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Urgent Care Clinic (UCC) Manual for MassHealth Providers

The Urgent Care Clinic Manual guides urgent care clinic 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 urgent care clinic providers, those matters are covered in 130 CMR 455.000, reproduced as Subchapter 4 in the Urgent Care Clinic Manual.

The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. These rate regulations for urgent care clinic services may be found in 101 CMR 317.00, 101 CMR 318.00, and 101 CMR 320.00.

Table of Contents

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

Subchapter 4: Urgent Care Clinic Services Provider Regulations

Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers

Subchapter 6: Urgent Care Clinic Services Service Codes

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



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