Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth

Table of Contents iv

Provider Manual Series

Transmittal Letter Date

Acupuncture Services Manual

ACU-1 01/21/22

4. Program Regulations:

130 CMR 447.000: Acupuncture Services

447.401: Introduction .............................................................................................. 4-1 447.402: Definitions ................................................................................................. 4-1 447.403: Eligible Members ....................................................................................... 4-1 447.404: Provider Eligibility ..................................................................................... 4-2 447.405: Maximum Allowable Fees .......................................................................... 4-3 447.406: Reporting Requirements ............................................................................. 4-3 447.407: Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services .....….. 4.3 (130 CMR 447.408 through 447.412 Reserved) ................................................................ 447.413: Covered Services ....................................................................................... 4-3 447.414: Noncovered Services ................................................................................. 4-3 447.415: Service Limitations .................................................................................... 4-3 447.416: Prior Authorization .................................................................................... 4-4 447.417: Recordkeeping Requirements ...................................................................... 4-4

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 1. Introduction

4-1

Provider Manual Series (130 CMR 447.000)

Transmittal Letter Date

Acupuncture Services Manual

ACU-1 01/21/22