Service Descriptions and Limitations: Maxillofacial Prosthetics
Effective Oct 15, 2021M.G.L. c. 118E, s. 7 M.G.L. c. 118E, s. 12MassHealth
- (A) The MassHealth agency pays for maxillofacial prosthetics by providers who have completed a CODA certificate program in maxillofacial prosthetics (as described in 130 CMR 420.405(A)(8)) and only where the maxillofacial prosthetic device will be constructed for the treatment of a member with congenital, developmental, or acquired defects of the mandible or maxilla and associated structures.
- (B) The MassHealth agency pays for opposing appliances only when they are necessary for the balance or retention of the primary maxillofacial prosthetic device.