101 CMR 424.00 — Rates for Certain Developmental and Support Services

Final Adoption Date Published in Mass. Register: August 14, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 424.00: RATES FOR CERTAIN DEVELOPMENTAL AND SUPPORT SERVICES

1 Section

424.01: General Provisions 424.02: Definitions 424.03: Rate Provisions 424.04: Filing and Reporting Requirements 424.05: Severability

101 CMR 424.00 Rates for Certain Developmental and Support Services

424.01 General Provisions

424.01: General Provisions

(1) Scope. 101 CMR 424.00 governs the payment rates for certain developmental and support services purchased by a governmental unit including, but not limited to, the Department of Developmental Services (DDS) and MassAbility (MBY).

(2) Applicable Dates of Service. Rates contained in 101 CMR 424.00 apply for dates of service provided on or after July 1, 2026.

(3) Disclaimer of Authorization of Services. 101 CMR 424.00 is neither authorization for nor approval of the services for which rates are determined pursuant to 101 CMR 424.00. Governmental units that purchase the services described in 101 CMR 424.00 are responsible for the definition, authorization, and approval of services extended to clients.

(4) Administrative Bulletins. EOHHS may issue administrative bulletins to clarify its policy on substantive provisions of 101 CMR 424.00.

424.02 Definitions

424.02: Definitions

As used in 101 CMR 424.00, unless the context requires otherwise, terms have the meanings in 101 CMR 424.02.

Client. An individual that receives developmental and support services purchased by a governmental unit.

Clinical Team. The clinical team is comprised of medical, psychological, and social service professionals, and provides around-the-clock on-call response to individuals in crisis.

Corporate Representative Payee. Individualized financial supports and advocacy for individuals who benefit from support in managing their own funds. The program supports the individual in their personal movement toward integration into the larger community by handling or supporting various aspects of the individual’s bank accounts, bill payments, and personal expenditures. Intensity levels are differentiated by complexity of the individual’s finances and level of 1:1 support provided.

Cost Report. The document used to report costs and other financial and statistical data. The Uniform Financial Statements and Independent Auditor's Report (UFR) is used when required.

Final Adoption Date Published in Mass. Register: August 14, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 424.00: RATES FOR CERTAIN DEVELOPMENTAL AND SUPPORT SERVICES

2 EOHHS. The Executive Office of Health and Human Services established under M.G.L. c. 6A.

Governmental Unit. The Commonwealth, any board, commission, department, division, or agency of the Commonwealth and any political subdivision of the Commonwealth.

Intensive Community Wrap Autism Services (ICWAS). Services for individuals with Autism Spectrum Disorder (ASD), Serious Mental Illness (SMI), or other significant mental health diagnosis designed to provide support and stabilization, as necessary. This service consists of a multi- disciplinary team to deliver clinical assessment and stabilization services, coaching, and peer mentoring supports in a variety of community and daily life activities.

Provider. Any individual, group, partnership, trust, corporation, or other legal entity that offers services for purchase by a governmental unit and that meets the conditions of purchase or licensure that have been adopted by a purchasing governmental unit.

Psychology Practitioner. Psychology practitioner may be any of the following: (a) a psychologist who is licensed to practice by the Massachusetts Board of Registration of Psychologists; (b) a graduate of a master’s or doctoral level psychology program; or (c) a behavioral analyst, board certified by the Behavior Analyst Certification Board (BACB), a private nonprofit organization based in Littleton, Colorado.

Remote Supports and Monitoring Services (RSM). A service that provides for the use of communication and non-invasive monitoring technologies to assist individuals in attaining or maintaining independence in their homes and communities while minimizing the need for on-site staff presence and intervention. The service includes the use of two-way “real-time” audio/video communication technology and will be delivered by staff at a remote location. The service also includes on-call in-person backup supports.

Reporting Year. The provider's fiscal year for which costs incurred are reported to the Operational Services Division on the Uniform Financial Statements and Independent Auditor's Report (UFR).

Transition to Adulthood Program (TAP). A program that assists students with disabilities to prepare for the transition from high school to adulthood by providing advocacy, skills training, and peer counseling, to help students learn to live independently in the community of their choice. TAP services are available to any individual who is 14 through 22 years old and enrolled in special education.

424.03 Rate Provisions

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

Final Adoption Date Published in Mass. Register: August 14, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 424.00: RATES FOR CERTAIN DEVELOPMENTAL AND SUPPORT SERVICES

3 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.

Corporate Representative Payee Program Rate Unit Basic Intensity $71.29 Client per Month Moderate Intensity $98.99 Client per Month High Intensity $226.62 Client per Month Transition to Adulthood Program $104.08 Hour

Clinical Team Staff Title Level Hourly Rate Clinical Team Program Manager 1 $48.74 Clinical Team Program Manager 2 $59.10 Clinical Team Program Manager 3 $64.78 Clinical Team Program Manager 4 $76.77 Clinical Team Psychiatrist 1 $123.69 Clinical Team Psychiatrist 2 $145.05 Clinical Team Psychiatrist 3 $175.93 Clinical Team Nurse (LPN) 1 $56.99 Clinical Team Nurse (RN) 2 $77.39 Clinical Team Nurse (APRN) 3 $102.88 Clinical Team Specialist 1 $54.50 Clinical Team Specialist 2 $60.18 Clinical Team Specialist 3 $69.92 Clinical Team Specialist 4 $76.14 Clinical Team Specialist 5 $88.28 Clinical Team Direct Care/Clerical 1 $36.03 Clinical Team Direct Care III 2 $44.91 Clinical Team Direct Care/Social/Caseworker 3 $50.54 Clinical Team Direct Care/Social/Case Manager 4 $54.50

Final Adoption Date Published in Mass. Register: August 14, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 424.00: RATES FOR CERTAIN DEVELOPMENTAL AND SUPPORT SERVICES

4

Remote Supports and Monitoring Level Rate Unit A $45.89 Daily B $83.15 Daily C $105.42 Daily

424.04 Filing and Reporting Requirements

424.04: Filing and Reporting Requirements

(1) General Provisions. (a) Accurate Data. All reports, schedules, additional information, books, and records that are filed or made available to EOHHS must be certified under pains and penalties of perjury as true, correct, and accurate by the executive director or chief financial officer of the provider. (b) Examination of Records. Each provider must make available to EOHHS or purchasing governmental unit upon request all records relating to its reported costs, including costs of any entity related by common ownership or control.

(2) Required Reports. Each provider must file (a) an annual Uniform Financial Statements and Independent Auditor's Report completed in accordance with the filing requirements of 808 CMR 1.00: Compliance, Reporting and Auditing for Human and Social Services; (b) any cost report supplemental schedule as issued by EOHHS; and (c) any additional information requested by EOHHS within 21 days of a written request.

(3) Penalty for Noncompliance. The purchasing governmental unit may impose a penalty in the amount of up to 15% of its payments to any provider that fails to submit required information. The purchasing governmental unit will notify the provider in advance of its intention to impose a penalty under 101 CMR 424.04(3).

424.05 Severability

424.05: Severability

The provisions of 101 CMR 424.00 are severable. If any provision of 101 CMR 424.00 or application of any provision to an applicable individual, entity, or circumstance is held invalid or unconstitutional, that holding will not be construed to affect the validity or constitutionality of any remaining provisions of 101 CMR 424.00 or application of those provisions to applicable individuals, entities, or circumstances.

REGULATORY AUTHORITY

101 CMR 424.00: M.G.L. c. 118E.