- (A) The MassHealth agency has the right to review a substance use disorder treatment program’s continued compliance with the conditions for enrollment referred to in 130 CMR 418.405 and the reporting requirements in 130 CMR 418.406, upon reasonable notice and at any reasonable time during the program's hours of operation. The MassHealth agency has the right to revoke a provider’s enrollment, subject to any applicable provisions of 130 CMR 450.000 Administrative and Billing Regulations, if such review reveals that the program has failed to or ceased to meet such conditions.
- (B) If the MassHealth agency determines that there exists good cause for the imposition of a lesser sanction than revocation of enrollment, it may withhold payment, temporarily suspend the program from participation in MassHealth, or impose some other lesser sanction as the MassHealth agency sees fit, pursuant to the processes in 130 CMR 450.000, as applicable.
Commonwealth of Massachusetts Subchapter Number and Title Page
MassHealth 4 Program Regulations
4-11
Provider Manual Series (130 CMR 418.000)
Transmittal Letter Date
Substance Use Disorder Treatment
Manual SUD-24 03/28/2025