Section 403.405 - Provider Eligibility: In-stateTo participate in MassHealth, a Massachusetts home health agency must
(A) be certified as a provider of home health services under the Medicare program by the Massachusetts Department of Public Health and meet all requirements within the Medicare Conditions of Participation for home health agency services;(B) obtain a MassHealth provider number before providing home health services;(C) agree to periodic inspections, by the MassHealth agency or its designee, that assess the quality of member care and ensure compliance with 130 CMR 403.000;(D) participate in any Home Health Agency provider orientation required by the Executive Office of Health and Human Services (EOHHS);(E) submit to the MassHealth agency or its designee a statement of fiscal soundness attesting to the financial viability of the home health agency provider supported by documentation to demonstrate that the provider has adequate resources to finance the provision of services in accordance with 130 CMR 403.000 and as specified in 130 CMR 403.419(D)(1);(F) notify the MassHealth agency in writing within 14 days of any change in any of the information submitted in the provider application in accordance with 130 CMR 450.223(B): Provider Contract: Execution of Contract including, but not limited to, change of ownership, change of address, change in status of Medicare Certification and/or reaccreditation, and additional home health agency branch office;(G) accept MassHealth payments as payment in full for all home health services;(H) agree to comply with all the provisions of 130 CMR 403.000 and 450.000: Administrative and Billing Regulations, and all other applicable MassHealth rules and regulations; and(I) meet all provider participation requirements described in 130 CMR 403.000 and 130 CMR 450.000: Administrative and Billing Regulations.Amended by Mass Register Issue 1319, eff. 8/12/2016.Amended by Mass Register Issue 1343, eff. 7/14/2017.Amended by Mass Register Issue 1472, eff. 7/1/2022.