Commonwealth of Massachusetts
Executive Office of Health and Human Services
Division of Medical Assistance
600 Washington Street
Boston, MA  02111
www.mass.gov/dma	
	MassHealth
	Acute Inpatient Hospital Bulletin 121
	September 2002

	TO:	Acute Inpatient Hospitals Participating in MassHealth

	FROM:	Wendy E. Warring, Commissioner

	RE:	Relocation of Notification of Birth (NOB) Unit

New Address	On September 9, 2002, the Notification of Birth (NOB) unit moved from the Springfield MassHealth Enrollment Center (MEC) to the Revere MEC. The last day of business at the current location (333 Bridge Street, Springfield, MA) was Friday, September 6, 2002.  Any NOB-1 forms received at the Springfield MEC after that date will be forwarded to the Revere MEC.
	
			The new address and toll-free phone number of the NOB unit is:

Division of Medical Assistance
MassHealth Enrollment Center
Attn: NOB Unit
300 Ocean Ave., Suite 4000
Revere, MA  02151
1-800-322-1448.

The NOB-1 form has been updated to reflect this change of address.

Revised Form	It is very important that you use an actual NOB-1 form, not a photocopy.  To obtain a supply of the NOB-1, contact MassHealth in writing at the following address.

					MassHealth
					Forms Distribution
					P.O. Box 9101
					Somerville, MA  02145
					703-917-4937 (fax)
																	
Questions	If you have any questions about this bulletin, please contact the MassHealth Provider Services Department at 617-628-4141 or 1‑800‑325-5231.