Every CMS-1500 claim form submitted for payment must be signed by the provider that provided the service or the provider’s agent on behalf of the provider that provided the service. A provider that accepts payment of a claim is presumed to have authorized the submission of the claim on his or her behalf.

(130 CMR 450.305 and 450.306 Reserved)

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 3. Billing Regulations

3-4

Provider Manual Series (130 CMR 450.000)

Transmittal Letter Date

All Provider Manuals

ALL-220 06/16/17