Message Text – June 2026

MassHealth Provider Remittance Advice

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:

• [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.

06/02/2026

In Home Nursing Preferences Survey - Please Share Your Feedback with MassHealth

MassHealth has created a survey to collect feedback from nurses who provide in-home, continuous skilled nursing services to MassHealth members. The survey asks questions about what factors impact a nurse’s decision to work with a patient or not. Please consider taking this survey, which will provide valuable feedback to MassHealth and will inform policy development. The survey is completely anonymous.

The survey can be found at: https://tinyurl.com/b3ye2kt4 

Thank you so much for considering! Please submit survey responses by Friday, June 12. 

For questions, please contact the LTSS Provider Service Center at [e-mail] or [phone].

Nursing Facility Updates for Medicare Crossover and Medicare Advantage Ancillary Claims

Effective for dates of service on or after June 1, 2026, MassHealth therapy rates per regulations at 101 CMR 339.000 will be applied to Medicare crossover and Medicare Advantage claims submitted by nursing facilities for therapy services. These claims will be re-priced in accordance with TPL regulations 130 CMR 450.317 and 450.318.

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

Adjusting Certain Outpatient Hospital Drug Claims

MassHealth identified certain outpatient claims for drugs requiring prior authorization (PA), with dates of service on or after January 1, 2026, that were incorrectly denied for edit ‘3003-Procedure Code Requires PA’.

In the interim, a manual PA lookup process will be implemented, and affected claims will be adjusted and reflected on subsequent remittance advices until the permanent system automatic PA lookup is corrected in MMIS. 

Once the permanent correction to the system automatic PA lookup is implemented in MMIS, affected claims will be re-adjusted as needed to accurately reflect PA utilization. These re-adjustments are expected to occur in early October 2026.

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

Date published:	June 1, 2026