MedicaidAdministrativeMedium impact
Continuous Skilled Nursing Agency Bulletin 26: Revision to Complex Care Assistant Service Supervision Requirements
MassHealth·MA · Family Medicine, Internal Medicine, General Practice·Provider Bulletin
Effective date
Feb 1, 2026
We identified it
Jun 18, 2026
Summary
MassHealth has relaxed supervision requirements for Complex Care Assistant (CCA) services. The biweekly supervisory visits are eliminated, 60-day visits can now be conducted without the CCA present, and Licensed Practical Nurses (LPNs) can now conduct supervisory visits alongside RNs.
Action Required
By February 1, 2026: Billing teams serving MassHealth CCA patients must update documentation protocols to reflect new supervision requirements. Eliminate biweekly supervisory visit documentation requirements. Update 60-day supervisory visit protocols to allow visits without CCA present. Verify that LPN-conducted supervisory visits are properly documented in member medical records with clear CCA supervisory visit notes.