Apply to become a MassHealth provider

Know your provider enrollment choices 

Only MassHealth providers are reimbursed for services provided to MassHealth members. Therefore, providers must be approved as a participating provider before claims can be submitted for payment.

Your application process may be different depending on the type of program you choose. See which application applies to you. 

MassHealth Provider Enrollment 

Before requesting an application, you should review the applicable MassHealth regulations and provider manuals so that you understand the program requirements. You can then request an application online to enroll in the MassHealth provider network by using the Provider Application Request form.

MassHealth will contact you at the email address you provide when requesting an application and include information on how to complete the application process. You may need to pay an application fee. (Review our fee guidelines.) 

If you have any questions about the process, you can contact us at (800) 841-2900, TDD/TTY: 711.

Dental Programs

Dental programs include dentist, dental clinic, dental schools, among others. Go to the MassHealth dental program for enrollment and a complete list of dental programs.   

Long-term Services and Supports (LTSS) Programs

LTSS programs include skilled nursing facility, hospice, home health, durable medical equipment, independent nurses, adult day health, therapy, day habilitation, adult foster care, group adult foster care, orthotics and prosthetics, among others. Go to the MassHealth Long-term Services and Supports (LTSS) Provider Portal for enrollment and a complete list of LTSS programs.   

Ordering, Referring, and Prescribing (ORP)

Ordering, referring, and prescribing providers are providers who order, refer, or prescribe services for MassHealth members, but are not eligible or do not wish to enroll as a fully participating providers and bill MassHealth for services rendered to MassHealth members.

Go to the ACA Section 6401—Ordering, Referring, and Prescribing Provider Requirements page for a complete list of provider types authorized to order, refer, or prescribe, and for enrollment instructions.

Qualified Medicare Beneficiary (QMB) Only

QMB-only providers are not otherwise eligible for or do not want to enroll as a full MassHealth provider. Only crossover claims for members with both Medicare and MassHealth coverage can be submitted.

For enrollment or for more information, contact the MassHealth Customer Service Center at (800) 841-2900. 

• For LTSS providers who need to apply as QMB-only providers, go to the MassHealth Long-term Services and Supports (LTSS) Provider Portal.

• Only MassHealth-contracted providers can be reimbursed for services provided to MassHealth members
• You need to be an approved provider before you submit claims for payment