The MassHealth agency pays only freestanding birth centers who are participating in MassHealth on the date of service. Freestanding birth centers must meet the following eligibility requirements.

1. (A) In-state Providers. To be eligible for participation as a MassHealth FBC provider, the applicant must meet the MassHealth and DPH requirements specified as follows:

   1. (1) for each service location, complete and submit the application for enrollment to MassHealth on the form provided for this purpose by MassHealth;
   2. (2) be located and legally doing business in the Commonwealth of Massachusetts;
   3. (3) operate under an FBC clinic license issued by DPH, in accordance with 105 CMR 140.000: Licensure of Clinics; and
   4. (4) be accredited by the Commission for the Accreditation of Birth Centers (CABC).

2. (B) Out-of-state Providers. To participate in MassHealth, an out-of-state FBC must meet the requirements specified as follows:

   1. (1) obtain a MassHealth provider number from the MassHealth agency;
   2. (2) participate in its own state’s Medicaid program; and
   3. (3) operate as a provider of freestanding birth center services as authorized by the governing or licensing agency in its state.