130 C.M.R. 413.401
Commonwealth of Massachusetts SUBCHAPTER NUMBER AND TITLE PAGE Division of Medical Assistance
TABLE OF CONTENTS iv
Provider Manual Series
SPEECH AND HEARING CENTER TRANSMITTAL LETTER DATE
MANUAL
SHC-16 07/01/05
4. PROGRAM REQUIREMENTS
413.401: Introduction ...................................................................................................... 4-1 413.402: Definitions ....................................................................................................... 4-1 413.403: Eligible Members............................................................................................... 4-3 413.404: Provider Eligibility .......................................................................................... 4-3 413.405: Services Provided by Out-of-State Providers .................................................... 4-3 413.406: Maximum Allowable Fees ............................................................................... 4-4 413.407: Individual Consideration .................................................................................. 4-4 413.408: Prior Authorization .......................................................................................... 4-4 (130 CMR 413.409 through 413.415 Reserved) 413.416: Payable Services .............................................................................................. 4-5 413.417: Nonpayable Services ........................................................................................ 4-6 413.418: Service Limitations .......................................................................................... 4-6 413.419: Medical Referral Requirements ....................................................................... 4-7 413.420: Recordkeeping Requirements .......................................................................... 4-7
Commonwealth of Massachusetts SUBCHAPTER NUMBER AND TITLE PAGE Division of Medical Assistance 4 PROGRAM REGULATIONS
4-1
Provider Manual Series (130 CMR 413.000)
SPEECH AND HEARING CENTER TRANSMITTAL LETTER DATE
MANUAL
SHC-16 07/01/05
All speech and hearing centers participating in MassHealth must comply with MassHealth regulations, including but not limited to 130 CMR 413.000 and 450.000.