MassHealth (Massachusetts) psychological testing coverage: codes and who can bill
Unofficial source · confirm with the payer Some facts on this page come from a secondary source (a professional association, a billing guide or a published summary), not from the payer's own documents. Each one is marked and links to where we read it; confirm it with the payer before you rely on it.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Massachusetts. Public policy, not the member's benefits.
MassHealth (Massachusetts)
State rate regulation 101 CMR 329.00 (Cornell LII copy) · Massachusetts
Unofficial source · confirm with the payer: some facts in this row come from a secondary source, not the payer.
| 96130 | Listed (psychological testing evaluation services, first hour (has an allowable fee in 101 CMR 329.04)) [1] Unofficial source · confirm with the payer |
|---|---|
| 96131 | Listed (each additional hour (has an allowable fee in 101 CMR 329.04)) [1] Unofficial source · confirm with the payer |
| 96132 | Listed (neuropsychological testing evaluation services, first hour (has an allowable fee in 101 CMR 329.04)) [1] Unofficial source · confirm with the payer |
| 96133 | Listed (each additional hour (has an allowable fee in 101 CMR 329.04)) [1] Unofficial source · confirm with the payer |
| 96136 | Listed (test administration and scoring by a clinician, first 30 minutes (has an allowable fee in 101 CMR 329.04)) [1] Unofficial source · confirm with the payer |
| 96137 | Listed (each additional 30 minutes (has an allowable fee in 101 CMR 329.04)) [1] Unofficial source · confirm with the payer |
| 96138 | Listed (test administration and scoring by a technician, first 30 minutes (has an allowable fee in 101 CMR 329.04)) [1] Unofficial source · confirm with the payer |
| 96139 | Listed (each additional 30 minutes (has an allowable fee in 101 CMR 329.04)) [1] Unofficial source · confirm with the payer |
| Where it applies | The regulation sets allowable fees for psychological assessments. It is a rate regulation, so it does not say which diagnoses qualify or whether prior authorization is needed. [1] Unofficial source · confirm with the payer |
| Who can bill | Fees are set for assessments provided by a psychologist, and for test administration and scoring by a technician. [1] Unofficial source · confirm with the payer |
| Also | The page notes the section was last amended effective 4/25/2025. The page shows two versions with different amounts for some codes, so confirm the current fee with MassHealth. [1] Unofficial source · confirm with the payer |
- Cornell LII copy of 101 CMR 329.04, Allowable Fees for Psychological Assessments (amended eff. 4/25/2025) (secondary source), checked October 30, 2026
What MassHealth (Massachusetts)'s documents say
The table above has every field we found for MassHealth (Massachusetts), with numbered sources. In short:
- Who can bill. Fees are set for assessments provided by a psychologist, and for test administration and scoring by a technician. (Unofficial source · confirm with the payer)
- Where it applies. The regulation sets allowable fees for psychological assessments. It is a rate regulation, so it does not say which diagnoses qualify or whether prior authorization is needed. (Unofficial source · confirm with the payer)
- Codes. 96130, 96131, 96132, 96133, 96136, 96137, 96138 and 96139 are listed. (Unofficial source · confirm with the payer)
Other psychological testing rows for Massachusetts
Medicare, Wellpoint Federal (CT, IL, MA, ME, MN, NH, NY, RI, VT, WI).
Check MassHealth (Massachusetts)'s claim against the row
Before the claim goes out, compare it with the row above: the evaluation and administration codes pair the way the policy says, the hours fit any cap, the referral question is documented, and prior authorization covers the units. The psychological testing table compares MassHealth (Medicaid) with every other payer we checked.