MassHealth Payment and Coverage Guideline Tools
MassHealth DME and Oxygen Payment and Coverage Guidelines Tool
If you want to receive e-mail alerts when MassHealth posts changes to the DME and Oxygen Payment and Coverage Guidelines Tool, Sign up here. Just send the blank e-mail as it is addressed. No text in the body or subject line is needed.
This online tool provides abbreviated descriptions for all durable medical equipment and oxygen service codes covered by MassHealth, identifies applicable modifiers, place-of-service codes, prior-authorization requirements, service limits, and pricing and markup information.
MassHealth Orthotics and Prosthetics Payment and Coverage Guidelines Tool
If you want to receive e-mail alerts when MassHealth posts changes to the Orthotics and Prosthetics Payment and Coverage Guidelines Tools, Sign up here. Just send the blank e-mail as it is addressed. No text in the body or subject line is needed.This online tool provides abbreviated descriptions for all orthotics and prosthetics service codes covered by MassHealth, identifies applicable modifiers, place-of-service codes, prior-authorization requirements, service limits, and pricing and markup information.
This information is provided by MassHealth.