130 CMR 463.408
Noncovered Services
The MassHealth agency does not pay for the following:
(A) Doula services for purposes other than those identified in 130 CMR 463.407;
(B) Otherwise payable service codes when those codes are used to bill for circumstances that are not
payable under 130 CMR 463.409;
(C) Travel time and mileage; or
(D) Group doula visits.