Laboratory Services Provided outside of Massachusetts

When provided out of state, independent clinical laboratory services are reimbursable only if (A) the member is temporarily out of state and requires clinical laboratory services under the circumstances described in 130 CMR 450.109; (B) the MassHealth agency determines that the independent clinical laboratory services required by the member are not available from any laboratory in Massachusetts; or (C) the out-of-state independent clinical laboratory is a subsidiary-related entity of an in-state independent clinical laboratory that is enrolled in MassHealth. (130 CMR 401.406 through 401.409 Reserved)