10- 144 C.M.R. ch. 103, § III-3.2
Payment is limited to three (3) days per episode with up to twenty-one (21) additional days per episode.
Detoxification services - payment is limited to three (3) days per episode with a maximum of three (3) episodes per year and up to two (2) additional days per episode.
Rehabilitation services - payment is limited to three (3) days for a maximum of one episode per year and additional days, up to a maximum total of seventeen (17) days which includes any detoxification days immediately before the rehabilitation days.
A year is defined as twelve (123 months beginning with the date the recipient receives the first service. Hospital utilization review (UR) committees will be responsible for determining medical necessity for additional days beyond the three (3) day limit.
10- 144 C.M.R. ch. 103, § III-3.2