101 CMR, § 416.03 - Rate Provisions

(1) Services Included in the Rate. The approved rate includes payment for all care and services that are part of the program of services of an eligible provider, as explicitly set forth by the purchasing governmental unit(s).

(2) Reimbursement as Full Payment. Each eligible provider must, as a condition of payment by any purchasing governmental unit, accept the approved rate as full payment and discharge of all obligations for the services rendered. Payment by the purchasing governmental unit for services rendered to the client will be reduced by the amount of any payment from any other source.

(3) Payment Limitations. No purchasing governmental unit may pay less than, or more than, the approved rate.

(4) Approved Rates. The approved rate is the lower of the provider's charge or amount accepted as payment from another payer, or the rate listed in 101 CMR 416.03(4).

Club House Services Rates	Unit	Rate
Average Daily Attendance of 29 and under	Per Service Day	$80.06
Average Daily Attendance of 30 through 70	Per Service Day	$76.72
Average Daily Attendance of 71 and above	Per Service Day	$57.16
Program located in Nantucket or Dukes County	Per Service Day	$99.92

Add-on Rates	Unit	Rate
Workforce Initiatives	Annual	2.9% of the Provider's FY18 State Funding
Workforce Initiatives	Half-year	1.45% of the Provider's FY18 State Funding

Notes

101 CMR, § 416.03

Adopted by Mass Register Issue 1314, eff. 6/3/2016. Amended by Mass Register Issue 1351, eff. 11/3/2017. Amended by Mass Register Issue 1407, eff. 12/27/2019. Amended by Mass Register Issue 1459, eff. 12/24/2021. Amended by Mass Register Issue 1520, eff. 4/26/2024.