* 1. As a result of the MassHealth- required releveling review, how many members have been/will be discharged by your agency due to clarifications re: ADLs? What is – generally – the profile of those members (e.g. younger adults with ID)? To what settings/other services were these members discharged?

* 2. As a result of releveling review, how many members were changed from level 1 to level 2? What is – generally – the profile of these members (e.g. aged with need for assistance with ambulation)?

* 3. As a result of releveling review, how many changes from level 2 to level 1? What is – generally – the profile of these members?

* 4. More generally, as a result of MassHealth regulation changes, for how many members did your agency determine could no longer be served in AFC? What provisions of the new regulations impacted continued appropriateness of AFC?

* 5. What is the estimated annual fiscal impact to your agency with the rate reduction?

* 6. What is the estimated annual fiscal impact to your agency with the re-leveling?

* 7. Has your agency delayed filling or reduced positions as a result of the MassHealth rate and program regulation changes? How many positions impacted are care team (i.e. carry a caseload) positions? How many other positions are impacted?

* 8. Have caseloads for your care teams increased due to rate cuts, releveling, or other program changes? If so, by how much, on average?

* 9. Please share any AFC member impact stories based on this releveling.

* 10. Agency Name (optional, but will be used for any follow-up from the MCAFC and to ensure no duplication of agency information).  Your agency name will be not be shared in conjunction with information given.

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