130 CMR 442.425
Prohibited Marketing Activities
An orthotic provider shall not:
(A) with the knowledge that a member is enrolled in a MassHealth capitated program, engage in
any practice that would reasonably be expected to have the effect of steering or encouraging the
member to disenroll from the MassHealth capitated program in order to retain the provider to
provide services on a fee-for-service basis; or
(B) offer to a member, or his or her family or caregivers, in-person or through marketing any
inducement to retain the provider to provide orthotic services, such as a financial incentive,
reward, gift, meal, discount, rebate, giveaway, or special opportunity;
(C) pay a “finder’s fee” to any third-party in exchange for referring a member to the orthotic
provider; or
(D) engage in any unfair or deceptive acts or practices in connection with any marketing.