Certification

(A) Application. An application for certification as a CHC must be made on the form provided by the MassHealth agency and must be submitted to the MassHealth agency's program specialist for CHCs. Upon receipt of the completed application, the program specialist or their designee may arrange for a site visit with the applicant to determine compliance with 130 CMR 405.406 through 405.416, and if the applicant offers one or more of the services described in 130 CMR 405.431 through 405.471, compliance with the applicable portions of those sections. Based on the information revealed by the application and the site visit, the MassHealth agency will determine whether the applicant is certifiable, provisionally certifiable, or not certifiable. The program specialist will promptly notify the applicant of the determination in writing. If the applicant is not certifiable, the notice will contain a statement of the reasons for that determination. (B) Certification. A determination of certifiability indicates that the applicant has been found by the MassHealth agency to be in compliance with 130 CMR 405.406 through 405.416 and, to the extent applicable, with 130 CMR 405.431 through 405.471. Upon such determination of certifiability, the CHC may enter into a provider contract with the MassHealth agency in accordance with 130 CMR 450.000: Administrative and Billing Regulations. (C) Provisional Certification. Provisional certification means that the MassHealth agency has determined the applicant to be in compliance with 130 CMR 405.405(B) except for one or more of the following: 130 CMR 405.408(F): Nutrition Services, 405.408(C): Obstetrics/Gynecology,