130 CMR, § 436.416

Current through Register 1538, January 3, 2025
Section 436.416 - Noncovered Services

The 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.

130 CMR, § 436.416