Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 437.000 - Hospice Services
Section 437.404 - Provider Eligibility
Universal Citation: 130 MA Code of Regs 130.437
Current through Register 1531, September 27, 2024
Payment for the services described in 130 CMR 437.000 is made only to hospices participating in MassHealth on the date of service.
(A) In State. To participate in MassHealth, a Massachusetts hospice must
(1) be certified as a provider of hospice
services under the Medicare program, as defined in 42 CFR Part 418;
and
(2) be licensed as a hospice
program by the Massachusetts Department of Public Health pursuant to M.G.L. c.
111, § 57D and 105 CMR 141.000: Licensure of Hospice
Programs.
(B) Out of State. To participate in MassHealth, an out-of-state hospice must
(1) be certified as
a provider of hospice services under the Medicare program, as defined in 42 CFR
Part 418 ;
(2) be licensed by the
appropriate licensing agency in its state (as applicable); and
(3) participate in the Medicaid program in
its own 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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