Aging & Disability for Professionals - Serving Massachusetts Older Adults and People with Disabilities

Clinical Assessment & Eligibility (CAE)

Retrospective and Conversions Requests Exceeding 90 Days

The purpose of this Program Instruction (PI) is to issue procedures for ASAPs when conducting retrospective clinical eligability assessments for authorization of MassHealth payment for nursing facility services. Any previously issued instructions, regardless of the format, are hereby rendered obsolete and replaced by the requirements in this PI. Please click on the link below for […]

Clinical Eligibility for Home and Community Based Frail Elder Waiver

This information Memorandoum is being issued to clarify the process for ASAPs when determining initial clinical eligibility for consumers identified through the Senior Care Organization (SCO) as potentially eligable for the Home and Community Based Frail Elder Waiver (FEW). Click on the link below for further details.   Download IM-13-03 Clinical Eligibility for Home and […]

CDS-2 – training materials (SIMS assessments)

Document Abstract: (updated Dec 11, 2009) This zip file contains materials from the CDS-2 trainings presented on Oct 26 & 29, 2009. � It includes the following files: 2009 Revised SIMS Assessments for RNs – v103 final 10-23-09.ppt CDS-2-CM requirements – training document – v1.2- FINAL.doc CDS2 Change Log – 2009-10-02 – extra tab for […]

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