Dialysis: Service Limitations
Effective Jul 7, 2023M.G.L. c. 118E, s. 7 M.G.L. c. 118E, s. 12MassHealth
- (A) Medicare Coverage. Medicare is the primary source of payment for medical care to persons of any age who have chronic renal disease and who require hemodialysis or a kidney transplant. Members being treated for chronic renal disease must be referred to a MassHealth Enrollment Center or their Social Security Administration office to determine Medicare eligibility.
(B) Service Limitations. The MassHealth agency pays for hemodialysis only to hospitalized members who are
- (1) being dialyzed for acute renal failure;
- (2) receiving initial dialysis for chronic renal failure prior to continuing chronic maintenance dialysis; or
- (3) receiving dialysis for complications of chronic maintenance dialysis.