101 CMR, § 424.03 - 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 in the terms of the purchase agreement between the eligible provider and the purchasing governmental unit(s).

(2) Reimbursement as Full Payment. Each eligible provider must, as a condition of acceptance of payment made by any purchasing governmental units for services rendered, accept the approved program rate as full payment and discharge of all obligations for the services rendered. Payment from any other source will be used to offset the amount of the purchasing governmental unit's obligation for services rendered to the publicly assisted client.

(3) Payment Limitations. No purchasing governmental unit may pay less than or more than the approved program 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 424.03.

Program	Rate	Unit
Corporate Representative Payee
Basic Intensity	$54.28	Client per Month
Moderate Intensity	$76.31	Client per Month
High Intensity	$177.49	Client per Month
Transition to Adulthood Program	$83.03	Hour
Day Habilitation Supplemental Supports
Direct Care/Program Staff	$5.69	% Hour
Licensed Practical Nurse (LPN)	$10.82	% Hour
Registered Nurse (RN)	$16.30	% Hour

Clinical Team Staff Title	Level	Hourly Rate
Clinical Team Program Manager	1	$47.52
Clinical Team Program Manager	2	$54.72
Clinical Team Program Manager	3	$63.16
Clinical Team Program Manager	4	$74.84
Clinical Team Psychiatrist	1	$120.56
Clinical Team Psychiatrist	2	$141.08
Clinical Team Psychiatrist	3	$153.88
Clinical Team Nurse (LPN)	1	$47.20
Clinical Team Nurse (RN)	2	$70.84
Clinical Team Nurse (APRN)	3	$93.40
Clinical Team Specialist	1	$46.52
Clinical Team Specialist	2	$50.40
Clinical Team Specialist	3	$54.92
Clinical Team Specialist	4	$65.88
Clinical Team Specialist	5	$77.92
Clinical Team Direct Care/Clerical	1	$32.76
Clinical Team Direct Care III	2	$39.40
Clinical Team Direct Care/Social/Caseworker	3	$39.76
Clinical Team Direct Care/Social/Case Manager	4	$46.52

Remote Supports and Monitoring
Level	Rate	Unit
A	$43.07	Daily
B	$77.35	Daily
C	$98.40	Daily

Notes

101 CMR, § 424.03

Amended by Mass Register Issue 1485, eff. 1/1/2023. Amended by Mass Register Issue 1533, eff. 10/25/2024.