Payment for the services described in 130 CMR 437.000 is made only to hospices participating in MassHealth on the date of service.
(A) In state. To participate in MassHealth, a Massachusetts hospice must
- (1) be certified as a provider of hospice services under the Medicare program, as defined in 42 CFR Part 418; and
- (2) be licensed as a hospice program by the Massachusetts Department of Public Health pursuant to M.G.L. c 111, Sec. 57D and 105 CMR 141.000.
(B) Out of state. To participate in MassHealth, an out-of-state hospice must
- (1) be certified as a provider of hospice services under the Medicare program, as defined in 42 CFR Part 418;
- (2) be licensed by the appropriate licensing agency in its state (as applicable); and
- (3) participate in the Medicaid program in its own state.