Massachusetts S876 establishes criteria for MassHealth hardship waivers for nursing facility residents facing undue hardship.

Massachusetts S876 amends the General Laws to create criteria for MassHealth hardship waivers for nursing facility residents facing undue hardship. The bill mandates the establishment of procedures to determine undue hardship, including written notice, a timely process for waiver determinations, and an opportunity to appeal. A rebuttable presumption of eligibility exists if the resident meets criteria such as insufficient resources, reasonable attempts to retrieve transferred resources, no less costly care alternatives, and significant hardship from ineligibility.

Massachusetts S876 establishes criteria for MassHealth hardship waivers for nursing facility residents facing undue hardship.

Massachusetts S876 amends the General Laws to create criteria for MassHealth hardship waivers for nursing facility residents facing undue hardship. The bill mandates the establishment of procedures to determine undue hardship, including written notice, a timely process for waiver determinations, and an opportunity to appeal. A rebuttable presumption of eligibility exists if the resident meets criteria such as insufficient resources, reasonable attempts to retrieve transferred resources, no less costly care alternatives, and significant hardship from ineligibility.