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Personal Emergency Response System (PERS) Updated Guidance for MassHealth Members who have Elected the MassHealth Hospice Benefit

September 12, 2022

MassHealth would like to take this opportunity to provide an update to the previous policy for MassHealth enrolled PERS providers regarding PERS devices, coordination with the hospice provider, and billing for PERS devices for MassHealth members who have elected the MassHealth Hospice Benefit.

PERS providers who provide lifeline devices to MassHealth members who are in the MassHealth Hospice Benefit must coordinate with the hospice to determine if the device is related to the palliation and management of the member’s terminal illness.

If the device is not related to the palliation and management of the member’s terminal illness the PERS provider is able to directly bill MassHealth. The PERS provider does not need a letter from the hospice indicating the PERS device is not related to the palliation and management of the member’s terminal illness.

If a hospice provider determines that the lifeline is related to the member’s terminal illness the hospice provider should document this in the member’s plan of care and the hospice provider is responsible for payment to the PERS provider. At no time should the MassHealth member be billed for the lifeline per 130 CMR 450.403(A) and 130 CMR 450.403(B).

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