Title 130 CMR 456.000 - Long Term Care Services

Section 456.401 - Nursing Facility Services: Introduction
Section 456.402 - Definitions
Section 456.403 - Eligible Members
Section 456.404 - Requirements for Provider Participation: In-state
Section 456.405 - Requirements for Provider Participation: Out-of-state
Section 456.406 - Medicare Certification Requirement
Section 456.407 - Clinical Authorization of Nursing Facility Services
Section 456.408 - Conditions for Payment
Section 456.409 - Clinical Eligibility Criteria
Section 456.410 - The Preadmission Screening and Resident Review (PASRR) Process for Intellectual Disability (ID), Developmental Disability (DD), and/or Serious Mental Illness (SMI)
Section 456.411 - Review of Need for Continuing Care in a Nursing Facility
Section 456.412 - Notification and Right of Appeal
Section 456.413 - Resident Rights
Section 456.414 - Mobility Systems
Section 456.420 - Case-mix Classification
Section 456.421 - Reconsideration of MassHealth-assigned Case-mix Classification Rating
Section 456.422 - Hospice Services in Nursing Facilities
Section 456.423 - Patient-paid Amount
Section 456.424 - Limitations on Charges to Members
Section 456.425 - Medical Leave of Absence (MLOA): Introduction
Section 456.426 - Medical Leave of Absence: Conditions of Payment
Section 456.427 - Medical Leave of Absence: Payment
Section 456.428 - Medical Leave of Absence: Readmission
Section 456.429 - Medical Leave of Absence: Failure to Readmit
Section 456.430 - Nonmedical Leave of Absence (NMLOA): Introduction
Section 456.431 - Nonmedical Leave of Absence: Limitations
Section 456.432 - Nonmedical Leave of Absence: Conditions for Payment
Section 456.433 - Nonmedical Leave of Absence: Payment
Section 456.451 - Withdrawal by Nursing Facilities from MassHealth: Introduction
Section 456.452 - Notice of Withdrawal
Section 456.453 - Withdrawal Requirements
Section 456.454 - Administrative Action Regarding Withdrawals
Section 456.455 - Limitation of Provider Participation
Section 456.601 - Personal Needs Allowance (PNA) Account
Section 456.602 - Management of the PNA Account
Section 456.603 - Autonomy of PNA Account
Section 456.604 - PNA Recordkeeping Requirements
Section 456.605 - Petty Cash in the Facility
Section 456.606 - Assurance of Financial Security
Section 456.607 - Availability of PNA Records to MassHealth or it's Designee's Personnel
Section 456.608 - Member Signature
Section 456.609 - Notification of Account Balance
Section 456.610 - Availability of PNA Records to Members
Section 456.611 - PNA Funds of a Member Transferred to Another Facility
Section 456.612 - PNA Funds of a Member Discharged to the Community
Section 456.613 - Member Is Transferred to a Hospital and Does Not Return to the Facility
Section 456.614 - Death of a Member
Section 456.615 - Annual Accounting to MassHealth of the PNA Balance
Section 456.621 - Return of Unused Unit-Dose Drugs
Section 456.701 - Notice Requirements for Transfers and Discharges Initiated by a Nursing Facility
Section 456.702 - Time Frames for Notices Issued by Nursing Facilities
Section 456.703 - Time Frames for Submission of Requests for Fair Hearings
Section 456.704 - Stay of a Transfer or Discharge from a Nursing Facility Pending Appeal
Section 456.705 - Scheduling by the Board of Hearings