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;(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;(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.