Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 440.000 - Early Intervention Program Services
Section 440.422 - Rates of Payment
Universal Citation: 130 MA Code of Regs 130.440
Current through Register 1531, September 27, 2024
(A) The Massachusetts Division of Health Care Finance and Policy determines the maximum allowable fees for reimbursable services provided by early intervention programs. Payment is subject to the conditions, exclusions, and limitations set forth in the regulations in 130 CMR 440.000. Payment for a service provided by an early intervention program is the lowest of the following:
(1) the provider's usual and customary fee;
or
(2) the maximum allowable fee
listed in the fee schedule in Subchapter 6 of the Early Intervention
Program Manual.
(B) Maximum allowable fees for early intervention services include payment for administrative operations and for all aspects of service delivery. Providers may not bill separately for services such as, but not limited to, the following:
(1) registration;
(2) telephone contacts;
(3) information and referral
services;
(4)
recordkeeping;
(5) travel costs
incurred by program staff during home visits and consultations;
(6) supervisory services; and
(7) translation services.
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