1. (A) Annual Report. Each substance use disorder treatment program must submit an annual attestation, on forms furnished by the MassHealth agency, and file them with the MassHealth agency by September 30 of each year. The program must provide documentation supporting this attestation upon request by the MassHealth agency. The attestation must include at minimum:

   1. (1) a statement that the program has reviewed and updated, as necessary, its written policies and procedures during the reporting period;
   2. (2) a statement that the program has completed ongoing review of staffing licensure and license eligibility, including licensure verification with specific attention to provider administrative and clinical management staff;

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4 Program Regulations

4-10

Provider Manual Series (130 CMR 418.000)

Transmittal Letter Date

Substance Use Disorder Treatment

Manual SUD-24 03/28/2025

1. (3) a statement describing the current language capacities, capacity to provide services to specialized populations, and utilization of evidenced-based modalities of the program;
2. (4) a statement that the program complies with 130 CMR 418.000; and
3. (5) any other information that the MassHealth agency may request.
4. (B) Staffing and Personnel Reports. Each program must provide additional staffing or personnel information as requested by the MassHealth agency.
5. (C) Adverse Incident Reports. Each program must report adverse incidents to the MassHealth agency within 24 hours of discovery of the incident, or, if the incident occurs on a holiday or weekend, on the next business day, in a format specified by the MassHealth agency.

6. (D) Loss of Licensure or Accreditation.

   1. (1) Each program must inform the MassHealth agency within 15 days of any citation or loss of licensure or accreditation issued to the program by another agency, including but not limited to:

      1. (a) the Department of Public Health;
      2. (b) an out of state provider’s relevant state licensing agency;
      3. (c) the Joint Commission; or
      4. (d) the Commission on Accreditation of Rehabilitation Facilities (CARF).
   2. (2) For purposes of this provision, a citation is any deficiency correction order related to health and safety issues as defined in 105 CMR 164.000: Licensure of Substance Use Disorder Treatment Programs, issued by the Department of Public Health or any other agency.
7. (E) Each program must comply with all reporting requirements that may pertain to the practice, facility, or staffing of the program, as directed by the MassHealth agency.