130 CMR, § 434.406

Current through Register 1538, January 3, 2025
Section 434.406 - Non reimbursable Services
(A) The MassHealth agency will not pay for any of the following services:
(1) nonmedical services, such as social, educational, and vocational services;
(2) maintenance therapy for occupational, speech, or physical therapy services;
(3) canceled or missed appointments;
(4) telephone conversations and telephone consultations;
(5) court testimony;
(6) research or the provision of experimental, unproven, or otherwise medically unnecessary procedures or treatments;
(7) the provision of whole blood; however, administrative and processing costs associated with the provision of blood and its derivatives are reimbursable;
(8) vocational rehabilitation services;
(9) sheltered workshops;
(10) recreational services;
(11) life-enrichment services;
(12) alcohol or drug drop-in centers; and
(13) the treatment of male or female infertility (including, but not limited to, laboratory tests, drugs, and procedures associated with such treatment).
(B) The MassHealth agency will not pay fo r pharmacy services such as, but not limited to, the fo llo wing:
(1) amphetamines used for appetite control;
(2) laxatives and stool softeners;
(3) cough and cold preparations;
(4) hexachlorophene preparations;
(5) less- than-effective drugs;
(6) hormone therapy related to sex-reassignment surgery; and
(7) drugs related to the treatment of male or female infertility.

130 CMR, § 434.406