Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 314.00 - Rates for Dental Services
Section 314.01 - General Provisions
Current through Register 1518, March 29, 2024
(1) Scope. 101 CMR 314.00 governs the rates of payments used by all governmental units in making payments to eligible dental providers for dental services rendered to publicly aided individuals.
(2) Applicable Dates of Service. Rates contained in 101 CMR 314.00 apply for dates of service provided on or after January 1, 2023.
(3) Coverage. The rates of payment contained in 101 CMR 314.00 or determined in accordance with the provisions of 101 CMR 314.00, are full compensation for dental services rendered to publicly aided individuals as well as for any related administrative or supervisory duties in connection with the provision of services, without regard to where these services are rendered.
(4) Disclaimer of Authorization of Services. 101 CMR 314.00 is neither authorization for nor approval of the substantive services for which rates are determined pursuant to 101 CMR 314.00. Governmental units that purchase services from eligible providers are responsible for the definition, authorization, and approval of services extended to publicly aided patients.
(5) Coding Updates and Corrections. EOHHS may publish procedure code updates and corrections in the form of an administrative bulletin. Updates may reference coding systems including, but not limited to, the American Dental Association's Current Dental Terminology (CDT). The publication of such updates and corrections will list
(6) Administrative Bulletins. EOHHS may issue administrative bulletins to clarify its policy on and understanding of substantive provisions of 101 CMR 314.00 and to issue coding updates and corrections in accordance with 101 CMR 314.01(5).
