Current through Register 1538, January 3, 2025
Section 436.416 - Noncovered ServicesThe MassHealth agency does not pay for the following services:
(A) Services performed for experimental or investigational purposes, or that are themselves experimental or investigational.(B) Services provided by a physician who individually or through a group practice has contractual arrangements with an acute, chronic, or rehabilitation hospital, medical school, or other medical institution that involve a salary, compensation in kind, teaching, research, or payment from any other source, if such payment would result in dual compensation for professional, supervisory, or administrative services related to member care.