General Provisions

(1) Scope, Purpose, and Effective Date. 101 CMR 348.00 governs the payment rates for day habilitation services rendered to publicly aided individuals. The rates set forth in 101 CMR 348.00 also apply to day habilitation services governed by 130 CMR 419.000: Day Habilitation Center Services and other comparable programs. (2) Applicable Dates of Service. Rates contained in 101 CMR 348.00 apply for dates of service on and after August 1, 2024, unless otherwise indicated. (3) Coverage. The payment rates in 101 CMR 348.00 are full compensation for day habilitation services provided to publicly aided individuals as well as for any related administrative or supervisory duties rendered in connection with the provision of day habilitation services. (4) Coding Updates and Corrections. EOHHS may publish procedure code updates and corrections in the form of an Administrative Bulletin. The publication of such updates and corrections will list: (a) codes for which only the code numbers change, with the corresponding cross references between existing and new codes; (b) codes for which the code number remains the same but the description has changed; and (c) deleted codes for which there are no corresponding new codes. (5) Administrative Bulletins. EOHHS may issue administrative bulletins to clarify its policy on and understanding of substantive provisions of 101 CMR 348.00. (6) Disclaimer of Authorization of Services. 101 CMR 348.00 is neither authorization for nor approval of the substantive programs for which rates are determined pursuant to 101 CMR 348.00. Governmental units that purchase care are responsible for the definition, authorization, and approval of care and services extended to covered individuals.