Clinical Assessment and Eligibility (CAE)

Clinical eligibility determinations for designated MassHealth screenings

The CAE Unit consists of Registered Nurses who conduct clinical eligibility determinations for designated MassHealth screenings, including Adult Day Health, short and long-term Nursing Facility eligibility determinations of those in Nursing Facilities, as well as Nursing Facility eligibility determinations for MassHealth members residing in the community seeking Nursing Facility admission.  Administrative Support staff members obtain and process the required paperwork and documentation related to MassHealth screenings for Adult Day Health, Frail Elder Waiver, etc.