Section 418.404 - Provider Eligibility(A)In State. Each program is eligible to participate only if the program is:(1) for provider types eligible for such enrollment, enrolled as a Medicare provider;(2) licensed or approved by the Massachusetts Department of Public Health to provide the appropriate substance use disorder treatment service pursuant to 105 CMR 164.000: Licensure of Substance Use Disorder Treatment Programs and as defined in 130 CMR 418.404(A);(3) enrolled and actively participating with the MassHealth agency as a billing provider, as evidenced by the issuance of a Provider Identification and Service Location (PIDSL) number for the provision of substance use disorder treatment services at that location.(B)Out of State. Each out-of-state program is eligible to participate only if the program:(1) meets the following criteria:(a) is licensed by the appropriate state agency under whose jurisdiction it operates to provide equivalent substance use disorder services;(b) participates in its own state's medical assistance program or its equivalent; and(c) has a rate of reimbursement established by the appropriate rate setting regulatory body of its state.(2) for provider types eligible for such enrollment, is a Medicare-participating provider; and (3) is enrolled and actively participating with the MassHealth agency as a provider of substance use disorder services, and obtains a MassHealth PIDSL number.Amended by Mass Register Issue 1321, eff. 6/8/2016.Amended by Mass Register Issue 1355, eff. 12/29/2017.Adopted by Mass Register Issue 1485, eff. 1/1/2023.