Section 447.404 - Provider EligibilityThe MassHealth agency pays only acupuncturists who are participating in MassHealth on the date of service. Acupuncturists must meet the following eligibility requirements.
(A)In-state Providers. To be eligible to participate in MassHealth, an in-state acupuncturist must(1) be licensed as a provider of acupuncture by the Massachusetts Board of Registration in Medicine under 243 CMR 5.00: The Practice of Acupuncture; and(2) be an active MassHealth provider.(B)Out-of-state Providers. To participate in MassHealth, an out-of-state acupuncturist must obtain a MassHealth provider number and meet the following criteria:(1) be currently licensed as an acupuncturist in his or her own state, or for an acupuncturist in a state that does not license acupuncturists, be legally authorized to perform the services of an acupuncturist in that state;(2) participate in his or her state's Medicaid program (or the equivalent); and(3) meet the conditions set forth in 130 CMR 450.109: Out-of-state Services.Adopted by Mass Register Issue 1461, eff. 1/21/2022.