Services included in the ABI and MFP waivers

Descriptions of services included in the ABI and MFP waivers.

This table provides descriptions of each service included in the ABI and MFP waivers. Not all services on this page are included in all of the ABI and MFP waivers.

Yes means the service is included in the waiver indicated.

No means the service is not included in the waiver indicated.

There may be limits to certain services listed below. This information can be found in the ABI/MFP Participant Handbook, or you may contact your case manager for this information.

If you are a participant with questions about waiver services, please contact your Case Manager/Service Coordinator.

 

Table of services included in Acquired Brain Injury (ABI) and Moving Forward Plan (MFP) waivers

Key to abbreviations used in this table:

ABI-N                    Acquired Brain Injury–Non-Residential Habilitation Waiver

MFP-CL                Moving Forward Plan–Community Living Waiver

ABI-RH                  Acquired Brain Injury–Residential Habilitation Waiver    

MFP-RS                Moving Forward Plan–Residential Supports Waiver

Service	Service Description	ABI-N	MFP-CL	ABI-RH	MFP-RS
Adult Companion	Includes support, supervision, and socialization. Companions may help you with your daily activities, such as meal preparation, shopping, and being involved in your community. Certain limits apply to this service. You can ask your Case Manager for more information about service limits.	Yes	Yes	No	No
Assisted Living Services	Assisted Living includes personal care and supportive services provided to participants who reside in an assisted living residence. Services provided include homemaking, chore, personal care, meals, and other supports. Services do not include 24-hour skilled care.	No	No	Yes	Yes
Chore Service	Chore services are occasional heavy household chores that are needed to keep the home clean and safe, such as washing windows, floors, and walls, moving heavy items of furniture and shoveling snow to provide safe access and egress.	Yes	Yes	No	No
Community Based Day Supports	Services including a range of daytime activities to promote personal, social interactions and community engagement. Community Based Day Supports may include exploring careers, developing independent living skills, pursuing personal interests and hobbies, and other experiences to support your full participation in community life. This service is provided in a small group. Certain limits apply to this service. You can ask your Case Manager or Service Coordinator for more information about service limits.	Yes	Yes	Yes	Yes
Community Support and Navigation	Community Support and Navigation is an outreach and support service for participants who need support to access behavioral health and other medical services. Community Support and Navigation is a flexible, mobile service that fits your individual needs. It may include developing plans and strategies to support your recovery and wellness, helping you connect with behavioral health and other health care services, finding peer support, and help developing your self-advocacy skills so you can participate fully in your treatment and service planning. Community Support and Navigation is not a clinical treatment service.	No	Yes	No	Yes
Day Services	Services consist of center-based structured day activity, typically for individuals who are not ready, or do not prefer, to join the workforce. Day Services often include support to learn or improve daily living and functional skills and other skills training and activities to be more fully involved in the community and promote greater independence. Certain limits apply to this service. You can ask your Case Manager or Service Coordinator for more information about service limits.	Yes	Yes	Yes	Yes
Family Training	Services provide training and instruction to participants and unpaid family caregivers about ways to help the participant succeed in the community. Services may include training in family leadership, support of self-advocacy, and independence.	No	Yes	No	Yes
Home/Environmental Accessibility Adaptations	Those physical adaptations necessary to ensure the health, safety and autonomy of the participant. Modifications may be made to the participant’s home, a family home, or to a home available to the participant through shared home supports or shared living, and are provided in full compliance with local and state building codes. This service has a lifetime limit of $50,000.	Yes	Yes	No	Yes
Home Health Aide	Home Health Aides have a higher level of training and provide hands-on care and additional assistance with personal care functions. Certain limits apply to this service. You can ask your Case Manager for more information about service limits.	No	Yes	No	No
Homemaker	Services consist of the performance of general household tasks such as meal preparation, laundry, grocery shopping, and light housekeeping. Certain limits apply to this service. You can ask your Case Manager for more information about service limits.	Yes	Yes	No	No
Independent Living Supports	These supports are provided in a multi-tenant building. Supports are available for participants who do not require 24-hour supervision. Services available include homemaking and personal care, as well as support and companionship. This service does not include hands-on nursing care.	No	Yes	No	No
Individual Support and Community Habilitation	Skills training that can help you to remain in your home. It includes learning or improving the skills you need to live as independently as possible, such as getting around the community, using public transportation or balancing your checkbook. Certain limits apply to this service. You can ask your Case Manager or Service Coordinator for more information about service limits.	Yes	Yes	No	Yes
Occupational Therapy	Occupational Therapy services include those provided by a licensed occupational therapist and designed to improve quality of life by developing or recovering competence, preventing further injury or disability, and improving the individual’s ability to perform tasks required for independent functioning. Services may also include training and oversight for the participant, family member or other person, to carry out a maintenance program. This service is limited to one individual treatment and one group therapy session per day.	Yes	Yes	Yes	Yes
Orientation and Mobility Services	These services help participants who have vision impairment or blindness to learn about your new home and community, including moving independently in your home, traveling to and from your home, and learning about transportation services available to you. Services can also include support for your caregivers to learn about blindness and low vision and can provide information and resources for living with blindness and low vision in the community.	No	Yes	No	Yes
Peer Support	Peer Support matches you with individuals who have lived experience and can help you adapt to the community. This is not counseling. This service is limited to 16 hours per week.	No	Yes	No	Yes
Personal Care	Provides assistance with performing hands-on tasks or cuing and supervision for certain tasks such as bathing, dressing, personal hygiene, light personal housekeeping, meal preparation, and other activities of daily living. Certain limits apply to this service. You can ask your Case Manager for more information about service limits.	Yes	Yes	No	No
Physical Therapy	Services include those performed by a licensed physical therapist that are necessary to develop functions or skills or to address a loss, impairment, or reduction of physical function as a result of an acute or chronic medical condition, congenital anomaly, or injury . Services may include training and oversight necessary for the participant, family member, or other person to carry out a maintenance program.  This service is limited to one individual treatment and one group therapy session per day.	Yes	Yes	Yes	Yes
Prevocational Services	Services provide a range of generalized learning and experiential activities that prepare a participant for paid or unpaid employment in an integrated, community setting. Prevocational services may be provided one-to-one or in a group. This service may be provided as a site-based service. Certain limits apply to this service. You can ask your Case Manager or Service Coordinator for more information about service limits.	No	Yes	No	Yes
Residential Habilitation	Services and supports provided in a provider-operated group home setting that assist individual residents with activities of daily living, medication, meal preparation, and to acquire, maintain, or improve skills necessary to live in the community. Supports include personal care, protective oversight and supervision, and skills training. The setting includes 24-hour staffing and must be accessible for residents.	No	No	Yes	Yes
Respite	Services are provided on a short-term basis to replace absent caregivers or relieve informal caregivers from the daily demands of caring for a participant and to strengthen the informal support system.	Yes	Yes	No	No
Shared Home Supports	This service matches a participant with a caregiver who lives with the participant at the residence of either the caregiver or participant. The caregiver may not be a legally responsible family member. No more than two participants may reside in a single home.	No	Yes	No	No
Shared Living – 24 Hour Supports	This service matches a participant with a caregiver who offers support, personal care, daily structure and supervision. Shared Living integrates the participant into the usual activities of the caregiver’s family life. The caregiver may not be a legally responsible family member. Shared Living may be provided to no more than two participants in a single home.	No	No	Yes	Yes
Skilled Nursing	Skilled Nursing Services are provided by a Registered Nurse or a Licensed Practical Nurse and may be provided to a participant who is in need of medication monitoring or education. This service can only be provided once per week, but exceptions may be granted on a temporary basis.	No	Yes	No	Yes
Specialized Medical Equipment	Specialized Medical Equipment allows participants to obtain medical, medically related and other tools that help them to increase their independence. Such equipment may be accessed as a waiver service to the extent it is not available as Durable Medical Equipment through Medicare or State Plan MassHealth services. Examples might include a voice-activated computer, a special or extra wheelchair cushion, or extra supplies.	Yes	Yes	Yes	Yes
Speech Therapy	Speech Therapy services must be provided by a licensed speech therapist. Services must be considered by the therapist to be necessary for the participant either to improve, develop, maintain, correct, or rehabilitate speech or language communication or improve swallowing disorders. Services may also include training and oversight for the participant, family member or other person, to carry out a maintenance program. This service is limited to one individual treatment and one group therapy session per day.	Yes	Yes	Yes	Yes
Supported Employment	Supported employment services provide support to allow participants to obtain competitive employment at or above the minimum wage. This service also provides supports for participants as they function in a regular work setting, and may include assisting the participant to find or develop a job. Certain limits apply to this service. You can ask your Case Manager or Service Coordinator for more information about service limits.	Yes	Yes	Yes	Yes
Supportive Home Care Aide	Provides personal care and homemaking services as well as emotional support and socialization to participants with Alzheimer’s disease or dementia or other behavioral health needs. Certain limits apply to this service. You can ask your Case Manager for more information about service limits.	No	Yes	No	No
Transitional Assistance Services	Transitional Assistance services include assistance and one-time expenses to help you to set up your household. Assistance can include helping you to find housing, including completing and submitting applications, as well as working with you to find and set up services, order the medical equipment that you’ll need, and support you in arranging to move into the community. Expenses may include security deposits, furnishings, set-up fees for utilities or service access, pest eradication, one-time cleaning prior to occupancy, moving expenses, and necessary accessibility adaptations. Expenses do not include room and board. Transitional Assistance services are limited to a specific period of time as you transition to the community. You can ask your Case Manager or Service Coordinator for more information.	Yes	Yes	Yes	Yes
Transportation	Transportation services are offered to enable participants to get to services, activities, and resources when other transportation is not available. When possible, the participant should use family, neighbors, friends, or community agencies that can provide transportation without charge.	Yes	Yes	Yes	Yes
Vehicle Modification	Vehicle adaptations or alterations include those made to a car or van that is the participant’s primary means of transportation. Modifications may include van lifts, tie downs, ramps, specialized seating, and safety restraints, and must be of direct medical or remedial benefit. Costs for this service cannot exceed $25,000 over a three-year period. Funds cannot be used to pay for a new vehicle or for routine vehicle maintenance, and modifications to a paid caregiver’s vehicle or provider agency vehicle are excluded.	No	Yes	No	No