MedicaidAdministrativeMedium impact
HCBS Waiver Provider Bulletin 25: Waiver Participant Self-Direction: Program Rules for Providers
MassHealth·MA·Specialty Services
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
MassHealth released new program rules for HCBS waiver participant self-direction services, establishing eligibility requirements, hiring processes, and payment structures for direct care workers (DCWs) in ABI and MFP waiver programs. The policy introduces minimum age requirements (16+ effective January 1, 2026), seniority pay rates, and paid time off benefits for specific DCW categories.
Action Required
Before January 1, 2026: Billing team must verify all direct care workers (DCWs) providing HCBS waiver services are at least 16 years old and update provider eligibility verification processes. Review current DCW arrangements to ensure compliance with new age requirements. Update billing system to flag any DCW providers under 16 years old for HCBS waiver services.