Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 432.000 - Therapist Services › Section 432.404 - Provider Eligibility: In State

Current through Register 1525, July 5, 2024
Payment for the services described in
				130 CMR
				432.000 will be made only to therapists who are
				participating in MassHealth on the date of service, for services personally
				rendered by therapists or for services rendered by licensed therapy assistants,
				subject to the supervision requirements of 130 CMR 432.404(D). To participate
				in MassHealth as an in-state MassHealth provider, the provider must:
(A) obtain a MassHealth Provider number
			 before providing therapy services;
(B) notify the MassHealth agency in writing
			 within 14 days of any change in any of the information submitted in the
			 provider application in accordance with
			 130 CMR
			 450.223(B):
Provider
			 Contract: Execution of Contract
including, but not limited to, change
			 of ownership, change of address, and addition or deletion of a branch
			 office;
(C) meet all applicable
			 state and federal regulatory requirements including, but not limited to,
			 101 CMR
			 339.00:
Restorative Services
,
			 130 CMR
			 432.000, and 130 CMR
(D) meet the applicable requirements below.
(1)
Physical
			 Therapist
. A physical therapist must be currently licensed by and
			 in good standing with the Massachusetts Division of Professional Licensure,
			 Board of Allied Health Professionals as a physical therapist.
(2)
Physical Therapist Assistant
			 (PTA)
. A PTA must be currently licensed by and in good standing
			 with the Massachusetts Division of Professional Licensure, Board of Allied
			 Health Professionals as a PTA. PTAs must work under the supervision of a
			 licensed physical therapist. Supervision of PTAs must be performed following
			 state regulatory guidance. For physical therapy,
see
259 CMR
			 5.00:
Physical Therapist
.
(3)
Occupational
			 Therapist
. An occupational therapist must be currently licensed by
			 and in good standing with the Massachusetts Division of Professional Licensure,
			 Board of Allied Health Professionals as an occupational therapist.
(4)
Occupational Therapy
			 Assistant (OTA)
. An OTA must be currently licensed by and in good
			 standing with the Massachusetts Division of Professional Licensure, Board of
			 Allied Health Professionals as an OTA. OTAs must work under the supervision of
			 a licensed occupational therapist. Supervision of OTAs must be performed
			 following state regulatory guidance. For occupational therapy, see 259 CMR
			 3.00:
Occupational Therapists
.
(5)
Speech/Language Therapist (Speech/Language
			 Pathologist)
. A speech/language pathologist must be currently
			 licensed by and in good standing with the Massachusetts Board of Registration
			 in Speech-language Pathology and Audiology as a speech/language therapist or
			 speech/language pathologist.
(6)
Speech/Language Therapist Assistant (Speech/Language Pathologist
			 Assistant (SLPA))
. An SLPA must be currently licensed by and in
			 good standing with the Massachusetts Board of Registration in Speech-language
			 Pathology and Audiology as an SLPA. An SLPA must work under the supervision of
			 a licensed Speech/Language pathologist. Supervision of SLPAs must be performed
			 following state regulatory guidance. For speech/language pathologist,
see
260 CMR 10.00:
Use and Supervision of
			 Speech-language Pathology and Audiology Assistant.