Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth

Table of Contents iv

Provider Manual Series

Transmittal Letter Date

Psychiatric Day Treatment Program

Manual

PDT-21 01/25/19

4. Program Regulations

417.401: Introduction ............................................................................................................ 4-1 417.402: Definitions ............................................................................................................. 4-1 417.403: Eligible Members .................................................................................................. 4-2 417.404: Provider Eligibility ................................................................................................ 4-2 (417.405 Reserved) 417.406: In-State Providers: Reporting Requirements ......................................................... 4-4

(130 CMR 417.407 and 417.408 Reserved)

417.409: Out-of-State Providers: Maximum Allowable Fees .............................................. 4-5 417.410: Nonreimbursable Services .................................................................................... 4-5 417.411: Treatment Response Review ................................................................................. 4-6 417.412: Scope of Services ................................................................................................... 4-6 417.413: Other Reimbursable Services ................................................................................ 4-6 417.414: Referrals ................................................................................................................. 4-7 (130 CMR 417.415 through 417.420 Reserved) 417.421: Staffing Requirements ........................................................................................... 4-8 417.422: Organizational Structure ........................................................................................ 4-8 417.423: Qualifications of Licensed and Unlicensed Professional Staff .............................. 4-9 (130 CMR 417.424 through 417.430 Reserved) 417.431: Clinical Eligibility Requirements for Admission................................................... 4-12 417.432: Admission Procedures ........................................................................................... 4-12 417.433: Treatment Planning ................................................................................................ 4-13 (130 CMR 417.434: Reserved) 417.435: Case Management .................................................................................................. 4-14 417.436: Discharge from Program ........................................................................................ 4-14 417.437: Recordkeeping Requirements ................................................................................ 4-14 417.438: Written Policies and Procedures ............................................................................ 4-15 417.439: Administration ....................................................................................................... 4-16

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-1

Provider Manual Series (130 CMR 417.000)

Transmittal Letter Date

Psychiatric Day Treatment Manual

PDT-21 01/25/19