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Psychiatric Outpatient Hospital Manual for MassHealth Providers

The Psychiatric Outpatient Hospital Manual guides providers to the regulations and the administrative and billing instructions 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 psychiatric outpatient hospital providers, those matters are covered in 130 CMR 434.000, reproduced as Subchapter 4 in the Psychiatric Outpatient Hospital Manual. 

See 130 CMR 450.124 for important information about payment for behavioral health services for MassHealth members.

Table of Contents

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

Subchapter 4: Psychiatric Outpatient Hospital Providers Regulations

Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers

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

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