Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 412.000 - Renal Dialysis Clinic Services
Section 412.405 - Provider Eligibility

Universal Citation: 130 MA Code of Regs 130.412

Current through Register 1531, September 27, 2024

A renal dialysis clinic must be a participant in MassHealth on the date of service in order to be e ligible for payment .

(A) In-State Providers. To be eligible for participation as a MassHealth provider, a renal dialysis clinic must be :

(1) located and doing business in the Commonwealth of Massachusetts;

(2) enrolled as a Medicare provider; and

(3) licensed as an out-of-hospital dialysis unit by the Massachusetts Department of Public Health, Bureau of Hospital Facilities.

(B) Out-of-State Providers. A provider that does not meet the requirements of 130 CMR 412.405(A)(1) and (3) may participate in and receive payment from MassHealth only if the provider is licensed in it sown state as an out-of-hospital dialysis unit and meets the requirements of 130 CMR 412.405(A)(2) and 450.109.

(C) Multiple Facilities. When two or more renal dialysis clinics have the same director or owner, whether or not the clinics have different names, each clinic must enroll separately with MassHealth and have its own MassHealth provider number.

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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