Section 428.414 - Medicare Coverage(A) For Medicare and third-party-liability coverage, see130 CMR 450.316 through 450.318.(B) For Medicare-covered services that are provided to members who receive Medicare Part B benefits, the MassHealth agency does not require prior authorization.(C) When Medicare denies a claim for prosthetic services or considers the services uncovered, the MassHealth agency requires prior authorization for those services that would require prior authorization for members without Medicare.Amended by Mass Register Issue 1354, eff. 12/15/2017.Amended by Mass Register Issue 1494, eff. 4/28/2023.