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Home- and Community-Based Services Manual for MassHealth Providers

The Home- and Community-Based Services 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 home- and community-based services providers, those matters are covered in 130 CMR 630.000, reproduced as Subchapter 4 in the Home- and Community-Based Services Manual.

The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. These rate regulations for home- and community-based services may be found in 101 CMR 356.00 and 101 CMR 359.00

Table of Contents

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

Subchapter 4: Home- and Community-Based Services Providers Regulations

Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers

Subchapter 6: Home- and Community-Based Services Service Codes

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

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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