This page, Substance Use Disorder Treatment Manual for MassHealth Providers , is offered by

Substance Use Disorder Treatment Manual for MassHealth Providers

The Substance Use Disorder Treatment 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 substance use disorder treatment providers, those matters are covered in 130 CMR 418.000, reproduced as Subchapter 4 in the Substance Use Disorder Treatment Manual. 

The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. These rate regulations for substance use disorder treatment services may be found in 101 CMR 346.00.

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: Substance Use Disorder Treatment Providers Regulations

Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers

Subchapter 6: Substance Use Disorder Treatment 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
Feedback