Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 404.000 - Adult Day Health Services
Section 404.410 - ADH Administrative Reporting Requirements

Universal Citation: 130 MA Code of Regs 130.404

Current through Register 1531, September 27, 2024

(A) The ADH program director or designee is responsible for notifying the MassHealth agency immediately in writing if there is a change in telephone or fax number or e-mail address of the ADH program.

(B) The ADH program must inform notify the MassHealth agency or its designee before relocating a program or expanding the certified capacity at an existing program.

(C) The ADH provider must document transportation utilization as follows.

(1) When a private carrier is used, the ADH provider must submit to the MassHealth agency or its designee a copy of the contract or agreement with the carrier.

(2) The ADH provider must submit, per the MassHealth agency's requirements, a transportation report.

(D) At the request of the MassHealth agency, or its designee the ADH provider must submit clinical and statistical reports to demonstrate the medical necessity of services, the frequency and duration of the service, and the payment level.

(E) The MassHealth agency reserves the right to conduct program reviews or to appoint a designee to conduct program reviews of all ADH programs and member records at any time without notice.

Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.