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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