101 CMR 352.01 - General Provisions
(1)
Scope and Purpose.
101 CMR
352.00 governs the rates to be used by all
governmental units for certain outpatient children's behavioral health services
provided by community service agencies and other eligible providers.
101 CMR
352.00 does not govern rates for psychological testing
services, which are governed by
101 CMR
329.00: Rates for Psychological and
Independent Clinical Social Work Services, or rates for mental health
services, which are governed by
101 CMR
306.00: Rates of Payment for Mental Health
Services Provided in Community Health Centers and Mental Health
Centers. In addition,
101 CMR
352.00 does not govern rates for other services, care,
and supplies provided to publicly aided patients including, but not limited to,
psychiatric day treatment services, early intervention services, and medical
services provided in community health centers.
(2)
Applicable Dates of
Service. Rates contained in
101 CMR
352.00 apply for dates of service provided on or after
August 1, 2023, or as indicated in
101
CMR 352.03(3).
(3)
Disclaimer of Authorization
of Services.
101 CMR
352.00 is not authorization for or approval of the
procedures for which rates are determined pursuant to
101 CMR
352.00. Purchasing agencies and insurers are
responsible for the definition, authorization, and approval of care and
services extended to publicly aided clients.
(4)
Administrative
Bulletins. EOHHS may issue administrative bulletins to clarify its
policy on and understanding of substantive provisions of
101 CMR
352.00.
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 352.00 governs the rates to be used by all governmental units for certain outpatient children's behavioral health services provided by community service agencies and other eligible providers. 101 CMR 352.00 does not govern rates for psychological testing services, which are governed by 101 CMR 329.00: Rates for Psychological and Independent Clinical Social Work Services, or rates for mental health services, which are governed by 101 CMR 306.00: Rates of Payment for Mental Health Services Provided in Community Health Centers and Mental Health Center s. In addition, 101 CMR 352.00 does not govern rates for other services, care, and supplies provided to publicly aided patients including, but not limited to, psychiatric day treatment services, early intervention services, and medical services provided in community health centers.
(2) Applicable Dates of Service. Rates contained in 101 CMR 352.00 apply for dates of service provided on or after August 1, 2023, or as indicated in 101 CMR 352.03(3).
(3) Disclaimer of Authorization of Services. 101 CMR 352.00 is not authorization for or approval of the procedures for which rates are determined pursuant to 101 CMR 352.00. Purchasing agencies and insurers are responsible for the definition, authorization, and approval of care and services extended to publicly aided clients.
(4) Administrative Bulletins. EOHHS may issue administrative bulletins to clarify its policy on and understanding of substantive provisions of 101 CMR 352.00.