Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 423.000 - Freestanding Ambulatory Surgical Centers
Section 423.414 - Payable Surgical Procedures
Universal Citation: 130 MA Code of Regs 130.423
Current through Register 1537, December 20, 2024
The MassHealth agency pays surgical centers for those services listed in Subchapter 6 of the Freestanding Ambulatory Surgery Center Manual (see 130 CMR 423.401 for further requirements). All prosthetic devices, except intraocular lenses, whether implanted, inserted, or otherwise related to procedures on the current list of payable surgical procedures, are paid separately from the surgical center facility component. 130 CMR 423.414 notwithstanding, providers must comply with the requirements specified in 130 CMR 423.401, which state that payment is provided only for services that are medically necessary and furnished in the least costly medically appropriate setting.
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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