Current through Register 1527, August 2, 2024
Section 423.403 - Eligible Members(A)MassHealth Members and Recipients of Emergency Aid to the Elderly, Disabled and Children Program. (1)MassHealth Members. The MassHealth agency pays for freestanding ambulatory surgical center services only when provided to eligible MassHealth members, subject to the restrictions and limitations described in the MassHealth regulations. 130 CMR 450.105: Coverage Types, specifically states, for each MassHealth coverage type, which services are covered and which members are eligible to receive those services.(2)Recipients of Emergency Aid to the Elderly, Disabled and Children Program. For information on covered services for recipients of the Emergency Aid to the Elderly, Disabled and Children Program, see 130 CMR 450.106: Emergency Aid to the Elderly, Disabled and Children Program.(B)Member Eligibility and Coverage Type. For information on verifying member eligibility and coverage type, see 130 CMR 450.107: Eligible Members and the MassHealth Card.Amended by Mass Register Issue S1277, eff. 1/2/2015.