Code of Massachusetts Regulations 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Here’s a clear and updated overview of the 101 CMR – Executive Office for Health and Human Services (EOHHS):
📚 What is 101 CMR?
101 CMR (Title 101 of the Code of Massachusetts Regulations) contains the regulations issued by the Executive Office of Health and Human Services, overseeing areas like MassHealth, child welfare, elder affairs, and more (en.wikipedia.org).
The Trial Court Law Libraries maintain an unofficial online version last updated June 20, 2025 (mass.gov).
🗂️ Key Subtitles (Chapters)
Here are some of the major parts of 101 CMR:
1.00–31.00: Includes topics such as Transitional Planning Services, Criminal Offender Record Checks, Personal Data Use, Workplace Violence Prevention, Health Information Exchange, and COVID‑19/Vaccination rules (sec.state.ma.us).
20.00 – Health Information Exchange: Regulates Mass HIway connections, ADT feeds, opt‑in/opt‑out rules, penalties, and waivers (mass.gov).
16.00 – Personal Data Use & Permitted Disclosures: Governs how EOHHS and its sub‑agencies handle personal/client data (law.cornell.edu).
19.00 – Workplace Violence Prevention and Crisis Response: Requirements for workplace safety in EOHHS facilities (mass.gov).
317.00 – Medicine (Fee schedule): Defines MassHealth payment rates and billing rules like CPT/HCPCS codes, mid‑level provider fees, and add‑on codes (sec.state.ma.us).
358.00 – Applied Behavior Analysis Rates: Governs fee structure and reporting for ABA services (law.cornell.edu).
Additional chapters (e.g., 206, 304, 329, 424) cover nursing facility payments, community health center rates, clinical services, etc. (regulations.justia.com).
🔎 How to Access the Regulations
Visit the Mass.gov 101 CMR page hosted by Trial Court Law Libraries: includes structure and unofficial text (mass.gov).
Download PDFs/DOCs of specific chapters (e.g., 20.00 for Health Information Exchange) (mass.gov).
For official, authenticated text, refer to the Massachusetts Register or purchase from the State Bookstore (mass.gov).
🛠️ Why It Matters
Compliance: Providers like hospitals, clinics, behavioral health programs, elder care facilities must comply with these detailed regulations.
Funding Guidance: Many chapters outline how MassHealth and other state programs structure payments.
Data & HIPAA Governance: 101 CMR 16.00 and 20.00 establish rules around data sharing, privacy, HIway participation, and penalties.
✅ Summary Table
| Chapter (101 CMR xx.xx) | Focus Area |
|---|---|
| 1–31.00 | Planning, Criminal Checks, COVID‑19, Violence Prevention |
| 16.00 | Personal Data Use & Disclosure |
| 19.00 | Workplace Violence Prevention |
| 20.00 | Health Information Exchange / Mass HIway |
| 317.00 | Medical Services Fee Schedule |
| 358.00 | ABA Services Rates |
| 206.00, 304.00, 329.00, 424.00 | Payment rates for nursing homes, health centers, psychological services, developmental support |
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