Message Text – April 2023

The messages listed below may be general All Provider messages, applicable to several provider types or services, or provider specific. 

You can request a copy of a prior message by:

• Emailing [e-mail]
• Sending a letter to

  MassHealth Customer Service
  P.O. Box 278
  Quincy, MA 02171

• Calling MassHealth Customer Services at [phone],
  Hours: Monday through Friday 8 a.m. to 5 p.m.

04/11/2023

NEW UPDATED VERSION OF THE DME/OXY PAYMENT & COVERAGE GUIDELINE TOOL

Durable Medical Equipment (DME) providers, Oxygen and Respiratory Therapy Equipment (OXY) providers, and Pharmacy providers with a DME and/or OXY specialty are advised that the MassHealth DME and OXY Payment and Coverage Guideline Tool has been updated on 3/29/2023 and posted on the MassHealth website. To confirm that you are using the most recent version of the applicable tool, go to https://www.mass.gov/tool.

Please note that the following HCPCS codes have been added to the tool effective 1/1/2023: A4239, A4239 KF, E2103 NU, E2103 NU KF, E2103 RR, E2103 RR KF, E2103 UE, and E2103 UEKF.

Please note that the following HCPCS codes have been cross walked to new codes and removed from the tool effective 1/1/2023: K0553 (cross walked to A4239), K0554 NU (cross walked to E2103 NU), K0554 RR (cross walked to E2103 RR), and K0554 UE (cross walked to E2103 UE).

If you have questions regarding this change, please contact the LTSS Provider Service Center at [e-mail] or call [phone].

 

CLAIMS REPROCESSED FOR 2023 HCPCS/CPT CODE UPDATES

The Centers for Medicare & Medicaid Services (CMS) have revised the HCPCS codes for 2023. MassHealth has updated Subchapter 6 of the Physician Manual to incorporate those 2023 HCPCS/Current Procedural Terminology (CPT) service code updates, as applicable.

MassHealth has updated its system to reflect the 2023 HCPCS/CPT coding changes effective for dates of service on or after January 1, 2023. All affected claims will be reprocessed and will appear on this or future Remittance Advices.

If you have any questions, please contact MassHealth at [e-mail] or [phone].

Date published:	April 10, 2023