Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 426.000 - Audiologist Manual
Section 426.404 - Provider Eligibility
Universal Citation: 130 MA Code of Regs 130.426
Current through Register 1531, September 27, 2024
(A) In-state. The following requirements apply when the audiology practice is located in Massachusetts.
(1)
Independent
Audiologist. An independent audiologist engaged in private
practice in Massachusetts is eligible to participate in MassHealth only if the
individual is licensed as an audiologist by the Commonwealth of Massachusetts,
Division of Professional Licensure, Board of Registration in Speech-Language
Pathology and Audiology.
(2)
Acute Hospital Outpatient Department, Hospital-licensed Health
Center, or Other Satellite Clinic. An acute hospital's outpatient
department, hospital-licensed health center, or other satellite clinic that
participates in MassHealth pursuant to the Executive Office of Health and Human
Services (EOHHS) Acute Hospital Request for Applications (RFA) and contract is
eligible to provide services designated as hearing aid services in Subchapter 6
of the MassHealth Audiologist Manual for providers under 130
CMR 426.000.
(B) Out-of-state. To participate in MassHealth, an independent audiologist practicing outside of Massachusetts must:
(1) participate in the Title XIX medical
assistance program in the audiologist's own state;
(2) in a state that licenses independent
audiologists, be licensed by the appropriate licensing agency in its own state;
and
(3) possess a Certificate of
Clinical Competence in Audiology (CCC-A) issued by the American
Speech-language-hearing Association (ASHA), if any of the following conditions
apply:
(a) the audiologist's own state does
not license independent audiologists;
(b) the audiologist's own state does license
independent audiologists, but such licensure is not in full compliance with
minimum state licensure requirements, specified in
42
CFR 440.110(3); or
(c) the audiologist's own state does license
independent audiologists, but such licensure does not, at minimum, meet the
academic and clinical requirements of the CCC-A.
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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