Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 433.000 - Physician Services
Section 433.430 - Dialysis: Service Limitations
Universal Citation: 130 MA Code of Regs 130.433
Current through Register 1531, September 27, 2024
(A) Medicare Coverage. Medicare is the primary source of payment for medical care to persons of any age who have chronic renal disease and who require hemodialysis or a kidney transplant. Members being treated for chronic renal disease must be referred to a MassHealth Enrollment Center or their Social Security Administration office to determine Medicare eligibility.
(B) Service Limitations. The MassHealth agency pays for hemodialysis only to hospitalized members who are
(1) being dialyzed for acute renal
failure;
(2) receiving initial
dialysis for chronic renal failure prior to continuing chronic maintenance
dialysis; or
(3) receiving dialysis
for complications of chronic maintenance dialysis.
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