Introduction

130 CMR 410.000 establishes the requirements for the provision of services by hospital outpatient departments, hospital-licensed health centers, and other hospital satellite clinics under MassHealth. For the purposes of 130 CMR 410.000, "hospital outpatient department" may also refer to hospital-licensed health centers, and other hospital satellite clinics. MassHealth pays for outpatient hospital visits and ancillary services (such as radiographic views, laboratory tests, medical supplies, and drugs) that are medically necessary and appropriately provided, as defined at 130 CMR 450.204: Medical Necessity. The quality of such services must meet professionally recognized standards of care.