Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth Table of Contents

iv

Provider Manual Series

Transmittal Letter Date

Program of Assertive Community

Treatment Manual

PACT-1 11/1/2025

4. Program Regulations

130 CMR 464.000: Program of Assertive Community Treatment Services

464.401: Introduction ........................................................................................................... 4-1 464.402: Definitions …......................................................................................................... 4-1 464.403: Eligible Members .................................................................................................. 4-3 464.404: Provider Eligibility ................................................................................................ 4-3 464.405: Provider Enrollment Process ................................................................................. 4-3 464.406: Required Notifications and Reports…................................................................... 4-4 464.407: Revocation of Enrollment and Sanctions …........................................................... 4-5 464.408: Maximum Allowable Fees…….............................................................................. 4-5 464.409: Nonreimbursable Services …................................................................................. 4-5 464.410: Site Inspections…................................................................................................... 4-6 464.411: Scope of Services …............................................................................................... 4-6 464.412: Staff Composition Requirements …....................................................................... 4-12 464.413: Supervision, Training, and Other Staff Requirements …....................................... 4-14 464.414: Coordination of Medical Care …............................................................................ 4-14 464.415: Schedule of Operations…....................................................................................... 4-15 464.416: Recordkeeping Requirements…............................................................................. 4-15 464.417: Written Policies and Procedures…......................................................................... 4-16 464.418: Administration ….................................................................................................... 4-17 464.419: Service Limitations…............................................................................................. 4-17

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-1

Provider Manual Series (130 CMR 464.000)

Transmittal Letter Date

Program of Assertive Community

Treatment Manual

PACT -1 11/1/2025