Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid www.mass.gov/masshealth MassHealth Transmittal Letter ALL-191 February 2012 TO: All Providers Participating in MassHealth FROM: Julian J. Harris, M.D., Medicaid Director RE: All Provider Manuals (Revised Appendix B: Enrollment Centers) January 20, 2012, was the last day of business for the MassHealth Enrollment Center (MEC) located in Revere. The MEC has moved to Chelsea. The new MEC address is: MassHealth Enrollment Center 45-47 Spruce Street Chelsea, MA 02150. This letter transmits a revised Appendix B for all provider manuals. Appendix B lists the name, address, telephone and fax numbers, and responsibilities for the MassHealth Enrollment Centers (MEC). MassHealth is updating this appendix to reflect the move to Chelsea, as well as to provide up-to-date information about the Springfield, Taunton, and Tewksbury MECs. Mailing Address and Telephone/Fax Numbers When submitting or inquiring about a Senior Medical Benefit Request (SMBR) and associated documentation for new applicants residing in a nursing or rehabilitation facility serviced by the Chelsea MEC, please use the following address, telephone, TTY, and/or fax numbers. MassHealth Enrollment Center 45-47 Spruce Street Chelsea, MA 02150 Telephone: 1-888-665-9993 TTY: 1-888-665-9997 (for people with partial or total hearing loss) Fax: 617-889-3285 Although the following situations and associated addresses and telephone and fax numbers have been issued in previous publications, the information is being repeated for your convenience. Other Addresses and Telephone/Fax Numbers When submitting MassHealth Medical Benefit Requests (MBRs) or SMBRs for applicants residing in the community (including any community waiver programs, such as Frail Elder, PACE, and Kaleigh Mulligan), MassHealth Buy-In applications, and any documentation associated with these applications, please continue using the following address and/or fax number. EOHHS Central Processing Unit (CPU) PO Box 290794 Charlestown, MA 02129 Fax: 617-887-8799 When submitting annual reviews (including those for nursing facility and rehabilitation center residents), the documentation associated with the reviews, and any documentation necessary for updating or maintaining case record information for the Chelsea, Springfield, Taunton, and Tewksbury MECs, please continue using the following address, telephone, TTY, and/or fax numbers. MassHealth Enrollment Center P.O. Box 1231 Taunton, MA 02780 Tel.: 1-888-665-9993 TTY: 1-888-665-9997 (for people with partial or total hearing loss) Fax: 617-887-8777 Forms Updates The SMBR, the MassHealth and You Guide, and all manual and systems-generated notices are being updated with the appropriate information. Reissued Pages Transmittal Letter ALL-187 was issued in December 2011, and included pages 3-1 and 3-2 of the administrative and billing regulations. Because page 3-2 contained a small typographical error at 130 CMR 450.302(A)(5), we are attaching the corrected pages so that you can update your provider manual. MassHealth Web Site This transmittal letter and attached pages are available on the MassHealth Web site at www.mass.gov/masshealth. Questions If you have any questions about the information in this transmittal letter, please contact MassHealth Customer Service at 1-800-841-2900, e-mail your inquiry to providersupport@mahealth.net, or fax your inquiry to 617-988-8974. NEW MATERIAL (The pages listed here contain new or revised language.) All Provider Manual Pages 3-1, 3-2, and B-1 through B-20 OBSOLETE MATERIAL (The pages listed here are no longer in effect.) All Provider Manual Pages 3-1 and 3-2— transmitted by Transmittal Letter ALL-187 Pages B-1 through B-22—transmitted by Transmittal Letter ALL-133 MassHealth Transmittal Letter ALL-191 February 2012 Page 2 Commonwealth of Massachusetts MassHealth Provider Manual Series Subchapter Number and Title 3. Billing Regulations Page 3-1 All Provider Manuals Transmittal Letter ALL-191 Date 01/01/12 450.301: Claims (A) Except as provided in other program regulations, a claim for a medical service may be submitted only by the provider that provided the service. In the absence of a specific exception or qualification, 130 CMR 450.301(A) and (B) apply. (1) An individual practitioner may not claim payment under his or her own name and provider number for services actually provided by another individual, whether or not the individual who provided the service is also a participating provider, or is an associate, partner, or employee of the individual practitioner. (2) An individual practitioner may not claim payment under his or her own name and provider number for medical services provided by the individual practitioner and for which the practitioner is paid by another entity (for example, hospital, clinic, long-term-care facility, pharmacy, home health agency, health maintenance organization, community health center, psychiatric day treatment program, day habilitation center, and adult day care center). In such cases, payment may be claimed only by the institution or facility. (B) A provider may submit claims only where: (1) the payment for the services claimed is not otherwise claimed by any other MassHealth provider; and (2) payment or any other compensation for the delivery of such services is not received by any provider from any other source. 450.302: Claim Submission (A) (1) Electronic Claims. All claims submitted to the MassHealth agency for payment must be submitted electronically in a format designated by the MassHealth agency, unless the provider has been approved for an electronic claim submission waiver. (2) Paper Claims. (a) Any paper claims submitted by a provider who does not have an approved electronic claim submission waiver, pursuant to 130 CMR 450.302(A)(3), are denied. (b) Any paper claims submitted by a provider who has an approved electronic claim submission waiver must be submitted on the claim form designated by the MassHealth agency and according to its administrative and billing instructions. (3) Waiver Criteria. The MassHealth agency grants a provider an electronic claim submission waiver if any of the following criteria apply. (a) The provider has submitted an average of fewer than 20 claims per month over the previous 12 months. (b) The provider is experiencing temporary technical difficulties related to upgrading their current billing system or installing a new one. (c) The provider is experiencing temporary technical difficulties related to testing or interfacing with the MassHealth agency’s claims processing system. (d) The provider does not have Internet access or a computer. (e) The provider is experiencing temporary disruption in service, for at least five business days, caused by a natural disaster or utility work. (f) The provider attests to the MassHealth agency that its staff responsible for claims submission have a disability that prevents the submission of electronic claims that cannot be easily mitigated with reasonable accommodation. (g) The provider has an extenuating circumstance in which submitting electronic claims would impede the provider’s ability to participate in MassHealth. Commonwealth of Massachusetts MassHealth Provider Manual Series Subchapter Number and Title 3. Billing Regulations Page 3-2 All Provider Manuals Transmittal Letter ALL-191 Date 01/01/12 (4) Waiver Duration. An electronic claim submission waiver is valid for 12 months from the date of issue. Providers who continue to experience circumstances that necessitate a waiver must apply for another waiver at least 30 days before the expiration of their current waiver, in order to avoid a possible interruption in payment. (5) Waiver Fee. There is no fee for the first electronic claim submission waiver. The MassHealth agency may assess an administrative fee based on paper claim volume for any subsequent electronic claim submission waiver granted to a provider. (6) Waiver Request Review Process. After review of a provider’s request for an electronic claim submission waiver, the MassHealth agency notifies the provider in writing of its decision. If the waiver request is incomplete, the MassHealth agency asks the provider for more information. If the provider does not submit the requested information to the MassHealth agency within 30 days of the request, the MassHealth agency denies the waiver request. A provider may reapply for an electronic claim submission waiver with new or additional information. (B) All claims submitted by a group practice must clearly identify by provider number the individual practitioner who actually provided the services being claimed. (C) A group practice may submit claims only for services provided by individual practitioners who are MassHealth providers and who have been enrolled and approved by the MassHealth agency as a participant in the group. 450.303: Prior Authorization In certain instances, the MassHealth agency requires providers to obtain prior authorization to provide medical services. These instances are identified in the billing instructions, program regulations, associated lists of service codes and service descriptions, provider bulletins, and other written issuances from the MassHealth agency. Such information, including but not limited to the MassHealth Drug List, may be available on the MassHealth Web site, and copies may be obtained upon request. The provider must submit all prior-authorization requests in accordance with the MassHealth agency’s instructions. Prior authorization determines only the medical necessity of the authorized service, and does not establish or waive any other prerequisites for payment, such as member eligibility or resort to health-insurance payment. (A) The MassHealth agency acts on appropriately completed and submitted requests for prior authorization within the following time periods. (1) For pharmacy services—by telephone or other telecommunication device within 24 hours of the request for prior authorization. The MassHealth agency will authorize at least a 72-hour supply of a prescription drug to the extent required by federal law. (See 42 U.S.C. 1396r-8(d)(5).) (2) For transportation to medical services—within seven calendar days after a request for service, or the number of days, if less than seven, necessary to avoid any serious and imminent risk to the health or safety of the member that might arise if the MassHealth agency did not act before the full seven days have elapsed. (3) For private duty nursing services—within 14 calendar days after a request for service. (4) For durable medical equipment—within 15 calendar days after a request for service. (5) For all other MassHealth services—within 21 calendar days after a request for service. This appendix lists the name, address, telephone and fax numbers, and the responsibilities for the MassHealth Enrollment Centers (MECs). This appendix is also available on the MassHealth Web site at www.mass.gov/masshealthpubs. MassHealth Enrollment Center in Chelsea 45-47 Spruce Street Chelsea, MA 02150 Tel.: 1-888-665-9993 Fax: 617-889-3285 (for applications and associated documentation for nursing facility or rehabilitation center residents) Fax: 617-887-8777 (for reviews and any documentation necessary for maintaining current members’ records) TTY: 1-888-665-9997 (for people with partial or total hearing loss) Responsibilities: * Accept and process Senior MBRs for individuals residing in nursing or rehabilitation facilities located in their area of responsibility (see towns listed below). * Process Senior MBRs for individuals residing in the community. * Process Buy-In Applications (for qualifying individuals). * Maintain ongoing cases, regardless of age. * Make short-term-care placements. * Handle Refugee Resettlement Program and Title IV-E cases. Towns: Zip Code Town MEC Location 02134 Allston Chelsea 02466 Auburndale Chelsea 02478 Belmont Chelsea 02101 Boston Chelsea 02102 Boston Chelsea 02103 Boston Chelsea 02104 Boston Chelsea 02105 Boston Chelsea 02106 Boston Chelsea 02107 Boston Chelsea 02108 Boston Chelsea 02109 Boston Chelsea 02110 Boston Chelsea 02111 Boston Chelsea 02112 Boston Chelsea 02113 Boston Chelsea 02114 Boston Chelsea 02115 Boston Chelsea 02116 Boston Chelsea 02117 Boston Chelsea 02123 Boston Chelsea 02133 Boston Chelsea 02163 Boston Chelsea 02196 Boston Chelsea 02199 Boston Chelsea 02201 Boston Chelsea 02203 Boston Chelsea 02204 Boston Chelsea 02205 Boston Chelsea 02206 Boston Chelsea 02207 Boston Chelsea 02208 Boston Chelsea 02209 Boston Chelsea 02210 Boston Chelsea 02211 Boston Chelsea 02212 Boston Chelsea 02215 Boston Chelsea 02216 Boston Chelsea 02217 Boston Chelsea 02222 Boston Chelsea 02241 Boston Chelsea 02266 Boston Chelsea 02283 Boston Chelsea 02284 Boston Chelsea 02293 Boston Chelsea 02295 Boston Chelsea 02297 Boston Chelsea 02135 Brighton Chelsea 02445 Brookline Chelsea 02446 Brookline Chelsea 02447 Brookline Village Chelsea 02138 Cambridge Chelsea 02139 Cambridge Chelsea 02140 Cambridge Chelsea 02141 Cambridge Chelsea 02142 Cambridge Chelsea 02238 Cambridge (PO) Chelsea 02239 Cambridge Chelsea 02129 Charlestown Chelsea 02150 Chelsea Chelsea 02467 Chestnut Hill Chelsea 02121 Dorchester Chelsea 02122 Dorchester Chelsea 02124 Dorchester Chelsea 02125 Dorchester Chelsea 02128 East Boston Chelsea 02228 East Boston Chelsea 02149 Everett Chelsea 02136 Hyde Park Chelsea 02137 Hyde Park Chelsea 02130 Jamaica Plain Chelsea 01901 Lynn Chelsea 01902 Lynn Chelsea 01903 Lynn Chelsea 01904 Lynn Chelsea 01905 Lynn Chelsea 01910 Lynn Chelsea 02126 Mattapan Chelsea 01908 Nahant Chelsea 02456 Newton Chelsea 02458 Newton Chelsea 02459 Newton Chelsea 02460 Newton Chelsea 02461 Newton Chelsea 02462 Newton Chelsea 02464 Newton Chelsea 02465 Newton Chelsea 02495 Newton Chelsea 02151 Revere Chelsea 02131 Roslindale Chelsea 02118 Roxbury Chelsea 02119 Roxbury Chelsea 02120 Roxbury Chelsea 01906 Saugus Chelsea 02143 Somerville Chelsea 02144 Somerville Chelsea 02145 Somerville Chelsea 02127 South Boston Chelsea 02468 Waban Chelsea 02471 Watertown Chelsea 02472 Watertown Chelsea 02477 Watertown Chelsea 02479 Waverley Chelsea 02132 West Roxbury Chelsea 02152 Winthrop Chelsea MassHealth Enrollment Center in Springfield 333 Bridge Street Springfield, MA 01103 Tel.: 888-665-9993 Fax: 413-785-4107 (for applications and associated documentation for nursing facility or rehabilitation center residents) Fax: 617-887-8777 (for reviews and any documentation necessary for maintaining current members’ records) TTY: 1-888-665-9997 (for people with partial or total hearing loss) Responsibilities: * Accept and process Senior MBRs for individuals residing in nursing or rehabilitation facilities located in their area of responsibility (see towns listed below). * Process Senior MBRs for individuals residing in the community. * Process Buy-In Applications (for Qualifying Individuals). * Maintain ongoing cases, regardless of age. Towns: Zip Code Town MEC Location 01220 Adams Springfield 01001 Agawam Springfield 01003 Amherst Springfield 01004 Amherst Springfield 01430 Ashburnham Springfield 01431 Ashby Springfield 01330 Ashfield Springfield 01222 Ashley Falls Springfield 01331 Athol Springfield 01501 Auburn Springfield 01436 Baldwinville Springfield 01005 Barre Springfield 01223 Becket Springfield 01007 Belchertown Springfield 01224 Berkshire Springfield 01337 Bernardston Springfield 01008 Blandford Springfield 01010 Brimfield Springfield 01506 Brookfield Springfield 01338 Buckland Springfield 01339 Charlemont Springfield 01507 Charlton Springfield 01508 Charlton City Springfield 01509 Charlton Depot Springfield 01611 Cherry Valley Springfield 01225 Cheshire Springfield 01011 Chester Springfield 01012 Chesterfield Springfield 01013 Chicopee Springfield 01014 Chicopee Springfield 01020 Chicopee Springfield 01021 Chicopee Springfield 01022 Chicopee Springfield 01340 Colrain Springfield 01341 Conway Springfield 01026 Cummington Springfield 01227 Dalton Springfield 01342 Deerfield Springfield 01343 Drury Springfield 01571 Dudley Springfield 01515 East Brookfield Springfield 01028 East Longmeadow Springfield 01116 East Longmeadow Springfield 01029 East Otis Springfield 01517 East Princeton Springfield 01438 East Templeton Springfield 01027 East Hampton Springfield 01344 Erving Springfield 01030 Feeding Hills Springfield 01518 Fiskdale Springfield 01420 Fitchburg Springfield 01440 Gardner Springfield 01031 Gilbertville Springfield 01229 Glendale Springfield 01032 Goshen Springfield 01230 Great Barrington Springfield 01033 Granby Springfield 01034 Granville Springfield 01301 Greenfield Springfield 01302 Greenfield Springfield 01035 Hadley Springfield 01036 Hampden Springfield 01237 Hancock Springfield 01037 Hardwick Springfield 01038 Hatfield Springfield 01039 Haydenville Springfield 01346 Heath Springfield 01235 Hinsdale Springfield 01520 Holden Springfield 01521 Holland Springfield 01040 Holyoke Springfield 01041 Holyoke Springfield 01236 Housatonic Springfield 01452 Hubbardston Springfield 01050 Huntington Springfield 01522 Jefferson Springfield 01347 Lake Pleasant Springfield 01238 Lee Springfield 01053 Leeds Springfield 01524 Leicester Springfield 01240 Lenox Springfield 01242 Lenox Dale Springfield 01054 Leverett Springfield 01106 Longmeadow Springfield 01056 Ludlow Springfield 01243 Middlefield Springfield 01244 Mill River Springfield 01349 Millers Falls Springfield 01057 Monson Springfield 01351 Montague Springfield 01245 Monterey Springfield 01354 Mount Hermon Springfield 01350 Munroe Springfield 01531 New Braintree Springfield 01355 New Salem Springfield 01247 North Adams Springfield 01059 North Amherst Springfield 01535 North Brookfield Springfield 01252 North Egremont Springfield 01066 North Hatfield Springfield 01537 North Oxford Springfield 01060 Northampton Springfield 01061 Northampton Springfield 01062 Northampton Springfield 01063 Northampton Springfield 01360 Northfield Springfield 01068 Oakham Springfield 01364 Orange Springfield 01253 Otis Springfield 01540 Oxford Springfield 01009 Palmer Springfield 01069 Palmer Springfield 01612 Paxton Springfield 01002 Pelham Springfield 01366 Petersham Springfield 01201 Pittsfield Springfield 01202 Pittsfield Springfield 01203 Pittsfield Springfield 01070 Plainfield Springfield 01541 Princeton Springfield 01254 Richmond Springfield 01542 Rochdale Springfield 01367 Rowe Springfield 01368 Royalston Springfield 01071 Russell Springfield 01543 Rutland Springfield 01255 Sandisfield Springfield 01256 Savoy Springfield 01257 Sheffield Springfield 01370 Shelburne Falls Springfield 01072 Shutesbury Springfield 01074 South Barre Springfield 01373 South Deerfield Springfield 01258 South Egremont Springfield 01075 South Hadley Springfield 01260 South Lee Springfield 01073 Southampton Springfield 01550 Southbridge Springfield 01259 Southfield Springfield 01077 Southwick Springfield 01562 Spencer Springfield 01101 Springfield Springfield 01102 Springfield Springfield 01103 Springfield Springfield 01104 Springfield Springfield 01105 Springfield Springfield 01107 Springfield Springfield 01108 Springfield Springfield 01109 Springfield Springfield 01111 Springfield Springfield 01114 Springfield Springfield 01115 Springfield Springfield 01118 Springfield Springfield 01119 Springfield Springfield 01128 Springfield Springfield 01129 Springfield Springfield 01133 Springfield Springfield 01138 Springfield Springfield 01139 Springfield Springfield 01144 Springfield Springfield 01151 Springfield Springfield 01152 Springfield Springfield 01195 Springfield Springfield 01199 Springfield Springfield 01262 Stockbridge Springfield 01263 Stockbridge Springfield 01566 Sturbridge Springfield 01375 Sunderland Springfield 01468 Templeton Springfield 01079 Thorndike Springfield 01080 Three Rivers Springfield 01376 Turners Falls Springfield 01264 Tyringham Springfield 01081 Wales Springfield 01082 Ware Springfield 01083 Warren Springfield 01378 Warwick Springfield 01570 Webster Springfield 01379 Wendell Springfield 01380 Wendell Depot Springfield 01583 West Boylston Springfield 01585 West Brookfield Springfield 01084 West Chesterfield Springfield 01088 West Hatfield Springfield 01089 West Springfield Springfield 01090 West Springfield Springfield 01266 West Stockbridge Springfield 01092 West Warren Springfield 01085 Westfield Springfield 01086 Westfield Springfield 01441 Westminster Springfield 01473 Westminster Springfield 01093 Whately Springfield 01094 Wheelwright Springfield 01095 Wilbraham Springfield 01096 Williamsburg Springfield 01267 Williamstown Springfield 01475 Winchendon Springfield 01477 Winchendon Springs Springfield 01270 Windsor Springfield 01601 Worcester Springfield 01602 Worcester Springfield 01603 Worcester Springfield 01604 Worcester Springfield 01605 Worcester Springfield 01606 Worcester Springfield 01607 Worcester Springfield 01608 Worcester Springfield 01609 Worcester Springfield 01610 Worcester Springfield 01613 Worcester Springfield 01614 Worcester Springfield 01615 Worcester Springfield 01653 Worcester Springfield 01654 Worcester Springfield 01655 Worcester Springfield 01097 Woronoco Springfield 01098 Worthington Springfield MassHealth Enrollment Center in Taunton 21 Spring Street, Suite 4 Taunton, MA 02780-0711 Tel.: 1-888-665-9993 Fax: 508-828-4634 (for applications and associated documentation for nursing facility or rehabilitation center residents) Fax: 617-887-8777 (for reviews and any documentation necessary for maintaining current members’ records) TTY: 1-888-665-9997 (for people with partial or total hearing loss) Responsibilities: * Accept and process Senior MBRs for individuals residing in nursing or rehabilitation facilities located in their area of responsibility (see towns listed below). * Process Senior MBRs for individuals residing in the community. * Process Buy-In Applications (for Qualifying Individuals). * Maintain ongoing cases, regardless of age. Towns: Zip Code Town MEC Location 02351 Abington Taunton 02018 Accord Taunton 02743 Acushnet Taunton 01721 Ashland Taunton 02702 Assonet Taunton 02703 Attleboro Taunton 02322 Avon Taunton 02457 Babson Park Taunton 02630 Barnstable Taunton 02019 Bellingham Taunton 02779 Berkeley Taunton 01504 Blackstone Taunton 02532 Bourne Taunton 02184 Braintree Taunton 02185 Braintree Taunton 02020 Brant Rock Taunton 02631 Brewster Taunton 02324 Bridgewater Taunton 02325 Bridgewater Taunton 02301 Brockton Taunton 02302 Brockton Taunton 02303 Brockton Taunton 02304 Brockton Taunton 02305 Brockton Taunton 02327 Bryantville Taunton 02021 Canton Taunton 02330 Carver Taunton 02534 Cataumet Taunton 02632 Centerville Taunton 02634 Centerville Taunton 02636 Centerville Taunton 02712 Chartley Taunton 02633 Chatham Taunton 02535 Chilmark Taunton 02025 Cohasset Taunton 02635 Cotuit Taunton 02637 Cummaquid Taunton 02713 Cuttyhunk Taunton 02714 Dartmouth Taunton 02026 Dedham Taunton 02027 Dedham Taunton 02638 Dennis Taunton 02639 Dennisport Taunton 02715 Dighton Taunton 02030 Dover Taunton 02331 Duxbury Taunton 02332 Duxbury Taunton 02333 East Bridgewater Taunton 02641 East Dennis Taunton 01516 East Douglas Taunton 02536 East Falmouth Taunton 02717 East Freetown Taunton 02031 East Mansfield Taunton 02643 East Orleans Taunton 02537 East Sandwich Taunton 02032 East Walpole Taunton 02538 East Wareham Taunton 02189 East Weymouth Taunton 02642 Eastham Taunton 02334 Easton Taunton 02539 Edgartown Taunton 02337 Elmwood Taunton 02719 Fairhaven Taunton 02720 Fall River Taunton 02721 Fall River Taunton 02722 Fall River Taunton 02723 Fall River Taunton 02724 Fall River Taunton 02540 Falmouth Taunton 02541 Falmouth Taunton 01745 Fayville Taunton 02644 Forestdale Taunton 02035 Foxboro Taunton 02038 Franklin Taunton 01519 Grafton Taunton 02041 Green Harbor Taunton 02040 Greenbush Taunton 02338 Halifax Taunton 02339 Hanover Taunton 02340 Hanover Taunton 02341 Hanson Taunton 02645 Harwich Taunton 02646 Harwichport Taunton 02043 Hingham Taunton 02044 Hingham Taunton 02343 Holbrook Taunton 01746 Holliston Taunton 01747 Hopedale Taunton 01748 Hopkinton Taunton 02045 Hull Taunton 02047 Humarock Taunton 02601 Hyannis Taunton 02647 Hyannisport Taunton 02364 Kingston Taunton 02347 Lakeville Taunton 01525 Linwood Taunton 01526 Manchaug Taunton 02345 Manomet Taunton 02048 Mansfield Taunton 02738 Marion Taunton 02050 Marshfield Taunton 02051 Marshfield Taunton 02065 Marshfield Taunton 02648 Marstons Mills Taunton 02649 Mashpee Taunton 02739 Mattapoisett Taunton 02052 Medfield Taunton 02053 Medway Taunton 01756 Mendon Taunton 02552 Menemsha Taunton 02344 Middleboro Taunton 02349 Middleboro Taunton 02346 Middleboro Taunton 02348 Middleboro Taunton 01757 Milford Taunton 01527 Millbury Taunton 02054 Millis Taunton 01529 Millville Taunton 02186 Milton Taunton 02187 Milton Taunton 02055 Minot Taunton 02350 Monponsett Taunton 02553 Monument Beach Taunton 02554 Nantucket Taunton 02584 Nantucket Taunton 01760 Natick Taunton 02492 Needham Taunton 02494 Needham Heights Taunton 02740 New Bedford Taunton 02741 New Bedford Taunton 02742 New Bedford Taunton 02744 New Bedford Taunton 02745 New Bedford Taunton 02746 New Bedford Taunton 02056 Norfolk Taunton 02760 North Attleboro Taunton 02761 North Attleboro Taunton 02763 North Attleboro Taunton 02355 North Carver Taunton 02650 North Chatham Taunton 02747 North Dartmouth Taunton 02764 North Dighton Taunton 02651 North Eastham Taunton 02356 North Easton Taunton 02357 North Easton Taunton 02556 North Falmouth Taunton 01536 North Grafton Taunton 02059 North Marshfield Taunton 02358 North Pembroke Taunton 02060 North Scituate Taunton 02652 North Truro Taunton 01538 North Uxbridge Taunton 01534 Northbridge Taunton 02766 Norton Taunton 02061 Norwell Taunton 02062 Norwood Taunton 02557 Oak Bluffs Taunton 02558 Onset Taunton 02653 Orleans Taunton 02655 Osterville Taunton 02542 Otis Air Force Base Taunton 02359 Pembroke Taunton 02762 Plainville Taunton 02360 Plymouth Taunton 02361 Plymouth Taunton 02362 Plymouth Taunton 02367 Plympton Taunton 02559 Pocasset Taunton 02657 Provincetown Taunton 02169 Quincy Taunton 02170 Quincy Taunton 02171 Quincy Taunton 02269 Quincy Taunton 02368 Randolph Taunton 02767 Raynham Taunton 02768 Raynham Taunton 02769 Rehoboth Taunton 02770 Rochester Taunton 02370 Rockland Taunton 02561 Sagamore Taunton 02562 Sagamore Taunton 02563 Sandwich Taunton 02066 Scituate Taunton 02771 Seekonk Taunton 02067 Sharon Taunton 02070 Sheldonville Taunton 01770 Sherborn Taunton 02564 Siasconset Taunton 02565 Silver Beach Taunton 02725 Somerset Taunton 02726 Somerset Taunton 02366 South Carver Taunton 02659 South Chatham Taunton 02748 South Dartmouth Taunton 02660 South Dennis Taunton 02375 South Easton Taunton 01560 South Grafton Taunton 02661 South Harwich Taunton 02662 South Orleans Taunton 02071 South Walpole Taunton 02663 South Wellfleet Taunton 02190 South Weymouth Taunton 02664 South Yarmouth Taunton 01772 Southborough Taunton 02072 Stoughton Taunton 01590 Sutton Taunton 02777 Swansea Taunton 02718 Taunton Taunton 02780 Taunton Taunton 02783 Taunton Taunton 02666 Truro Taunton 01568 Upton Taunton 01569 Uxbridge Taunton 02568 Vineyard Haven Taunton 02081 Walpole Taunton 02571 Wareham Taunton 02482 Wellesley Taunton 02481 Wellesley Hills Taunton 02667 Wellfleet Taunton 02668 West Barnstable Taunton 02379 West Bridgewater Taunton 02573 West Chop Taunton 02669 West Chatham Taunton 02670 West Dennis Taunton 02574 West Falmouth Taunton 02671 West Harwich Taunton 02672 West Hyannisport Taunton 01586 West Millbury Taunton 02575 West Tisbury Taunton 02576 West Wareham Taunton 02673 West Yarmouth Taunton 01580 Westborough Taunton 01581 Westborough Taunton 01582 Westborough Taunton 02790 Westport Taunton 02791 Westport Point Taunton 02090 Westwood Taunton 02188 Weymouth Taunton 02191 Weymouth Taunton 02381 White Horse Beach Taunton 01588 Whitinsville Taunton 02382 Whitman Taunton 02543 Woods Hole Taunton 01784 Woodville Taunton 02093 Wrentham Taunton 02675 Yarmouthport Taunton MassHealth Enrollment Center in Tewksbury 367 East Street Tewksbury, MA 01876-1957 Tel.: 1-888-665-9993 Fax: 978-863-9231(for applications and associated documentation for nursing facility or rehabilitation center residents) 617-887-8777 (for reviews and any documentation necessary for maintaining current members’ records) TTY: 1-888-665-9997 (for people with partial or total hearing loss) Responsibilities: * Accept and process Senior MBRs for individuals residing in nursing or rehabilitation facilities located in their area of responsibility (see towns listed below). * Process Senior MBRs for individuals residing in the community. * Process Buy-In Applications (for Qualifying Individuals). * Maintain ongoing cases, regardless of age. * Enroll members into the Kaileigh Mulligan Program and PACE On-Lok Programs, as appropriate. Towns: Zip Code Town MEC Location 01718 Acton Tewksbury 01720 Acton Tewksbury 01913 Amesbury Tewksbury 01810 Andover Tewksbury 01812 Andover Tewksbury 05501 Andover Tewksbury 05544 Andover Tewksbury 01899 Andover (IRS) Tewksbury 02474 Arlington Tewksbury 02476 Arlington Tewksbury 02475 Arlington Heights Tewksbury 01432 Ayer Tewksbury 01730 Bedford Tewksbury 01503 Berlin Tewksbury 01915 Beverly Tewksbury 01821 Billerica Tewksbury 01822 Billerica Tewksbury 01740 Bolton Tewksbury 01719 Boxboro Tewksbury 01921 Boxford Tewksbury 01505 Boylston Tewksbury 01803 Burlington Tewksbury 01805 Burlington Tewksbury 01922 Byfield Tewksbury 01741 Carlisle Tewksbury 01824 Chelmsford Tewksbury 01510 Clinton Tewksbury 01742 Concord Tewksbury 01923 Danvers Tewksbury 01434 Devens Tewksbury 01826 Dracut Tewksbury 01827 Dunstable Tewksbury 01929 Essex Tewksbury 01701 Framingham Tewksbury 01702 Framingham Tewksbury 01703 Framingham Tewksbury 01704 Framingham Tewksbury 01705 Framingham Tewksbury 01833 Georgetown Tewksbury 01930 Gloucester Tewksbury 01931 Gloucester Tewksbury 01450 Groton Tewksbury 01470 Groton Tewksbury 01471 Groton Tewksbury 01834 Groveland Tewksbury 01936 Hamilton Tewksbury 01731 Hanscom Air Force Base Tewksbury 01451 Harvard Tewksbury 01937 Hathorne Tewksbury 01830 Haverhill Tewksbury 01831 Haverhill Tewksbury 01832 Haverhill Tewksbury 01835 Haverhill Tewksbury 01749 Hudson Tewksbury 01938 Ipswich Tewksbury 01523 Lancaster Tewksbury 01840 Lawrence Tewksbury 01841 Lawrence Tewksbury 01842 Lawrence Tewksbury 01843 Lawrence Tewksbury 01453 Leominster Tewksbury 02420 Lexington Tewksbury 02421 Lexington Tewksbury 01773 Lincoln Tewksbury 01460 Littleton Tewksbury 01850 Lowell Tewksbury 01851 Lowell Tewksbury 01852 Lowell Tewksbury 01853 Lowell Tewksbury 01854 Lowell Tewksbury 01462 Lunenburg Tewksbury 01940 Lynnfield Tewksbury 02148 Malden Tewksbury 01944 Manchester Tewksbury 01945 Marblehead Tewksbury 01752 Marlborough Tewksbury 01754 Maynard Tewksbury 02153 Medford Tewksbury 02155 Medford Tewksbury 02176 Melrose Tewksbury 01860 Merrimac Tewksbury 01844 Methuen Tewksbury 01949 Middleton Tewksbury 01951 Newbury Tewksbury 01950 Newburyport Tewksbury 01845 North Andover Tewksbury 01862 North Billerica Tewksbury 01863 North Chelmsford Tewksbury 01864 North Reading Tewksbury 02455 North Waltham Tewksbury 01532 Northborough Tewksbury 01865 Nutting Lake Tewksbury 01960 Peabody Tewksbury 01961 Peabody Tewksbury 01463 Pepperell Tewksbury 01866 Pinehurst Tewksbury 01965 Prides Crosssing Tewksbury 01867 Reading Tewksbury 01966 Rockport Tewksbury 01969 Rowley Tewksbury 01970 Salem Tewksbury 01971 Salem Tewksbury 01952 Salisbury Tewksbury 01464 Shirley Tewksbury 01545 Shrewsbury Tewksbury 01546 Shrewsbury Tewksbury 01982 South Hamilton Tewksbury 01561 South Lancaster Tewksbury 01564 Sterling Tewksbury 01467 Still River Tewksbury 02180 Stoneham Tewksbury 01775 Stow Tewksbury 01776 Sudbury Tewksbury 01907 Swampscott Tewksbury 01876 Tewksbury Tewksbury 01983 Topsfield Tewksbury 01469 Townsend Tewksbury 01879 Tyngsboro Tewksbury 01880 Wakefield Tewksbury 02451 Waltham Tewksbury 02452 Waltham Tewksbury 02453 Waltham Tewksbury 02454 Waltham Tewksbury 01778 Wayland Tewksbury 01984 Wenham Tewksbury 01885 West Boxford Tewksbury 01472 West Groton Tewksbury 01256 West Medford Tewksbury 01985 West Newbury Tewksbury 01474 West Townsend Tewksbury 01886 Westford Tewksbury 02493 Weston Tewksbury 01887 Wilmington Tewksbury 01890 Winchester Tewksbury 01801 Woburn Tewksbury 01806 Woburn Tewksbury 01807 Woburn Tewksbury 01808 Woburn Tewksbury 01813 Woburn Tewksbury 01815 Woburn Tewksbury 01888 Woburn Tewksbury 01889 Woburn Tewksbury Electronic Document Management Center P.O. Box 1231 Taunton, MA 02780 Fax: 617-887-8777 Responsibilities: * Accept, scan, and electronically store the following information (includes information for members residing in nursing homes and rehabilitation centers). o annual reviews and any documentation associated with the reviews; and o any documentation necessary for case maintenance of ongoing cases, regardless of age. This page is reserved. Commonwealth of Massachusetts MassHealth Provider Manual Series Subchapter Number and Title Appendix B. Enrollment Centers Page B-1 All Provider Manuals Transmittal Letter ALL-191 Date 02/01/12