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.