MedicaidAdministrativeLow impact
Continuous Skilled Nursing Agency Bulletin 24: Prohibited Contracts or Agreements with Medicaid Members Receiving Continuous Skilled Nursing Services
MassHealth·MA·Provider Bulletin
Effective date
Nov 1, 2025
We identified it
Jun 18, 2026
Summary
MassHealth (Massachusetts Medicaid) has prohibited continuous skilled nursing agencies from charging members or families fees for hiring nurses who previously worked for the agency. Any existing 'No Hire Agreements' or liquidated damages contracts are now unenforceable.
Action Required
Immediately: Continuous skilled nursing agencies must stop requiring MassHealth members to sign No Hire Agreements or pay fees for hiring former agency nurses. Remove these contract requirements from patient onboarding processes. Existing contracts with such clauses are unenforceable and should not be pursued for collection.