Section 437.404 - Provider EligibilityPayment for the services described in 130 CMR 437.000 is made only to hospices participating in MassHealth on the date of service.
(A)In State. To participate in MassHealth, a Massachusetts hospice must (1) be certified as a provider of hospice services under the Medicare program, as defined in 42 CFR Part 418; and(2) be licensed as a hospice program by the Massachusetts Department of Public Health pursuant to M.G.L. c. 111, § 57D and 105 CMR 141.000: Licensure of Hospice Programs.(B)Out of State. To participate in MassHealth, an out-of-state hospice must(1) be certified as a provider of hospice services under the Medicare program, as defined in 42 CFR Part 418 ;(2) be licensed by the appropriate licensing agency in its state (as applicable); and(3) participate in the Medicaid program in its own state.Amended by Mass Register Issue 1353, eff. 12/1/2017.Amended by Mass Register Issue 1485, eff. 1/1/2023.