The MassHealth agency does not pay for the following services:

1. (A) tests performed for experimental or investigational purposes, or that are themselves experimental or investigational; and

2. (B) tests performed for forensic purposes or any purpose other than those described in 130 CMR 431.413, including but not limited to:

   1. (1) tests performed to establish paternity; and
   2. (2) post-mortem examinations

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-6

Provider Manual Series (130 CMR 431.000)

Transmittal Letter Date

Independent Diagnostic Testing

Facility Manual

IDTF-13 01/01/14