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  • This page, 2004 MassHealth provider bulletins, is   offered by
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2004 MassHealth provider bulletins

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December

All Provider Bulletin 142: Guidelines for Medical Necessity Determination for Certain Products and Services, Open RTF file, 4.04 MB (English, RTF 4.04 MB)
All Provider Bulletin 142: Guidelines for Medical Necessity Determination for Certain Products and Services, Open PDF file, 143.83 KB (English, PDF 143.83 KB)
All Provider Bulletin 141: Revised Prescription for Transportation (PT-1) Form on Web Site, Open RTF file, 4.01 MB (English, RTF 4.01 MB)
All Provider Bulletin 141: Revised Prescription for Transportation (PT-1) Form on Web Site, Open PDF file, 130.62 KB (English, PDF 130.62 KB)
Acute Outpatient Hospital Bulletin 11: New Prior Authorization Policy for Rehabilitation Therapy Services, Open RTF file, 5.76 MB (English, RTF 5.76 MB)
Acute Outpatient Hospital Bulletin 11: New Prior Authorization Policy for Rehabilitation Therapy Services, Open PDF file, 187.44 KB (English, PDF 187.44 KB)
Community Health Center Bulletin 55: 340B Drug-Pricing Program for MassHealth Members , Open RTF file, 4.01 MB (English, RTF 4.01 MB)
Community Health Center Bulletin 55: 340B Drug-Pricing Program for MassHealth Members , Open PDF file, 127.87 KB (English, PDF 127.87 KB)
Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 1: New Prior Authorization Policy for Rehabilitation Therapy Services, Open PDF file, 187.93 KB (English, PDF 187.93 KB)
Home Health Agency Bulletin 44: New Prior Authorization Policy for Rehabilitation Therapy Services, Open RTF file, 4.02 MB (English, RTF 4.02 MB)
Home Health Agency Bulletin 44: New Prior Authorization Policy for Rehabilitation Therapy Services, Open PDF file, 138.44 KB (English, PDF 138.44 KB)
Pharmacy Bulletin 73: Pharmacy Facts, Open RTF file, 426.53 KB (English, RTF 426.53 KB)
Pharmacy Bulletin 73: Pharmacy Facts, Open PDF file, 44.96 KB (English, PDF 44.96 KB)
Physician Bulletin 81: New Prior Authorization Policy for Rehabilitation Therapy Services , Open RTF file, 4.03 MB (English, RTF 4.03 MB)
Physician Bulletin 81: New Prior Authorization Policy for Rehabilitation Therapy Services , Open PDF file, 138.4 KB (English, PDF 138.4 KB)
Rehabilitation Center Bulletin 11: New Prior Authorization Policy for Rehabilitation Therapy Services, Open RTF file, 4.03 MB (English, RTF 4.03 MB)
Rehabilitation Center Bulletin 11: New Prior Authorization Policy for Rehabilitation Therapy Services, Open PDF file, 138.99 KB (English, PDF 138.99 KB)
Speech and Hearing Center Bulletin 11: New Prior Authorization Policy for Rehabilitation Therapy Services, Open RTF file, 4.02 MB (English, RTF 4.02 MB)
Speech and Hearing Center Bulletin 11: New Prior Authorization Policy for Rehabilitation Therapy Services, Open PDF file, 137.08 KB (English, PDF 137.08 KB)
Therapist Bulletin 13: New Prior Authorization Policy for Rehabilitation Therapy Services, Open RTF file, 4.03 MB (English, RTF 4.03 MB)
Therapist Bulletin 13: New Prior Authorization Policy for Rehabilitation Therapy Services, Open PDF file, 138.37 KB (English, PDF 138.37 KB)
Therapist Bulletin 12: Prior Authorizations Submitted by Therapist Group Practices, Open RTF file, 4.03 MB (English, RTF 4.03 MB)
Therapist Bulletin 12: Prior Authorizations Submitted by Therapist Group Practices, Open PDF file, 138.94 KB (English, PDF 138.94 KB)

November

All Provider Bulletin 140: Integration of the MassHealth Provider Services Web Site into Mass.Gov Portal , Open RTF file, 4.5 MB (English, RTF 4.5 MB)
All Provider Bulletin 140: Integration of the MassHealth Provider Services Web Site into Mass.Gov Portal , Open PDF file, 144.94 KB (English, PDF 144.94 KB)
All Provider Bulletin 139: Implementation of a HIPAA-Compliant Secure File Delivery Application , Open RTF file, 4.02 MB (English, RTF 4.02 MB)
All Provider Bulletin 139: Implementation of a HIPAA-Compliant Secure File Delivery Application , Open PDF file, 42.98 KB (English, PDF 42.98 KB)
All Provider Bulletin 138: Credit Balance Overpayment Policy , Open RTF file, 3.96 MB (English, RTF 3.96 MB)
All Provider Bulletin 138: Credit Balance Overpayment Policy , Open PDF file, 209.49 KB (English, PDF 209.49 KB)

September

Nursing Facility Bulletin 126: Reinstatement of Payment For Medical Leave-of-Absence (MLOA) and Non-Medical-Leave-of-Absence (NMLOA) Days, Open RTF file, 4.01 MB (English, RTF 4.01 MB)
Nursing Facility Bulletin 126: Reinstatement of Payment For Medical Leave-of-Absence (MLOA) and Non-Medical-Leave-of-Absence (NMLOA) Days, Open PDF file, 128.73 KB (English, PDF 128.73 KB)

July

All Provider Bulletin 137: New MassHealth Web Site, Open RTF file, 3.63 MB (English, RTF 3.63 MB)
All Provider Bulletin 137: New MassHealth Web Site, Open PDF file, 146.4 KB (English, PDF 146.4 KB)
Outpatient Hospital Bulletin 49: Correction to Maximum Number of Units Per Day Allowed for Therapy Services for Acute Outpatient Hospitals and Hospital-Licensed Health Centers, Open PDF file, 133.15 KB (English, PDF 133.15 KB)
Outpatient Hospital Bulletin 49: Correction to Maximum Number of Units Per Day Allowed for Therapy Services for Acute Outpatient Hospitals and Hospital-Licensed Health Centers, Open RTF file, 4.02 MB (English, RTF 4.02 MB)

June

All Provider Bulletin 136: Claims Processing and HIPAA Compliance for Electronic Claims Transactions, Open RTF file, 5.38 MB (English, RTF 5.38 MB)
All Provider Bulletin 136: Claims Processing and HIPAA Compliance for Electronic Claims Transactions, Open PDF file, 45.14 KB (English, PDF 45.14 KB)
All Provider Bulletin 135: New Massachusetts Management and Accounting Reporting System (NewMMARS), Open PDF file, 48.76 KB (English, PDF 48.76 KB)
All Provider Bulletin 135: New Massachusetts Management and Accounting Reporting System (NewMMARS), Open RTF file, 3.64 MB (English, RTF 3.64 MB)

May

Acute Inpatient Hospital Bulletin 128: Revisions to the Nursing Facility Preadmission Process , Open RTF file, 4.01 MB (English, RTF 4.01 MB)
Acute Inpatient Hospital Bulletin 128: Revisions to the Nursing Facility Preadmission Process , Open PDF file, 318.5 KB (English, PDF 318.5 KB)
Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 86: Revisions to the Nursing Facility Preadmission Process, Open RTF file, 4.01 MB (English, RTF 4.01 MB)
Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 86: Revisions to the Nursing Facility Preadmission Process, Open PDF file, 127.96 KB (English, PDF 127.96 KB)
Freestanding Magnetic Resonance Imaging Center Bulletin 10: Revised List of Service Codes and Descriptions (2004 HCPCS), Open PDF file, 64.22 KB (English, PDF 64.22 KB)
Freestanding Magnetic Resonance Imaging Center Bulletin 10: Revised List of Service Codes and Descriptions (2004 HCPCS), Open RTF file, 3.65 MB (English, RTF 3.65 MB)
Long Term Care Facility Bulletin 87: Annual Accounting for Personal Needs Allowance Funds, Open RTF file, 4.01 MB (English, RTF 4.01 MB)
Long Term Care Facility Bulletin 87: Annual Accounting for Personal Needs Allowance Funds, Open PDF file, 179.29 KB (English, PDF 179.29 KB)
Nursing Facility Bulletin 125: Revisions to the Nursing Facility Preadmission Process, Open RTF file, 4.01 MB (English, RTF 4.01 MB)
Nursing Facility Bulletin 125: Revisions to the Nursing Facility Preadmission Process, Open PDF file, 43.25 KB (English, PDF 43.25 KB)
Psychiatric Inpatient Hospital Bulletin 22: Revisions to the Nursing Facility Preadmission Process, Open PDF file, 125.69 KB (English, PDF 125.69 KB)
Psychiatric Inpatient Hospital Bulletin 22: Revisions to the Nursing Facility Preadmission Process, Open RTF file, 4.01 MB (English, RTF 4.01 MB)
Transportation Bulletin 14: Administrative Simplification for Claims Requiring Attachments, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Transportation Bulletin 14: Administrative Simplification for Claims Requiring Attachments, Open PDF file, 38.79 KB (English, PDF 38.79 KB)

April

All Provider Bulletin 134: Billing Deadline for MassHealth Claims (PDF), Open RTF file, 2.22 MB (English, RTF 2.22 MB)
All Provider Bulletin 134: Billing Deadline for MassHealth Claims (PDF), Open PDF file, 94.97 KB (English, PDF 94.97 KB)
All Provider Bulletin 133: HIPAA Compliance for Electronic Claims Transactions, Open RTF file, 4.03 MB (English, RTF 4.03 MB)
All Provider Bulletin 133: HIPAA Compliance for Electronic Claims Transactions, Open PDF file, 49.35 KB (English, PDF 49.35 KB)

February

All Provider Bulletin 132: HIPAA Compliance for Electronic Claims Transactions, Open RTF file, 3.64 MB (English, RTF 3.64 MB)
All Provider Bulletin 132: HIPAA Compliance for Electronic Claims Transactions, Open PDF file, 158.14 KB (English, PDF 158.14 KB)
Home Health Agency Bulletin 42: Correction to Transmittal Letter HHA-35, Open PDF file, 188.99 KB (English, PDF 188.99 KB)
Home Health Agency Bulletin 42: Correction to Transmittal Letter HHA-35, Open RTF file, 4.49 MB (English, RTF 4.49 MB)
Home Health Agency Bulletin 43: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open PDF file, 140.18 KB (English, PDF 140.18 KB)
Home Health Agency Bulletin 43: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Outpatient Hospital Bulletin 48: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open PDF file, 139.25 KB (English, PDF 139.25 KB)
Outpatient Hospital Bulletin 48: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open RTF file, 3.63 MB (English, RTF 3.63 MB)
Physician Bulletin 80: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Physician Bulletin 80: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open PDF file, 139.9 KB (English, PDF 139.9 KB)
Rehabilitation Center Bulletin 10: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Rehabilitation Center Bulletin 10: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open PDF file, 139.39 KB (English, PDF 139.39 KB)
Speech and Hearing Center Bulletin 10: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open RTF file, 3.63 MB (English, RTF 3.63 MB)
Speech and Hearing Center Bulletin 10: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open PDF file, 141.43 KB (English, PDF 141.43 KB)
Therapist Bulletin 11: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open RTF file, 3.63 MB (English, RTF 3.63 MB)
Therapist Bulletin 11: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services, Open PDF file, 140.47 KB (English, PDF 140.47 KB)

January

Abortion Clinic Bulletin 8: Elimination of Global Billing for Services with a Professional and a Technical Component, Open RTF file, 5.35 MB (English, RTF 5.35 MB)
Abortion Clinic Bulletin 8: Elimination of Global Billing for Services with a Professional and a Technical Component, Open PDF file, 47.62 KB (English, PDF 47.62 KB)
Acute Inpatient Hospital Bulletin 127: Billing for Physician Services with a Professional and a Technical Component, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Acute Inpatient Hospital Bulletin 127: Billing for Physician Services with a Professional and a Technical Component, Open PDF file, 101.79 KB (English, PDF 101.79 KB)
All Provider Bulletin 131: Revision to MassHealth Breast and Cervical Cancer Treatment Program, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
All Provider Bulletin 131: Revision to MassHealth Breast and Cervical Cancer Treatment Program, Open PDF file, 119.61 KB (English, PDF 119.61 KB)
Audiologist Bulletin 2: Revisions to Service Limits on Office Visits for Evaluation and Management Services , Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Audiologist Bulletin 2: Revisions to Service Limits on Office Visits for Evaluation and Management Services , Open PDF file, 16.12 KB (English, PDF 16.12 KB)
Community Health Center Bulletin 54: Billing for Physician Services with a Professional and a Technical Component, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Community Health Center Bulletin 54: Billing for Physician Services with a Professional and a Technical Component, Open PDF file, 111.95 KB (English, PDF 111.95 KB)
Chiropractor Bulletin 4: Billing for Physician Services with a Professional and a Technical Component, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Chiropractor Bulletin 4: Billing for Physician Services with a Professional and a Technical Component, Open PDF file, 136.93 KB (English, PDF 136.93 KB)
Dental Bulletin 31: Billing for Physician Services with a Professional and a Technical Component, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Dental Bulletin 31: Billing for Physician Services with a Professional and a Technical Component, Open PDF file, 112.07 KB (English, PDF 112.07 KB)
Freestanding Magnetic Resonance Imaging Center Bulletin 9: Elimination of Global Billing for Services with a Professional and a Technical Component, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Freestanding Magnetic Resonance Imaging Center Bulletin 9: Elimination of Global Billing for Services with a Professional and a Technical Component, Open PDF file, 114.93 KB (English, PDF 114.93 KB)
Family Planning Agency Bulletin 10: Billing for Physician Services with a Professional and a Technical Component, Open PDF file, 111.5 KB (English, PDF 111.5 KB)
Family Planning Agency Bulletin 10: Billing for Physician Services with a Professional and a Technical Component, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Hearing Instrument Specialist Bulletin 10: Revisions to Service Limits on Office Visits for Evaluation and Management Services, Open PDF file, 45.71 KB (English, PDF 45.71 KB)
Hearing Instrument Specialist Bulletin 10: Revisions to Service Limits on Office Visits for Evaluation and Management Services, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Independent Clinical Laboratory Bulletin 7: Billing for Physician Services with a Professional and a Technical Component, Open PDF file, 111.26 KB (English, PDF 111.26 KB)
Independent Clinical Laboratory Bulletin 7: Billing for Physician Services with a Professional and a Technical Component, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Long Term Care Facility Bulletin 86: 2004 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities, Open PDF file, 15.96 KB (English, PDF 15.96 KB)
Long Term Care Facility Bulletin 86: 2004 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Municipally Based Health Services Bulletin 10: Services Provided to Special Education Students, Open PDF file, 17.98 KB (English, PDF 17.98 KB)
Municipally Based Health Services Bulletin 10: Services Provided to Special Education Students, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Outpatient Hospital Bulletin 47: Billing for Physician Services with a Professional and a Technical Component, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Outpatient Hospital Bulletin 47: Billing for Physician Services with a Professional and a Technical Component, Open PDF file, 99.78 KB (English, PDF 99.78 KB)
Podiatrist Bulletin 14: Elimination of Global Billing for Services with a Professional and a Technical Component, Open PDF file, 110.66 KB (English, PDF 110.66 KB)
Podiatrist Bulletin 14: Elimination of Global Billing for Services with a Professional and a Technical Component, Open RTF file, 3.62 MB (English, RTF 3.62 MB)
Sterilization Clinic Bulletin 7: Elimination of Global Billing for Services with a Professional and a Technical Component, Open PDF file, 111.78 KB (English, PDF 111.78 KB)
Sterilization Clinic Bulletin 7: Elimination of Global Billing for Services with a Professional and a Technical Component, Open RTF file, 3.62 MB (English, RTF 3.62 MB)

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