Shared Home Supports

(A) Conditions of Payment. (1) Shared home supports provide daily structure, skills training, and supervision, but do not include 24-hour care. (2) The shared home supports provider must match a participant with a shared home supports caregiver. The caregiver must live with the participant at the residence of the caregiver or the participant. (3) Shared home supports include supportive services that assist with the acquisition, retention, or improvement of skills related to living in the community. This includes such supports as: adaptive skills development, assistance with ADLs and IADLs, adult educational supports, and social and leisure skill development. (4) The shared home supports provider must provide regular and ongoing oversight and supervision of the caregiver. (5) Shared home supports may be provided to no more than two participants in a home. (6) In the event the shared home supports caregiver is temporarily unavailable or unable to provide care, the shared home supports provider may bill for short-term alternative shared home support days in accordance with all applicable guidance issued by the MassHealth agency or its designee, during which time the staff qualifications and site requirements remain the same. (B) Nonpayable Services. (1) Shared home supports are not available to participants who live with their immediate family unless the immediate family member is also eligible for shared home supports and had received authorization in their service plan for shared home supports. (2) Payment is not made for the cost of room and board, including the cost of building maintenance, upkeep, and improvement. (3) Payment is not made for short-term, alternative shared home support days not billed in accordance with all applicable guidance issued by the MassHealth agency or its designee. (4) Shared home supports may not be billed on the same day as short-term alternative shared home support days.