Submit an electronic claims waiver request

You must submit all claims electronically unless you have an approved electronic claims waiver.

You are eligible for the electronic claims waiver if you meet any of the following criteria:

• A low volume of claims (20 or fewer per month) during a 12-month period
• Temporary technical difficulties with software, systems, or testing with the Medicaid Management Information System (MMIS)
• Lack of Internet access or a computer
• A temporary disruption in service of at least 5 business days, caused by a natural disaster or utility work
• Your staff responsible for submitting claims has a disability which prevents them from submitting them electronically, and reasonable accommodations won't easily help. You must attest this in writing to MassHealth.
• Other extenuating circumstances

The approved electronic claims waiver will expire after 12 months. If you need an extension, you must apply with a new form at least 30 days before the expiration date.