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 .

Recommended Content

People also viewed...

You recently viewed...

Personalization is OFF. Your personal browsing history at Mass.gov is not visible because your personalization is turned off. To view your history, turn your personalization on.

Learn more on our .

*Recommendations are based on site visitor traffic patterns and are not endorsements of that content.