Document Library

MassHealth Family Assistance Clinical Assessment & Eligibility (CAE) Screenings Business Rule

Effective November 1, 2021, MassHealth updated policy guidance to expand coverage for members who are eligible for Family Assistance. MassHealth members covered by Family Assistance who require a nursing facility stay have a pathway to be eligible for both a short-term stay and/or long-term care. Additionally, MassHealth members covered by Family Assistance may also be able to receive long-term services and supports (LTSS) in the community.

MH Family Assistance CAE Screenings FINAL 12.15.2021

PI-25-03: Enhanced Community Options Program Maximum Enrollment Allowance

The Executive Office of Aging & Independence (AGE) is issuing this Program Instruction (PI) to outline and define the requirements for the maximum enrollment allowance for the Enhanced Community Options Program (ECOP).

PI 25-03 ECOP Maximum Enrollment Allowance

PI-25-04: Revised Cost Share Table for the Home Care Program 2025

This Program Instruction (PI) transmits the Financial Eligibility Guidelines that take effect on March 28, 2025, for the Home Care Program, and sets out the voluntary co-payment, cost sharing co-payment schedules.

PI-25-04-Revised Cost Share Table for the Home Care Program 2025

Enhanced Community Options Program (ECOP) Program Instruction 25-01

The Executive Office of Aging and Independence (AGE) is issuing this Program Instruction (PI) to clarify requirements for the Enhanced Community Options Program (ECOP). This PI supersedes and replaces EOEA-PI-18-03 as well as any other previously issued communications regarding the requirements addressed herein.

PI 25-01 Enhanced Community Options Program (ECOP)

Frail Elder Waiver (FEW) Program Instruction 25-02

This program Instruction (PI) describes the eligibility criteria, interdisciplinary case management standards, and other requirements pertaining to the Frail Elder Waiver (FEW). This PI supersedes any other previously issued communications regarding the guidelines addressed herein, inclusive of PI -09-12.

PI 25-02 Frail Elder Waiver (FEW)

PI-24-16: Assessing and Ordering Medically Tailored Meals for Home Delivered Meal Consumers

The purpose of this program instruction is to rescind the guidance for the assessment module described in PI-90-46 Revised Home Delivered Meal Assessment Form/Module and to update the requirements and procedures for referring consumers to therapeutic, or medically tailored home delivered meals.  

PI-24-16 Assessing and Ordering Medically Tailored Meals for Home Delivered Meal Consumers

Addressing Homemaking Demand through Environmental Accessibility Adaptation

A viable resource to address Homemaking demand through the service currently available, Environmental Accessibility Adaptation (EAA).  In alignment with the EAA service description, a robot vacuum, countertop dishwasher, portable washer/dryer or an air purifier may provide the consumer with the tools within the home to streamline the service for their aides.

Presentation:

EAA Service Provision - HM Tasks

PI-24-15: New Home Care Services and Service Description Updates

This Program Instruction (PI) identifies new services and updates purchased service descriptions for the Home Care Program, including the 1915(c) Home and Community Based Services Frail Elder Waiver as of November 8, 2024.

PI 24-15 New Home Care Services and Service Description Updates

Program Manager/Nurse Manager Meeting: October 9, 2024

PMNM Meeting 10.2024

Aging and Disability (A & D) Minimum Data Standards

Aging and Disability (A & D) Minimum Data Standards

Home Care & Respite Over-Income Program Consolidation

EOEA - ASAP Over-Income Program Consolidation Memo 3-26-24

EOEA Guidance for Transferring Respite Over Income to Home Care Over Income 3.26.24

EOEA OI Consolidation Timeline 3.20.2024

Home Care Program Alignment June 2023 ASAP ED 6.8.2023