Section 432.405 - Provider Eligibility: Out of StateTo participate in MassHealth, an out-of-state therapy provider must
(A) participate in the Medicaid program in the state in which it is located;(B) be licensed by and be in good standing with their state's licensing authority;(C) provide therapy services consistent with the provisions of 130 CMR 450.109: Out-of-state Services;(D) obtain a MassHealth provider number before providing therapy services;(E) provide services in accordance with 130 CMR 432.411: Payable Services; and(F) notify the MassHealth agency in writing within 14 days of any change in any of the information submitted in the provider application in accordance with 130 CMR 450.223(B): Provider Contract: Execution of Contract including, but not limited to, change of ownership, change of address, and addition or deletion of a branch office.(G) As set forth at 130 CMR 432.411(E) and (F), the MassHealth agency pays for services provided by out of state therapists or, by out of state PTAs, OTAs, and SLPAs when consistent with Medicaid requirements regarding therapy assistants in the state in which they are located, subject to the supervision requirements of 130 CMR 432.000.Amended by Mass Register Issue 1457, eff. 11/26/2021.