Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 415.000 - Acute Inpatient Hospital Services
Section 415.405 - Utilization Management Program
Universal Citation: 130 MA Code of Regs 130.415
Current through Register 1531, September 27, 2024
The MassHealth agency pays for medical procedures and related hospital stays that are subject to the Utilization Management Program only if the requirements of the program, as described in 130 CMR 450.207: Utilization Management Program for Acute Inpatient Hospitals through 450.209: Utilization Management: Prepayment Review for Acute Inpatient Hospitals, are satisfied. Appendix E of the Acute Inpatient Hospital Manual describes the information that must be provided as part of the review process.
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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