Overtime

(A) The MassHealth agency will pay an overtime rate for nursing services provided by an independent nurse when the following conditions are met: (1) prior authorization for overtime has been obtained from the MassHealth agency or its designee; and (2) nursing services are provided by the same independent nurse and exceed 40 hours in a given calendar week for one MassHealth member. (B) The MassHealth agency or its designee will only evaluate and authorize overtime on request by the independent nurse. (C) In no event will any independent nurse be authorized for a total of more than 60 hours of nursing care provided during any seven-day calendar week, regardless of the number of MassHealth members receiving care from the independent nurse.