ABI/MFP WAIVER PARTICIPANT AGREEMENT UPDATE
Effective 6/1/2026, MassHealth updated its Waiver Participant Agreement for Self-Directed ABI/MFP Waiver Fiscal Intermediary Services. All Waiver Participants who self-direct must review, sign, and return the updated agreement.
The Waiver Participant Agreement explains the key responsibilities for individuals who receive Self-Directed Waiver services through the MassHealth ABI/MFP Waivers. By signing it, Waiver Participants confirm they are the employer of their Direct Care Workers (DCWs) and understand what is required to hire, manage, and approve DCW work.
It also outlines the tasks Tempus Unlimited completes as the Fiscal Intermediary, helping ensure accurate records, proper payroll processing, and compliance with MassHealth rules.
What You Need to Do:
- Review the updated Waiver Participant Agreement
- Sign and date the agreement
- Return the completed form in order to hire a new DCW
- Submit the updated Participant Agreement only once
Who Must Sign: Only the Participant or the Participant’s Legal Guardian can sign this agreement.
Important Note: Surrogates are not permitted to sign the Waiver Participant Agreement on behalf of the Participant.
Email, Fax, or Mail
If you cannot use Docusign, submit a completed copy using of the following methods:
- Email: [email protected]
- Fax: (857) 305-0161
- Mail: 600 Technology Center Dr. Stoughton, MA 02072
How this connects to New Hire Paperwork
The updated Waiver Participant Agreement is required and must be completed prior to a DCW being authorized to begin working.
Frequently Asked Questions (FAQs)
Why am I getting this Waiver Participant Agreement if I am already enrolled? Should I sign this updated form?
The Waiver Participant Agreement outlines your role and responsibilities as a Participant and gives Tempus Unlimited Fiscal Intermediary (FI) permission to perform employer-related tasks on your behalf. The updated Waiver Participant Agreement reflects current program and policy regulations. By signing the agreement, you acknowledge that you understand the current program requirements and responsibilities.
What happens if I do not sign and return the updated Waiver Participant Agreement?
Failure to sign and return the updated Waiver Participant Agreement will result in delays when hiring a new DCW.
Can a Legal Guardian sign the Waiver Participant Agreement?
Yes, a Legal Guardian may sign the agreement on a Participant’s behalf.
Why does it say I am the employer of my DCW? What does that mean?
The ABI/MFP Waiver Self-Direction Program is a self-directed program where you, the Participant of DCW services, are the employer of your DCW. You are responsible for hiring, scheduling and managing your DCW and the services your DCW provides to you.
When do I need to return the updated Waiver Participant Agreement to Tempus FI?
Effective 9/1/2026, the updated Waiver Participant Agreement must be signed and returned to Tempus in order for you to hire a new DCW.
Where do I return the signed Waiver Participant Agreement?
Please return the signed Waiver Participant Agreement to Tempus FI using one of the following methods:
- By Mail:
ATTN: Consumer Agreement
Tempus Unlimited, Inc. Fiscal Intermediary
600 Technology Drive
Stoughton, MA 02072
- By Fax: (857) 305-0161
- By Email: [email protected]
Is the Waiver Participant Agreement available in other languages?
The Waiver Participant agreement is available in English and Spanish. If you require additional languages, please follow the instructions on the Babel Card.