MedicaidAdministrativeMedium impact
Nursing Facility Bulletin 195: Specialized Ventilator-Dependent Service Programs and Add-ons
MassHealth·MA · Pulmonology, Critical Care·Specialty Services
Effective date
Nov 1, 2025
We identified it
Jun 18, 2026
Summary
MassHealth has established new requirements for nursing facilities to provide specialized ventilator-dependent services and receive ventilator add-on payments. Facilities must obtain EOHHS approval, meet specific staffing requirements, and submit quarterly reports to bill for these enhanced services.
Action Required
Immediately: Nursing facilities seeking to provide specialized ventilator-dependent services must email completed Appendix A approval request form to InstitutionalPrograms@mass.gov. Establish required staffing including SVD Program Manager and respiratory therapist. Set up quarterly reporting system for participant reports (Appendix B). Only begin billing ventilator add-ons after receiving EOHHS approval and onsite visit completion.