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MassHealth Prior Authorization Requests

  • Personal Care Attendants (PCA)

    MassHealth-contracted providers of PCM services must use these forms when requesting prior authorization for MassHealth PCA services.
  • Prior Authorization for Non-Pharmaceutical Services

    In certain instances, MassHealth will not process a claim unless the provider has obtained prior authorization (PA) to furnish the medical service for which payment is requested.
  • Prior Authorization for Non-Pharmaceutical Services - FAQ

    Frequently Asked Questions about prior authorization non-pharmaceutical services.
  • Prior Authorization Forms for Pharmacy Services

    Includes links to all Prior Authorization forms for MassHealth Pharmacy Services.

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