Saving Wrentham and Hogan Alliance

Saving Wrentham and Hogan Alliance We advocate for the preservation and improvement of the ICF/IID model.

Saving Hogan and Wrentham Alliance champions the rights of individuals with intellectual and developmental disabilities to access quality, person-centered residential care. We advocate for the preservation and improvement of the ICF/IID model at Massachusetts’ Wrentham Developmental Center and Hogan Regional Center—empowering families and individuals to choose the care that best supports their liv

es. Through legislative advocacy, legal action, and public education, we work to ensure diverse, dignified care options remain available to all..

Reliable Medical MonitoringPrinciple of Good Care:  Individuals who cannot self‑report pain or decline require proactive...
09/09/2026

Reliable Medical Monitoring

Principle of Good Care:
Individuals who cannot self‑report pain or decline require proactive medical monitoring.

Good care identifies problems early — not after a crisis.

Active TreatmentPrinciple of Good Care:  Skill development must be structured, daily, and meaningful. Active treatment i...
09/08/2026

Active Treatment

Principle of Good Care:
Skill development must be structured, daily, and meaningful. Active treatment is a federally required component of care for individuals with significant needs.

It is not optional — and it is not “activities.”

Interdisciplinary Clinical OversightPrinciple of Good Care:  High‑acuity individuals need coordinated oversight from med...
09/07/2026

Interdisciplinary Clinical Oversight
Principle of Good Care:
High‑acuity individuals need coordinated oversight from medicine, nursing, psychology, behavior analysis, communication specialists, and habilitation professionals.

No single discipline can meet complex needs alone.

Conflict‑Free PlanningPrinciple of Good Care:  Service planning must be independent of provider interests. Providers can...
09/06/2026

Conflict‑Free Planning

Principle of Good Care:
Service planning must be independent of provider interests. Providers cannot be the sole evaluators of the care they profit from delivering.

Conflict‑free planning ensures that decisions are made based on need — not convenience.

Meaningful Informed ChoicePrinciple of Good Care:  Individuals and guardians must receive a real, understandable choice ...
09/05/2026

Meaningful Informed Choice
Principle of Good Care:
Individuals and guardians must receive a real, understandable choice between community services and higher‑acuity options.

Choice is not meaningful when only one option is presented, or when alternatives are hidden, minimized, or unavailable in practice.

Federally Compliant Level of Care (LOC) DeterminationPrinciple of Good Care:  A lawful Level of Care (LOC) evaluation is...
09/04/2026

Federally Compliant Level of Care (LOC) Determination

Principle of Good Care:

A lawful Level of Care (LOC) evaluation is essential. Without it, no system can determine whether an individual needs specialized clinical care or whether community services can safely meet their needs.

LOC evaluations protect health, safety, and dignity. They are not optional.

09/03/2026

The Saving Wrentham and Hogan Alliance (SWHA) has been asked to comment on the growing discussion about installing cameras in group homes. After reviewing the issue carefully, our official position is neutral.

We recognize that cameras can play a role in transparency and accountability. They may help clarify what happened in common areas after an incident occurs, and they can support investigations when questions arise. Families often feel reassured knowing that some level of monitoring exists.

However, cameras have significant limitations that must be acknowledged honestly.

1. Cameras cannot be placed in bathrooms or bedrooms.
These are the areas where residents are most vulnerable and where the most serious incidents historically occur. Because cameras are prohibited in private spaces, they cannot capture or prevent abuse, neglect, or mistreatment that occurs out of view.

2. Cameras do not prevent abuse.
They are a documentation tool, not a prevention tool. Cameras cannot detect: intimidation, threats, coercion, neglect, emotional mistreatment, inappropriate physical contact in private areas

They also cannot intervene in real time.

3. Cameras can create a false sense of security.
When cameras are installed, there is a risk that policymakers and providers may present them as a comprehensive solution. They are not. Cameras do not replace: strong staffing ratios, active supervision, unannounced visit, robust Human Rights enforcement, transparent incidence reporting, and meaningful oversight.

4. Cameras must be part of a broader safety strategy.
If cameras are used, they should be accompanied by: clear policies, independent review, protections against misuse, strong Human Rights safeguards, and continued family access and involvement

Cameras alone cannot ensure safety.

SWHA is neutral on the use of cameras in group homes. We believe that our state needs a much broader safety strategy.
We support any measure that increases transparency, but we caution families, providers, and policymakers not to rely on cameras as a stand‑alone solution. Real safety requires comprehensive oversight, strong staffing, and a culture of accountability.

Massachusetts made assurances to the Centers for Medicare and Medicaid Services (CMS) in its July 1, 2023 request for re...
09/03/2026

Massachusetts made assurances to the Centers for Medicare and Medicaid Services (CMS) in its July 1, 2023 request for renewal of their intensive supports waiver.
Massachusetts promised CMS:
• annual Level of Care (LOC) reevaluations
• psychologist oversight
• validated assessment tools
• transparent documentation
Families received none of these.
The gap between the waiver and reality is a broken promise.

A Waiver Cannot Work If Its Core Tool Is MissingThe shortened MASSCAP is central to the Massachusetts waiver’s Level of ...
09/02/2026

A Waiver Cannot Work If Its Core Tool Is Missing
The shortened MASSCAP is central to the Massachusetts waiver’s Level of Care evaluation process.
But Massachusetts families never see it.
The Department of Developmental Services (DDS) does not provide it.
It is possible that the Canters for Medicare and Medicaid Services (CMS) never reviewed it.
A waiver cannot be effective when its foundational assessment tool is absent in practice.

We have never seen a shortened MASSCAP, the assessment tool that Massachusetts DDS claims it uses annually to assess ind...
09/01/2026

We have never seen a shortened MASSCAP, the assessment tool that Massachusetts DDS claims it uses annually to assess individual's needs and develop the person-centered plan. Did Centers for Medicare and Medicaid Services (CMS) approve the waiver without ever seeing the shortened MASSCAP?

Did CMS evaluate whether the tools are appropriate or clinically valid?
Massachusetts described a process, and perhaps CMS accepted it without verification.

Address

P. O. Box 741
Massachusetts
02062-5505

Website

Alerts

Be the first to know and let us send you an email when Saving Wrentham and Hogan Alliance posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share