Program Instruction

The purpose of this Program Instruction is to clearly delineate the practice for PASRR documentation review by ASAP Clinical Assessment Eligability (CAE) staff when approving pre-admission and post admission assessments in NF. This is being presented in order to improve NF compliance with PASRR to prevent inappropriate NF admissions for those indivduals with a diagnosis […]

The Executive Office of Elder Affairs is issuing this Program Instruction (PI) to modify requirements for clinical eligability determinations for authorization of MassHealth payment of nursing facility services. This PI modifies instructions contained in PI-09-02. All other requirements of PI-09-02 not referenced in this PI remain in effect. For full details please click on the […]

The Executive Office of Elder Affairs is issuing this Program Instruction (PI) to clarify requirements regarding the ASAP's role in performing clinical eligability determinations for authorization of MassHealth payment for nursing facility services. This PI modifies instructions previously issued in PI-07-18 and the ASAP RFR section 9.4.1.5.b. Please click on the link below for full […]

The purpose of this Program Instruction is to clarify the ASAP's role and responsibility in tracking and conducting clinical eligability assessments for MassHealth members/applicants completed before and after nursing facility adminission, and to issue relevant notices to members/applicants. Any other previously issued instructuions, regardless of the format, are hereby rendered obsolete and replaced by the […]

The purpose of this Program Instruction (PI) is to issue procedures for ASAPs when conducting retrospective clinical eligability assessments for authorization of MassHealth payment for nursing facility services. Any previously issued instructions, regardless of the format, are hereby rendered obsolete and replaced by the requirements in this PI. Please click on the link below for […]