Administrative Requirements

Whether services are provided by the CSN agency directly or through contractual arrangements made by the agency, the agency must (A) accept the member for treatment in accordance with its admission policies; (B) maintain a complete medical record as defined at 130 CMR 438.402 relating to all services provided in accordance with 130 CMR 438.415(D)(3); (C) obtain from the physician or ordering non-physician practitioner the required certifications and recertifications of the plan of care in accordance with 130 CMR 438.416(C); and (D) ensure that the CSN agency's staff review the medical necessity of services and the physician or ordering non-physician practitioner certification on a regular basis.