| Organization: | MassHealth |
|---|---|
| Date published: | July 29, 2022 |
| Last updated: | August 21, 2026 |
Welcome
Thank you for joining the MassHealth Provider Network! This MassHealth Provider Handbook is intended for both new and existing providers. The handbook provides a general overview of MassHealth provider requirements to help you serve MassHealth members. While this document touches on many subjects, it is not the sole source of information for these topics. Review the provider regulations assigned to your provider type, and use this handbook as a reference tool and resource document that will help point you to additional information.
At the bottom of this page is a PDF version that can be downloaded.
What’s in the Provider Handbook?
- A section with information for providers joining MassHealth for the first time
- A section with information for existing providers
- Additional reference tools for MassHealth contracted providers
- Sections pointing to other provider resources
Table of Contents
- New Providers
- MassHealth Managed Care Plans
- Provider Manuals and Regulations
- Existing Providers
- Provider Integrity: Compliance, Auditing, and Monitoring
- Providers and Members
- Members With More Than One Insurance
- Authorizations and Referrals
- Billing and Claims
- Overpayments
- Provider Portals
- Mass.gov for Providers
- Provider Education/Communications
- Important Information
Downloads
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Open PDF file, 6.72 MB, MassHealth Provider Handbook (English, PDF 6.72 MB)