Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 414.000 - Independent Nurse
Section 414.410 - Multiple-patient Care
Universal Citation: 130 MA Code of Regs 130.414
Current through Register 1531, September 27, 2024
(A) The MassHealth agency pays for one nurse to provide CSN services simultaneously to more than one member, but not more than three members, if
(1) the members have been determined by the
MassHealth agency or its designee to meet the criteria listed at
130
CMR 414.408;
(2) the members receive services in the same
household and during the same time period;
(3) the MassHealth agency or its designee has
determined that it is appropriate for one nurse to provide nursing services to
the members simultaneously; and
(4)
the independent nurse has received a separate prior authorization from the
MassHealth agency or its designee for each member as described in
130
CMR 414.413.
(B) Services provided pursuant to 130 CMR 414.410(A) must be billed by using the multiple-patient service code and modifier that reflects the number of members receiving the services.
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