Noncovered Services

The MassHealth agency does not pay for the following services: (A) services performed for experimental, unproven, cosmetic or otherwise medically unnecessary procedure or treatment; (B) the treatment of male or female infertility (including, but not limited to, laboratory tests, drugs, and procedures associated with such treatment); (C) services otherwise identified in the MassHealth regulations at 130 CMR 455.000 or 130 CMR 450.000: Administrative and Billing Regulations as not payable; or (D) otherwise payable service codes when those codes are used to bill for circumstances that are not payable pursuant to 130 CMR 455.414.