Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 410.000 - Outpatient hospital services
Section 410.472 - Mental Health Services: Noncovered Services
Universal Citation: 130 MA Code of Regs 130.410
Current through Register 1531, September 27, 2024
(A) Nonmedical Services. The MassHealth agency does not pay for nonmedical mental health services. These services include, but are not limited to, the following:
(1) vocational rehabilitation
services;
(2) sheltered
workshops;
(3) educational
services;
(4) recreational services
(play therapy, the use of play activities with a child in an identified
treatment setting as an alternative to strictly verbal expression of conflicts
and feelings, is not considered a recreational service and is
covered);
(5) life-enrichment
services (ego-enhancing services such as workshops or educational courses
provided to functioning persons); and
(6) telephone conversations.
(B) Nonmedical Programs. The MassHealth agency does not pay for diagnostic and treatment services that are provided as an integral part of a planned and comprehensive program that is organized to provide primarily nonmedical or other noncovered services. Such programs include alcohol or drug drop-in centers.
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