Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 450.000 - Administrative and Billing Regulations
Section 450.234 - Rates of Payment to Chronic Disease, Rehabilitation, or Similar Hospitals with Both Out-of-state Inpatient Facilities and In-state Outpatient Facilities
Universal Citation: 130 MA Code of Regs 130.450
Current through Register 1531, September 27, 2024
Payment to a chronic disease, rehabilitation, or similar hospital with both out-of-state inpatient facilities and in-state outpatient facilities, for any medical service payable by the MassHealth agency is made as follows:
(A) Inpatient Services. For inpatient services, payment is in accordance with 130 CMR 435.405(B).
(B) Outpatient Services.
(1) For outpatient
services provided out-of-state, payment is in accordance with
130 CMR
450.233(A) and
(B).
(2) For outpatient services provided
in-state, payment is the median in-state outpatient hospital cost-to-charge
ratio for similar hospitals.
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