MedicaidAdministrativeMedium impact
HCBS Waiver Provider Bulletin 27: Waiver Participant Self-Direction: Program Rules for Providers – Update
MassHealth·MA·Specialty Services
We identified it
Jun 18, 2026
Summary
MassHealth updated HCBS Waiver Provider Bulletin 27 outlining self-direction program rules for ABI and MFP waiver participants who employ direct care workers (DCWs). The bulletin establishes eligibility requirements, payment processes, and benefits for DCWs providing waiver services, with specific provisions for those serving MFP-CL participants who are now part of the PCA Collective Bargaining Agreement.
Action Required
Immediately: Billing teams working with MassHealth HCBS waiver services must review DCW eligibility requirements and ensure proper fiscal intermediary processes are followed. Verify that DCWs meet the minimum age requirement of 16 years old (effective January 1, 2026) and complete required new hire paperwork including CORI checks. For MFP-CL waiver participants, ensure DCWs complete new hire orientation to qualify for seniority rate pay and understand paid holiday premium rates for services provided between 6 a.m. - midnight.