Whether services are provided by the CSN agency directly or through contractual arrangements made by the agency, the agency must
- (A) accept the member for treatment in accordance with its admission policies;
- (B) maintain a complete medical record as defined at 130 CMR 438.402 relating to all services provided in accordance with 130 CMR 438.415(D)(3);
- (C) obtain from the physician or ordering non-physician practitioner the required certifications and recertifications of the plan of care in accordance with 130 CMR 438.416(C); and
- (D) ensure that the CSN agency's staff review the medical necessity of services and the physician or ordering non-physician practitioner certification on a regular basis.
Commonwealth of Massachusetts Subchapter Number and Title Page
MassHealth 4. Program Regulations
4-8
Provider Manual Series (130 CMR 438.000)
Transmittal Letter Date
Continuous Skilled Nursing Agency
Manual
CSN-7 08/30/24