Administrative regulations and billing regulations apply to all providers and are contained in 130 CMR 450.000. These regulations are reproduced as Subchapters 1, 2, and 3 in this and all other manuals.
Program regulations cover matters that apply specifically to the type of provider for which the manual was prepared. For personal care providers, those matters are covered in 130 CMR 422.000, reproduced as Subchapter 4 in the Personal Care Manual.
The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. These rate regulations for personal care services may be found in 101 CMR 309.00.
Personal care management agencies and fiscal intermediaries are contracted providers with MassHealth. Applicants may apply to be PCM providers through COMMBUYS Resource Center. Fiscal intermediary contracts are closed.