Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 448.000 - Community Behavioral Health Center Services
Section 448.404 - Provider Eligibility
Universal Citation: 130 MA Code of Regs 130.448
Current through Register 1531, September 27, 2024
(A) A center is eligible to participate only if the center is
(1) physically located within the
Commonwealth of Massachusetts;
(2)
enrolled as a Medicare provider;
(3) enrolled with the MassHealth agency as a
billing provider as evidenced by the issuance of a Provider Identification and
Service Location (PIDSL) number for the provision of community behavioral
health center services;
(4)
licensed by DPH as
(a) a clinic with a mental
health service designation and a substance use disorder service designation;
or
(b) a hospital or hospital
satellite that provides outpatient mental health and substance use disorder
services;
(5) certified
by the DPH Bureau of Substance Addiction Services through a Certificate of
Approval for Substance Use Disorder services for outpatient counseling and
outpatient withdrawal management; and
(6) holding a current Clinical Laboratory
Improvement Amendments (CLIA) certificate of waiver.
(B) Each center must meet the requirements listed in 130 CMR 448.000 in order to be enrolled by the MassHealth agency.
(C) Payment for services described in 130 CMR 448.000 will be made only to community behavioral health centers participating in MassHealth on the date of service.
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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