Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 405.000 - Community Health Center Services
Section 405.404 - Provider Eligibility
Universal Citation: 130 MA Code of Regs 130.405
Current through Register 1531, September 27, 2024
Payment for the services described in 130 CMR 405.000 will be made only to providers of CHC services who are participating in MassHealth on the date of service.
(A) In State. To participate in MassHealth, a CHC located in Massachusetts must meet the qualifications for certification or provisional certification in 130 CMR 405.405.
(B) Out of State. To participate in MassHealth, an out-of-state CHC must obtain a MassHealth provider number and meet the following criteria:
(1) if the center is required by its own
state's law to be licensed, the center must be licensed by the appropriate
state agency under whose jurisdiction it operates;
(2) the center must participate in its
state's Medicaid program (or the equivalent); and
(3) the center must have a rate of payment
established by the appropriate rate setting regulatory body of its
state.
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.
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