130 CMR 405.414
Translation Services, or 405.415: Emergency Backup Services. If an applicant has been
provisionally certified, the letter of notification will specify the certification requirements with which
the applicant has failed to comply and the schedule for achieving compliance. When requirements
for full certification have been met, the MassHealth agency will certify the CHC. Upon notice of
provisional certification, the CHC may enter into a provider contract with the MassHealth agency in
accordance with 130 CMR 450.000: Administrative and Billing Regulations, on the condition that
such provider contract, by its own terms, will expire upon the date fixed in the letter of notification
for full compliance.
(D) Review of Certification.
(1) The MassHealth agency's program specialist for CHCs has the right to review a certified or
provisionally certified provider's continued compliance with the conditions for certification
referred to in 130 CMR 405.405(A) through (C) upon reasonable notice and at any reasonable
time during the hours of operation of the provider. The program specialist has the right to revoke
the certification or provisional certification of a provider, subject to any applicable provisions of
130 CMR 450.000: Administrative and Billing Regulations, if such review reveals that the
provider has failed or ceased to meet such conditions.
(2) Any changes in the manager or professional services director or in the scope of services
provided by a CHC must be reported in writing to the MassHealth agency's program specialist
for CHCs. Any additions to the scope of services must be approved in writing by the program
specialist before they are payable by the MassHealth agency. Elimination of services may result
in review of the CHC by the MassHealth agency to determine whether the CHC still meets the
requirements for certification set forth in 130 CMR 405.405.