Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth

Table of Contents iv

Provider Manual Series

Transmittal Letter Date

Podiatrist Manual

POD-74 08/12/16

4. Program Regulations

424.401: Introduction .......................................................................................................... 4-1 424.402: Definitions ............................................................................................................. 4-1 424.403: Eligible Members .................................................................................................. 4-2 424.404: Provider Eligibility ................................................................................................ 4-3 424.405: Noncovered Services ............................................................................................. 4-4 424.406: Maximum Allowable Fees ..................................................................................... 4-5 424.407: Individual Consideration ....................................................................................... 4-5 424.408: Referral ................................................................................................................ 4-5 424.409: Recordkeeping (Medical Records) Requirements ................................................. 4-6 424.410: Report Requirements ............................................................................................. 4-6 424.411: Office Visits .......................................................................................................... 4-7 424.412: Out-of-Office Visits ............................................................................................... 4-7 424.413: Surgical Services: Introduction .............................................................................. 4-8 424.414: Surgery Services: Payment .................................................................................... 4-9 424.415: Radiology Services ................................................................................................ 4-12 424.416: Clinical Laboratory Services .................................................................................. 4-12 424.417: Pharmacy Services: Drugs Dispensed in Pharmacies .......................................... 4-13 (130 CMR 424.418 through 424.422 Reserved) 424.423: Drugs Dispensed in the Office (Physician-Administered Drugs) .......................... 4-17 424.424: Shoes and Corrective Devices ............................................................................... 4-18

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4 Program Regulations

4-1

Provider Manual Series (130 CMR 424.000)

Transmittal Letter Date

Podiatrist Manual

POD-74 08/12/16