The Personal Care Manual contains the regulations, administrative and billing instructions, and service codes for personal care agencies. The Massachusetts Division of Health Care Finance and Policy (DHCFP) establishes rates for MassHealth services.

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.

Personal care management agencies and fiscal intermediaries are contracted providers with MassHealth. Applicants may apply to be PCM providers through COMMBUYS . Fiscal intermediary contracts are closed.

Each part of the Personal Care 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.

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 B

Appendix C

Appendix U

Appendix V

Appendix W

Appendix X

Appendix Y

Appendix Z


This information is provided by MassHealth .