General Laws

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Section 1Duties of office
Section 2Established authority
Section 2ADirector of dental services
Section 3 to 5Repealed, 2003, 26, Sec. 308
Section 6Medical care advisory committee; member; staff; report from office of Medicaid
Section 7Powers
Section 8Definitions
Section 8ADefinitions for Secs. 13C to 13K and Secs. 64 to 70
Section 9Eligibility
Section 9AMassHealth; beneficiaries; eligibility; payment; information applications
Section 9BRepealed, 2013, 35, Sec. 25
Section 9CMedical insurance reimbursement programs; definitions; eligibility; expenditures; submission of plans
Section 9DSenior care options initiative; senior care organizations; enrollment choices; advisory committee; report
Section 9EApplication for authority; implementation of measures; waiver of measures due to hardship
Section 9FDuals demonstration; review of request for financial solvency
Section 10Medical care assistance program for pregnant women and infants
Section 10ARequired coverage for prenatal care, childbirth and postpartum care
Section 10BRequired coverage for newborn hearing screening tests
Section 10CRequired coverage for items medically necessary for the diagnosis or treatment of diabetes
Section 10DRequired coverage for treatment of breast and cervical cancer
Section 10EHealthy start program; medical assistance for pregnant women and infants; eligibility; types of assistance; protection from billing and collection practices
Section 10FHealth care services for dependent and adopted youths; funding; types of services; eligibility; program reports; no entitlement
Section 10GCoverage for children under age 18 for cleft lip and cleft palate
Section 10HCoverage for medically necessary treatments for persons younger than 21 years old diagnosed with an autism spectrum disorder by a licensed physician or a licensed psychologist
Section 10ICoverage for administration of all federal Food and Drug Administration approved drugs for opioid or alcohol dependence treatment
Section 11Cooperation with federal authorities
Section 12Policies; procedures; rules and regulations; contracts
Section 13Rate changes; review
Section 13ANon-acute hospitals; rates and terms of payment
Section 13BHospital rate increases; quality standards and benchmarks
Section 13CEstablishment of rates of payment for health care services
Section 13DDuties of ratemaking authority; criteria for establishing rates
Section 13EAppeals of interim or final rates
Section 13E1/2Contractual arrangements with acute and non-acute hospitals
Section 13FContracts between acute and non-acute hospital service providers and office of Medicaid
Section 13GHospital assets not to be considered as resources for purpose of establishing rates
Section 13HRecipients of benefits under chapter 117A
Section 13IPatients with foreign residency
Section 13JHealth maintenance organizations; contracting rights
Section 13KAdjustment of facility's rate
Section 14Nursing home negotiated rate contracts
Section 14AReimbursement to nursing homes for admissions to acute care and chronic disease or rehabilitation hospitals
Section 15Medicaid benefits; rules and regulations; managed care; personal expenses
Section 16Primary and supplemental medical care and assistance program for disabled residents; assistance program for chronically ill or disabled persons forced to leave employment or substantially reduce work hours
Section 16AMedical care and assistance program for disabled children
Section 16A1/2Costs incurred for medical programs projected to exceed available appropriations; notice
Section 16BRepealed, 1996, 203, Sec. 16
Section 16CChild health insurance program; medical benefits; costs; eligibility
Section 16DAliens or persons residing in United States under color of law; benefits
Section 17Reimbursements for non-generic drugs
Section 17AEmergency services provided to beneficiaries for emergency medical conditions
Section 18Medical insurance purchases for persons eligible for assistance
Section 19Prior approval of medical services; methods; rules and regulations; posttreatment examinations
Section 20Application; forms; application by institution
Section 21Inquiry by department; notification of applicant; agreement
Section 21AMedical assistance eligibility of an institutionalized spouse
Section 22Third party payments; repayment; assignment; subrogation
Section 23Subrogation rights; health insurance benefits; garnishment of wages
Section 23AFinancial institutions; request for deposit and withdrawal records; penalty
Section 24Repealed, 1996, 450, Sec. 157
Section 25Exempt income and resources
Section 26Identification card
Section 27Redetermination of eligibility
Section 28Disposal of resources at less than fair market value; period of ineligibility
Section 29Transfer of interest in real property; notice
Section 30Time of payment
Section 31Adjustment or recovery of payments
Section 32Provision of death certificate and probate petition to division; liability of estate beneficiaries; claims against estate; sale or transfer of property subject to lien or claim
Section 32ARepealed, 2005, 6, Sec. 14
Section 33Long term care insurance purchasers; liability for medical assistance paid
Section 34Liens and encumbrances
Section 35Reimbursement for covered claims; submission of information
Section 36Eligible providers; responsibility for overpayments
Section 37Distribution of rules, regulations to providers; administrative sanctions
Section 38Submission of bills by providers; appeals for erroneous denials; overpayments; civil collection actions
Section 39False representations, failure to disclose; penalty
Section 40False statements or representations by providers; penalty
Section 41Bribery or rebates; penalty
Section 41ARepealed, 2001, 177, Sec. 27
Section 42Excess charges; penalty
Section 43Health care facilities; additional charges as precondition for admission or continuance; penalty
Section 44Civil remedies; limitations
Section 45Venue; actions relating to false claims
Section 46Availability of other remedies
Section 46AProviders; submission of claims for payment not in compliance with policies and procedures of medical assistance program; proof of clerical or administrative error
Section 47Persons aggrieved; right to hearing; investigation; decision; rehearing; notice
Section 47ABenefits available only to otherwise eligible individuals showing lawful presence in the United States or meeting applicable federal requirements necessary to qualify for benefits for which the commonwealth receives federal reimbursement
Section 48Board of hearings
Section 49Use and disclosure of information
Section 50Contract for administrative functions; underwriting of program
Section 51Utilization review of care and services; data processing and collection procedures; liability in civil actions
Section 52Maintenance of standards for providers; development of new programs
Section 53Covered services
Section 54Wellness program for MassHealth enrollees
Section 55Repealed, 2008, 451, Sec. 75
Section 56Controlled substance management program for MassHealth enrollees
Section 57[There are no 118E:57 to 118E:60.]
Section 61Availability of benefits to persons recognized as a spouse under laws of the commonwealth
Section 62Acceptance and recognition of information submitted pursuant to coding standards and guidelines required; use of standardized claim formats
Section 63Assessment per non–Medicare reimbursed patient day
Section 64Definitions for Secs. 64 through 69
Section 65Health safety net office
Section 66Health Safety Net Trust Fund
Section 67Liability of acute hospital to fund
Section 68Surcharge assessed by acute hospitals and ambulatory surgical centers
Section 69Reimbursements to hospitals and community health centers for health services provided to uninsured and underinsured individuals
Section 70Definitions for Secs. 70 through 75
Section 71PCA quality home care workforce council
Section 72Duties of workforce council; PCA recruitment, training and referral resources; lists of PCAs
Section 73Rights of consumers regarding PCAs; public employee status for limited purposes; collective bargaining
Section 74PCA quality home care workforce council; scope of power and authority
Section 75Performance reviews
Section 76Designation of another governmental unit to perform functions set forth in Secs. 13C through 13K and 64 through 75
Section 77Office of Medicaid to attribute members to primary care providers