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Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 104: Discharge and Transition Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports

MassHealth·MA · PM&R (Physical Medicine & Rehab)·Provider Bulletin
Effective date
May 1, 2025
We identified it
Jun 18, 2026
Days to comply

Summary

MassHealth created a new Family Assistance LTSS Pathway effective May 1, 2025, requiring CDRHs to complete specific clinical assessments and submit documentation for Family Assistance members needing long-term services. CDRHs must complete Nursing Facility Level of Care Forms and obtain admission notices to help members access expanded benefits.

Action Required

Action needed
For admissions on or after May 1, 2025: CDRH staff must complete Nursing Facility Level of Care Forms and obtain Admission Determination Notices from OCA or managed care entities for Family Assistance members requiring long-term services or community LTSS (other than home health). Submit required documentation to Disability Evaluation Services per Appendix 1 and 2 instructions. Monitor Eligibility Verification System (EVS) to track coverage upgrades to Standard or CommonHealth.