Provider Certification Requirements

(A) Ambulatory Abortion Clinic. An ambulatory abortion clinic must be licensed by the Massachusetts Department of Public Health in compliance with the clinic licensure rules and regulations. In order to receive payment from the MassHealth agency, an ambulatory abortion clinic must be enrolled as a participating provider in MassHealth. Abortion Clinic Manual (B) Hospital. A hospital in which abortions are performed must be licensed by the Massachusetts Department of Public Health in compliance with the hospital licensure rules and regulations. In order to receive payment from the MassHealth agency, a hospital must be enrolled as a participating provider in MassHealth. (C) Physician. The MassHealth agency pays for abortion services rendered by a physician only in accordance with 130 CMR 433.403 and 130 CMR 433.404. (D) Physician Assistant. The MassHealth agency pays for abortion services rendered by a physician assistant only in accordance with 130 CMR 433.434. (E) Certified Nurse Practitioner. The MassHealth agency pays for abortion services rendered by a certified nurse practitioner only in accordance with 130 CMR 433.433. (F) Certified Nurse Midwife. The MassHealth agency pays for abortion services rendered by a certified nurse midwife only in accordance with 130 CMR 433.419.