Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth

Table of Contents iv

Provider Manual Series

Transmittal Letter Date

Audiologist Manual

AUD-17 01/02/15

4. Program Regulations

426.401: Introduction ................................................................................................................. 4-1 426.402: Definitions ................................................................................................................... 4-1 426.403: Eligible Members ........................................................................................................ 4-3 426.404: Provider Eligibility ...................................................................................................... 4-3 426.405: Out-of-State Services ................................................................................................... 4-4 426.406: Maximum Allowable Fees .......................................................................................... 4-4 426.407: Individual Consideration ............................................................................................. 4-4 426.408: Prior Authorization ...................................................................................................... 4-5 426.409: Separate Procedures .................................................................................................... 4-6 426.410: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services ............... 4-6 (130 CMR 426.411 through 426.413 Reserved) 426.414: Dispensing Requirements ............................................................................................ 4-6 426.415: Conditions of Payment ................................................................................................ 4-7 426.416: Reimbursable Services ................................................................................................ 4-7 426.417: Nonreimbursable Services ........................................................................................... 4-9 426.418: Service Limitations ...................................................................................................... 4-10 426.419: Recordkeeping Requirements ...................................................................................... 4-10

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-1

Provider Manual Series (130 CMR 426.000)

Transmittal Letter Date

Audiologist Manual

AUD-17 01/02/15