130 CMR, § 462.408

Current through Register 1536, December 6, 2024

Section 462.408 - Maximum Allowable Fees

The Executive Office of Health and Human Services (EOHHS) determines the maximum allowable fees for licensed independent clinical social work services as set forth in 101 CMR 329.00: Rates for Psychological and Independent Clinical Social Work Services. The fees include payment for the complete cost of psychological diagnostic and treatment services. Payment is always subject to the conditions, exclusions, and limitations set forth in 130 CMR 462.000 and 130 CMR 450.000: Administrative and Billing Regulations. Payment for a service is made at the lower of the following:

(A) the licensed independent clinical social worker's usual and customary charge to the general public for the same or similar service; or

(B) the maximum allowable fee listed in the applicable EOHHS fee schedule.

130 CMR, § 462.408

Adopted by Mass Register Issue 1485, eff. 1/1/2023.

Amended by Mass Register Issue 1486, eff. 1/1/2023.