130 CMR 423.419
Abortion Services
(A) Abortions may be performed in a surgical center in accordance with M.G.L. c. 112, s. 12I
through 12N, inserted by Chapter 706 of the Acts of 1974, and with license rules and regulations
of the Massachusetts Department of Public Health.
(B) A surgeon must certify that the abortion is medically necessary by completion of the
Certification for Payable Abortion (CPA-2) form. The surgeon must comply with MassHealth
regulations at 130 CMR 433.000: Physician.
(C) All surgical centers must attach a completed CPA-2 form to each claim form submitted to the
MassHealth agency for a payable abortion. (Instructions for obtaining the CPA-2 form can be
found in Subchapter 5 of the Freestanding Ambulatory Surgery Center Manual.) The surgical
center must attach a copy of the completed CPA-2 form with each claim made to the MassHealth
agency for a payable abortion. Service codes requiring a CPA-2 form are indicated in Subchapter
6 of the Freestanding Ambulatory Surgery Center Manual.
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