130 CMR, § 424.406

Current through Register 1538, January 3, 2025

Section 424.406 - Maximum Allowable Fees

The Massachusetts Division of Health Care Finance and Policy (DHCFP) determines the maximum allowable fees for podiatry services. Payment is always subject to the conditions, exclusions, and limitations set forth in 130 CMR 424.000, 442.000, and 450.000. Payment for a service is the lowest of:

(A) the provider's usual and customary fee;

(B) the provider's actual charge; or

(C) the maximum allowable fee listed in the applicable DHCFP fee schedule.

130 CMR, § 424.406

Amended by Mass Register Issue 1319, eff. 8/12/2016.