Maximum Allowable Fees

The MassHealth agency pays for physician services with rates set by the Executive Office of Health and Human Services (EOHHS), subject to the conditions, exclusions, and limitations set forth in 130 CMR 433.000. EOHHS fees for physician services are contained in the following chapters of the Code of Massachusetts Regulations: (A) 101 CMR 315.00: Vision Care Services and Ophthalmic Services (B) 101 CMR 316.00: Surgery and Anesthesia Services (C) 101 CMR 317.00: Medicine (D) 101 CMR 318.00: Radiology (E) 101 CMR 320.00: Clinical Laboratory Services