Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 520.000 - MassHealth: Financial Eligibility
Section 520.032 - Submission of Bills to Meet the Deductible
Universal Citation: 130 MA Code of Regs 130.520
Current through Register 1531, September 27, 2024
(A) Criteria. To establish eligibility by meeting a deductible, the individual must submit verification of medical bills whose total equals or exceeds the deductible and that meet the following criteria.
(1) The
bill must not be subject to further payment by health insurance or other liable
third-party coverage, including the Health Safety Net.
(2) The bill must be for an allowable medical
or remedial-care expense in accordance with
130
CMR 520.032(B). A
remedial-care expense is a nonmedical support service made necessary by the
medical condition of the individual or the spouse.
(3) The bill must be unpaid and a current
liability or, if paid, paid during the current six month deductible
period.
(4) Any bill or portion of
a bill used to meet a deductible may not be applied to any other deductible
period. However, any portion of a bill not used to meet the current deductible
may be used in a future deductible period. The MassHealth agency will not pay
any bills or portions of bills that are used to meet the deductible. These
bills remain the responsibility of the applicant.
(B) Expenses Used to Meet the Deductible. The MassHealth agency applies bills to meet the deductible in the following order:
(1)
Medicare and other health-insurance premiums credited prospectively for the
cost of six months' coverage, deductibles, enrollment fees, or coinsurance
charges incurred by the individual and the spouse.
(2) expenses incurred by the individual and
the spouse for necessary medical and remedial-care services that are recognized
under state law but are not covered by MassHealth, including guardianship fees
and related expenses as described in and allowed under
130
CMR 520.026(E)(3);
and
(3) expenses incurred by the
individual, a family member, or financially responsible relative for necessary
medical and remedial-care services that are covered by MassHealth.
(C) Expenses that Cannot be Used to Meet the Deductible. Expenses that may not be applied to meet the deductible include, but are not limited to, the following:
(1) cosmetic surgery;
(2) rest-home care;
(3) weight-training equipment;
(4) massage therapy;
(5) special diets; and
(6) room-and-board charges for individuals in
residential programs.
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