Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 450.000 - Administrative and Billing Regulations
Section 450.149 - EPSDT Services: Recordkeeping Requirements
Universal Citation: 130 MA Code of Regs 130.450
Current through Register 1531, September 27, 2024
(A) Medical Records.
(1) A provider must create and maintain a
record for every member receiving EPSDT services, in accordance with MassHealth
regulations governing medical records at
130 CMR
450.205.
(2) In addition, the medical record for each
member receiving EPSDT services must contain documentation of the screening
procedures listed in Appendix W: EPSDT Services: Medical and Dental
Protocols and Periodicity Schedules as well as the following:
(a) the results of all laboratory
tests;
(b) the name of each
referral provider; and
(c) the
results of any component of the Medical Schedule that was delivered by another
provider.
(B) Determination of Compliance with Medical Standards. The MassHealth agency may review the medical records of members receiving EPSDT services to determine the necessity and quality of the medical services provided. Any such determinations will be made in accordance with 130 CMR 450.204 and 130 CMR 450.206.
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
