Noncovered Services

The MassHealth agency does not pay for the following services: (A) services performed for experimental or investigational purposes, or that are themselves experimental or investigational; and (B) services provided by a physician who individually or through a group practice has contractual arrangements with an acute, chronic, or rehabilitation hospital, medical school, or other medical institution that involve a salary, compensation in kind, teaching, research, or payment from any other source, if such payment would result in dual compensation for professional, supervisory, or administrative services related to member care.