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Chronic Disease and Rehabilitation Outpatient Hospital Manual for MassHealth Providers

This manual guides 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 chronic disease and rehabilitation outpatient hospital providers, those matters are covered in 130 CMR 410.000, reproduced as Subchapter 4 in the Chronic Disease and Rehabilitation Outpatient Hospital Manual. 

Chronic disease and rehabilitation hospitals should also refer to the RFA (Request for Application) signed by the hospital for the current rate year for additional requirements.

Table of Contents

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

Subchapter 4: Chronic Disease and Rehabilitation Outpatient Hospital Providers Regulations

Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers

Subchapter 6: Chronic Disease and Rehabilitation Outpatient Hospital Service Codes

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

Contact

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