Commonwealth of Massachusetts
MassHealth
Provider Manual Series

Subchapter Number And Title

Table of Contents

Page

vi


Personal Care Manual


Transmittal Letter

PCA-20

Date

06/30/15

6.  SERVICE CODES AND DESCRIPTIONS

     Service Codes and Descriptions 		6-1
   
   
   
Appendix A.	Directory 	A-1

Appendix C.	Third-Party-Liability Codes	C-1

Appendix U.  DPH-Designated Serious Reportable Events That Are Not 
Provider Preventable Conditions	U-1

Appendix V.  MassHealth Billing Instructions for Provider Preventable 
Conditions	V-1 

Appendix W.	EPSDT Services: Medical and Dental Protocols and Periodicity 
Schedules	W-1

Appendix X.	Family Assistance Copayments and Deductibles	X-1

Appendix Y.	EVS Codes/Messages	Y-1

Appendix Z.	EPSDT/PPHSD Screening Services Codes	Z-1