130 CMR, § 420.411

Current through Register 1536, December 6, 2024

Section 420.411 - Pretreatment Review

When the MassHealth agency identifies an unusual pattern of practice of a given provider, the MassHealth agency, at its discretion and pursuant to written notice, may require the provider to submit any proposed treatments identified by the MassHealth agency, including those not otherwise subject to prior authorization, for the MassHealth agency's review and approval before treatment.

130 CMR, § 420.411

Amended by Mass Register Issue 1342, eff. 6/30/2017.

Amended by Mass Register Issue 1344, eff. 7/1/2017.

Amended by Mass Register Issue 1454, eff. 10/15/2021.