GroundRules
Browse Massachusetts
Read the original sections, or search by topic.
- Mass. Gen. Laws ch. 118E, § 16A · Medical care and assistance program for children with disabilities
- Mass. Gen. Laws ch. 118E, § 16A 1/2 · Costs incurred for medical programs projected to exceed available appropriations; notice
- Mass. Gen. Laws ch. 118E, § 16B · Repealed, 1996, 203, Sec. 16
- Mass. Gen. Laws ch. 118E, § 16C · Child health insurance program; medical benefits; eligibility
- Mass. Gen. Laws ch. 118E, § 16D · Aliens or persons residing in United States under color of law; benefits
- Mass. Gen. Laws ch. 118E, § 17 · Reimbursements for non-generic drugs
- Mass. Gen. Laws ch. 118E, § 17A · Emergency services provided to beneficiaries for emergency medical conditions
- Mass. Gen. Laws ch. 118E, § 18 · Medical insurance purchases for persons eligible for assistance
- Mass. Gen. Laws ch. 118E, § 19 · Prior approval of medical services; methods; rules and regulations; posttreatment examinations
- Mass. Gen. Laws ch. 118E, § 20 · Application; forms; application by institution
- Mass. Gen. Laws ch. 118E, § 21 · Inquiry by department; notification of applicant; agreement
- Mass. Gen. Laws ch. 118E, § 21A · Medical assistance eligibility of an institutionalized spouse
- Mass. Gen. Laws ch. 118E, § 22 · Third party payments; repayment; assignment; subrogation
- Mass. Gen. Laws ch. 118E, § 23 · Subrogation rights; health insurance benefits; garnishment of wages
- Mass. Gen. Laws ch. 118E, § 23A · Financial institutions; request for deposit and withdrawal records; penalty
- Mass. Gen. Laws ch. 118E, § 24 · Repealed, 1996, 450, Sec. 157
- Mass. Gen. Laws ch. 118E, § 25 · Exempt income and resources
- Mass. Gen. Laws ch. 118E, § 25A · Determination of eligibility for Qualified Medicare Beneficiary, Specified Low-Income Medicare Beneficiary and Qualified Individual programs; consideration of certain income or assets
- Mass. Gen. Laws ch. 118E, § 26 · Identification card
- Mass. Gen. Laws ch. 118E, § 27 · Redetermination of eligibility
- Mass. Gen. Laws ch. 118E, § 28 · Disposal of resources at less than fair market value; period of ineligibility; transfers for sole benefit of individual age 65 or older
- Mass. Gen. Laws ch. 118E, § 29 · Transfer of interest in real property; notice
- Mass. Gen. Laws ch. 118E, § 30 · Time of payment
- Mass. Gen. Laws ch. 118E, § 31 · Adjustment or recovery of payments
- Mass. Gen. Laws ch. 118E, § 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
- Mass. Gen. Laws ch. 118E, § 32A · Repealed, 2005, 6, Sec. 14
- Mass. Gen. Laws ch. 118E, § 33 · Long term care insurance purchasers; liability for medical assistance paid
- Mass. Gen. Laws ch. 118E, § 34 · Liens and encumbrances
- Mass. Gen. Laws ch. 118E, § 35 · Reimbursement for covered claims; submission of information
- Mass. Gen. Laws ch. 118E, § 36 · Eligible providers; responsibility for overpayments
- Mass. Gen. Laws ch. 118E, § 37 · Distribution of rules, regulations to providers; administrative sanctions
- Mass. Gen. Laws ch. 118E, § 38 · Submission of bills by providers; appeals for erroneous denials; overpayments; civil collection actions
- Mass. Gen. Laws ch. 118E, § 38A · Retroactive claims denials for behavioral health services
- Mass. Gen. Laws ch. 118E, § 39 · False representations, failure to disclose; penalty
- Mass. Gen. Laws ch. 118E, § 40 · False statements or representations by providers; penalty
- Mass. Gen. Laws ch. 118E, § 41 · Bribery or rebates; penalty
- Mass. Gen. Laws ch. 118E, § 41A · Repealed, 2001, 177, Sec. 27
- Mass. Gen. Laws ch. 118E, § 42 · Excess charges; penalty
- Mass. Gen. Laws ch. 118E, § 43 · Health care facilities; additional charges as precondition for admission or continuance; penalty
- Mass. Gen. Laws ch. 118E, § 44 · Civil remedies; limitations
- Mass. Gen. Laws ch. 118E, § 45 · Venue; actions relating to false claims
- Mass. Gen. Laws ch. 118E, § 46 · Availability of other remedies
- Mass. Gen. Laws ch. 118E, § 46A · Providers; submission of claims for payment not in compliance with policies and procedures of medical assistance program; proof of clerical or administrative error
- Mass. Gen. Laws ch. 118E, § 47 · Persons aggrieved; written notification of denial of requested benefits or services; right to hearing; investigation; decision; rehearing; notice
- Mass. Gen. Laws ch. 118E, § 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 which the commonwealth receives federal reimbursement
- Mass. Gen. Laws ch. 118E, § 48 · Board of hearings
- Mass. Gen. Laws ch. 118E, § 49 · Use and disclosure of information
- Mass. Gen. Laws ch. 118E, § 50 · Contract for administrative functions; underwriting of program
- Mass. Gen. Laws ch. 118E, § 51 · Utilization review of care and services; data processing and collection procedures; liability in civil actions
- Mass. Gen. Laws ch. 118E, § 51A · Step therapy protocol clinical review criteria; prescription coverage
- Mass. Gen. Laws ch. 118E, § 52 · Maintenance of standards for providers; development of new programs
- Mass. Gen. Laws ch. 118E, § 53 · Covered services
- Mass. Gen. Laws ch. 118E, § 54 · Wellness program for MassHealth enrollees
- Mass. Gen. Laws ch. 118E, § 55 · Repealed, 2008, 451, Sec. 75
- Mass. Gen. Laws ch. 118E, § 56 · Controlled substance management program for MassHealth enrollees
- Mass. Gen. Laws ch. 118E, § 57 to 60 · [There are no 118E:57 to 118E:60.]
- Mass. Gen. Laws ch. 118E, § 61 · Availability of benefits to persons recognized as a spouse under laws of the commonwealth
- Mass. Gen. Laws ch. 118E, § 62 · Acceptance and recognition of information submitted pursuant to coding standards and guidelines required; use of standardized claim formats
- Mass. Gen. Laws ch. 118E, § 63 · Assessment per non–Medicare reimbursed patient day
- Mass. Gen. Laws ch. 118E, § 64 · Definitions for Secs. 64 through 69
- Mass. Gen. Laws ch. 118E, § 65 · Health safety net office
- Mass. Gen. Laws ch. 118E, § 66 · Health Safety Net Trust Fund
- Mass. Gen. Laws ch. 118E, § 67 · Liability of acute hospital to fund
- Mass. Gen. Laws ch. 118E, § 67A · Nonpublic ambulance services; liability; uniform assessment; enforcement
- Mass. Gen. Laws ch. 118E, § 68 · Managed care organization services assessment; calculation of liability; payment to health safety net trust fund
- Mass. Gen. Laws ch. 118E, § 69 · Reimbursements to hospitals and community health centers for health services provided to uninsured and underinsured individuals
- Mass. Gen. Laws ch. 118E, § 69A · Repealed, 2024, 140, Sec. 131
- Mass. Gen. Laws ch. 118E, § 70 · Definitions for Secs. 70 through 75
- Mass. Gen. Laws ch. 118E, § 71 · PCA quality home care workforce council
- Mass. Gen. Laws ch. 118E, § 72 · Duties of workforce council; PCA recruitment, training and referral resources; lists of PCAs
- Mass. Gen. Laws ch. 118E, § 73 · Rights of consumers regarding PCAs; public employee status for limited purposes; collective bargaining
- Mass. Gen. Laws ch. 118E, § 74 · PCA quality home care workforce council; scope of power and authority
- Mass. Gen. Laws ch. 118E, § 75 · Performance reviews
- Mass. Gen. Laws ch. 118E, § 76 · Designation of another governmental unit to perform functions set forth in Secs. 13C through 13K and 64 through 75
- Mass. Gen. Laws ch. 118E, § 77 · Office of Medicaid to attribute members to primary care providers
- Mass. Gen. Laws ch. 118E, § 78 · Employer healthcare coverage form
- Mass. Gen. Laws ch. 118E, § 79 · Coverage for health care services delivered via telehealth by a contracted health care provider; right in in-person services; copayment or coinsurance; rate of payment; standards of care
- Mass. Gen. Laws ch. 118E, § 80 · Sickle cell disease; executive office review; content of report
- Mass. Gen. Laws ch. 118E, § 81 · Mental health and substance use disorder benefits; benefits for children and adolescents under the age of 19 for the diagnosis and treatment of mental, behavioral, emotional or substance use disorders substantially interfering with or limiting the functioning and social interactions of such child or adolescent; consent to disclosure of information
- Mass. Gen. Laws ch. 118E, § 82 · Requirement that division meets parity requirements described under federal Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 and related guidance or regulations
- Mass. Gen. Laws ch. 118E, § 83 · Dispensing of OTC oral contraceptive to MassHealth member or HSN patient by licensed pharmacist
- Mass. Gen. Laws ch. 118E, § 84 · Dispensing of a prenatal vitamin to MassHealth member or HSN patient by licensed pharmacist
- Mass. Gen. Laws ch. 118E, § 85 · Establishment of Medicaid rates for licensed skilled nursing facilities
- Mass. Gen. Laws ch. 118E, § 86 · Skilled nursing facility rate add–on programs; bariatric care; 1–on–1 staffing of at-risk residents
- Mass. Gen. Laws ch. 118E, § 87 · Payment to state agencies for claims related to Medicaid
- Mass. Gen. Laws ch. 118I, § 1 · Definitions
- Mass. Gen. Laws ch. 118I, § 2 · Health information technology council
- Mass. Gen. Laws ch. 118I, § 3 · Procurements and contracts for development of statewide health information exchange technology
- Mass. Gen. Laws ch. 118I, § 4 · Consultation with organizations of regional payers and providers; policies consistent with federal standards
- Mass. Gen. Laws ch. 118I, § 5 · Statewide health information exchange implementation plan
- Mass. Gen. Laws ch. 118I, § 6 · Patient's electronic access to health records
- Mass. Gen. Laws ch. 118I, § 7 · Fully interoperable electronic health records systems connecting to statewide health information exchange
- Mass. Gen. Laws ch. 118I, § 8 · Penalties for non-compliance
- Mass. Gen. Laws ch. 118I, § 9 · Temporary waiver of certain requirements if unable to comply due to the lack of broadband internet access
- Mass. Gen. Laws ch. 118I, § 10 · Massachusetts Health Information Exchange Fund
- Mass. Gen. Laws ch. 118I, § 11 · Plan requirements
- Mass. Gen. Laws ch. 118I, § 12 · Unauthorized access or disclosure; reporting; notice to patient
- Mass. Gen. Laws ch. 118I, § 13 · Patient election to participate in health information exchange
- Mass. Gen. Laws ch. 118I, § 14 · Federal financial participation
- Mass. Gen. Laws ch. 118I, § 15 · Annual report