The MassHealth agency pays for all medically necessary surgery center services for EPSDT- eligible members in accordance with 130 CMR 450.140: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services: Introduction through 450.149: EPSDT: Recordkeeping Requirements, without regard to service limitations described in 130 CMR 423.000, and with prior authorization.

(130 CMR 423.408 through 423.412 Reserved)

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-6

Provider Manual Series (130 CMR 423.000)

Transmittal Letter Date

Freestanding Ambulatory Surgery Center

Manual

FAS-28 01/02/15