Most MassHealth members are enrolled with a MassHealth managed care provider, either with a Primary Care Clinician (PCC) or with a Managed Care Organization (MCO). To verify a member's managed care enrollment status, access the Eligibility Verification System. Provider Enrollment and Credentialing reviews and processes applications from MassHealth providers applying to participate as a PCC.

The following provider types are eligible to become PCCs:

  • Physician
  • Independent Nurse Practitioner
  • Community Health Center
  • Acute Outpatient Hospital
  • Hospital Licensed Health Center
  • Group Practice Organization

To become a PCC Plan Provider, or to change your PCC Plan Provider information, contact us. You must be a currently enrolled provider in MassHealth to become a PCC provider.

  • E-mail: providersupport@mahealth.net
  • Fax: 617-988-8974
  • Telephone: 1-800-841-2900
  • Hours: Monday - Friday 8:00 A.M. - 5:00 P.M.
  • Mailing address: MassHealth, Provider Enrollment and Credentialing,
    Attention: Managed Care, P.O. Box 9118, Hingham, MA 02043

Please read frequently asked questions about the PCC Plan's Prospective Interim Payment (PIP) Program (PDF) pdf format of pip-qa.pdf rtf format of pip-qa.rtf

View or download a copy of the PCC Plan Handbook pdf format of pcc-handbook.pdf txt format of pcc-handbook.txt .

 

This information is provided by MassHealth.