Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 440.000 - Early Intervention Program Services
Section 440.403 - Eligible Members

Universal Citation: 130 MA Code of Regs 130.440

Current through Register 1531, September 27, 2024

(A) MassHealth Members. The Division covers early intervention program services only when provided to eligible MassHealth members who meet all of the criteria in 130 CMR 440.403(A)(1) through (3), subject to all other restrictions and limitations described in the Division's regulations. The Division's regulations at 130 CMR 450.105 specifically state which services are covered and which members are eligible to receive those services.

(1) The member is considered to be subject to a biological, environmental, or established risk.

(2) Failure to receive early intervention services is expected to impede the member's development.

(3) The member is aged three years or younger. An exception may be made if the member is in the process of transferring from the program. The Division will continue to pay as follows for services delivered to such a member:
(a) if the member was born on or before April 1, for three months after the member's third birthday; and

(b) if the member was born after April 1, until September 1 of the year of the member's third birthday or until three months after the member's third birthday, whichever is longer.

(B) Recipients of the Emergency Aid to the Elderly, Disabled and Children Program. For information on which services are covered for recipients of the Emergency Aid to the Elderly, Disabled and Children Program, see 130 CMR 450.106.

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