Section 401.411 - Noncovered Services and Payment Limitations(A) The MassHealth agency does not pay separately for routine specimen collection and preparation for the purpose of clinical laboratory analysis (for example, venipunctures; urine, fecal, and sputum samples; Pap smears; cultures; and swabbing and scraping for removal of tissue). The cost for such services is included in the payment for conducting the test and analysis.(B) The MassHealth agency does not pay for the following services: (1) laboratory tests associated with male or female infertility, unless those tests are for diagnostic purposes;(2) calculations (for example, red cell indices, A/G ratio, creatinine clearance), and ratios calculated as part of a profile;(3) tests performed for experimental or clinical investigational purposes (e.g., to establish safety and effectiveness), or that are themselves experimental or clinically investigational;(4) tests performed only for purposes of civil, criminal, administrative, or social service agency investigations, proceedings, or monitoring activities;(5) tests performed for residential monitoring purposes;(6) tests performed to establish paternity;(7) post-mortem examinations;(8) tests where the request is not in accordance with 130 CMR 401.416;(9) tests that are not medically necessary as defined in 130 CMR 450.204: Medical Necessity; and(10) any other tests or activities performed for any purpose other than those described in 130 CMR 401.410.(C) The MassHealth agency does not pay independent clinical laboratories for services that the laboratory is not certified by the Centers for Medicare and Medicaid Services (CMS) to perform.