Section 314.01 - General Provisions(1)Scope. 101 CMR 314.00 governs the rates of payments used by all governmental units in making payments to eligible dental providers for dental services rendered to publicly aided individuals.(2)Applicable Dates of Service. Rates contained in 101 CMR 314.00 apply for dates of service provided on or after June 1, 2024.(3)Coverage. The rates of payment contained in 101 CMR 314.00 or determined in accordance with the provisions of 101 CMR 314.00, are full compensation for dental services rendered to publicly aided individuals as well as for any related administrative or supervisory duties in connection with the provision of services, without regard to where these services are rendered.(4)Disclaimer of Authorization of Services. 101 CMR 314.00 is neither authorization for nor approval of the substantive services for which rates are determined pursuant to 101 CMR 314.00. Governmental units that purchase services from eligible providers are responsible for the definition, authorization, and approval of services extended to publicly aided patients.(5)Coding Updates and Corrections. EOHHS may publish procedure code updates and corrections in the form of an administrative bulletin. Updates may reference coding systems including, but not limited to, the American Dental Association's Current Dental Terminology (CDT). The publication of such updates and corrections will list(a) codes for which the code numbers change, with the corresponding cross-reference between new codes and codes being replaced. Rates for such new codes are set at the rate of the code that is being replaced;(b) codes for which the code number remains the same, but the description has changed;(c) deleted codes for which there are no corresponding new codes; and(d) codes for entirely new services that require pricing. EOHHS may list these codes and apply individual consideration (I.C.) payment for these codes until appropriate rates can be developed.(6)Administrative Bulletins. EOHHS may issue administrative bulletins to clarify its policy on and understanding of substantive provisions of 101 CMR 314.00 and to issue coding updates and corrections in accordance with 101 CMR 314.01(5).Adopted by Mass Register Issue 1342, eff. 6/30/2017.Amended by Mass Register Issue 1366, eff. 2/15/2018.Amended by Mass Register Issue 1375, eff. 10/5/2018.Amended by Mass Register Issue 1455, eff. 10/15/2021.Amended by Mass Register Issue 1462, eff. 10/15/2021.Amended by Mass Register Issue 1486, eff. 1/1/2023 (EMERGENCY).Amended by Mass Register Issue 1492, eff. 1/1/2023 (EMERGENCY).Amended by Mass Register Issue 1496, eff. 1/1/2023 (COMPLIANCE).Amended by Mass Register Issue 1524, eff. 6/21/2024.