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Rest Home Billing Instructions for Providers

The Department of Transitional Assistance (DTA) uses the MassHealth claims payment system to pay residential care home (rest home) provider claims for care delivered to DTA clients receiving Supplemental Security Income (SSI).

MassHealth has developed billing instructions to help residential care homes use the claims processing system. Links to these guides and instructions are available below.

These documents are for use by providers and should not be completed by DTA clients.

837I Residential Care Homes Companion Guide pdf format of 837I Residential Care Homes Companion Guide txt format of 837I Residential Care Homes Companion Guide

Residential Care Home Billing Guide for the UB-04 (PDF) pdf format of bg-ub-04-cl-rch.pdf txt format of bg-ub-04-cl-rch.txt

Residential Care Home Guide to the Remittance Advice for Paper Claims and Equivalents (PDF) pdf format of bg-ra-rch.pdf txt format of bg-ra-rch.txt

Submit a Residential Care Home Claim (PDF) pdf format of submit-residential-care-home-claim.pdf txt format of submit-residential-care-home-claim.txt



 

This information is provided by the Department of Transitional Assistance.