Provider Eligibility

(A) A center is eligible to participate only if the center is (1) physically located within the Commonwealth of Massachusetts; (2) enrolled as a Medicare provider; (3) enrolled with the MassHealth agency as a billing provider as evidenced by the issuance of a Provider Identification and Service Location (PIDSL) number for the provision of community behavioral health center services; (4) licensed by DPH as (a) a clinic with a mental health service designation and a substance use disorder service designation; or (b) a hospital or hospital satellite that provides outpatient mental health and substance use disorder services; (5) certified by the DPH Bureau of Substance Addiction Services through a Certificate of Approval for Substance Use Disorder services for outpatient counseling and outpatient withdrawal management; and (6) holding a current Clinical Laboratory Improvement Amendments (CLIA) certificate of waiver. (B) Each center must meet the requirements listed in 130 CMR 448.000 in order to be enrolled by the MassHealth agency. (C) Payment for services described in 130 CMR 448.000 will be made only to community behavioral health centers participating in MassHealth on the date of service.