130 CMR 412.409
Covered Services
(A) Renal Dialysis. The Division covers medically necessary renal dialysis for eligible
MassHealth members. Renal dialysis includes all services, supplies, and routine laboratory tests
as specified in Subchapter 6 of the Renal Dialysis Clinic Manual.
(B) Prescribed Drugs. The Division limits payment to dialysis clinics for prescribed drugs to
those specified in the service codes and descriptions in Subchapter 6 of the Renal Dialysis Clinic
Manual.
(C) Training for Home Dialysis. The Division pays for home dialysis training, including
self-dialysis (hemodialysis, intermittent peritoneal dialysis, and continuous cycling peritoneal
dialysis) and continuous ambulatory peritoneal dialysis training only where the MassHealth
member attends such training at the clinic site.