Recordkeeping Requirements
Effective Mar 28, 2025M.G.L. c. 118EMassHealth
- (A) Each program provider must maintain member records in accordance with 130 CMR 450.000: Administrative and Billing Regulations and 105 CMR 164.000: Licensure of Substance Use Disorder Treatment Programs. Member records must be complete, accurate, and properly organized. The member’s record must include a complete record of all services provided to members directly, referrals made, if the appointment was kept, and a progress note for each counseling session, including the treatment modality and duration and the therapist's discipline and degree, written and signed by the primary therapist.
- (B) Program Records. The substance use disorder treatment program must retain documentation reflecting compliance with the requirements of 105 CMR 164.000: Licensure of Substance Use Disorder Treatment Programs.
- (C) Availability of Records. All records must be made available to the MassHealth agency, upon request.