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Massachusetts Provider Qualifications

This page provides important links to relevant rules and regulations pertaining to school-based Medicaid service provider qualifications and supervision requirements.

  • Applied Behavior Analyst – ABA Application and Licensure – 262 CMR 10:00 (10.03)
  • Assistant Applied Behavior Analyst – AABA Application and Licensure – 262 CMR 10:00 (10.04)
  • Audiologist Manual – Provider Eligibility – 130 CMR 426.404
  • Autism Specialist – Applied Behavior Analysis; practice by qualified members of other professions  or occupations – M.G.L. Chapter 112, Section 164A
  • Mental Health Center Services – Provider Eligibility for Psychiatrists – 130 CMR 429.424(A)(1) or 130 CMR 429.424(A)(2)
  • Mental Health Center Services – Provider Eligibility for Psychologists – 130 CMR 429.424(B)(1) or 130 CMR 429.424(B)(2)
  • Mental Health Center Services – Provider Eligibility for Social Workers – 130 CMR 429.424(C)(1) or 130 CMR 429.424(C)(2)
  • Mental Health Center Services – Provider Eligibility for Counselors – 130 CMR 429.424(F)(1) and 130 CMR 429.424(F)(2)
  • Hearing Instrument Specialist Services – Provider Eligibility – 130 CMR 416.404
  • Licensed Practical Nurse (LPN) and Registered Nurse (RN) Services – Provider Eligibility – 130 CMR 414.404(A)
  • Personal Care Service – Provider – Medicaid Definition – 42 CFR 440.167
  • Therapist Services – Occupational Therapy – Provider Eligibility – 130 CMR 432.404(B) or 130 CMR 432.405
  • Therapist Services – Occupational Therapy Assistants – Provider Eligibility – 259 CMR 3.02(1) through (3)
  • Therapist Services – Physical Therapy – Provider Eligibility – 130 CMR 432.404(A) or 130 CMR 432.405
  • Therapist Services – Physical Therapy Assistants – Provider Eligibility – 259 CMR 5.02(1) through (3)

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EDMS™ is dedicated to partnering with your school district to meet the challenges of Medicaid Billing, special education administration and Section 504 management. Our focus is solving problems and providing industry leading solutions.

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