Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 401.000 - Independent Clinical Laboratory Services
Section 401.415 - Specimen Referral
Current through Register 1531, September 27, 2024
(A) If an independent clinical laboratory cannot perform a requested test, it may refer the specimen to another laboratory that can perform the test. The testing laboratory must be an independent clinical laboratory or a hospital laboratory participating in MassHealth.
(B) When providing the test results, the referring laboratory must inform the authorized prescriber of the name and address of the testing laboratory.
(C) The testing laboratory must inform the referring laboratory of each test result within one business day of completing each test.
(D) The referring laboratory may not bill the MassHealth agency for tests performed by the testing laboratory.
(E) Under no circumstances may both the referring and testing laboratories bill for the same procedure performed on the same specimen.
