Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 421.000 - Family Planning Agency Services
Section 421.404 - Provider Eligibility
Universal Citation: 130 MA Code of Regs 130.421
Current through Register 1531, September 27, 2024
Payment for the services described in 130 CMR 421.000 is made only to family planning agencies that are participating in MassHealth as of the date of service. The eligibility requirements for family planning agencies are as follows.
(A) In State.
(1) A family planning
agency located in Massachusetts is eligible to participate in MassHealth only
if it is certified by the MassHealth agency as a family planning agency, in
accordance with the requirements specified in 130 CMR 421.404 through
421.427.
(2) The family planning agency must fulfill
one of the following licensing requirements.
(a) Family planning services must be provided
in a facility licensed as a clinic or hospital by the Massachusetts Department
of Public Health.
(b) Family
planning services must be provided under the supervision of a physician
licensed by the Massachusetts Board of Registration in Medicine.
(3) A family planning agency may
provide family planning services in one or more service delivery sites, which
must be located in freestanding clinics, community health centers, hospital
outpatient departments, or hospital-licensed health centers.
(B) Out of State. A family planning agency located outside of Massachusetts is eligible to participate in MassHealth only if it meets the licensing requirements in its state, participates in that state's Medicaid program (or equivalent), and meets the requirements specified in 130 CMR 421.404 through 421.427.
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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