Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 314.00 - Rates for Dental Services
Section 314.02 - Definitions

Universal Citation: 101 MA Code of Regs 101.314

Current through Register 1518, March 29, 2024

As used in 101 CMR 314.00, unless the context requires otherwise, terms have the meanings ascribed in 101 CMR 314.02.

Center. The Center for Health Information and Analysis established under M.G.L. c. 12C.

Early Periodic Screening, Diagnostic and Treatment (EPSDT) - eligible MassHealth Members. Publicly aided individuals who are eligible to receive EPSDT services under 130 CMR 420.000: Dental Services and 450.000: Administrative and Billing Regulations.

Eligible Dental Provider.

(a) A provider of dental services who meets the conditions of participation of a governmental unit purchasing such services. Eligible dental providers may include the following:

1. dentists registered by the Massachusetts Board of Registration in Dentistry in accordance with the provisions of M.G.L. c. 112;

2. authorized governmental, nonprofit, or charitably incorporated dental clinics not involved with teaching dental students;

3. authorized dental clinics that wholly or partially derive support from Title V funds under the Social Security Act;

4. teaching dental clinics operated by dental education institutions; and

5. public health dental hygienists who are certified by the Massachusetts Board of Registration in Dentistry and who provide services in public health settings that include schools, long-term nursing facilities, medical facilities, and shelters.

(b) MassHealth providers of dental services must satisfy the provider eligibility requirements set forth in 130 CMR 420.000: Dental Services and 450.000: Administrative and Billing Regulations.

EOHHS. The Executive Office of Health and Human Services established under M.G.L. c. 6A.

Governmental Unit. The Commonwealth, any board, commission, department, division, or agency of the Commonwealth and any political subdivision of the Commonwealth.

Publicly Aided Individual. A person who receives medical or dental care and services for which a governmental unit is liable, in whole or in part, under a statutory program of public assistance.

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