 with the following addition: “Requirements for a written member signature may be waived so long as the provider receives a verbal attestation from the member in lieu of a written signature; documents the date and time of the verbal attestation; and includes the note ‘COVID-19’ on required documents for record-keeping purposes.” PDF | Word
  • HCBS Waiver Provider Bulletin 5:  Additional Guidance and Requirements for Day Services During Phase III outlines additional guidelines and requirements for MassHealth-covered ABI and MFP Waiver day services​ including use of risk/benefit tools, reporting to MassHealth on program rosters, and reporting processes when a staff member or participant tests positive for COVID-19. PDF | Word

Hospice Bulletins

  • Hospice Bulletin 22: Expanded Vaccine Requirement to Include Hospice Programs describes the extended vaccine requirement, that includes employees of Hospice Programs, including exemptions and the implementation of this requirement. PDF | Word
  • Hospice Bulletin 19: MassHealth Telehealth Policy for Hospice Services - Extension explains MassHealth’s policy for the use of telehealth for certain hospice services and extends the policy until 90 days after the final date of the Governor’s Declaration of a State of Emergency​. PDF | Word
  • Hospice Bulletin 18: COVID-19 Related Administrative Flexibilities for Hospice Providers - Extension extends COVID-19 flexibilities for hospice services providers and extends these flexibilities until the end of the federal public health emergency. PDF | Word
  • Hospice Bulletin 17: COVID-19 Related Administrative Flexibilities for Hospice Providers provides updates to MassHealth’s COVID-19 related flexibilities for providers of MassHealth covered hospice services, and with the goal of helping to ensure members retain access to appropriate hospice services, promote social distancing, and mitigate the spread of COVID-19. PDF | Word
  • Hospice Bulletin 16: MassHealth Telehealth Policy for Hospice Services explains MassHealth’s policy for the use of telehealth for certain hospice services through March 31, 2021. PDF | Word

Independent Nurses Bulletins

  • Independent Nurse Bulletin 5: Expanded Vaccine Requirement to Include Home Care Workers under a State Contract describes the extended vaccine requirement, that includes Independent Nurses under State Contract, including exemptions and the implementation of this requirement. PDF | Word
  • Independent Nurse Bulletin 4: Extended COVID-19 Related Administrative Flexibilities for Independent Nurses Including Telehealth and New Telehealth Documentation Requirement describes COVID-19 related flexibilities, including telehealth requirements and guidance, for MassHealth independent nurses that will remain in effect until the end of the FPHE. PDF | Word
  • Independent Nurses Bulletin 2: COVID-19 Related Administrative Flexibilities for Independent Nurses including Telehealth - Extension extends COVID-19 related flexibilities for independent nurses providing continuous skilled nursing (CSN) services, including telehealth. Some of the flexibilities described in the bulletin will extend until the end of the federal public health emergency, while others will extend until 90 days after the final date of the Governor’s Declaration of a State of Emergency. PDF | Word
  • Independent Nurses Bulletin 1: COVID-19 Related Administrative Flexibilities for Independent Nurses including Telehealth​ provides updates to MassHealth’s COVID-19 related flexibilities for MassHealth Independent nurses providing Continuous Skilled Nursing (CSN) services, including telehealth, and with the goal of helping to ensure members retain access to appropriate CSN services, promote social distancing, and mitigate the spread of COVID-19. PDF | Word

Oxygen and Respiratory Therapy Equipment Bulletins

  • Oxygen and Respiratory Therapy Equipment Bulletin 20: COVID-19 Related Administrative Flexibilities for Oxygen and Respiratory Therapy Equipment Providers - Extension extends COVID-19 related flexibilities for providers of MassHealth-covered oxygen and respiratory therapy equipment. Some of the flexibilities described in the bulletin will extend until the end of the federal public health emergency, while others do not have an end date. PDF | Word
  • Oxygen and Respiratory Therapy Equipment Bulletin 19: COVID-19 Related Administrative Flexibilities for Oxygen and Respiratory Therapy Equipment Providers provides updates to MassHealth’s COVID-19 related flexibilities for providers of MassHealth-covered oxygen and respiratory therapy equipment to help ensure members retain access to appropriate oxygen and respiratory therapy equipment, promote social distancing, and mitigate the spread of COVID-19. PDF | Word

Rehabilitation Center Bulletins

  • Rehabilitation Center Bulletin 14: Extended COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth and New Telehealth Documentation Requirement describes COVID-19 related flexibilities for MassHealth Rehabilitation Center services (physical therapy, occupational therapy, and speech-language therapy) that will remain in effect beyond September 13, 2021, until the end of the FPHE; clarifies that telehealth visits may be used for follow-up visits that do not require any hands-on care; and describes a new recordkeeping and documentation requirement regarding telehealth services. PDF | Word
  • Rehabilitation Center Bulletin 13: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth - Extension extends COVID-19 related flexibilities for MassHealth therapist services, including telehealth. Some of the flexibilities described in the bulletin will extend until the end of the federal public health emergency, while others will extend until 90 days after the final date of the Governor’s Declaration of a State of Emergency​.  PDF | Word
  • Rehabilitation Center Bulletin 12: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth provides updates to COVID-19 related flexibilities for MassHealth therapist services, including services delivered via telehealth, at rehabilitation centers (physical therapy, occupational therapy, and speech and language therapy). PDF | Word

Speech and Hearing Center Bulletins

  • Speech and Hearing Center Bulletin 14: Extended COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth and New Telehealth Documentation Requirement describes COVID-19 related flexibilities for MassHealth speech and language therapist services that will remain in effect beyond September 13, 2021, until the end of the FPHE; clarifies that telehealth visits may be used for follow-up visits that do not require any hands-on care; and describes a new recordkeeping and documentation requirement regarding telehealth services. PDF | Word
  • Speech and Hearing Center Bulletin 13: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth - Extension extends COVID-19 related flexibilities for MassHealth therapist services, including telehealth. Some of the flexibilities described in the bulletin will extend until the end of the federal public health emergency, while others will extend until 90 days after the final date of the Governor’s Declaration of a State of Emergency​. PDF | Word
  • Speech and Hearing Center Bulletin 12: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth provides updates to MassHealth’s COVID-19 related flexibilities for MassHealth speech and language therapist services , including telehealth, at speech and hearing centers to help ensure members retain access to appropriate therapist services, promote social distancing, and mitigate the spread of COVID-19. PDF | Word

Therapist Bulletins

  • Therapist Bulletin 17: Extended COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth and New Telehealth Documentation Requirement describes COVID-19 related flexibilities for MassHealth therapist services that will remain in effect beyond September 13, 2021, until the end of the FPHE; clarifies that telehealth visits may be used for follow-up visits that do not require any hands-on care; and describes a new recordkeeping and documentation requirement regarding telehealth services. PDF | Word
  • Therapist Bulletin 16: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth - Extension extends COVID-19 related flexibilities for MassHealth therapist services, including telehealth. Some of the flexibilities described in the bulletin will extend until the end of the federal public health emergency, while others will extend until 90 days after the final date of the Governor’s Declaration of a State of Emergency​. PDF | Word
  • Therapist Bulletin 15: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth provides updates to MassHealth’s COVID-19 related flexibilities for MassHealth therapist services (physical therapy, occupational therapy, and speech and language therapy), including telehealth, to help ensure members retain access to appropriate therapist services, promote social distancing, and mitigate the spread of COVID-19. PDF | Word

Resources

  • EOHHS Support Package for Step-Down Care in Long-Term Acute Care Hospitals, Inpatient Rehabilitation Facilities and Nursing Facilities ​​PDF | Word
  • 2019 Novel Coronavirus (COVID-19) Guidance for Integrated Care Programs: One Care, Program of All-inclusive Care for the Elderly (PACE), and Senior Care Options (SCO) PDF | Word
  • Guidance for in-home caregivers
    • Personal Care Attendant (PCA) Emergency Paid Sick Leave:
      This notice provides information for Personal Care Attendants (PCAs) about using emergency paid sick leave under the federal Families First Coronavirus Response Act (FFCRA).
      English  PDF | Word  Spanish PDF |Word
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