STATE STATUTES & CODES

MASSACHUSETTS STATUTES AND CODES

CHAPTER 118E DIVISION OF MEDICAL ASSISTANCE

• Section 1 Duties of office
• Section 2 Established authority
• Section 2A Director of dental services
• Section 3 to 5 Repealed, 2003, 26, Sec. 308
• Section 6 Medical care advisory committee; member; staff; report from office of Medicaid
• Section 7 Powers
• Section 8 Definitions
• Section 9 Eligibility
• Section 9A MassHealth; beneficiaries; eligibility; payment; information applications
• Section 9B Participation of commonwealth; budget neutrality certification; projected expenditure and revenue reports; beneficiary distinctions
• Section 9C Medical insurance reimbursement programs; definitions; eligibility; expenditures; submission of plans
• Section 9D Senior care options initiative; senior care organizations; enrollment choices; advisory committee; report
• Section 9E Application for authority; implementation of measures; waiver of measures due to hardship
• Section 10 Medical care assistance program for pregnant women and infants
• Section 10A Required coverage for prenatal care, childbirth and postpartum care
• Section 10B Required coverage for newborn hearing screening tests
• Section 10C Required coverage for items medically necessary for the diagnosis or treatment of diabetes
• Section 10D Required coverage for treatment of breast and cervical cancer
• Section 10E Healthy start program; medical assistance for pregnant women and infants; eligibility; types of assistance; protection from billing and collection practices
• Section 10F Health care services for dependent and adopted youths; funding; types of services; eligibility; program reports; no entitlement
• Section 11 Cooperation with federal authorities
• Section 12 Policies; procedures; rules and regulations; contracts
• Section 13 Rate changes; review
• Section 13A Non-acute hospitals; rates and terms of payment
• Section 13B Hospital rate increases; quality standards and benchmarks
• Section 14 Nursing home negotiated rate contracts
• Section 14A Reimbursement to nursing homes for admissions to acute care and chronic disease or rehabilitation hospitals
• Section 15 Medicaid benefits; rules and regulations; managed care; personal expenses
• Section 16 Primary and supplemental medical care and assistance program for disabled residents; assistance program for chronically ill or disabled persons forced to leave employment or substantially r
• Section 16A Medical care and assistance program for disabled children
• Section 16A1/2 Costs incurred for medical programs projected to exceed available appropriations; notice
• Section 16B Repealed, 1996, 203, Sec. 16
• Section 16C Child health insurance program; medical benefits; costs; eligibility
• Section 16D Aliens or persons residing in United States under color of law; benefits
• Section 17 Reimbursements for non-generic drugs
• Section 17A Emergency services provided to beneficiaries for emergency medical conditions
• Section 18 Medical insurance purchases for persons eligible for assistance
• Section 19 Prior approval of medical services; methods; rules and regulations; posttreatment examinations
• Section 20 Application; forms; application by institution
• Section 21 Inquiry by department; notification of applicant; agreement
• Section 21A Medical assistance eligibility of an institutionalized spouse
• Section 22 Third party payments; repayment; assignment; subrogation
• Section 23 Subrogation rights; health insurance benefits; garnishment of wages
• Section 23A Financial institutions; request for deposit and withdrawal records; penalty
• Section 24 Repealed, 1996, 450, Sec. 157
• Section 25 Exempt income and resources
• Section 26 Identification card
• Section 27 Redetermination of eligibility
• Section 28 Disposal of resources at less than fair market value; period of ineligibility
• Section 29 Transfer of interest in real property; notice
• Section 30 Time of payment
• Section 31 Adjustment or recovery of payments
• Section 32 Provision 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 32A Repealed, 2005, 6, Sec. 14
• Section 33 Long term care insurance purchasers; liability for medical assistance paid
• Section 34 Liens and encumbrances
• Section 35 Reimbursement for covered claims; submission of information
• Section 36 Eligible providers; responsibility for overpayments
• Section 37 Distribution of rules, regulations to providers; administrative sanctions
• Section 38 Submission of bills by providers; appeals for erroneous denials; overpayments; civil collection actions
• Section 39 False representations, failure to disclose; penalty
• Section 40 False statements or representations by providers; penalty
• Section 41 Bribery or rebates; penalty
• Section 41A Repealed, 2001, 177, Sec. 27
• Section 42 Excess charges; penalty
• Section 43 Health care facilities; additional charges as precondition for admission or continuance; penalty
• Section 44 Civil remedies; limitations
• Section 45 Venue; actions relating to false claims
• Section 46 Availability of other remedies
• Section 46A Providers; submission of claims for payment not in compliance with policies and procedures of medical assistance program; proof of clerical or administrative error
• Section 47 Persons aggrieved; right to hearing; investigation; decision; rehearing; notice
• Section 47A Benefits available only to otherwise eligible individuals showing lawful presence in the United States or meeting applicable federal requirements necessary to qualify for benefits for whic
• Section 48 Board of hearings
• Section 49 Use and disclosure of information
• Section 50 Contract for administrative functions; underwriting of program
• Section 51 Utilization review of care and services; data processing and collection procedures; liability in civil actions
• Section 52 Maintenance of standards for providers; development of new programs
• Section 53 Covered services
• Section 54 Wellness program for MassHealth enrollees
• Section 55 Repealed, 2008, 451, Sec. 75
• Section 56 to 60 [There is no 118E:56 to 60.]
• Section 61 Availability of benefits to persons recognized as a spouse under laws of the commonwealth
• Section 62 Acceptance and recognition of information submitted pursuant to coding standards and guidelines required; use of standardized claim formats

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