130 CMR 415.401
Introduction
130 CMR 415.000 establishes the requirements for the provision of services by acute inpatient
hospitals under MassHealth. The word "hospital" in 130 CMR 415.000 refers specifically to an acute
inpatient hospital or unit only, unless the context clearly indicates otherwise. The MassHealth
agency pays for inpatient hospital services that are medically necessary and appropriately provided
as defined by 130 CMR 450.204: Medical Necessity. The quality of such services must meet
professionally recognized standards of care.