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. Providers should consult their manuals for more detailed information.

For prior-authorization questions related to pharmaceuticals, providers should consult MassHealth's pharmacy Web page.

For prior-authorization questions related to dental services, providers should consult the MassHealth Dental Third Party Administrator at 1-800-207-5019.

Note: The information on this Web page does not apply to prior authorization for transportation, pharmaceuticals, or dental services.

Prior authorization non-pharmaceutical services Frequently Asked Questions and Answers

This information is provided by MassHealth .

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