101 CMR, § 329.01 - General Provisions
(1)
Scope and Purpose. 101 CMR 329.00 governs the rates of
payment used by all governmental units in making payments to eligible providers
of psychological and licensed independent behavioral health clinician services
to publicly aided individuals in any suitable location, such as a private
office, the client's place of residence, using telehealth, or other appropriate
facility. The rates set forth in 101 CMR 329.00 do not apply to individuals
covered by M.G.L. c. 152, Workers' Compensation. Rates for services rendered to
such individuals are set forth in 114.3 CMR
40.03(2): Services
and Rates Covered by other Regulations.
(2)
Applicable Dates of
Service. Rates contained in 101 CMR 329.00 apply for dates of
service on or after April 25, 2025.
(3)
Coverage. 101
CMR 329.00 and the rates of payment contained in 101 CMR 329.00 apply to
psychological and licensed independent behavioral health clinician services
rendered by eligible providers to publicly aided individuals. As set forth in
101
CMR 329.03(2), the rates of
payment under 101 CMR 329.00 are full compensation for all services
rendered.
(4)
Disclaimer of Authorization of Services. 101 CMR
329.00 is not authorization for or approval of the services for which rates are
determined pursuant to 101 CMR 329.00. Purchasing agencies and insurers are
responsible for the definition, authorization, and approval of care and
services extended to publicly aided clients.
(5)
Coding Updates and
Corrections. The Executive Office of Health and Human Services
(EOHHS) may publish procedure code updates and corrections in the form of an
administrative bulletin. The publication of such updates and corrections will
list:
(a) codes for which only the code
numbers change, with the corresponding cross references between existing and
new codes;
(b) codes for which the
code remains the same but the description has changed;
(c) deleted codes for which there are no
corresponding new codes; and
(d)
codes for entirely new services that require pricing. EOHHS will list these
codes and apply individual consideration (IC) reimbursement for these new codes
until appropriate rates can be developed.
(6)
Administrative
Bulletins. EOHHS may issue administrative bulletins to clarify its
policy on, and understanding of, substantive provisions of 101 CMR
329.00.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) Scope and Purpose. 101 CMR 329.00 governs the rates of payment used by all governmental units in making payments to eligible providers of psychological and licensed independent clinical social work services to publicly aided individuals in any suitable location, such as a private office, the client's place of residence, using telehealth , or other appropriate facility. The rates set forth in 101 CMR 329.00 do not apply to individuals covered by M.G.L. c. 152, Workers' Compensation. Rates for services rendered to such individuals are set forth in 114.3 CMR 40.03(2): Services and Rates Covered by other Regulations.
(2) Applicable Dates of Service. Rates contained in 101 CMR 329.00 are effective for dates of service on or after January 1, 2023
(3) Coverage. 101 CMR 329.00 and the rates of payment contained in 101 CMR 329.00 apply to psychological and licensed independent clinical social work services rendered by eligible providers to publicly aided individuals. As set forth in 101 CMR 329.03(2), the rates of payment under 101 CMR 329.00 are full compensation for all services rendered.
(4) Disclaimer of Authorization of Services. 101 CMR 329.00 is not authorization for or approval of the services for which rates are determined pursuant to 101 CMR 329.00. Purchasing agencies and insurers are responsible for the definition, authorization and approval of care and services extended to publicly aided clients.
(5) Coding Updates and Corrections. The Executive Office of Health and Human Services (EOHHS ) may publish procedure code updates and corrections in the form of an administrative bulletin. The publication of such updates and corrections will list:
(a) codes for which only the code numbers change, with the corresponding cross references between existing and new codes;
(b) codes for which the code remains the same but the description has changed;
(c) deleted codes for which there are no corresponding new codes; and
(d) codes for entirely new services that require pricing. EOHHS will list these codes and apply individual consideration (I.C.) reimbursement for these new codes until appropriate rates can be developed.
(6) Administrative Bulletins. EOHHS may issue administrative bulletins to clarify its policy on, and understanding of, substantive provisions of 101 CMR 329.00.