101 CMR, § 329.03 - General Rate Provisions

(1) General Rate Provisions. The rates of payment for psychological and licensed independent behavioral health clinician services to which 101 CMR 329.00 applies are the lower of:
(a) The eligible provider's usual charge to the general public for the same or similar services; or
(b) The schedule of allowable fees listed in 101 CMR 329.04 and 101 CMR 329.05.
(2) Rates as Full Compensation. The rates of payment contained in 101 CMR 329.00 constitute full compensation for psychological and licensed independent behavioral health clinician services provided by eligible providers to publicly aided individuals, including full compensation for necessary administration (including, but not limited to, interviewing, testing, scoring, interpreting, and writing of reports) and professional supervision associated with patient care.
(3) Individual Consideration.
(a) Rates of payment to eligible providers for services authorized in 101 CMR 329.00 but not listed herein or for authorized services performed in exceptional circumstances are determined on an Individual Consideration (IC) basis by the governmental unit purchaser upon receipt of a report that describes the services rendered. Degree of skill and/or expertise and extension of time, associated with the accommodation of functional limitations of publicly aided individuals with disabilities will be considered for IC and must be adequately documented to support the appropriateness of such claims.
(b) Hours. The determination of the number of hours of services purchased for authorized IC procedures is in accordance with the following criteria:
1. time required to perform the service;
2. severity or complexity of the client's disorder or disability;
3. prevailing professional ethics and accepted practice; and
4. such other standards and criteria as may be adopted occasionally by EOHHS or the governmental purchaser.
(4) Modifiers.
(a) -AH: Clinical psychologist (This modifier is to be applied to service codes billed by the mental health center that were performed by doctoral level clinician, including PhD, PsyD, or EdD);
(b) -HO: Master's degree level (This modifier is to be applied to service codes billed by the mental health center that were performed by LMHCs, LMFTs, or LICSWs;
(c) -HA: Child/adolescent program (This modifier is to be applied to service codes billed when performed with a Children and Adolescent Needs and Strengths (CANS)).

Notes

101 CMR, § 329.03
Amended by Mass Register Issue 1485, eff. 1/1/2023. Amended by Mass Register Issue 1546, eff. 4/25/2025.

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