Guide Acute Outpatient Hospital (AOH) Manual

The Acute Outpatient Hospital Manual contains the regulations, billing instructions, and service codes for acute outpatient hospitals. In-state acute outpatient hospitals should also refer to the RFA (Request for Application) signed by the hospital for the current rate year for additional requirements. Acute inpatient hospitals should refer to the Acute Inpatient Hospital Manual. MassHealth issues transmittal letters to update any part of the provider manual. MassHealth issues provider bulletins to communicate information that is not contained in the provider manual. Each part of the Acute Outpatient Hospital Manual is listed below from beginning to end. You can print each part separately (or any individual pages) or print all parts for a complete manual.

Table of Contents

Table of contents pages i, ii, ii-a, and iii appear at the beginning of Subchapter 1 below

Table of contents page iv appears at the beginning of Subchapter 4 below

Table of contents page v (see below)

Table of contents page vi (see below)

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See below for the Acute Outpatient Hospital (AOH) Manual Preface.

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Subchapters 1 through 3

Administrative and Billing Regulations (apply to all providers).

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Subchapter 4

See below for the Acute Outpatient Hospital (AOH) regulations (130 CMR 410.000).

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Subchapter 5

The Administrative and Billing Instructions (Subchapter 5) are divided into seven parts. For instructions for electronic billing, refer to the MassHealth Companion Guides. To request a copy of any of the MassHealth Companion Guides please contact MassHealth Customer Service Center at 1-800-841-2900. For instructions for billing MassHealth using paper claim forms refer to MassHealth Billing Guides for Paper Claim Submitters.

Please see below for Subchapter 5: Administrative and Billing Instructions.

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Subchapter 6

See below for service codes for the Acute Outpatient Hospital (AOH) Manual.

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MassHealth Provider Manual Appendices

The MassHealth generic appendices contained in all provider manuals (Appendices A, C, T, U, V, W, X, Y, and Z) and provider-specific manual appendices.

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