Maximum Allowable Fees

(A) The MassHealth agency pays for community behavioral health center services with rates set by the Executive Office of Health and Human Services (EOHHS), subject to the conditions, exclusions, and limitations set forth in 130 CMR 448.000. EOHHS fees for community behavioral health center services are contained in 101 CMR 305.00: Rates for Behavioral Health Services Provided in Community Behavioral Health Centers. (B) Administrative Operations. Payment by the MassHealth agency for community behavioral health center services includes payment for administrative operations and for all aspects of service delivery not explicitly included in 130 CMR 448.000, such as, but not limited to (1) completion of member registration and intake, which may be completed on a telephonic or walk-in basis, and must include accumulating and recording at least the minimally required member information necessary to facilitate diagnostic evaluation services, including the members’ presenting concern, and for referral to an appropriate provider or service; (2) communication with members or other parties that may include processes for appointment reminders or coordination of care; (3) staff supervision or consultation with another staff member within the community behavioral health center; (4) providing information for the coordination of referrals; and (5) recordkeeping.