Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 410.000 - Outpatient hospital services
Section 410.434 - Abortion Services: Reimbursable Services

Universal Citation: 130 MA Code of Regs 130.410

Current through Register 1531, September 27, 2024

The MassHealth agency pays for abortion services performed by a licensed physician, physician assistant, certified nurse practitioner, or certified nurse midwife in a hospital outpatient department only when all of the following conditions are met:

(A) the abortion is performed in accordance with law;

(B) the abortion is medically necessary-that is, according to the medical judgment of a licensed physician, or, consistent with M.G.L. c. 112, § 12M and the time limitations established therein a physician assistant, certified nurse practitioner, or certified nurse midwife, necessary in light of all factors affecting the pregnant individual's health; and

(C) the abortion service is claimed according to the requirements in 130 CMR 410.435.

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