101 CMR, § 330.01

Current through Register 1538, January 3, 2025

Section 330.01 - General Provisions

(1)Scope. 101 CMR 330.00 governs the rates of payment for team evaluation services purchased by a governmental unit.

(2)Applicable Dates of Service. Rates contained in 101 CMR 330.00 apply for dates of service provided on or after September 1, 2023.

(3)Disclaimer of Authorization of Services. 101 CMR 330.00 is neither authorization for nor approval of the services for which rates are determined pursuant to 101 CMR 330.00. Governmental units that purchase the services described in 101 CMR 330.00 are responsible for the definition, authorization, and approval of services provided to clients.

(4)Exclusion. 101 CMR 330.00 does not govern rates of payment to hospitals, community health centers, and mental health centers for team evaluation services. Community health center rates are governed by 101 CMR 304.00: Rates for Community Health Centers. Mental health center rates are governed by 101 CMR 306.00: Rates of Payment for Mental Health Services Provided in Community Health Centers and Mental Health Centers. Pursuant to M.G.L. c. 118E, § 13F, no acute hospital may charge governmental units at a rate higher than the rate payable by the MassHealth agency for these services.

(5)Administrative Bulletins. EOHHS may issue administrative bulletins to clarify its policy on substantive provisions of 101 CMR 330.00

(6)Services and Rates Covered by Other Regulations. Rates of payment for the following services are not included within the scope of 101 CMR 330.00 and instead are governed by other regulations promulgated by EOHHS as described in 101 CMR 330.01(6).

Service(s)	Regulation
Medical evaluations	101 CMR 317.00: Rates for Medicine Services
Physical therapy evaluations, and those for occupational therapy and speech pathology	101 CMR 339.00: Rates for Restorative Services
Audiological evaluations	101 CMR 323.00: Rates for Hearing Services
Radiological evaluations	101 CMR 318.00: Rates for Radiology Services
Visual evaluations	101 CMR 315.00: Rates for Vision Care Services and Ophthalmic Materials
Clinical laboratory testing	101 CMR 320.00: Rates for Clinical Laboratory Services
Psychological assessments/evaluations Comprehensive neuropsychological assessments are an exception. For this specific service, see the definition in 101 CMR 330.02 and the rate in 330.04(2).	101 CMR 329.00: Rates for Psychological and Independent Clinical Social Work Services