- The MassHealth Guidelines for Medical Necessity Determination (Guidelines) are used by MassHealth's reviewing clinicians to determine the medical necessity of prior-authorization requests submitted by providers.
Guidelines for Medical Necessity Determination: Email NotificationSign up to receive e-mail notification of updates to the MassHealth Guidelines. Note: When you click on the sign up link, a blank e-mail should appear. If your settings prevent this, you may also copy and paste firstname.lastname@example.org into your e-mail address line. Just send the blank e-mail as it's addressed. No text in the body or subject line is needed.
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