Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth

Table of Contents iv

Provider Manual Series

Transmittal Letter Date

Substance Use Disorder Treatment

Manual

SUD-24 03/28/2025

4. Program Regulations

130 CMR 418.000: Substance Use Disorder Treatment Services

418.401: Introduction ........................................................................................................ 4-1 418.402: Definitions ......................................................................................................... 4-1 418.403: Eligible Members ............................................................................................... 4-8 418.404: Provider Eligibility ............................................................................................. 4-8 418.405: Provider Enrollment Process ............................................................................... 4-9 418.406: Required Notifications and Reports .................................................................... 4-9 418.407: Revocation of Enrollment ................................................................................. 4-10 418.408: Site Inspection ................................................................................................…4-11 418.409: Scope of Services .............................................................................................. 4-11 418.410: Supervision and Other Staff Requirements ...................................................... 4-16 418.411: Recordkeeping Requirements ........................................................................... 4-21 418.412: Service Limitations ........................................................................................... 4-21 418.413: In-state Providers: Maximum Allowable Fees ................................................. 4-22 418.414: Out-of-state Providers: Maximum Allowable Fees ......................................... 4-23

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4 Program Regulations

4-1

Provider Manual Series (130 CMR 418.000)

Transmittal Letter Date

Substance Use Disorder Treatment

Manual SUD-24 03/28/2025