December
- ADH-11: Clinical Assessment Requirements for MassHealth Members in Adult Day Health Programs (PDF)
- GAFC-3: Change in Group Adult Foster Care Provider Rates
November
- ALL-117: New Options for Claim Status Requests (PDF)
- PHM-71:
Changes to Pharmacy Co-payments (PDF)
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RTF
October
- LTC-81: New and Revised MassHealth Application Packets and Eligibility Review Materials for Seniors and People Needing Long-Term-Care Services (PDF)
- NF-121: Revision of Forms: Level I PAS (Preadmission Screening), and Request for Services (PDF)
- PACE-1: Request for Services Form (PDF)
- PHM-70: Usual and Customary Care (PDF)
- TCM-1: Changes to Service Code, Service Description, and Per Diem Rate to Units per Day for Services for MassHealth Members Living in Congregate AIDS Housing (PDF)
September
August
- ADH-10: Changes in Clinical Assessment for Adult Day Health Services (PDF)
- AFC-6: Changes in Clinical Assessment for Adult Foster Care Services (PDF)
- GAFC-2: Changes in Clinical Assessment for Group Adult Foster Care Services (PDF)
July
- ALL-115: MassHealth Drug List (PDF)
file size 1MB
- ALL-116: HIPAA Eligibility and Response Transaction 270/271 (PDF)
- DEN-27: Patient-Paid-Amount (PPA) Adjustment for Residents of Long-Term-Care Facilities for Adult Dental Expenses Not Covered by MassHealth as of March 15,2002 (PDF)
- DSF-7: Revised List of Service Codes and Description (2001 and 2002 HCPCS) (PDF)
- DHP-5: Nursing Responsibilities, Documentation Requirements, and Coordination of Specialized Services (PDF)
- LTC-80: Patient-Paid-Amount (PPA) Adjustment for Residents of Long-Term-Care Facilities for Adult Dental Expenses Not Covered by MassHealth as of March 15,2002 (PDF)
May
March
- AOH-04: Maxium Billable Units for Certain Services Provided by Acute Outpatient Hospitals (PDF)
- AOH-05: HCFA Common Procedure Coding System (HCPCS) Update (PDF)
- CHC-50: Revisions to the MassHealth Dental Program (PDF)
- DEN-26: Important Information About Special Circumstances and Dental Group Practices (PDF)
- LTC-78: Medex Premium Rate Increase (PDF)
- NP-12: Revisions to the MassHealth Dental Program (PDF)
- OPD-44: Revisions to the MassHealth Dental Program (PDF)
- OXY-12: New Options for Required Accreditation (PDF)
- PHY-77: Revisions to the MassHealth Dental Program (PDF)
February
- AIH-120: Move of Central Processing Unit to Charlestown (PDF)
- CHC-49: Move of Central Processing Unit to Charlestown (PDF)
- OPD-43: Move of Central Processing Unit to Charlestown (PDF)
- SAT-7: Move of Central Processing Unit to Charlestown (PDF)
January
- ALL-114: Payment for the Medicare Part B Crossover Claims Repricing (PDF)
- LTC-77: 2002 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Skilled-Care Facilities (PDF)
- PHY-76: HIV Resistance Testing (PDF)
This information is provided by MassHealth.
