Skip to Content
December 05, 2025 Clouds | 12°F
The 194th General Court of the Commonwealth of Massachusetts
  1. General Laws
  2. Part I ADMINISTRATION OF THE GOVERNMENT
  3. Title XVII PUBLIC WELFARE
  4. Chapter 118E DIVISION OF MEDICAL ASSISTANCE
  5. Section 86 Skilled nursing facility rate add-on programs; bariatric care; 1-on-1 staffing of at-risk residents

Section 86

Section 86: Skilled nursing facility rate add-on programs; bariatric care; 1-on-1 staffing of at-risk residents

[ Text of section added by 2024, 197, Sec. 22 as amended by 2024, 248, Sec. 133 effective December 5, 2024.]

  Section 86. (a) The division of medical assistance shall establish a skilled nursing facility rate add-on program for bariatric patient care and a rate add-on program for 1-on-1 staffing of at-risk residents requiring 24-hour monitoring and supervision for their safety and the safety of other residents and staff. The division of medical assistance shall identify at-risk resident populations to include in the rate add-on program for 1-on-1 staffing which shall include, but not be limited to, residents that: (i) have demonstrated suicidal ideation; (ii) have demonstrated aggressive behavior toward other residents or staff; (iii) have demonstrated exit-seeking behavior; or (iv) are registered sex offenders. The rate add-ons for said program shall be sufficient to defray the cost of employing the required staff to conduct the 24-hour monitoring and supervision of the at-risk residents.

  b) The division of medical assistance may develop an add-on to rate of payment for skilled nursing facilities that develop small house nursing homes and meet criteria established by the executive office.