101 CMR 315.03 - General Rate Provisions
(1)
Rate Determination. The rates for authorized
vision-care services and ophthalmic materials under
101 CMR
315.00 are the lower of
(a) the provider's usual fee to patients
other than publicly aided or industrial accident patients; or
(b) the schedule of allowable fees set forth
in 101 CMR 315.04.
(2)
Reimbursement as
Full Payment. The rates established by
101 CMR
315.00 are full compensation for vision services
provided to publicly aided and industrial-accident patients as well as for any
related administrative or supervisory duties in connection with the provision
of vision-care services without regard to where the services are
provided.
(3)
Bulk
Purchase Contract. If the provider is required by the purchasing
governmental unit to order material from designated suppliers under a bulk
purchase contract, the provider shall bill the purchasing agency only for the
relevant dispensing fee.
Notes
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