Payment: Contraceptive Supplies and Drugs

(A) Contraceptive Supplies. The MassHealth agency pays for contraceptive supplies listed in Subchapter 6 of the Family Planning Agency Manual. If the family planning agency purchases supplies at a price lower than that allowed in the fee schedule, the agency must bill the MassHealth agency at that lower price. (B) Drugs. The MassHealth agency pays for drugs at the actual acquisition cost. A copy of the current invoice showing the actual acquisition cost must be attached to the claim form. Claims for dispensing drugs must include the following information: the name of the drug; the strength; the dosage; and the number of units. Claims without this information will be denied. Payment for drugs is determined on an individual consideration (I.C.) basis by the MassHealth agency, based on the information entered on the claim. (130 CMR 421.435 through 421.437 Reserved) MassHealth Subchapter Number and Title 4. Program Regulations Page Family Planning Agency Manual Transmittal Letter Date