1. (A) Services Provided When the Member Is in an Inpatient Setting. Services can be rendered only while a member is an inpatient for discharge planning or care coordination to the extent necessary to ensure a smooth and efficient transition back to the community setting.
2. (B) Housing Expenses. The MassHealth agency does not pay for housing costs.
3. (C) Psychological Testing. The MassHealth agency pays a PACT provider for psychological testing only when the conditions outlined in 130 CMR 411.000: Psychologist Services are met.
4. (D) Funding Availability. Reimbursement for MassHealth services is subject to limitation based on the availability of full federal financial participation, and requirements for federal funding, pursuant to EOHHS's Section 1115 Demonstration waiver and any other applicable federal statute, regulation, or payment limit.

REGULATORY AUTHORITY

130 CMR 464.000: M.G.L. c. 118E, §§7 and 12.