Payment to a chronic disease, rehabilitation, or similar hospital with both out-of-state inpatient facilities and in-state outpatient facilities, for any medical service payable by the MassHealth agency is made as follows:

1. (A) Inpatient Services. For inpatient services, payment is in accordance with 130 CMR 435.405(B).

2. (B) Outpatient Services.

   1. (1) For outpatient services provided out-of-state, payment is in accordance with 130 CMR 450.233(A) and (B).
   2. (2) For outpatient services provided in-state, payment is the median in-state outpatient hospital cost-to-charge ratio for similar hospitals.