(A) The MassHealth agency will pay an overtime rate for nursing services provided by an independent nurse when the following conditions are met:
- (1) prior authorization for overtime has been obtained from the MassHealth agency or its designee; and
- (2) nursing services are provided by the same independent nurse and exceed 40 hours in a given calendar week for one MassHealth member.
- (B) The MassHealth agency or its designee will only evaluate and authorize overtime on request by the independent nurse.
- (C) In no event will any independent nurse be authorized for a total of more than 60 hours of nursing care provided during any seven-day calendar week, regardless of the number of MassHealth members receiving care from the independent nurse.