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MassHealth Provider Enrollment and Credentialing
The Details of Apply to become a MassHealth Primary Care Clinician
What you need for Apply to become a MassHealth Primary Care Clinician
You must be an enrolled fee for service (FFS) MassHealth provider to enroll as a clinician in the PCC Plan. Provider applicants can send the FFS and PCC Plan applications at the same time. Enrolled providers should send the PCC Plan application with the supporting documentation, and Provider Enrollment and Credentialing (PEC) will review and process your application.
The following provider types can become a Primary Care Clinician.
- Acute outpatient hospital
- Community health center
- Group practice organization
- Hospital-licensed health center
- Certified nurse practitioner
- Physician
- Physician assistant (employed by a group practice)
See the regulations at 130 CMR 450.118(B) for all requirements.
How to enroll Apply to become a MassHealth Primary Care Clinician
To become a PCC, you may request an application using the Provider Application Request Form.
To become a PCC or to change your PCC information, fax your details to (617) 998-8974.
To become a PCC or to change your PCC information, mail your information to:
MassHealth Provider Enrollment and Credentialing
Attention: Managed Care
PO Box 278
Quincy, MA 02171
To become a PCC or to change your PCC information, call us at (800) 841-2900.
Our phone hours are Monday through Friday, 8 a.m.–5 p.m.
More Info for Apply to become a MassHealth Primary Care Clinician
To learn more about being a PCC Plan provider, see the PCC Plan Handbook and other resources below.