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FY21 General Appropriations Act, Home Health Aide Billing, and Claims-Auto Adjustment for Dates of Service January 1, 2021 Through March 15, 2021

February 22, 2021

In January 2021, MassHealth issued Home Health Agency Provider Bulletin 62, which provided guidance on the FY2021 General Appropriations Act (FY21 GAA), home health aide supplemental add-on rate, and reporting requirements. The bulletin can be found at https://tinyurl.com/yucxbuv6.

Per the FY21 GAA, MassHealth has promulgated a temporary home health aide supplement add-on rate for services provided from January 1, 2021 through June 30, 2021. The supplemental add-on rate is $0.67 per 15-minute unit, and the total temporary rate for home health aide services from January 1, 2021 through June 30, 2021 will be $7.40 per 15-minute unit.

MassHealth will be adjusting all provider claims submitted for dates of service between January 1, 2021 and March 15, 2021 to account for the increased rate for home health aide services. Home health agencies will not need to resubmit claims or request claims adjustments from the MassHealth agency for any claims submitted without the supplemental add-on rate for dates of service prior to March 15.

If you or your agency has any questions regarding this guidance, please contact the LTSS Provider Service Center at (844) 368-5184 or support@masshealthltss.com.