Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 413.000 - Speech And Hearing Center Services
Section 413.407 - Individual Consideration
Universal Citation: 130 MA Code of Regs 130.413
Current through Register 1531, September 27, 2024
Services designated "I.C." in the list of service codes and descriptions in Subchapter 6 of the Speech and Hearing Center Manual are given individual consideration to determine the amount of payment. The amount of payment is determined by using the following criteria:
(A) the time required to perform the procedure;
(B) the degree of skill required to perform the procedure;
(C) the severity or complexity of the member's hearing disorder or disability;
(D) the policies, procedures, and practices of other third-party purchasers of health care; and
(E) the reasonable and customary practices of speech and hearing centers.
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