MassHealth Prior Authorization Requests
-
This enables providers to both submit and receive via the Internet a response to a prior authorization (PA) requests for a medical service or product that requires PA. Dental Prior Authorization request may be submitted online. Contact us at 1-800-207-5019 for more information.
-
MassHealth-contracted providers of PCM services must use these forms when requesting prior authorization for MassHealth PCA services.
-
In certain instances, MassHealth will not process a claim unless the provider has obtained prior authorization (PA) to furnish the medical service for which payment is requested.
-
Frequently Asked Questions about prior authorization non-pharmaceutical services.
-
Includes links to all Prior Authorization forms for MassHealth Pharmacy Services.