Commonwealth of Massachusetts
Executive Office of Health and Human Services
Division of Medical Assistance
600 Washington Street
Boston, MA  02111
www.state.ma.us/dma	
	MassHealth
	Dental Bulletin 25
	November 2001

	TO:	Dental Providers Participating in MassHealth

	FROM:	Wendy E. Warring, Commissioner

	RE:	Elimination of PCC Referral Requirement for Clinical Laboratory Tests

Background	Currently, when a primary care clinician (PCC) refers a plan member to a specialist who then orders clinical laboratory tests, the laboratory must include the member's PCC referral number on the MassHealth claim.  This requirement has been a problem for laboratories.

Reduction of 	As part of the Division's efforts to reduce administrative burdens for 
Administrative	MassHealth providers, the Division has reviewed the PCC referral policy 
Burden	and has determined that PCC referrals will no longer be required for clinical laboratory services.

Elimination of	Effective for dates of service beginning December 1, 2001, the Division 
Referral 	will no longer require a PCC referral number on claims for payment of 
Requirement	clinical laboratory services provided to MassHealth members enrolled in the PCC Plan.

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.