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17 130 CMR: DIVISION OF MEDICAL ASSISTANCE

Trans. by E.L. 258 Rev. 02/13/26

130 CMR 519.000: MASSHEALTH: COVERAGE TYPES

2. have countable income that is less than or equal to 300% of the FBR for an individual; 3. have countable assets of $2,000 or less for an individual and, for a married couple, if the initial waiver eligibility determination was on or after January 1, 2014, have assets that are less than or equal to the standards at 130 CMR 520.016(B): Treatment of a Married Couple’s Assets When One Spouse Is Institutionalized; and 4. not have transferred resources for less than fair market value, as described in 130 CMR 520.018: Transfer of Resources Regardless of Date of Transfer and 520.019: Transfer of Resources Occurring on or after August 11, 1993. (c) Enrollment Limits. Enrollment in the MFP Residential Supports Waiver is subject to a limit on the total number of waiver participants. The number of participants who can be enrolled in this waiver may be limited in a manner determined by the MassHealth agency. (d) Waiver Services. Eligible members who are enrolled as waiver participants in the MFP Residential Supports Waiver are eligible for the waiver services described in 130 CMR 630.405(C): Moving Forward Plan Residential Supports (MFP-RS) Waiver. (2) Moving Forward Plan (MFP) Community Living Waiver (a) Clinical and Age Requirements. The MFP Community Living Waiver, as authorized under § 1915(c) of the Social Security Act, allows an applicant or member who is certified by the MassHealth agency or its agent to be in need of nursing facility services or chronic disease or rehabilitation hospital services, or, for participants 18 through 21 years old or 65 years of age and older, psychiatric hospital services, to receive specified waiver services, other than residential support services in the home or community, if they meet all of the following criteria: 1. are 18 years of age or older and, if younger than 65 years old, are totally and permanently disabled in accordance with Title XVI standards; 2. are an inpatient in a nursing facility or chronic disease or rehabilitation hospital or, for participants 18 through 21 years old or 65 years of age and older, psychiatric hospital with a continuous length of stay of 90 or more days, excluding rehabilitation days; 3. have received MassHealth benefits for inpatient services, and are MassHealth eligible at least the day before discharge; 4. need one or more of the services under the MFP Community Living Waiver; 5. are able to be safely served in the community within the terms of the MFP Community Living Waiver; and 6. are transitioning to the community setting from a facility, moving to a qualified residence, such as a home owned or leased by the applicant or a family member, an apartment with an individual lease, or a community-based residential setting in which no more than four unrelated individuals reside.