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 durable medical equipment providers, those matters are covered in 130 CMR 409.000, reproduced as Subchapter 4 in the Durable Medical Equipment Manual.
The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. These rate regulations for durable medical equipment services may be found in 101 CMR 322.00.
See the MassHealth DME and Oxygen Payment and Coverage Guidelines Tool for more information about applicable modifiers, place-of-service codes, prior-authorization requirements, service limits, and pricing and markup information.