General Provisions

(1) Scope and Purpose. 101 CMR 352.00 governs the rates to be used by all governmental units for certain outpatient children’s behavioral health services provided by community service agencies and other eligible providers. 101 CMR 352.00 does not govern rates for psychological testing services, which are governed by 101 CMR 329.00: Rates for Psychological and Independent Clinical Social Work Services, rates for mental health services, which are governed by 101 CMR 306.00: Rates of Payment for Mental Health Services Provided in Community Health Centers and Mental Health Centers, or rates for youth mobile crisis intervention services, which are governed by 101 CMR 305.00: Rates for Behavioral Health Services Provided in Community Behavioral Health Centers. In addition, 101 CMR 352.00 does not govern rates for other services, care, and supplies provided to publicly aided patients, including, but not limited to, psychiatric day treatment services, early intervention services, and medical services provided in community health centers. (2) Applicable Dates of Service. Rates contained in 101 CMR 352.00 apply for dates of service on or after September 1, 2025, or as indicated in 101 CMR 352.03(3). (3) Disclaimer of Authorization of Services. 101 CMR 352.00 is not authorization for or approval of the procedures for which rates are determined pursuant to 101 CMR 352.00. Purchasing agencies and insurers are responsible for the definition, authorization, and approval of care and services extended to publicly aided clients. (4) Administrative Bulletins. The Executive Office of Health and Human Services (EOHHS) may issue administrative bulletins to clarify its policy on and understanding of substantive provisions of 101 CMR 352.00.