Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth

Table of Contents iv

Provider Manual Series

Transmittal Letter Date

Hearing Instrument Specialist

Manual

HIS-24 03/15/09

4. Program Regulations

416.401: Introduction .................................................................................................................... 4-1 416.402: Definitions ...................................................................................................................... 4-1 416.403: Eligible Members ........................................................................................................... 4-2 416.404: Provider Eligibility ......................................................................................................... 4-2 416.405: Out-of-State Services ..................................................................................................... 4-3 416.406: Maximum Allowable Fees ............................................................................................. 4-3 416.407: Individual Consideration ................................................................................................ 4-3 416.408: Prior Authorization ........................................................................................................ 4-4 416.409: Separate Procedures ....................................................................................................... 4-4 426.410: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services ................. 4-4 (130 CMR 426.411 through 426.413 Reserved) 416.414: Dispensing Requirements .............................................................................................. 4-5 416.415: Conditions of Payment ................................................................................................... 4-6 416.416: Reimbursable Services ................................................................................................... 4-6 416.417: Nonreimbursable Services ............................................................................................. 4-7 416.418: Service Limitations ........................................................................................................ 4-8 416.419: Recordkeeping Requirements ........................................................................................ 4-8

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-1

Provider Manual Series (130 CMR 416.000)

Transmittal Letter Date

Hearing Instrument Specialist

Manual

HIS-25 01/02/15