(i.e., HCBS Elderly and/or Physically Disabled Adult Waivers)
MA Frail Elder (for older individuals ages 60 - no max age)
Types of Technology Reimbursed/Definition (i.e., Personal Emergency Response System (PERS), Medication Dispensing, Home Telehealth, Remote Monitoring, etc.)
Home Based Wandering Response System: Home Based Wandering Response System is a communications alerting system for clients that wander. A lightweight, waterproof, hypoallergenic, tamperproof appliance, which sends radio frequency signals to a base unit worn by the client. The caregiver sets a delay and range setting creating a “safe zone” for the client to ambulate within. The base unit activates an alarm that alerts caregivers in the home, as well as a monitoring station when the client leaves the “safe zone”. The monitoring station is staffed 24 hours per day, seven days a week by trained attendants who receive and process the emergency call and ensure the timely notification of the appropriate individuals and/or emergency services to assist the person who has wandered away from the “safe zone”.
Education, Training, Supervision:
Providers must ensure effective training of staff members in all aspects of their job duties, including handling emergency situations, and establish procedures for appraising staff performance and for effectively modifying poor performance where it exists.
Reimbursement Rates
Home Based Wandering Response System: $44.60-$50.20/month
MassHealth Program Durable Medical Equipment
Types of Technology Reimbursed/Definition (i.e., Personal Emergency Response System (PERS), Medication Dispensing, Home Telehealth, Remote Monitoring, etc.)
PERS Service: Effective February 1, 2009, MassHealth will require in-home installation of PERS only if there is no one else available to install the PERS, such as the member, the member’s caregiver, or a family member. DME providers of PERS must assess the member’s need for in-home installation when the provider receives a referral for PERS, and must maintain documentation of such assessment in the member’s record. If other options exist for the member to install the PERS, providers may deliver the PERS to the member by mail (return receipt required). If a PERS is delivered by mail, then the provider must not submit a claim to MassHealth for the PERS installation.
PERS Rates: The Division of Health Care Finance and Policy (DHCFP) has assigned a new payment rate for the rental of a personal emergency response system (PERS): Service Code S5161. The rate can be viewed at the DHCFP Web site (www.mass.gov/dhcfp). DHCFP has adopted this amendment to 114.3 CMR 22.00: Durable Medical Equipment, Oxygen and Respiratory Therapy, as an emergency regulation effective February 1, 2009, to implement budget reductions in accordance with M.G.L. c. 29 §9C.
Reimbursement Rates
PERS Service: Rates unavailable