130 CMR 456.452
Notice of Withdrawal
(A) A nursing facility electing to withdraw from MassHealth must give written notice of its
intention to withdraw to MassHealth, unless such withdrawal results from an emergency
situation beyond the control of the provider such as fire or an act of God. In the instance of
alleged emergency withdrawal, the burden of proof will be on the facility. The facility must
send the withdrawal notice by certified or registered mail (with return receipt requested) or
email to MassHealth’s Office of Long-term Services and Supports not less than 90 days before
the effective date of withdrawal.
(B) When a decision has been made to close a facility, the nursing facility must promptly
complete a Relocation Assessment Form for each member. The forms must be sent to
MassHealth’s designated nurse reviewer. MassHealth will notify the facility of the results of the
assessment.
(C) A facility must not admit any new MassHealth members after the date on which the
withdrawal notice was sent to MassHealth. Residents of the facility who become eligible for
MassHealth after the notice of withdrawal, MassHealth members who are hospitalized when the
notice was sent, and members who are on nonmedical leaves of absence at the time the notice
was sent are not considered new admissions.