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All Home Health Claims Due by July 15, 2020 for Services Related to FY20 Supplemental Budget

June 29, 2020
MassHealth promulgated amendments to 101 CMR 350.00: Home Health Services effective for dates of service from April 1, 2020 to June 30, 2020. The proposed amendment is in accordance with FY20 supplemental budget language at Section 2, line item 9110-1635, which requires EOHHS to adjust rates for home health aide services in order to provide an additional $5,941,400 in FY20 on "home health aide services funded through items 4000-0601, 9110-1630 and 9110-0600." 
These amendments increased the rate of payment for home health aide services from $6.10 to $6.31 per 15-minute unit, and included an additional annualization rate of $0.63 to account for the time period from July 1, 2019 through March 31, 2020.
Due to the current state of emergency related to the 2019 novel Coronavirus (COVID-19), MassHealth is experiencing a decrease in home health aide utilization, which will result in the MassHealth agency spending less than the appropriated funds acquired through the FY20 supplemental budget.
Therefore, MassHealth will promulgate an updated annualization rate for home health aide services to 101 CMR 350 for the time period from June 1, 2020 through June 30, 2020. MassHealth will retroactively adjust all claims submitted for dates of service from June 1, 2020 through June 30, 2020 to account for the increased annualization rate.
In order to establish the new annualization rate, home health agencies must submit all MassHealth claims requests for June 2020 by July 15, 2020.
If you or your agency has any questions, please contact the LTSS Service Center at (844) 368-5184 or