Rates of Payment

(A) The Massachusetts Division of Health Care Finance and Policy determines the maximum allowable fees for reimbursable services provided by early intervention programs. Payment is subject to the conditions, exclusions, and limitations set forth in the regulations in 130 CMR 440.000. Payment for a service provided by an early intervention program is the lowest of the following: (1) the provider’s usual and customary fee; or (2) the maximum allowable fee listed in the fee schedule in Subchapter 6 of the Early Intervention Program Manual. (B) Maximum allowable fees for early intervention services include payment for administrative operations and for all aspects of service delivery. Providers may not bill separately for services such as, but not limited to, the following: (1) registration; (2) telephone contacts; (3) information and referral services; (4) recordkeeping; (5) travel costs incurred by program staff during home visits and consultations; (6) supervisory services; and (7) translation services. THIS PAGE IS RESERVED.