Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth Table of Contents

iv

Provider Manual Series

Transmittal Letter Date

Family Planning Agency Manual

FPA-51 01/02/15

4. Program Regulations

421.401: Introduction ........................................................................................................... 4-1 421.402: Definitions ............................................................................................................. 4-1 421.403: Eligible Members .................................................................................................. 4-2 421.404: Provider Eligibility ................................................................................................ 4-2 421.405: Staffing .................................................................................................................. 4-2 (103 CMR 421.406 through 421.410 Reserved) 421.411: Certification ........................................................................................................... 4-4 421.412: Medical and Laboratory Services .......................................................................... 4-4 421.413: Counseling ............................................................................................................. 4-5 421.414: Follow-Up and Referral ......................................................................................... 4-5 421.415: Community Education ........................................................................................... 4-6 421.416: Outreach ................................................................................................................ 4-6 421.417: Noncovered Services ............................................................................................. 4-7 421.418: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services ......... 4-7 (130 CMR 421.419 through 421.420 Reserved) 421.421: Coordination of Services ....................................................................................... 4-8 421.422: Emergency Backup ................................................................................................ 4-8 421.423: Recordkeeping Requirements ................................................................................ 4-8 421.424: Quality Assurance .................................................................................................. 4-9 (130 CMR 421.425 Reserved) 421.426: Consumer Participation ......................................................................................... 4-10 421.427: Assurance of Member Rights ................................................................................ 4-10 (130 CMR 421.428 through 421.430 Reserved) 421.431: Maximum Allowable Fees ..................................................................................... 4-11 421.432: Payment: Visits ...................................................................................................... 4-11 421.433: Payment: Laboratory Services ............................................................................... 4-12 421.434: Payment: Contraceptive Supplies and Drugs ......................................................... 4-13 (130 CMR 421.435 through 421.437 Reserved) 421.438: Sterilization Services: Introduction ........................................................................ 4-14 421.439: Sterilization Services: Informed Consent ............................................................... 4-14 421.440: Sterilization Services: Consent Form Requirements .............................................. 4-15

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-1

Provider Manual Series (130 CMR 421.000)

Transmittal Letter Date

Family Planning Agency Manual

FPA-51 01/02/15