Article 3 - Policies and Standards Governing Provision of Medical and Dental Care

Effective Date

02/11/2026

Article 3 - Policies and Standards Governing Provision of Medical and Dental Care
Part 505 - MEDICAL CARE

Part 506 - DENTAL CARE

Part 507 - HEALTH SUPERVISION AND MEDICAL CARE FOR CHILDREN

Part 508 - CHILD/TEEN HEALTH PLAN (C/THP)

Part 509 - TUBERCULOSIS CARE

Part 510 - CHIROPRACTIC SERVICES

Part 511 - MEDICAL CARE - UTILIZATION REVIEW

Part 512 - DRUG UTILIZATION REVIEW

Part 513 - PRIOR APPROVAL OF MEDICAL, DENTAL AND REMEDIAL CARE

Part 514 - PROVIDER VERIFICATION OF RECIPIENT ELIGIBILITY AND ORDERS FOR SERVICE

Part 515 - PROVIDER SANCTIONS

Part 516 - MONETARY PENALTIES

Part 517 - PROVIDER AUDITS

Part 518 - RECOVERY AND WITHHOLDING OF PAYMENTS OR OVERPAYMENTS

Part 519 - PROVIDER HEARINGS

Part 520 - Tax Refund Offset for Overpayments of Medical Assistance

Part 521 - Provider Compliance Programs

Part 522 - PAYMENT FOR PRE-SCHOOL CHILDREN WITH HANDICAPPING CONDITIONS

Part 527 - STATE REIMBURSEMENT FOR PAYMENT TO OUT-OF-STATE PROVIDERS OF MEDICAL CARE AND SERVICES

Part 530 - HOSPITAL RATES

Part 531 - REIMBURSEMENT FOR MA PROVIDED TO PRESUMPTIVELY ELIGIBLE APPLICANTS

Part 532 - PAYMENT TO PHYSICIANS

Part 533 - STATE REIMBURSEMENT FOR PAYMENT TO PHYSICIANS

Part 535 - STATE REIMBURSEMENT FOR PAYMENT TO DENTISTS

Part 537 - STATE REIMBURSEMENT FOR OPTOMETRIC SERVICES

Part 538 - STATE REIMBURSEMENT FOR TELEHEALTH SERVICES