Prevocational Services

(A) Conditions of Payment. (1) Prevocational services are covered when the participant requires habilitative or rehabilitative services, rather than explicit employment training, as specified in the participant’s service plan. Prevocational services may be provided one-to-one or in a group format. Prevocational services may be provided as a site-based service, in community settings, or in a combination of these settings and must include integrated community activities that support development of vocational needs. (2) The amount, duration, and scope of prevocational services provided to a participant is based on the participant’s pre-employment needs that arise as a result of their functional limitations and condition, including services that enable the participant to acquire, improve, retain/maintain, and prevent deterioration of functioning consistent with the participant’s interest, strengths, priorities, abilities and capabilities. (B) Nonpayable Services. (1) Prevocational services will not be covered on the same day as waiver per diem day services are covered but are allowable on the same day as partial per diem day services. (2) Day services, community-based day supports, supported employment, and prevocational services, in combination, are limited to no more than 156 hours per month, with each day of day services considered to be six hours. The MassHealth agency or its designee may grant individualized exceptions to the limit on a 30-day basis in order to maintain a participant’s tenure in the community, to facilitate transitions to a community setting, or to otherwise facilitate the participant’s successful engagement in community-based waiver services. Exceptions to the 156 hour per month limit must be included in the participant’s waiver plan of care. (C) Recordkeeping. In addition to the requirements of 130 CMR 630.441, the provider must have documentation in the participant’s file that the service the participant received is not available under a program funded under §110 of the Rehabilitation Act of 1973 or the IDEA (20 U.S.C. 1401), and the provider must maintain records that include detailed descriptions of prevocational services provided and documentation of all units of services.