Performance Specifications
Performance Specifications lay out the requirements to which all MassHealth Providers contracted for a service or level or care are expected to comply.
Link to Performance Specifications here.
Medical Necessity Criteria
MassHealth providers who have contracted for a service use medical necessity criteria established by MassHealth to evaluate whether a member has a medical need for a service.
Link to Medical Necessity Criteria here.
Practice Guidelines
Practice Guidelines support the alignment of MassHealth home- and community-based services with the values that are important to families, support positive outcomes, and reflect the best intentions and expectations of CBHI. The Guidelines reference professional standards, recommended practices, required service components, and quality measures consistent with Wraparound principles.
Link to Practice Guidelines here.
CBHI-State Agency Protocols
CBHI collaborated with Executive Office of Health and Human Services agencies to develop referral protocols for accessing MassHealth's behavioral health services for state agency staff. The following protocols are available.
Link to CBHI State Agency Protocols here.