Home Health Agency Services

(A) A home health agency is a public or private agency or organization, or a subdivision of such an agency or organization, that is primarily engaged in furnishing part-time skilled nursing and other therapeutic services to patients in their homes. (B) The MassHealth agency pays for home health services provided by hospital-based home health agencies. These services must be furnished in compliance with the MassHealth regulations governing home health agency services in 130 CMR 403.000: Home Health Agency. (See Subchapter 5 of the Outpatient Hospital Manual for information about obtaining the Home Health Agency Manual, which contains the necessary regulations.) (C) Acute hospital-based home health agencies will be paid according to the outpatient payment methodology established by the signed MassHealth provider agreement. (D) Nonacute hospital-based home health agencies are paid according to the regulations governing home health services in 130 CMR 403.000: Home Health Agency.