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Provider Handbook: Provider Manuals and Regulations

This is a part of the MassHealth Provider Handbook
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All MassHealth providers are required to understand and comply with applicable regulations. Each provider type/program has a provider manual that includes subchapters that are specific to the provider type/program. Subchapter 4 outlines program-specific requirements and conditions. Subchapter 6 outlines the covered services and codes for each program. The other subchapters are the same for all providers: Subchapters 1 through 3 are the MassHealth administrative and billing regulations (130 CMR 450.000, often referred to as the “All Provider Regulations”), and Subchapter 5 contains administrative and billing instructions. You can find MassHealth manuals and regulations on our Provider Publications web page. 

Homepage of MassHealth Provider Publications" with headings "Bulletins," "Forms," and "Guidelines for Medical Necessity Determination."
Date published: July 29, 2022
Last updated: August 21, 2026

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