Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 427.000 - Oxygen And Respiratory Therapy Equipment
Section 427.405 - Services Provided by Out-of-State Providers

Universal Citation: 130 MA Code of Regs 130.427

Current through Register 1531, September 27, 2024

The Division pays for services provided in another state to the same extent that it pays for services within its boundaries if the services are provided to a recipient who is a resident of Massachusetts and any of the following conditions are met:

(A) services are needed because of a medical emergency;

(B) services are needed and the recipient's health would be endangered if the recipient were required to travel to the Commonwealth;

(C) the Division determines, on the basis of medical advice, that the needed services, or necessary supplementary resources, are more readily available in another state; or

(D) the recipient lives in an area of Massachusetts that borders another state, and it is a general practice of recipients in that area to use medical resources in the adjacent state.

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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