130 C.M.R. 463.401
Commonwealth of Massachusetts Subchapter Number and Title Page
MassHealth 4. Program Regulations
iv
Provider Manual Series (130 CMR 463.000)
Transmittal Letter Date
Doula Services Manual
DS-2 11/08/24
4. Program Regulations:
130 CMR 463.000: Doula Services
463.401: Introduction .................................................................................................... 4-1 463.402: Definitions ....................................................................................................... 4-1 463.403: Eligible Members ............................................................................................. 4-1 463.404: Provider Eligibility ........................................................................................... 4-2 463.405: Maximum Allowable Fees ............................................................................... 4-3 463.406: Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services .....….. 4-3 463.407: Covered Services ............................................................................................ 4-3 463.408: Noncovered Services ...................................................................................... 4-4 463.409: Service Limitations ......................................................................................... 4-4 463.410: Prior Authorization .......................................................................................... 4-4 463.411: Recordkeeping Requirements ........................................................................... 4-5
Commonwealth of Massachusetts Subchapter Number and Title Page
MassHealth 4. Program Regulations
4-1
Provider Manual Series (130 CMR 463.000)
Transmittal Letter Date
Doula Services Manual
DS-2 11/08/24
130 CMR 463.000 establishes the requirements for the provision and payment of doula services under MassHealth. All doulas participating in MassHealth must comply with MassHealth regulations including, but not limited to, 130 CMR 463.000 and 130 CMR 450.000: Administrative and Billing Regulations.