Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 462.000 - Licensed Independent Clinical Social Work Services
Section 462.408 - Maximum Allowable Fees

Universal Citation: 130 MA Code of Regs 130.462

Current through Register 1531, September 27, 2024

The Executive Office of Health and Human Services (EOHHS) determines the maximum allowable fees for licensed independent clinical social work services as set forth in 101 CMR 329.00: Rates for Psychological and Independent Clinical Social Work Services. The fees include payment for the complete cost of psychological diagnostic and treatment services. Payment is always subject to the conditions, exclusions, and limitations set forth in 130 CMR 462.000 and 130 CMR 450.000: Administrative and Billing Regulations. Payment for a service is made at the lower of the following:

(A) the licensed independent clinical social worker's usual and customary charge to the general public for the same or similar service; or

(B) the maximum allowable fee listed in the applicable EOHHS fee schedule.

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