Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 405.000 - Community Health Center Services › Section 405.408 - Medical Services Required On-site

Current through Register 1525, July 5, 2024
A CHC must provide on-site the medical services specified in
				130 CMR
				405.408. It is not necessary that all of
				these services be available during all hours of the CHC's operation, but all
				must be available to members on a regularly scheduled basis with sufficient
				frequency to ensure access to care and continuity of care. If the CHC does not
				serve patients of a particular age group, upon the prior written approval of
				the MassHealth agency, the CHC will not be required to provide pediatric or
				obstetrical/gynecological services or both (
see
130 CMR
				405.408(A) and (C) ).
(A)
Pediatric
			 Services
. A CHC must provide pediatric services.
(B)
Internal
			 Medicine
. A CHC must provide internal medicine services.
(C)
Obstetrics/Gynecology
. A CHC must provide obstetrical
			 and gynecological services. When a family practitioner is employed in place of
			 a specialist in obstetrics/gynecology, the family practitioner must have
			 admitting privileges to a hospital for delivery and obstetrical and
			 gynecological backup.
(D)
Health Education
. A CHC must provide health education
			 designed to prepare members for their participation in and reaction to specific
			 medical procedures, and to instruct members in self-management of medical
			 problems and in disease prevention. Health education may be provided by any
			 health practitioner or by any other individual approved by the professional
			 services director as possessing the qualifications and training necessary to
			 provide health education to members.
(E)
Medical Social
			 Services
. A CHC must provide medical social services designed to
			 assist members in their adjustment to and management of social problems
			 resulting from medical treatment, specific disease episodes, or chronic
			 illness. Medical social services must be provided by a clinical social worker
			 who is licensed by the Massachusetts Board of Registration. This individual
			 must be on site sufficient hours and with sufficient frequency to provide
			 medical social services to members.
(F)
Nutrition
			 Services
. A CHC must provide counseling in the purchase,
			 preparation, and consumption of proper nutrients to members who have been
			 determined to require such counseling because of their health problems or
			 because they have a high potential for developing health problems that might be
			 avoided or made less severe through proper nutrition. Each CHC must employ
			 either a nutrition professional with a bachelor's or master's degree in public
			 health nutrition, community nutrition, or human nutrition; or a dietitian who
			 is currently registered by the Academy of Nutrition and Dietetics. This
			 individual is responsible for planning, directing, and evaluating the nutrition
			 services provided at the CHC; for educating the CHC's staff about nutrition;
			 for supervising any nutrition aides; for consulting with practitioners and
			 other staff members of the CHC; and for counseling members referred for
			 nutrition information. The nutrition professional or registered dietitian must
			 be on-site at least one day per calendar month.