Services Provided by Out-of-State Providers

The Division pays for services provided in another state to the same extent that it pays for services within its boundaries if the services are provided to a recipient who is a resident of Massachusetts and any of the following conditions are met: (A) services are needed because of a medical emergency; (B) services are needed and the recipient’s health would be endangered if the recipient were required to travel to the Commonwealth; (C) the Division determines, on the basis of medical advice, that the needed services, or necessary supplementary resources, are more readily available in another state; or (D) the recipient lives in an area of Massachusetts that borders another state, and it is a general practice of recipients in that area to use medical resources in the adjacent state.