Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth

Table of Contents iv

Provider Manual Series

Transmittal Letter Date

Transportation Manual

TRN-39 12/27/21

4. PROGRAM REGULATIONS

130 CMR 407.000: Transportation Services

407.401: Introduction ....................................................................................................... 4-1 407.402: Definitions ........................................................................................................ 4-1 407.403: Eligible Members ............................................................................................... 4-4 407.404: Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services ... 4-4 407.405: Provider Eligibility: In-state ............................................................................ 4-4 407.406: Provider Eligibility: Out-of-state ..................................................................... 4-5 407.407: Selective Contracting ........................................................................................ 4-6 (130 CMR 407.408 through 407.410 Reserved) 407.411: Transportation Utilization Requirements ........................................................... 4-7 (130 CMR 407.412 through 407.420 Reserved) 407.421: Authorization for Transportation ...................................................................... 4-9 (130 CMR 407.422 through 407.430 Reserved) 407.431: Reimbursement to Members for Transportation Expenses ............................... 4-11 407.432: Payment to Providers for Transportation Services ............................................ 4-11 (130 CMR 407.433 through 407.470 Reserved) 407.471: Nonemergency Wheelchair Van ....................................................................... 4-13 (130 CMR 407.472 through 407.480 Reserved) 407.481: Ambulance ........................................................................................................ 4-14 (130 CMR 407.482 through 407.490 Reserved) 407.491: Other Licensed Carriers .................................................................................... 4-16

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4 Program Regulations

4-1

Provider Manual Series (130 CMR 407.000)

Transmittal Letter Date

Transportation Manual

TRN-39 12/27/21