104 CMR 28.10
Legal Capacity, Guardianship and Conservatorship
(1) No person shall be deemed to be incapacitated to manage his or her affairs, to contract, to
hold a professional, occupational or vehicle operator's license, to make a will, to vote or to
exercise any other civil or legal right solely by reason of enrollment in a service.
(2) All persons who are 18 years of age or older shall be presumed to have the legal capacity
to conduct their personal and financial affairs, unless otherwise determined by a court of
competent jurisdiction.
In any assessment of capacity, a person's need for a guardian, conservator, or for other
fiduciary, shall be based on the following considerations:
(a) Generally, a person shall be determined to be in need of guardianship, conservatorship,
or other fiduciary services only if the person's capacity to make informed decisions
concerning his or her life, property, or both is so limited that the person lacks the ability to
meet essential requirements for physical health, safety or self-care. That a person may even
routinely make what others consider to be poor decisions is not a proper basis for
recommending guardianship, conservatorship or other fiduciary.
(b)
Although the capacity of the person to make important decisions is the central
benchmark for determining the person's need for guardianship, conservatorship or other
fiduciary, the capabilities of the person’s family and other persons with whom the individual
is associated, particular strengths and weaknesses in the person's living circumstances, and
the availability and utility of non judicial alternatives to guardianships such as trusts,
representative payees, citizen advocacy programs, or community support services should also
be considered and may increase or lessen the degree of the person's need; and
(c) The assessment should identify the specific areas of the person's functioning which are
the basis of the recommendation relative to the need for a guardian, conservator or other
fiduciary, such as inability to respond appropriately to health problems or consent to medical
care, or inability to manage savings or routine expenses.
If at any time a person is determined to lack capacity to make informed decisions with
regard to his or her health, welfare, or property and if non judicial less restrictive alternatives
such as trusts, representative payees, co signatory bank accounts and citizen advocates are
inadequate, the person's nearest living relatives shall be notified, if appropriate, and the provider
shall assist in the appointment of a conservator or guardian or other fiduciary, as appropriate.
If at any time a person is determined to have regained the capacity to make informed
decisions with regard to his or her health, welfare, or property, the provider shall assist in the
removal of the person's guardian, conservator or other fiduciary, as applicable.
The provider shall implement procedures to ensure that suspected improprieties of a
guardian, conservator, trustee, representative payee or other fiduciary are reported to the
Department and other appropriate authorities.