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2004 MassHealth provider bulletins

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December

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

November

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

September

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

July

Open RTF file, 3.63 MB,  All Provider Bulletin 137: New MassHealth Web Site (English, RTF 3.63 MB)
Open PDF file, 146.4 KB,  All Provider Bulletin 137: New MassHealth Web Site (English, PDF 146.4 KB)
Open PDF file, 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 (English, PDF 133.15 KB)
Open RTF file, 4.02 MB,  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 (English, RTF 4.02 MB)

June

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

May

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

April

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

February

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

January

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

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