Category(s) Senior Care Organization (check one or both): Provider Qualifications Provider Type: License Certificate Other Standard (specify) (specify) (specify) Senior Care Senior Care Organizations enrolled under Organization contract with MassHealth. A senior care organization is a qualified contractor selected to provide services to MassHealth members aged 65 or older who have chosen to participate in Senior Care Options. Under this program, senior care organizations provide a fully integrated geriatric model of care. Verification of Provider Qualifications Provider Type: Entity Responsible for Verification: Frequency of Verification Senior Care MassHealth Office of Long Term Services and Annually Organization Supports Service Specification Service Type: ☐ Statutory ☐ Extended State Plan Other Service Name: Complex Care Training and Oversight (formerly Skilled Nursing) ☐ Service is included in approved waiver. There is no change in service specifications. Service is included in approved waiver. The service specifications have been modified. ☐ Service is not included in approved waiver. Service Definition (Scope): Complex Care Training and Oversight is a periodic, episodic service that includes medication management (e.g., filling medication cassettes) as well as development and ongoing management and evaluation of the Home Health Aide Plan of Care, for purposes of monitoring the underlying conditions participant’s participant’s or complications to ensure the unskilled care is successfully addressing the needs. participant’s Complex Care Training and Oversight services listed in the service plan that are within the scope of the State's Nurse Practice Act and are provided by a Registered Nurse or a Licensed Practical Nurse with a valid Massachusetts license. Agencies that provide Complex Care Training and Oversight services under the waiver do not need to meet the requirements for participation in Medicare, as provided in 42 CFR §489.28. Specify applicable (if any) limits on the amount, frequency, or duration of this service: Service Delivery Method Participant-directed as specified in Appendix E Provider (check managed each that applies): Specify whether the service may be provided Legally Relative Legal Guardian
Category(s) (check one or both): Senior Care Organization Provider Qualifications Provider Type: License (specify) Certificate (specify) Other Standard (specify) Senior Care Organization Senior Care Organizations enrolled under contract with MassHealth. A senior care organization is a qualified contractor selected to provide services to MassHealth members aged 65 or older who have chosen to participate in Senior Care Options. Under this program, senior care organizations provide a fully integrated geriatric model of care. Verification of Provider Qualifications Provider Type: Entity Responsible for Verification: Frequency of Verification Senior Care Organization MassHealth Office of Long Term Services and Supports Annually Service Specification Service Type: ☐ Statutory ☐ Extended State Plan Other Service Name: Complex Care Training and Oversight (formerly Skilled Nursing) ☐ Service is included in approved waiver. There is no change in service specifications. Service is included in approved waiver. The service specifications have been modified. ☐ Service is not included in approved waiver. Service Definition (Scope): Complex Care Training and Oversight is a periodic, episodic service that includes medication management (e.g., filling medication cassettes) as well as development and ongoing management and evaluation of the participant’s Home Health Aide Plan of Care, for purposes of monitoring the participant’s underlying conditions or complications to ensure the unskilled care is successfully addressing the participant’s needs. Complex Care Training and Oversight services listed in the service plan that are within the scope of the State's Nurse Practice Act and are provided by a Registered Nurse or a Licensed Practical Nurse with a valid Massachusetts license. Agencies that provide Complex Care Training and Oversight services under the waiver do not need to meet the requirements for participation in Medicare, as provided in 42 CFR §489.28. Specify applicable (if any) limits on the amount, frequency, or duration of this service: Service Delivery Method (check each that applies): Participant-directed as specified in Appendix E Provider managed Specify whether the service may be provided Legally Relative Legal Guardian
few-renewal-application-draft-2018.docx