When provided out of state, independent clinical laboratory services are reimbursable only if
- (A) the member is temporarily out of state and requires clinical laboratory services under the circumstances described in 130 CMR 450.109;
- (B) the MassHealth agency determines that the independent clinical laboratory services required by the member are not available from any laboratory in Massachusetts; or
- (C) the out-of-state independent clinical laboratory is a subsidiary-related entity of an in-state independent clinical laboratory that is enrolled in MassHealth.
(130 CMR 401.406 through 401.409 Reserved)
Commonwealth of Massachusetts Subchapter Number and Title Page
MassHealth 4. Program Regulations
4-4
Provider Manual Series (130 CMR 401.000)
Transmittal Letter Date
Independent Clinical Laboratory Manual
LAB-42 01/01/14