Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 434.000 - Psychiatric Hospital Outpatient Services
Section 434.405 - Provider Eligibility
Universal Citation: 130 MA Code of Regs 130.434
Current through Register 1531, September 27, 2024
Payment for the services described in 130 CMR 434.000 will be made only to the outpatient department of a psychiatric hospital participating in MassHealth on the date of service.
(A) In-state. To participate in MassHealth, psychiatric inpatient hospitals located in Massachusetts must
(1) operate under a
psychiatric inpatient hospital license issued by the Massachusetts Department
of Mental Health;
(2) have a signed
provider contract with the MassHealth agency that specifies the conditions of
participation in MassHealth; and
(3) participate in the Medicare
program.
(B) Out-of-state. To participate in MassHealth, an out-of-state psychiatric inpatient hospital must obtain a MassHealth provider number and meet the following criteria:
(1)
operate under a hospital license from or be approved as a hospital by the
governing or licensing agency in its state;
(2) participate in the Medicare program;
and
(3) participate in that state's
Medical Assistance program (or the equivalent).
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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