Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 438.000 - Continuous Skilled Nursing Agency
- Section 438.401 - Introduction
- Section 438.402 - Definitions
- Section 438.403 - Eligible Members
- Section 438.404 - Provider Eligibility
- Section 438.408 - Services Provided under Contract
- Section 438.409 - Administrative Requirements
- Section 438.410 - Clinical Eligibility Criteria for CSN Agency Services
- Section 438.411 - Prior Authorization Requirements
- Section 438.412 - Notice of Prior Authorization and Clinical Eligibility Determination
- Section 438.413 - Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services
- Section 438.414 - Administrative Care Management
- Section 438.415 - Provider Responsibilities
- Section 438.416 - Plan of Care Requirements
- Section 438.417 - Quality Management, Utilization Review, and Reporting Requirements
- Section 438.418 - Transfers and Discharge Planning
- Section 438.419 - Conditions of Payment
- Section 438.420 - Maximum Allowable Fees
- Section 438.421 - Denial of Services and Administrative Review
- Section 438.422 - Prohibited Marketing Activities
- Section 438.423 - Providing Continuous Skilled Nursing Agency Services out of State
Current through Register 1531, September 27, 2024
REGULATORY AUTHORITY
130 CMR 438.000: M.G.L. c. 118E, §§ 7 and 12.
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