Acquired Brain Injury Waivers

MassHealth has two ABI waivers.

About the Program

The Massachusetts Rehabilitation Commission and MassHealth, in conjunction with UMass Medical School, offer two home- and community-based services waivers to help MassHealth-eligible persons with acquired brain injury (ABI) move to the community and access community-based services.

The two waivers are

  • ABI–Residential Habilitation (ABI-RH) – for people who need supervision and staffing 24 hours a day, seven days a week in a provider-operated residence
  • ABI–Non-residential Habilitation (ABI-N) – for people who can move to their own home or apartment or to the home of someone else and receive services in the community

ABI applications may be submitted at any time.

Eligibility Criteria for ABI Waivers

If you are a MassHealth applicant or member living in a nursing facility or a chronic disease or rehabilitation hospital and have an ABI, you may apply for one of these waivers. An individual may not participate in more than one waiver at a time.

In order to be eligible for one of these waivers, applicants must

  • be living in a nursing facility or a chronic or rehabilitation hospital and have resided there for at least 90 days;
  • have experienced an acquired brain injury at age 22 or older. An acquired brain injury can result from a stroke, brain trauma, infection of the brain (such as encephalitis), brain tumor, or anoxia (lack of oxygen);
  • meet the clinical requirements and need of the waiver services available; and
  • meet the financial requirements to qualify for MassHealth. Special financial rules exist for waiver participants.

Service Offerings

All waiver participants will work with a case manager/service coordinator to develop their individual service plan that will include their goals and the waiver services and supports the participant needs in the community.

MFP Waiver services include the following:

Yes means the service is available
No means it’s not available

Service

ABI-RH

ABI-N

Adult Companion

No

Yes

Assisted Living Services

Yes

No

Chore Services

No

Yes

Community Based Day Supports

Yes

Yes

Community Support and Navigation

No

No

Day Services

Yes

Yes

Family Training

No

No

Home Accessibility Adaptations

No

Yes

Home Health Aide

No

No

Homemaker

No

Yes

Independent Living Supports

No

No

Individual Support and Community Habilitation 

No

Yes

Occupational, physical, or speech therapy

Yes

Yes

Orientation and Mobility Services

No

No

Peer Support

No

No

Personal Care

No

Yes

Prevocational Services

Yes

No

Residential Habilitation (group home)

Yes

No

Respite

No

Yes

Shared Home Supports

No

No

Shared Living – 24-Hour Supports

Yes

No

Skilled Nursing

No

No

Specialized Medical Equipment

Yes

Yes

Supported Employment

Yes

No

Supportive Home Care Aide

No

No

Transitional Assistance Services

Yes

Yes

Transportation

Yes

Yes

Vehicle Modification

No

No

Application Process

Applications for the ABI Waiver may be submitted at any time.

Send the completed application to

UMass ABI Waiver Unit
333 South Street
Shrewsbury, MA 01545-2732

For more information contact

UMass ABI Waiver Unit

Phone: (866) 281-5602

Email: ABIinfo@umassmed.edu

 

Additional Resources

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