130 CMR, § 450.146 - EPSDT Services: Claims for Laboratory Services, Audiometric Hearing Tests, Vision Tests, and Behavioral Health Screening (Physician, Physician Assistant, Certified Nurse Practitioner, Certified Nurse Midwife, Certified Clinical Nurse Specialist, and Community Health Center Providers Only)
(A)
Laboratory Services. The laboratory services that are
listed in Appendix Z: EPSDT/PPHSD Screening Services Codes of
all MassHealth provider manuals and included in the Medical Schedule are
payable, in addition to the initial, periodic or interperiodic visit, when they
are performed and interpreted in the office of the provider who performed the
initial, periodic or interperiodic visit.
(B)
Audiometric Hearing and
Vision Tests. Payments for the audiometric hearing tests and the
bilateral quantitative screening test of visual acuity that are listed in
Appendix Z of all MassHealth provider manuals and included in the Medical
Schedule, is not included in the fee for an initial, periodic or interperiodic
visit. Payment for these tests may be claimed separately.
(C)
Behavioral Health
Screening. Payment for the administration and scoring of one of
the standardized behavioral health screening tools that is listed in Appendix Z
of all MassHealth provider manuals and set forth in the Medical Schedule is not
included in the fee for an initial, periodic or interperiodic visit.
Notes
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No prior version found.