Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 462.000 - Licensed Independent Clinical Social Work Services
Section 462.403 - Eligible Members
Universal Citation: 130 MA Code of Regs 130.462
Current through Register 1531, September 27, 2024
(A)
(1)
MassHealth
Members. The MassHealth agency covers licensed independent
clinical social work services only when provided to eligible MassHealth
members, subject to the restrictions and limitations described in 130 CMR
462.000 and 450.000: Administrative and Billing Regulations.
The regulations at
130
CMR 450.105: Coverage Types
specifically state, for each MassHealth coverage type, which services are
covered and which members are eligible to receive those services.
(2)
Recipients of the Emergency
Aid to the Elderly, Disabled and Children Program. For information
on covered services for recipients of the Emergency Aid to the Elderly,
Disabled and Children (EAEDC) Program, see
130
CMR 450.106: Emergency Aid to the
Elderly, Disabled and Children Program.
(B) For information on verifying member eligibility and coverage type, see 130 CMR 450.107: Eligible Members and the MassHealth Card.
(C) See 130 CMR 450.105: Coverage Types and 130 CMR 450.124: Behavioral Health Services for limitations on mental health and substance use disorder services provided to members enrolled with a MassHealth managed care provider.
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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