Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 410.000 - Outpatient hospital services
Section 410.442 - Home Health Agency Services

Universal Citation: 130 MA Code of Regs 130.410

Current through Register 1531, September 27, 2024

(A) A home health agency is a public or private agency or organization, or a subdivision of such an agency or organization, that is primarily engaged in furnishing part-time skilled nursing and other therapeutic services to patients in their homes.

(B) The MassHealth agency pays for home health services provided by hospital-based home health agencies. These services must be furnished in compliance with the MassHealth regulations governing home health agency services in 130 CMR 403.000: Home Health Agency. (See Subchapter 5 of the Outpatient Hospital Manual for information about obtaining the Home Health Agency Manual, which contains the necessary regulations.)

(C) Acute hospital-based home health agencies will be paid according to the outpatient payment methodology established by the signed MassHealth provider agreement.

(D) Non-acute hospital-based home health agencies are paid according to the regulations governing home health services in 130 CMR 403.000: Home Health Agency.

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