130 CMR 424.424
Shoes and Corrective Devices
(A) The MassHealth agency pays for only those shoes listed in Subchapter 6 of the Podiatrist
Manual.
(B) For shoes, providers must submit with their claim a copy of the applicable completed
MassHealth Orthotic and Prosthetic Prescription and Medical Necessity Review Form.
(C) The MassHealth agency does not pay for casting materials used in the molding of orthotic
shoes or corrective devices. The cost of these materials is included in the fee for prescribing and
providing the shoe or corrective device.