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2016 MassHealth provider bulletins

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December

Open RTF file, 737.84 KB,  All Provider Bulletin 263: Changes to MassHealth Payment Method for Out-of-State Acute Outpatient Hospital Services (English, RTF 737.84 KB)
Open PDF file, 155.65 KB,  All Provider Bulletin 263: Changes to MassHealth Payment Method for Out-of-State Acute Outpatient Hospital Services (English, PDF 155.65 KB)

November

Open DOC file, 150 KB,  All Provider Bulletin 262: Accountable Care Organization (ACO) Pilot (English, DOC 150 KB)
Open PDF file, 200.64 KB,  All Provider Bulletin 262: Accountable Care Organization (ACO) Pilot (English, PDF 200.64 KB)
Open DOC file, 375 KB,  Dental Bulletin 45: Start Date for Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, DOC 375 KB)
Open PDF file, 160.33 KB,  Dental Bulletin 45: Start Date for Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, PDF 160.33 KB)

October

Open DOC file, 363.5 KB,  Acute Inpatient Hospital Bulletin 158: Hospital Incentive–Accessible Equipment (English, DOC 363.5 KB)
Open PDF file, 166.76 KB,  Acute Inpatient Hospital Bulletin 158: Hospital Incentive–Accessible Equipment (English, PDF 166.76 KB)
Open DOC file, 363.5 KB,  Acute Outpatient Hospital Bulletin 33: Hospital Incentive–Accessible Equipment (English, DOC 363.5 KB)
Open PDF file, 166.35 KB,  Acute Outpatient Hospital Bulletin 33: Hospital Incentive–Accessible Equipment (English, PDF 166.35 KB)
Open DOC file, 106 KB,  Home Health Agency Bulletin 53: Supervision of Home Health Aides (130 CMR 403.421(A)(5)) (English, DOC 106 KB)
Open PDF file, 51.52 KB,  Home Health Agency Bulletin 53: Supervision of Home Health Aides (130 CMR 403.421(A)(5)) (English, PDF 51.52 KB)
Open DOC file, 142 KB,  Home Health Agency Bulletin 52: Face-to-Face Encounter Requirements for Home Health Services (English, DOC 142 KB)
Open PDF file, 129.82 KB,  Home Health Agency Bulletin 52: Face-to-Face Encounter Requirements for Home Health Services (English, PDF 129.82 KB)

September

Open DOC file, 113 KB,  Acute Inpatient Hospital Bulletin 157: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 113 KB)
Open PDF file, 164.69 KB,  Acute Inpatient Hospital Bulletin 157: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 164.69 KB)
Open DOC file, 394 KB,  All Provider Bulletin 261: Plan Selection Periods and Fixed Enrollment Periods for Members Enrolled in a Managed Care Organization (MCO) (English, DOC 394 KB)
Open PDF file, 144.84 KB,  All Provider Bulletin 261: Plan Selection Periods and Fixed Enrollment Periods for Members Enrolled in a Managed Care Organization (MCO) (English, PDF 144.84 KB)
Open DOC file, 395 KB,  All Provider Bulletin 260: Changes to Primary Care Clinician Plan (PCC Plan) Services Requiring a Referral (English, DOC 395 KB)
Open PDF file, 169.41 KB,  All Provider Bulletin 260: Changes to Primary Care Clinician Plan (PCC Plan) Services Requiring a Referral (English, PDF 169.41 KB)
Open PDF file, 164.73 KB,  Community Health Center Bulletin 87: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 164.73 KB)
Open DOC file, 113 KB,  Community Health Center Bulletin 87: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 113 KB)
Open DOC file, 118.5 KB,  Durable Medical Equipment Bulletin 19: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, DOC 118.5 KB)
Open PDF file, 157.97 KB,  Durable Medical Equipment Bulletin 19: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, PDF 157.97 KB)
Open DOC file, 116 KB,  Orthotics Bulletin 6: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, DOC 116 KB)
Open PDF file, 166.85 KB,  Orthotics Bulletin 6: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, PDF 166.85 KB)
Open DOC file, 118.5 KB,  Oxygen Bulletin 15: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, DOC 118.5 KB)
Open PDF file, 67.12 KB,  Oxygen Bulletin 15: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, PDF 67.12 KB)
Open DOC file, 116 KB,  Prosthetics Provider Bulletin 10: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, DOC 116 KB)
Open PDF file, 146.86 KB,  Prosthetics Provider Bulletin 10: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, PDF 146.86 KB)
Open DOCX file, 91.12 KB,  Transportation Bulletin 16: Revised Medical Necessity Form and Criminal Offender Record Information (CORI) Reminder – updated (English, DOCX 91.12 KB)
Open PDF file, 147.45 KB,  Transportation Bulletin 16: Revised Medical Necessity Form and Criminal Offender Record Information (CORI) Reminder – updated (English, PDF 147.45 KB)

August

Open DOC file, 112 KB,  Acute Inpatient Hospital Bulletin 156: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 112 KB)
Open PDF file, 156.37 KB,  Acute Inpatient Hospital Bulletin 156: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 156.37 KB)
Open DOC file, 127 KB,  Acute Outpatient Hospital Bulletin 32: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, DOC 127 KB)
Open PDF file, 188.78 KB,  Acute Outpatient Hospital Bulletin 32: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, PDF 188.78 KB)
Open DOC file, 126.5 KB,  Community Health Center Bulletin 86: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, DOC 126.5 KB)
Open PDF file, 189.18 KB,  Community Health Center Bulletin 86: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, PDF 189.18 KB)
Open DOC file, 112 KB,  Community Health Center Bulletin 85: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 112 KB)
Open PDF file, 156.65 KB,  Community Health Center Bulletin 85: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 156.65 KB)
Open DOC file, 126.5 KB,  Chronic Outpatient Hospitals Bulletin 6: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, DOC 126.5 KB)
Open PDF file, 189.04 KB,  Chronic Outpatient Hospitals Bulletin 6: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, PDF 189.04 KB)
Open DOC file, 126 KB,  Dental Bulletin 44: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, DOC 126 KB)
Open PDF file, 187.31 KB,  Dental Bulletin 44: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, PDF 187.31 KB)

July

Open DOC file, 112 KB,  Managed Care Organization Bulletin 6: MassHealth-Contracted Managed Care Organization (MCO) Coverage of Hepatitis C Virus (HCV) Drugs and Other Drugs Subject to MassHealth Supplemental Rebate Agreements (English, DOC 112 KB)
Open PDF file, 132.61 KB,  Managed Care Organization Bulletin 6: MassHealth-Contracted Managed Care Organization (MCO) Coverage of Hepatitis C Virus (HCV) Drugs and Other Drugs Subject to MassHealth Supplemental Rebate Agreements (English, PDF 132.61 KB)

May

Open DOC file, 117.5 KB,  Acute Inpatient Hospital Bulletin 155: Inpatient Services for Incarcerated Individuals (English, DOC 117.5 KB)
Open PDF file, 145.47 KB,  Acute Inpatient Hospital Bulletin 155: Inpatient Services for Incarcerated Individuals (English, PDF 145.47 KB)

March

Open PDF file, 187.44 KB,  Long Term Care Facility Bulletin 110: Annual Review of Personal Needs Allowance Account (English, PDF 187.44 KB)
Open DOC file, 120.5 KB,  Long Term Care Facility Bulletin 110: Annual Review of Personal Needs Allowance Account (English, DOC 120.5 KB)

February

Open DOC file, 198 KB,  All Provider Bulletin 259: Ordering, Referring, and Prescribing Provider Requirements (English, DOC 198 KB)
Open PDF file, 66.12 KB,  All Provider Bulletin 259: Ordering, Referring, and Prescribing Provider Requirements (English, PDF 66.12 KB)
Open DOC file, 58 KB,  Home Health Agency Bulletin 51: New Prior Authorization (PA) Policy for Home Health Services, New Physician Referral Procedure/Face-to-Face Requirement, New Requirement to Inform MassHealth of Member Transfers Update on Referral Procedures to Aging Serv (English, DOC 58 KB)
Open PDF file, 86.62 KB,  Home Health Agency Bulletin 51: New Prior Authorization (PA) Policy for Home Health Services, New Physician Referral Procedure/Face-to-Face Requirement, New Requirement to Inform MassHealth of Member Transfers Update on Referral Procedures to Aging Serv (English, PDF 86.62 KB)

January

Open DOC file, 118 KB,  All Provider Bulletin 258: Health New England’s Withdrawal from the CarePlus Program (English, DOC 118 KB)
Open PDF file, 227.41 KB,  All Provider Bulletin 258: Health New England’s Withdrawal from the CarePlus Program (English, PDF 227.41 KB)
Open RTF file, 563.54 KB,  Physician Bulletin 99: Clarification on Bayer Pharmaceuticals Return Policy for Abandoned Mirena® and Skyla® Units (English, RTF 563.54 KB)
Open PDF file, 148.81 KB,  Physician Bulletin 99: Clarification on Bayer Pharmaceuticals Return Policy for Abandoned Mirena® and Skyla® Units (English, PDF 148.81 KB)

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