Noncovered Services

The MassHealth agency does not pay for the following: (A) dry needling; (B) acupuncture for purposes other than those identified in 130 CMR 447.413(A); (C) performing, administering, or dispensing any experimental, unproven, cosmetic, or otherwise medically unnecessary procedure or treatment; (D) the treatment of male or female infertility (including, but not limited to, laboratory tests, drugs, and procedures associated with such treatment); or (E) otherwise payable service codes when those codes are used to bill for circumstances that are not payable under 130 CMR 447.414.