Introduction

130 CMR 434.000 establishes the requirements for the provision of psychiatric hospital outpatient services under MassHealth. The MassHealth agency pays for outpatient visits and ancillary services (such as radiographic views, laboratory tests, and pharmacy items) that are medically necessary and appropriately provided. The quality of such services must meet professionally recognized standards of care. All psychiatric inpatient hospitals participating in MassHealth that provide psychiatric hospital outpatient services must comply with the MassHealth regulations, including but not limited to MassHealth regulations set forth in 130 CMR 434.000 and 450.000.