Statutes, codes, and regulations
Code of Massachusetts Regulations
Department 130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 418.000 - Substance Use Disorder Treatment Services
Section 418.413 - In-state Providers: Maximum Allowable Fees

130 CMR, § 418.413

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Current through Register 1538, January 3, 2025
Section 418.413 - In-state Providers: Maximum Allowable Fees

The Massachusetts Executive Office of Health and Human Services determines the maximum allowable fees for substance use disorder treatment services. Payment is always subject to the conditions, exclusions, and limitations set forth in 130 CMR 418.000.

Reimbursement for a service shall be the lower of the following:

(A) the maximum allowable fee listed in the applicable fee schedule pursuant to 101 CMR 346.00: Rates for Certain Substance-Related and Addictive Disorders Programs, and 101 CMR 444: Rates for Certain Substance Use Disorder Services; or
(B) the program's usual and customary fee.

130 CMR, § 418.413

Adopted by Mass Register Issue 1485, eff. 1/1/2023.