(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 are reduced by the amount of any payment from any other
source.
(3)
Payment
Limitations. Except as provided in
101
CMR
418.03(2), (4) and (5),
each purchasing
governmental unit pays for services at the rates established in
101
CMR
418.03(4).
(4)
Approved Rates.
The rates set forth in
101
CMR
418.03(4) govern
payments for services provided pursuant to contracts executed under the FY 2013
or subsequent procurements of the
governmental unit procuring the service. The
approved rate is the lower of the
provider's charge or amount accepted as
payment from another payer or the rate listed below.
RATES FOR STAFFING SUPPORT
|
Positions
|
Per Diem
Rate
|
Hourly
Rate
|
30-Minute
Rate
|
|
Clinical Director
|
$557.68
|
N/A
|
N/A
|
|
Clinical (LICSW)
|
$441.55
|
N/A
|
N/A
|
|
Clinical (MA Level)
|
$352.40
|
N/A
|
N/A
|
|
Direct Care III
|
$339.56
|
$38.49
|
$19.25
|
|
Direct Care Staff
|
$261.22
|
$29.61
|
$14.81
|
|
Maintenance I General
|
$246.99
|
$28.00
|
$14.00
|
|
Maintenance II Skilled
|
$305.95
|
$34.68
|
$17.34
|
|
Maintenance III Licensed
|
$344.38
|
$39.04
|
$19.52
|
|
Food Service I
|
$261.22
|
$29.61
|
$14.81
|
|
Food Service II
|
$300.39
|
$34.05
|
$17.03
|
|
Food Service III
|
$339.56
|
$38.49
|
$19.25
|
|
Transporter
|
$261.22
|
$29.61
|
$14.81
|
|
Security
|
$261.22
|
$29.61
|
$14.81
|
|
Trainer
|
$339.56
|
$38.49
|
$19.25
|
|
Clerical Support
|
$261.22
|
$29.61
|
$14.81
|
RATES FOR YOUTH AND TRANSITION AGE YOUTH DETOXIFICATION
AND STABILIZATION PROGRAMS
|
Capacity
|
Per Diem
Rate
|
|
12 Beds
|
$775.85
|
(5)
Administrative Adjustment for Extraordinary
Circumstances. A purchasing governmental unit may request an
adjustment to the published rates to reflect increases in
per
diem operating costs due to unusual and unforeseen circumstances or
extraordinary client service requirements not considered in the development of
the current rates. Unusual and unforeseen circumstances are events of a serious
nature that affect program operations or viability to the extent that there
exists a threat to the stability of service provision such that client or
consumer access to necessary services is at risk. The purchasing governmental
unit evaluates the need for the administrative adjustment, identifies the
duration of the need, determines whether funding is available, and conveys that
information to EOHHS for review to determine the amount of any
adjustment.
Notes
Amended by
Mass
Register Issue 1273, eff. 11/7/2014.
Amended by
Mass
Register Issue 1310, eff.
4/8/2016.
Amended by
Mass
Register Issue 1323, eff.
10/7/2016.
Amended by
Mass
Register Issue 1353, eff.
12/1/2017.
Amended by
Mass
Register Issue 1374, eff.
9/21/2018.
Amended by
Mass
Register Issue 1412, eff.
3/6/2020.
Amended by
Mass
Register Issue 1429, eff.
10/30/2020.
Amended by
Mass
Register Issue 1481, eff.
10/28/2022.
Amended by
Mass
Register Issue 1539, eff.
1/17/2025.
