Maximum Allowable Fees

The Executive Office of Health and Human Services (EOHHS) determines the maximum allowable fees for psychologist services as set forth in 101 CMR 329.00: Rates for Psychological and Licensed Independent Clinical Social Work Services. The fees include payment for the complete cost of psychological assessments of the member including scoring the test, interpreting the results, writing the report, and other psychological diagnostic and treatment services. Payment is always subject to the conditions, exclusions, and limitations set forth in 130 CMR 411.000 and 130 CMR 450.000: Administrative and Billing Regulations. Payment for a service is made at the lower of the following: (A) the psychologist's usual and customary charge to the general public for the same or similar service; or (B) the maximum allowable fee listed in the applicable EOHHS fee schedule.