Where do I start?
Your medical provider may recommend or order oxygen and respiratory therapy equipment for you. They can contact an OXY provider, or they can give you a prescription and you can contact an OXY provider of your choice.
The OXY provider needs a signed prescription for the purchase or rental of OXY. In some cases, an OXY provider might need to follow up with your medical provider to get a corrected or more complete document.
Prior authorization
Most oxygen and respiratory equipment requires prior authorization (PA). This means MassHealth will determine if the item is medically necessary.
The OXY provider will let you know if a PA is needed. If MassHealth denies your PA, we’ll send you a letter of denial at the address we have on file for you. The letter will include instructions for how to appeal the decision.
Delivery of OXY
The OXY provider will coordinate delivery of OXY orders after they get all needed documentation or PA for the item.
Repair or replacement of OXY
Contact your OXY provider if you need repairs for any equipment that MassHealth covers for you. MassHealth covers replacement OXY when the device or system in use no longer meets your medical needs, or if repairs cost more than replacing the item.
What types of OXY does MassHealth cover?
MassHealth covers the purchase, rental, and repair of oxygen equipment and supplies.
MassHealth may covers these items:
- Continuous positive airway pressure (CPAP) machine
- Cough-stimulating device
- Disposable canister used with suction pump
- Electrodes (for example, for an apnea monitor)
- Face tent
- Headgear used with CPAP machine
- High-frequency chest wall oscillation system vest
- Home ventilator
- Humidifier
- Immersion external heater for nebulizer
- Interface four cough-stimulating device
- Lead wires
- Nebulizer
- Oropharyngeal suction catheter
- Oximeter device for measuring blood oxygen levels
- Oxygen probe for use with oximeter device
- Peak expiratory flow
- Small-volume nonfiltered pneumatic nebulizer
- Tracheal suction catheter
- Tracheostoma filter
- Tracheostomy care kit for new tracheostomy
- Tracheostomy inner cannula
- Transtracheal suction catheter
MassHealth may also cover other oxygen and respiratory equipment. Talk to your medical provider if you need an item you don't see on this list.
MassHealth doesn’t cover oxygen equipment and services that
- won’t significantly help your pulmonary condition, based on medical standards as determined by MassHealth;
- are nonmedical equipment or supplies; or
- are used for research or are experimental.
Who do I contact if I need help?
MassHealth Customer Service Center
Contact the MassHealth Member Customer Service Center if you need help with:
- Eligibility
- MassHealth benefits
- Replacing your MassHealth card
- Enrolling in a health plan
- Getting a MassHealth application
- MassHealth and Children's Medical Security Plan premiums
Phone: (800) 841-2900, TDD/TTY: 711
My Ombudsman
My Ombudsman can assist any MassHealth member with questions or challenges accessing covered benefits or services.
Phone: (855) 781-9898
Videophone: (339) 224-6831
My Ombudsman website
| Date published: | December 8, 2025 |
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