The Oxygen and Respiratory Therapy Equipment Manual contains the regulations, administrative and billing instructions, and service codes for oxygen and respiratory therapy equipment providers. The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. See 114.3 CMR 22.00.

See the MassHealth DME and Oxygen Payment and Coverage Guidelines Tool for more information about applicable modifiers, place-of-service codes, prior-authorization requirements, service limits, and pricing and markup information.

MassHealth issues transmittal letters to update any part of the provider manual. MassHealth issues provider bulletins to communicate information that is not contained in the provider manual.

Each part of the Oxygen and Respiratory Therapy Equipment Manual is listed below from beginning to end. You can print each part separately (or any individual pages) or print all parts for a complete manual.
 

Table of Contents

Preface

Subchapters 1 through 3: Administrative and Billing Regulations

Subchapter 4

Subchapter 5: Administrative and Billing Instructions

For instructions for electronic billing, refer to the MassHealth Companion Guides. For instructions for billing MassHealth using paper claim forms refer to MassHealth Billing Guides for Paper Claim Submitters.

The Administrative and Billing Instructions are divided into seven parts.

Subchapter 6

Appendix A

Appendix C

Appendix U

Appendix V

Appendix W

Appendix X

Appendix Y

Appendix Z


This information is provided by MassHealth.

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