Effective November 1, 2021, MassHealth has implemented updated eligibility policy guidance to expand coverage for members who are eligible for Family Assistance. Family Assistance members who require a nursing facility or chronic disease and rehabilitation hospital (CDRH) stay will now have a pathway to become eligible for both an expanded short-term stay beyond 100 days (less than six months), or long-term care (LTC). Members may also be able to receive long-term services and supports (LTSS) in the community.
The new policy includes an expansion of the current Family Assistance short-term stay coverage from 100 days to six months. For those who need care beyond six months in a facility setting or community-based LTSS, there now will be an option to enroll in state-funded “Standard” or “CommonHealth” regardless of immigration status.
The eligibility operations memo outlines the process for Family Assistance members to receive LTC as well as LTSS services in the community, if found clinically eligible.