130 C.M.R. 437.401
Commonwealth of Massachusetts Subchapter Number and Title Page
MassHealth Table of Contents
iv
Provider Manual Series
Transmittal Letter Date
Hospice Manual
HOS-18 01/01/23
4. Program Regulations
130 CMR 437.000: Hospice Services
437.401: Introduction .......................................................................................................... 4-1 437.402: Definitions ............................................................................................................ 4-1 437.403: Eligible Members ................................................................................................. 4-4 437.404: Provider Eligibility ............................................................................................... 4-5 437.405: Out-of-State Hospice Services ............................................................................. 4-5 437.406: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services ........ 4-5 437.407: Hospice Election Periods………………………………………………………… 4-5 (130 CMR 437.408 through 437.410 Reserved) 437.411: Certification of Terminal Illness .......................................................................... 4-6 437.412: Electing Hospice Services .................................................................................... 4-7 (130 CMR 437.413 through 437.420 Reserved) 437.421: Administration and Staffing Requirements .......................................................... 4-11 437.422: Initial and Comprehensive Assessment of the Member………………………… 4-13 437.423: Plan of Care .......................................................................................................... 4-14 437.424: Covered Services .................................................................................................. 4-15 437.425: Provider Responsibilities ....................................................................................... 4-16 437.426: Payment for Hospice Services .............................................................................. 4-18 437.427: Quality Management and Utilization Review ....................................................... 4-20 437.428: Prohibited Marketing Activities ............................................................................ 4-20
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Commonwealth of Massachusetts Subchapter Number and Title Page
MassHealth 4. Program Regulations
4-1
Provider Manual Series (130 CMR 437.000)
Transmittal Letter Date
Hospice Manual
HOS-18 01/01/23
130 CMR 437.000 governs the provision of hospice services under MassHealth. All hospices participating in MassHealth must comply with MassHealth regulations, including but not limited to MassHealth regulations set forth in 130 CMR 437.000 and 450.000: Administrative and Billing Regulations.