Continuous Skilled Nursing Agency

Division of Medical Assistance

Commonwealth of Massachusetts Office of Medicaid

NOTICE OF PUBLIC HEARING

Under the authority of M.G.L. c. 6A, section 16 and in accordance with M.G.L. c. 30A, the Division of Medical Assistance (the Division) will hold a remote public hearing on Monday, April 27, 2026, at the respective times listed below relative to the adoption of amendments to the following regulations.

The proposed regulations are planned to go into effect no sooner than September 15, 2026. There is no fiscal impact on cities and towns.

(1) 9:00 a.m.: 130 CMR 414.000: Independent Nurse

The following amendments are proposed for 130 CMR 414.000: add requirements related to provider eligibility; add provider responsibilities; establish continuous skilled nursing (CSN) training time allowances; expand temporary increases to CSN services; establish discharge and transfer processes; update recordkeeping requirements; and clarify and reorganize sections of the regulations.

(2) 10:30 a.m.: 130 CMR 438.000: Continuous Skilled Nursing Agency

The following amendments are proposed for 130 CMR 438.000: updates to certain definitions; establishing new provider eligibility requirements; adding requirements for continuous skilled nursing (CSN) training time; expanding allowances for temporary increases to CSN services; allowing unused hours for complex care assistant services to be utilized during the remainder of the prior authorization period; updating supervision and intake requirements for complex care assistant services; enhancing discharge and transfer requirements; and clarifying regulatory language.

To register to testify at either hearing and to get instructions on how to join the hearing online, go to www.mass.gov/info-details/masshealth-public-hearings. To join the hearing by phone, call (646) 558-8656 and enter meeting ID 935 397 8200# when prompted.

You may also submit written testimony instead of, or in addition to, live testimony. To submit written testimony, please email your testimony to [email protected] as an attached Word or PDF document or as text within the body of the email with the name of the regulation in the subject line. All written testimony must include the sender’s full name, mailing address, and organization or affiliation, if any. Individuals who are unable to submit testimony by email should mail

written testimony to EOHHS, c/o D. Briggs, 100 Hancock Street, 6th Floor, Quincy, MA 02171. Written testimony will be accepted through 5:00 p.m. on April 29, 2026. The Division specifically invites comments as to how the amendments may affect beneficiary access to care.

To review the current drafts of the proposed regulations, go to www.mass.gov/info- details/masshealth-public-hearings or request a copy in writing from MassHealth Publications, 100 Hancock Street, 6th Floor, Quincy, MA 02171.

Special accommodation requests may be directed to the Disability Accommodations Ombudsman by email at [email protected] or by phone at (617) 847- 3468 (TTY: (617) 847-3788 for people who are deaf, hard of hearing, or speech disabled). Please allow two weeks to schedule sign language interpreters.

The Division may adopt a revised version of the proposed regulations taking into account relevant comments and any other practical alternatives that come to its attention.

In case of inclement weather or other emergency, hearing cancellation announcements will be posted on the MassHealth website at www.mass.gov/info-details/masshealth- public-hearings.

March 27, 2026