130 CMR, § 421.431

Current through Register 1533, October 25, 2024

Section 421.431 - Maximum Allowable Fees

The Massachusetts Division of Health Care Finance and Policy determines the maximum allowable fees for family planning agency services. Payment is always subject to the conditions, exclusions, and limitations set forth in 130 CMR 421.000. The payment for a service is the lower of the following:

(A) the amount specified in the applicable fee schedule of the Division of Health Care Finance and Policy; or

(B) the agency's usual and customary fee (if the agency uses a sliding fee scale, this is the highest level of the scale).

130 CMR, § 421.431

Amended by Mass Register Issue S1277, eff. 1/2/2015.