Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 414.000 - Independent Nurse
Section 414.416 - Overtime
Universal Citation: 130 MA Code of Regs 130.414
Current through Register 1531, September 27, 2024
(A) The MassHealth agency will pay an overtime rate for nursing services provided by an independent nurse when the following conditions are met:
(1) prior authorization for overtime has been
obtained from the MassHealth agency or its designee; and
(2) nursing services are provided by the same
independent nurse and exceed 40 hours in a given calendar week for one
MassHealth member.
(B) The MassHealth agency or its designee will only evaluate and authorize overtime on request by the independent nurse.
(C) In no event will any independent nurse be authorized for a total of more than 60 hours of nursing care provided during any seven-day calendar week, regardless of the number of MassHealth members receiving care from the independent nurse.
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