Commonwealth of Massachusetts 
MassHealth 
Provider Manual Series 
Subchapter Number and Title 
Table of Contents 
Page 
vi 
Rehabilitation Center Manual 
Transmittal Letter 
RHB-20 
Date 
06/01/11 

6. Regulations and Service Codes 
................................................................................
.................... 6-1 
Appendix A. Directory 
................................................................................
..................................... A-1 
Appendix B. Enrollment Centers 
................................................................................
...................... B-1 
Appendix C. Third-Party-Liability Codes 
................................................................................
........ C-1 
Appendix W. EPSDT Services: Medical and Dental Protocols and Periodicity 
Schedules............... W-1 
Appendix X. Family Assistance Copayments and 
Deductibles......................................................... X-1 
Appendix Y. EVS 
Codes/Messages..................................................................
.......................................... Y-1 
Appendix Z. EPSDT/PPHSD Screening Services Codes 
........................................................................ Z-1