Specimen Referral
Effective Apr 1, 2010M.G.L. c. 118E, s. 7 M.G.L. c. 118E, s. 12MassHealth
- (A) If an independent clinical laboratory cannot perform a requested test, it may refer the specimen to another laboratory that can perform the test. The testing laboratory must be an independent clinical laboratory or a hospital laboratory enrolled in MassHealth.
- (B) When providing the test results, the referring laboratory must inform the authorized prescriber of the name and address of the testing laboratory.
- (C) The testing laboratory must inform the referring laboratory of each test result within one business day of completing each test.
- (D) The referring laboratory may not bill the MassHealth agency for tests performed by the testing laboratory.
- (E) Under no circumstances may both the referring and testing laboratories bill for the same procedure performed on the same specimen.