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All Provider Bulletins

  • All Provider Bulletin 233: Revisions to the 90-Day Waiver Procedures pdf format of Revisions to the 90-Day Waiver Procedures txt format of Revisions to the 90-Day Waiver Procedures
  • All Provider Bulletin 232: Revisions to the Final Deadline Appeal Procedures pdf format of Revisions to the Final Deadline Appeal Procedures txt format of Revisions to the Final Deadline Appeal Procedures
  • All Provider Bulletin 231: Payment Error Rate Measurement (PERM) Project pdf format of all-231.pdf txt format of all-231.txt
  • All Provider Bulletin 230: Section 1202 Rates for Physicians Who Provide Primary Care Services pdf format of All Provider Bulletin 230 txt format of All Provider Bulletin 230
  • All Provider Bulletin 229: Physician Designees and the Ambulance Medical Necessity Form  pdf format of ALL-229 txt format of ALL-229
  • All Provider Bulletin 228: Information about ICD-10-CM/PCS pdf format of all-228.pdf txt format of all-228.txt
  • All Provider Bulletin 227: Modifier Coverage and National Correct Coding Initiative (NCCI) Updates pdf format of ALL-227.pdf txt format of ALL-227.txt
  • All Provider Bulletin 226: Final Deadline Appeal Submissions - New Request for Claim Review Form pdf format of All Provider Bulletin 226 txt format of All Provider Bulletin 226
  • All Provider Bulletin 225: Special Circumstances for Electronic Claims pdf format of all-225 txt format of all-225
  • All Provider Bulletin 224: Provider Overpayment Disclosure Process pdf format of ALL-224.pdf txt format of ALL-224.txt
  • All Provider Bulletin 223: Changes to Electronic Claims Submission Policy pdf format of ALL-223 txt format of ALL-223
  • All Provider Bulletin 222: 5010 Implementation Cutover pdf format of All 222 txt format of All 222
  • All Provider Bulletin 221: Revisions to the Final Deadline Appeal Procedures pdf format of All 221 txt format of All 221
  • All Provider Bulletin 220: Revisions to the 90-Day Waiver Procedures pdf format of All 220 txt format of All 220
  • All Provider Bulletin 219a: 5010 Implementation Readiness - Corrected pdf format of All-219a txt format of All-219a
    This bulletin has been corrected to reflect a revised date on which the EVSpc software and installation instructions will be available. The new date is December 12, 2011.
  • All Provider Bulletin 218: Service Animal Indication on the Prescription for Transportation (PT-1) Form pdf format of All Provider Bulletin 218 txt format of All Provider Bulletin 218
  • All Provider Bulletin 217: Waiver Policy for Claim Submissions (PDF) pdf format of all-217.pdf txt format of all-217.txt
  • All Provider Bulletin 215: Change in Pharmacy Copayments (PDF) pdf format of all-215.pdf txt format of all-215.txt
  • All Provider Bulletin 215: Change in Pharmacy Copayments (PDF) pdf format of all-215.pdf txt format of all-215.txt
  • All Provider Bulletin 214: New Address for Disability Supplements (PDF) pdf format of all-214.pdf txt format of all-214.txt
  • All Provider Bulletin 213: Testing Readiness for CMS 5010 Mandate (PDF) pdf format of all-213.pdf txt format of all-213.txt
  • All Provider Bulletin 212: Important Claims Submission Policy Changes (PDF) pdf format of all-212.pdf txt format of all-212.txt
  • All Provider Bulletin 211: Critical Edit for Required Behavioral Health Screen Modifier (PDF) pdf format of all-211.pdf txt format of all-211.txt
  • All Provider Bulletin 210: 5010 Implementation Preparation (PDF) pdf format of all-210.pdf txt format of all-210.txt
  • All Provider Bulletin 209: Medicaid National Correct Coding Initiative (PDF) pdf format of all-209.pdf txt format of all-209.txt
  • All Provider Bulletin 208: Overview of Key Changes to Be Implemented on January 1, 2012, to Support the Centers for Medicare & Medicaid Services 5010 Mandate (PDF) pdf format of all-208.pdf txt format of all-208.txt
  • All Provider Bulletin 207: Reduction of Paper Claim Forms (PDF) pdf format of all-207.pdf txt format of all-207.txt
  • All Provider Bulletin 206: Medicaid Hospice Benefit for Children and Concurrent Curative Treatment (PDF) pdf format of all-206.pdf txt format of all-206.txt
  • All Provider Bulletin 205: Implementation Approach for HIPAA X12 5010 Electronic Transactions (PDF) pdf format of all-205.pdf txt format of all-205.txt
  • All Provider Bulletin 204: Revised Billing Instructions for Healthy Start Program (HSP) Providers (PDF) pdf format of all-204.pdf txt format of all-204.txt
  • All Provider Bulletin 203: Centers for Medicare & Medicaid Services (CMS) FY2010 Payment Error Rate Measurement (PERM) Project (PDF) pdf format of all-203.pdf txt format of all-203.txt
  • All Provider Bulletin 202: Credit Balance Overpayment Policy (PDF) pdf format of all-202.pdf txt format of all-202.txt
  • All Provider Bulletin 201: New Carrier Code Request Form (PDF) pdf format of all-201.pdf txt format of all-201.txt
  • All Provider Bulletin 200: Federal Medicaid Integrity Program Provider Audits (PDF) pdf format of all-200.pdf txt format of all-200.txt
  • All Provider Bulletin 199: Elimination of Full Paper Mailing of Bulletins and Transmittal Letters (PDF) pdf format of all-199.pdf
  • All Provider Bulletin 198: Password Expiration and Reset for EVSpc (PDF) pdf format of all-198.pdf txt format of all-198.txt
  • All Provider Bulletin 197: Coverage of H1N1 and Seasonal Influenza Vaccinations (PDF) pdf format of all-197.pdf txt format of all-197.txt
  • All Provider Bulletin 196: Provider Obligation to Screen Employees and Contractors for Exclusion from Participation in Federal Health Care Programs (PDF) pdf format of all-196.pdf txt format of all-196.txt
  • All Provider Bulletin 195: Changes for Access to Behavioral-Health Services for Certain MassHealth Members (PDF) pdf format of all-195.pdf txt format of all-195.txt
  • All Provider Bulletin 194: Primary Care Clinician (PCC) Referral Process (PDF) pdf format of all-194.pdf txt format of all-194.txt
  • All Provider Bulletin 193: Copies of PDF Remittance Advice (PDF) pdf format of all-193.pdf txt format of all-193.txt
  • All Provider Bulletin 192: Revised Prescription for Transportation (PT-1) Form (PDF) pdf format of all-192.pdf txt format of all-192.txt
  • All Provider Bulletin 191: New MassHealth Member ID Card (PDF) pdf format of all-191.pdf txt format of all-191.txt
  • All Provider Bulletin 190: Preadmission Screening (PAS-A and PAS-CR) Forms (PDF) pdf format of all-190.pdf txt format of all-190.txt
  • All Provider Bulletin 189: Prior Authorization (PA-1) Form (PDF) pdf format of all-189.pdf txt format of all-189.txt
  • All Provider Bulletin 188: Elimination of the PCC Plan Referral Requirement for Certain Services (PDF) pdf format of all-188.pdf txt format of all-188.txt
  • All Provider Bulletin 187: NewMMIS Implementation Schedule (PDF) pdf format of all-187.pdf txt format of all-187.txt
  • All Provider Bulletin 186: Final Deadline Appeal Procedures (PDF) pdf format of all-186.pdf txt format of all-186.txt
  • All Provider Bulletin 185: NewMMIS Preparation, E-Learning, Trading Partner Testing, and NPI Readiness (PDF) pdf format of all-185.pdf txt format of all-185.txt
  • All Provider Bulletin 184: NewMMIS Member Eligibility Verification System and Discontinuation of Eligibility Operator (PDF) pdf format of all-184.pdf txt format of all-184.txt
  • All Provider Bulletin 183: Member Eligibility REVS Responses Provided Between 12/17/08 and 01/13/09 (PDF) pdf format of all-183.pdf txt format of all-183.txt
  • All Provider Bulletin 182: Important Updates about NewMMIS (PDF) pdf format of all-182.pdf txt format of all-182.txt
  • All Provider Bulletin 181: NewMMIS Important Events and Activities Scheduled for November (PDF) pdf format of all-181.pdf txt format of all-181.txt
  • All Provider Bulletin 180: Tamper-Resistant Prescription Update (PDF) pdf format of all-180.pdf txt format of all-180.txt
  • All Provider Bulletin 179: 90-Day Waiver Request and New 90-Day Waiver Request Form (PDF) pdf format of all-179.pdf txt format of all-179.txt
  • All Provider Bulletin 178: Point-of-Service (POS) Device Termination (PDF) pdf format of all-178.pdf txt format of all-178.txt
  • All Provider Bulletin 177: Rescheduling of NewMMIS Implementation and Preparation Activities (PDF) pdf format of all-177.pdf txt format of all-177.txt
    All Provider Bulletin 176: New MassHealth Card (PDF) pdf format of all-176.pdf txt format of all-176.txt
    All Provider Bulletin 175: NewMMIS Service Authorization, Eligibility Verification, and Claims Status Inquiry (PDF) pdf format of all-175.pdf txt format of all-175.txt
  • All Provider Bulletin 174: Massachusetts Implementation of Tamper-Resistant Prescription Requirements (PDF) pdf format of all-174.pdf txt format of all-174.txt
  • All Provider Bulletin 173: NewMMIS Implementation Schedule for Member, Provider, and Claims Functions (PDF) pdf format of all-173.pdf txt format of all-173.txt
  • All Provider Bulletin 172: NewMMIS Key Concepts and Provider Preparation Guidelines (PDF) pdf format of all-172.pdf txt format of all-172.txt
  • All Provider Bulletin 171: Credit Balance Overpayment Policy (PDF) pdf format of all-171.pdf txt format of all-171.txt
  • All Provider Bulletin 170: A New Medicaid Management Information System Is Coming (PDF) pdf format of all-170.pdf txt format of all-170.txt
  • All Provider Bulletin 169: Ordering MassHealth's Wellness Program Member Brochure (PDF) pdf format of all-169.pdf txt format of all-169.txt
  • All Provider Bulletin 168: Six-Month Delay for the Requirement for Tamper-Resistant, Written Prescriptions (PDF) pdf format of all-168.pdf txt format of all-168.txt
  • All Provider Bulletin 167: Requirement for Tamper-Resistant, Written Prescriptions (PDF) pdf format of all-167.pdf txt format of all-167.txt
  • All Provider Bulletin 166: CMS Payment Error Rate Measurement Project (PERM) (PDF) pdf format of all-166.pdf txt format of all-166.txt
  • All Provider Bulletin 165: MassHealth's Wellness Program Member Brochure (PDF) pdf format of all-165.pdf txt format of ltc-95.txt
  • All Provider Bulletin 164: Implementation of National Provider Identifier (NPI) Number (PDF) pdf format of all-164.pdf txt format of all-164.txt
  • All Provider Bulletin 163: New Look for WebREVS (PDF) pdf format of all-163.pdf txt format of all-163.txt
  • All Provider Bulletin 162: Employee Education about False Claims (PDF) pdf format of all-162.pdf txt format of all-162.txt
  • All Provider Bulletin 161: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services for MassHealth Members Under Age 21 with CommonHealth Coverage (PDF) pdf format of all-161.pdf txt format of all-161.txt
  • All Provider Bulletin 160: MassHealth Provider Recredentialing (PDF) pdf format of all-160.pdf txt format of all-160.txt
  • All Provider Bulletin 159: Managed Care Enhancements on REVS (PDF) pdf format of all-159.pdf txt format of all-159.txt
  • All Provider Bulletin 158: Coordination of Benefits for Crossover Claims (PDF) pdf format of all-158.pdf txt format of all-158.txt
  • All Provider Bulletin 157: Requesting Nonemergency Transportation for a Member Online (PDF) pdf format of all-157.pdf txt format of all-157.txt
  • All Provider Bulletin 156: Downloading and Ordering Forms and Other MassHealth Publications Online (PDF) pdf format of all-156.pdf txt format of all-156.txt
  • All Provider Bulletin 155: Expansion of Services for Adult MassHealth Members and Tobacco Cessation Services for Members of All Ages (PDF) pdf format of all-155.pdf txt format of all-155.txt
  • All Provider Bulletin 154: Enhanced REVS Capabilities (PDF) pdf format of all-154.pdf txt format of all-154.txt
  • All Provider Bulletin 153: Preferred Communication Method Options (PDF) pdf format of all-153.pdf txt format of all-153.txt
  • All Provider Bulletin 152: Void Request Form for Non-Pharmacy Claims (PDF) pdf format of all-152.pdf txt format of all-152.txt
  • All Provider Bulletin 151: Enhancements to WebREVS (PDF) pdf format of all-151.pdf txt format of all-151.txt
  • All Provider Bulletin 150: Redesigned MassHealth Card (PDF) pdf format of all-150.pdf txt format of all-150.txt
  • All Provider Bulletin 149: Elimination of the MassHealth Secure File Delivery Application (PDF) pdf format of all-149.pdf txt format of all-149.txt
  • All Provider Bulletin 148: Expanded REVS Eligibility History (PDF) pdf format of all-148.pdf rtf format of all-148.rtf file size 4MB
  • All Provider Bulletin 147: Policy Regarding MCO Claims Submission (PDF) pdf format of all-147.pdf txt format of all-147.txt
  • All Provider Bulletin 146: Update on Expanded MassHealth Customer Service (PDF) pdf format of all-146.pdf rtf format of all-146.rtf file size 4MB
  • All Provider Bulletin 145: National Provider Identifiers (PDF) pdf format of all-145.pdf rtf format of all-145.rtf file size 4MB
  • All Provider Bulletin 144: Expanded Customer Services for MassHealth Providers and Members (PDF) pdf format of all-144.pdf rtf format of all-144.rtf file size 8MB
  • All Provider Bulletin 143: A New Way to Communicate with Providers (PDF) pdf format of all-143.pdf rtf format of all-143.rtf file size 3MB
  • All Provider Bulletin 142: Guidelines for Medical Necessity Determination for Certain Products and Services (PDF) pdf format of all-142.pdf rtf format of all-142.rtf file size 4MB
  • All Provider Bulletin 141: Revised Prescription for Transportation (PT-1) Form on Web Site (PDF) pdf format of all-141.pdf rtf format of all-141.rtf file size 4MB
  • All Provider Bulletin 140: Integration of the MassHealth Provider Services Web Site into Mass.Gov Portal (PDF) pdf format of all-140.pdf rtf format of all-140.rtf file size 4MB
  • All Provider Bulletin 139: Implementation of a HIPAA-Compliant Secure File Delivery Application (PDF) pdf format of all-139.pdf rtf format of all-139.rtf file size 4MB
  • All Provider Bulletin 138: Credit Balance Overpayment Policy (PDF) pdf format of all-138.pdf rtf format of all-138.rtf file size 3MB
  • All Provider Bulletin 137: New MassHealth Web Site (PDF) pdf format of all-137.pdf rtf format of all-137.rtf file size 3MB
  • All Provider Bulletin 136: Claims Processing and HIPAA Compliance for Electronic Claims Transactions (PDF) pdf format of all-136.pdf rtf format of all-136.rtf file size 5MB
  • All Provider Bulletin 135: New Massachusetts Management and Accounting Reporting System (NewMMARS) (PDF) pdf format of all-135.pdf rtf format of all-135.rtf file size 3MB
  • All Provider Bulletin 134: Billing Deadline for MassHealth Claims (PDF) pdf format of all-134.pdf rtf format of all-134.rtf file size 2MB
  • All Provider Bulletin 133: HIPAA Compliance for Electronic Claims Transactions (PDF) pdf format of all-133.pdf rtf format of all-133.rtf file size 4MB
  • All Provider Bulletin 132: HIPAA Compliance for Electronic Claims Transactions (PDF) pdf format of all-132.pdf rtf format of all-132.rtf file size 3MB
  • All Provider Bulletin 131: Revision to MassHealth Breast and Cervical Cancer Treatment Program (PDF) pdf format of all-131.pdf rtf format of all-131.rtf file size 3MB
  • All Provider Bulletin 130: Change in MassHealth Co-payment Policy (PDF) pdf format of all-130.pdf rtf format of all-130.rtf
  • All Provider Bulletin 129: MassHealth Breast and Cervical Cancer Treatment Program (PDF) pdf format of all-129.pdf rtf format of all-129.rtf
  • All Provider Bulletin 128: Implementation of the HIPAA-Compliant Electronic Prior Authorization Request and Response Transaction (PDF) pdf format of all-128.pdf rtf format of all-128.rtf
  • All Provider Bulletin 127: Implementation of HIPAA-Compliant Electronic Remittance Advice (PDF) pdf format of all-127.pdf rtf format of all-127.rtf
  • All Provider Bulletin 126: HIPAA Compliance for Electronic Claim Submissions (PDF) pdf format of all-126.pdf rtf format of all-126.rtf
  • All Provider Bulletin 125: Billing Procedure for HIPAA Electronic Claims Requiring Attachments (PDF) pdf format of all-125.pdf rtf format of all-125.rtf
  • All Provider Bulletin 124: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (PDF) pdf format of all-124.pdf rtf format of all-124.rtf
  • All Provider Bulletin 123: New Rebilling Procedures for Denied Claims (PDF) pdf format of all-123.pdf rtf format of all-123.rtf
  • All Provider Bulletin 122: Administrative Simplification: Remittance Advices (PDF) pdf format of all-122.pdf rtf format of all-122.rtf
  • All Provider Bulletin 121: Updated Appendix C and New Carrier Code (PDF) pdf format of all-121.pdf rtf format of all-121.rtf
  • All Provider Bulletin 120: Important Information about the MassHealth Pharmacy Program (PDF) pdf format of all-120.pdf rtf format of all-120.rtf
  • All Provider Bulletin 119: Modification to REVS Automated Voice Response (AVR) System (PDF) pdf format of all-119.pdf rtf format of all-119.rtf
  • All Provider Bulletin 118: Changes to MassHealth Basic and Buy-in Eligibility Rules (PDF) pdf format of all-118.pdf rtf format of all-118.rtf
  • All Provider Bulletin 117: New Options for Claim Status Requests (PDF) pdf format of all-117.pdf rtf format of all-117.rtf
  • All Provider Bulletin 116: HIPAA Eligibility and Response Transaction 270/271 (PDF) pdf format of all-116.pdf rtf format of all-116.rtf
  • All Provider Bulletin 115: MassHealth Drug List (PDF) pdf format of all-115.pdf rtf format of all-115.rtf file size 1MB
  • All Provider Bulletin 114: Payment for the Medicare Part B Crossover Claims Repricing (PDF) pdf format of all-114.pdf rtf format of all-114.rtf
  • All Provider Bulletin 113: Division of Medical Assistance Web Site (PDF) pdf format of all-113.pdf rtf format of all-113.rtf
  • All Provider Bulletin 112: Overpayment Policy (PDF) pdf format of all-112.pdf txt format of all-112.txt
  • All Provider Bulletin 111: Redesigned MassHealth Card (PDF) pdf format of all-111.pdf txt format of all-111.txt
  • All Provider Bulletin 110: Medicare Part B Crossover Claims Update (PDF) pdf format of all-110.pdf txt format of all-110.txt
  • All Provider Bulletin 109: Billing Deadline for MassHealth Claims (PDF) pdf format of all-109.pdf txt format of all-109.txt
  • All Provider Bulletin 108: Medicare Part B Crossover Claim Update (PDF) pdf format of all-108.pdf txt format of all-108.txt
  • All Provider Bulletin 107: Year-2000 Update (PDF) pdf format of all-107.pdf rtf format of all-107.rtf
  • All Provider Bulletin 106: Billing for Missed Appointments (PDF) pdf format of all-106.pdf rtf format of all-106.rtf
  • All Provider Bulletin 105: Year 2000 (Readiness Disclosure Notice) (PDF) pdf format of all-105.pdf rtf format of all-105.rtf
  • All Provider Bulletin 104: Payment for the Medicare Part B Coinsurance and Deductible (PDF) pdf format of all-104.pdf rtf format of all-104.rtf

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