Medical Leave of Absence: Payment

(A) For billing and payment purposes, the day on which a member is transferred from a nursing facility to a hospital for an inpatient or observation stay is the first day of the medical leave of absence from the nursing facility. The day on which a member is transferred back to a nursing facility or is discharged from the hospital to a noninstitutional setting is not a medical leave of absence day. (B) MassHealth will only pay a nursing facility for medical leave of absence days at the leave of absence rate specified by 101 CMR 206.06: Adjustments to Standard Nursing Facility Rates et seq.