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Adult Day Health Manual for MassHealth Providers

The Adult Day Health Manual guides adult day health providers to the regulations, administrative and billing instructions, and service codes they need.

Administrative regulations and billing regulations apply to all providers and are contained in 130 CMR 450.000. These regulations are reproduced as Subchapters 1, 2, and 3 in this and all other manuals.

Program regulations cover matters that apply specifically to the type of provider for which the manual was prepared. For adult day health providers, those matters are covered in 130 CMR 404.000, reproduced as Subchapter 4 in the Adult Day Health Manual. 

The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. These rate regulations for adult day health services may be found in 101 CMR 310.00.

Table of Contents

Subchapters 1 through 3: Administrative and Billing Regulations for all MassHealth Providers

Subchapter 4: Adult Day Health Providers Regulations

Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers

Subchapter 6: Adult Day Health Service Codes

Appendices for All MassHealth Providers (includes appendices A, C, T, U, V, W, X, Y, and Z)

Appendices for Adult Day Health Providers (includes appendix D)

Contact

Phone

Open Monday–Friday 8 a.m.–5 p.m.

Open Monday–Friday 8 a.m.–5 p.m.

Fax

(617) 988-8974
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