Regulatory Center

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Although Massachusetts is not a “licensure state” for home health, there are many state regulations that agencies need to be aware of and follow.  There are also Federal regulations that all providers need to follow, including CMS, OASIS, and HIPAA to name a few.

Massachusetts Regulations

Regulatory Newsfeed

 
Federal Regulations

Click one of the boxes on the left to jump to either Massachusetts or Federal regulations.  If you're not finding what you're looking for, check our links page.

 

 

Massachusetts Regulations

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Commonwealth of Massachusetts

www.Mass.gov

 

MassHealth

Home Health Regulations

Independent Nurse Regulations

Hospice Regulations

Third-Party Liability Regulations (Scroll down to 450.316)

 

Department of Public Health

Hospice Regulations

CORI

 

Emergency Planning & Preparedness

www.PandemicFlu.gov

The Home Health Care Services Pandemic Influenza Planning Checklist

DPH Emergency Preparedness Regional Roles & Contact Information

 

Nursing & Alllied Health Professions

The Nurse Practice Act

Board of Allied Health Professions

Physical Therapy Practice

Occupational Therapy Practice

 

Code of Massachusetts Regulations

Index

 

Managed Care

Partnership members September 2009

Heath Plan Expedited Appeals Manual - NOMNC (Revised Aug. 2008)

Universal Health Plan/Home Health Authorization Form (Updated March 1, 2006)

Universal Health Plan/Home Health Authorization Form – Template Version - updated March 1, 2006

Guidelines for Completing the Universal Authorization Form (Updated Feb. 13, 2007)

Unable to Process your Request for Authorization (used by Health Plans when a home health agency submits an incomplete form)

Awaiting Authorization (used by agencies waiting to hear from a health plan)

Universal Home Infusion/Enteral Authorization Form (Updated June 28, 2006)

Notice of Medicare Non Coverage (NOMNC) Form

Notice of Medicare Non Coverage (NOMNC) Directions

 

Division of Health Care Finance & Policy (DHCFP)

Home Health Services Rates

Adult Day Health

Hospice

Temporary Nursing Service

 

Executive Office of Elder Affairs

Home Page

ASAP Referral Form

More Regulations

 

 

Federal Regulations

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Medicare

Fee For Service Expedited Appeals Manual - Notice of Medicare Provider Non-Coverage

Medicare Managed Care Plans 2007

PFFS Plans Q&A

Types of Medicare Advantage Plans

Medicare PPS rates 01/2011 (Updated!)

 

Medicare Home Health Agency Center

OASIS-C Guidance Manual (New!)

OASIS-C Home Health Patient Tracking Sheet

OASIS-C 508 Compliant Version (CMS-R-245)

OASIS-C Supporting Statement For Paperwork Reduction Act Submissions

Medicare Home Health Conditions of Participation (42 CFR Chapter 4 Part 484)

Medicare Prospective Payment System

Medicare Home Health Agency Manual (HIM-11)

Medicare Hospice Manual (HIM-21)

Medicare Conditions of Participation with Interpretive Guidelines

Medicare Provider Reimbursement Manual (Pub 15)

Medicare Coverage Issues Manual (Pub 6)

 

HHABN

CMS Requires New Advance Beneficiary Notices Effective May 30, 2006

Alliance Comments on revised HHABN

 

HIPAA

HHS Office of Civil Rights

CMS HIPAA E-Mail Box

HIPAA Privacy Regulation Summary

HIPAA Administrative Security Standards

 

OSHA

OSHA Bloodborne Pathogens Fact Sheet (overview)

OSHA Bloodborne Pathogens Fact Sheet (contents)

 

CLIA

CLIA Regulations

 

CMS

Home Health Agencies

OASIS Data Sets

Final Version HHABN

Directions for HHABN

Final Version in Spanish

HHABN Decision Tree (NAHC)

Considerations for Medicare PPS patients transitioning to OASIS 2008

Medicare Managed Care Plans 2007

PFFS Plans Q&A

Types of Medicare Advantage Plans

Medicare PPS rates 01/2010 (Updated!)

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