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2018 MassHealth provider bulletins

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December

Open PDF file, 71.72 KB,  Acute Inpatient Hospital Bulletin 166: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 71.72 KB)
Open DOCX file, 109.44 KB,  Acute Inpatient Hospital Bulletin 166: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 109.44 KB)
Open PDF file, 170.26 KB,  Acute Inpatient Hospital Bulletin 165: Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 170.26 KB)
Open DOCX file, 109.96 KB,  Acute Inpatient Hospital Bulletin 165: Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 109.96 KB)
Open PDF file, 193.47 KB,  Community Health Center Bulletin 94: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 193.47 KB)
Open DOCX file, 109.78 KB,  Community Health Center Bulletin 94: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 109.78 KB)
Open PDF file, 169.61 KB,  Community Health Center Bulletin 93: Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 169.61 KB)
Open DOCX file, 109.69 KB,  Community Health Center Bulletin 93: Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 109.69 KB)

November

Open PDF file, 630.08 KB,  All Provider Bulletin 279: Accountable Care Organization (ACO) Primary Care Exclusivity and related information about Medication Assisted Treatment Services, School-Based Health Centers, and the MassHealth Eligibility Verification System (EVS) (English, PDF 630.08 KB)
Open DOCX file, 1.34 MB,  All Provider Bulletin 279: Accountable Care Organization (ACO) Primary Care Exclusivity and related information about Medication Assisted Treatment Services, School-Based Health Centers, and the MassHealth Eligibility Verification System (EVS) (English, DOCX 1.34 MB)
Open PDF file, 126 KB,  Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 89: Revised Screening Process for Chronic Disease and Rehabilitation Hospitals (English, PDF 126 KB)
Open DOCX file, 106.1 KB,  Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 89: Revised Screening Process for Chronic Disease and Rehabilitation Hospitals (English, DOCX 106.1 KB)
Open PDF file, 137.65 KB,  Managed Care Entity Bulletin 9: Clarification on the use of Administratively Necessary Days in all Psychiatric Inpatient Hospital Stays (English, PDF 137.65 KB)
Open DOCX file, 29.24 KB,  Managed Care Entity Bulletin 9: Clarification on the use of Administratively Necessary Days in all Psychiatric Inpatient Hospital Stays (English, DOCX 29.24 KB)
Open PDF file, 128.93 KB,  Nursing Facility Bulletin 141: Updates to Nursing Facility Regulations: Preadmission Screening and Resident Review (PASRR) for Intellectual Disability, Developmental Disability, and/or Serious Mental Illness [Superseded by Nursing Facility Bulletin 143] (English, PDF 128.93 KB)
Open DOCX file, 204.8 KB,  Nursing Facility Bulletin 141: Updates to Nursing Facility Regulations: Preadmission Screening and Resident Review (PASRR) for Intellectual Disability, Developmental Disability, and/or Serious Mental Illness [Superseded by Nursing Facility Bulletin 143] (English, DOCX 204.8 KB)

October

Open PDF file, 147.5 KB,  Durable Medical Equipment Bulletin 21: Clarification of Definition of Durable Medical Equipment and Use of Medicare Local Coverage Determinations (English, PDF 147.5 KB)
Open DOCX file, 37.95 KB,  Durable Medical Equipment Bulletin 21: Clarification of Definition of Durable Medical Equipment and Use of Medicare Local Coverage Determinations (English, DOCX 37.95 KB)

September

Open PDF file, 245.59 KB,  Adult Day Health Bulletin 14: Immediate Action Required: Adult Day Health Members Clinical Eligibility Criteria (English, PDF 245.59 KB)
Open DOCX file, 122.05 KB,  Adult Day Health Bulletin 14: Immediate Action Required: Adult Day Health Members Clinical Eligibility Criteria (English, DOCX 122.05 KB)
Open PDF file, 135.17 KB,  All Provider Bulletin 278: Change in Phone Number for Retroactive Medicare Recovery (English, PDF 135.17 KB)
Open DOCX file, 36.92 KB,  All Provider Bulletin 278: Change in Phone Number for Retroactive Medicare Recovery (English, DOCX 36.92 KB)
Open PDF file, 115.31 KB,  Dental Bulletin 46: New Same-Day Billing for Dental Evaluations (English, PDF 115.31 KB)
Open DOCX file, 60.79 KB,  Dental Bulletin 46: New Same-Day Billing for Dental Evaluations (English, DOCX 60.79 KB)
Open PDF file, 133.38 KB,  Hospice Bulletin 13: Change in Phone Number for Hospice Election Status (English, PDF 133.38 KB)
Open DOCX file, 61.08 KB,  Hospice Bulletin 13: Change in Phone Number for Hospice Election Status (English, DOCX 61.08 KB)

August

Open PDF file, 147.97 KB,  All Provider Bulletin 277: Changes to Billing for Services Delivered by School-Based Health Centers Operated through Community Health Centers (English, PDF 147.97 KB)
Open DOCX file, 105.65 KB,  All Provider Bulletin 277: Changes to Billing for Services Delivered by School-Based Health Centers Operated through Community Health Centers (English, DOCX 105.65 KB)
Open PDF file, 130.6 KB,  Durable Medical Equipment Bulletin 20: New Policy for Home Use of Nebulizers (English, PDF 130.6 KB)
Open DOCX file, 105.88 KB,  Durable Medical Equipment Bulletin 20: New Policy for Home Use of Nebulizers (English, DOCX 105.88 KB)
Open PDF file, 130.61 KB,  Oxygen and Respiratory Therapy Equipment Bulletin 16: New Policy for Home Use of Nebulizers (English, PDF 130.61 KB)
Open DOCX file, 105.83 KB,  Oxygen and Respiratory Therapy Equipment Bulletin 16: New Policy for Home Use of Nebulizers (English, DOCX 105.83 KB)

July

Open PDF file, 194.63 KB,  Acute Inpatient Hospital Bulletin 164: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 194.63 KB)
Open DOCX file, 109.86 KB,  Acute Inpatient Hospital Bulletin 164: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 109.86 KB)
Open PDF file, 194.45 KB,  Community Health Center Bulletin 92: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 194.45 KB)
Open DOCX file, 109.81 KB,  Community Health Center Bulletin 92: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 109.81 KB)
Open PDF file, 62.14 KB,  Acute Inpatient Hospital Bulletin 163: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 62.14 KB)
Open DOCX file, 107.25 KB,  Acute Inpatient Hospital Bulletin 163: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 107.25 KB)
Open PDF file, 184.59 KB,  Community Health Center Bulletin 91: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 184.59 KB)
Open DOCX file, 106.94 KB,  Community Health Center Bulletin 91: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 106.94 KB)
Open PDF file, 150.24 KB,  Managed Care Entity Bulletin 8: Housing-Related Activities and the Medical Loss Ratio (MLR): Guidance for SCO Plans (English, PDF 150.24 KB)
Open DOCX file, 106.04 KB,  Managed Care Entity Bulletin 8: Housing-Related Activities and the Medical Loss Ratio (MLR): Guidance for SCO Plans (English, DOCX 106.04 KB)
Open PDF file, 58.6 KB,  Managed Care Entity Bulletin 7: MassHealth Accountable Care Partnership Plan and Managed Care Organization Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, PDF 58.6 KB)
Open DOCX file, 104.47 KB,  Managed Care Entity Bulletin 7: MassHealth Accountable Care Partnership Plan and Managed Care Organization Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, DOCX 104.47 KB)

June

Open PDF file, 181.19 KB,  Managed Care Entity Bulletin 6: Accountable Care Organization Primary Care Provider Additions Effective January 1, 2019 (English, PDF 181.19 KB)
Open DOC file, 167.5 KB,  Managed Care Entity Bulletin 6: Accountable Care Organization Primary Care Provider Additions Effective January 1, 2019 (English, DOC 167.5 KB)

May

Open PDF file, 73.56 KB,  Acute Inpatient Hospital Bulletin 162: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 73.56 KB)
Open DOCX file, 108.58 KB,  Acute Inpatient Hospital Bulletin 162: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 108.58 KB)
Open PDF file, 219.45 KB,  All Provider Bulletin 276: Member Access to Medication-Assisted Treatment (MAT) Providers and Continuity of Care (English, PDF 219.45 KB)
Open DOCX file, 114.74 KB,  All Provider Bulletin 276: Member Access to Medication-Assisted Treatment (MAT) Providers and Continuity of Care (English, DOCX 114.74 KB)
Open PDF file, 72.16 KB,  Community Health Center Bulletin 90: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 72.16 KB)
Open DOCX file, 108.44 KB,  Community Health Center Bulletin 90: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 108.44 KB)
Open PDF file, 117.65 KB,  Managed Care Entity Bulletin 5: Primary Care Provider (PCP) Arrangements for the Special Kids Special Care (SKSC) Program (English, PDF 117.65 KB)
Open DOCX file, 103.6 KB,  Managed Care Entity Bulletin 5: Primary Care Provider (PCP) Arrangements for the Special Kids Special Care (SKSC) Program (English, DOCX 103.6 KB)
Open PDF file, 137.2 KB,  Managed Care Entity Bulletin 4: MassHealth Accountable Care Partnership Plan and Managed Care Organization (MCO) Coverage of Home Health Services (English, PDF 137.2 KB)
Open DOCX file, 110.36 KB,  Managed Care Entity Bulletin 4: MassHealth Accountable Care Partnership Plan and Managed Care Organization (MCO) Coverage of Home Health Services (English, DOCX 110.36 KB)
Open PDF file, 243.52 KB,  School-Based Medicaid Program Bulletin 31: School-Based Medicaid Program Expansion (English, PDF 243.52 KB)
Open DOCX file, 189.13 KB,  School-Based Medicaid Program Bulletin 31: School-Based Medicaid Program Expansion (English, DOCX 189.13 KB)

April

Open PDF file, 160.46 KB,  Adult Foster Care Bulletin 15: Adult Foster Care Provider Fiscal Soundness Requirement (English, PDF 160.46 KB)
Open DOCX file, 104.67 KB,  Adult Foster Care Bulletin 15: Adult Foster Care Provider Fiscal Soundness Requirement (English, DOCX 104.67 KB)

March

Open PDF file, 147.48 KB,  Adult Foster Care Bulletin 14: MassHealth Accreditation Requirements for Adult Foster Care (AFC) Providers (English, PDF 147.48 KB)
Open DOCX file, 105.76 KB,  Adult Foster Care Bulletin 14: MassHealth Accreditation Requirements for Adult Foster Care (AFC) Providers (English, DOCX 105.76 KB)
Open PDF file, 167.4 KB,  All Provider Bulletin 275: MassHealth EVS Codes and Restrictive Messages for 2018 Managed Care Health Plans (English, PDF 167.4 KB)
Open DOCX file, 54.65 KB,  All Provider Bulletin 275: MassHealth EVS Codes and Restrictive Messages for 2018 Managed Care Health Plans (English, DOCX 54.65 KB)
Open PDF file, 246.38 KB,  Limited Services Clinic Bulletin 5: Updates to Vaccine Service Codes and Descriptions (English, PDF 246.38 KB)
Open DOCX file, 116.52 KB,  Limited Services Clinic Bulletin 5: Updates to Vaccine Service Codes and Descriptions (English, DOCX 116.52 KB)
Open PDF file, 187.89 KB,  Long-Term-Care Facility Bulletin 112: Annual Review of Personal Needs Allowance Account (English, PDF 187.89 KB)
Open DOCX file, 68.13 KB,  Long-Term-Care Facility Bulletin 112: Annual Review of Personal Needs Allowance Account (English, DOCX 68.13 KB)

February

Open PDF file, 144.08 KB,  Managed Care Entity Bulletin 3: MassHealth Accountable Care Partnership Plan (ACPP) and Managed Care Organization (MCO) Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, PDF 144.08 KB)
Open DOCX file, 104.48 KB,  Managed Care Entity Bulletin 3: MassHealth Accountable Care Partnership Plan (ACPP) and Managed Care Organization (MCO) Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, DOCX 104.48 KB)
Open DOCX file, 111.1 KB,  Acute Inpatient Hospital Bulletin 161: Changes to Notification of Birth (NOB-1) Form and Filing Process (English, DOCX 111.1 KB)
Open PDF file, 327.97 KB,  Acute Inpatient Hospital Bulletin 161: Changes to Notification of Birth (NOB-1) Form and Filing Process (English, PDF 327.97 KB)
Open DOCX file, 206 KB,  All Provider Bulletin 274: Continued Implementation of Ordering, Referring, and Prescribing Provider Requirements (English, DOCX 206 KB)
Open PDF file, 226.61 KB,  All Provider Bulletin 274: Continued Implementation of Ordering, Referring, and Prescribing Provider Requirements (English, PDF 226.61 KB)
Open PDF file, 166.82 KB,  Hospice Bulletin 12: Changes to MassHealth Policy on Diagnoses That Are Not Appropriate for Reporting as Principal Diagnoses on Hospice Claims (English, PDF 166.82 KB)
Open DOCX file, 196.92 KB,  Hospice Bulletin 12: Changes to MassHealth Policy on Diagnoses That Are Not Appropriate for Reporting as Principal Diagnoses on Hospice Claims (English, DOCX 196.92 KB)

January

Open PDF file, 191.72 KB,  Adult Foster Care Bulletin 13: Frequently Asked Questions About Adult Foster Care Services (English, PDF 191.72 KB)
Open DOC file, 159.5 KB,  Adult Foster Care Bulletin 13: Frequently Asked Questions About Adult Foster Care Services (English, DOC 159.5 KB)

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