Section 462.404 - Provider EligibilityPayment for the services described in 130 CMR 462.000 is made only to providers who are participating in MassHealth as of the date of service. The eligibility requirements are as follows.
(A)In State. A licensed independent clinical social worker is eligible to participate in MassHealth only if the licensed independent clinical social worker is licensed to practice and engage in the independent practice of clinical social work by the Massachusetts Board of Registration of Social Workers and is a Medicare provider.(B)Out of State. A clinical social worker located outside of Massachusetts is eligible to participate in MassHealth only if the clinical social worker is licensed to practice at the independent clinical level by his or her state's appropriate board of registration and is a Medicare provider. Out-of-state independent clinical social work services are covered only as provided in 130 CMR 450.109: Out-of-state Services.Adopted by Mass Register Issue 1485, eff. 1/1/2023.Amended by Mass Register Issue 1486, eff. 1/1/2023.