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130 C.M.R. 438.000 – Continuous Skilled Nursing Agency | Midpage
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Code of Massachusetts Regulations (CMR)
Title 130
Chapter 438.000
130 C.M.R. 438.000
Continuous Skilled Nursing Agency
M.G.L. c. 118E, s. 7 M.G.L. c. 118E, s. 12
MassHealth
438.401
Introduction
438.402
Definitions
438.403
Eligible Members
438.404
Provider Eligibility
438.408
Services Provided under Contract
438.409
Administrative Requirements
438.410
Clinical Eligibility Criteria for CSN Agency Services
438.411
Prior Authorization Requirements
438.412
Notice of Prior Authorization and Clinical Eligibility Determination
438.413
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services
438.414
Administrative Care Management
438.415
Provider Responsibilities
438.416
Plan of Care Requirements
438.417
Quality Management, Utilization Review, and Reporting Requirements
438.418
Transfers and Discharge Planning
438.419
Conditions of Payment
438.420
Maximum Allowable Fees
438.421
Denial of Services and Administrative Review
438.422
Prohibited Marketing Activities
438.423
Providing Continuous Skilled Nursing Agency Services out of State