Statutes, codes, and regulations
Code of Massachusetts Regulations
Department 130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 405.000 - Community Health Center Services
Section 405.496 - Utilization Management Program

130 CMR, § 405.496

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Current through Register 1536, December 6, 2024
Section 405.496 - Utilization Management Program

The MassHealth agency pays for procedures and hospital stays that are subject to the Utilization Management Program only if the applicable requirements of the program as described in 130 CMR 450.207 through 450.209 are satisfied. Appendix E of the Community Health Center Manual describes the information that must be provided as part of the review process.

130 CMR, § 405.496

Amended by Mass Register Issue S1277, eff. 1/2/2015.
Amended by Mass Register Issue 1387, eff. 3/22/2019.
Amended by Mass Register Issue 1499, eff. 7/7/2023.