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2019 MassHealth provider bulletins

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December

Open PDF file, 174.13 KB,  Acute Outpatient Hospital Bulletin 34: New Requirements for Completion of Data Fields on Claims for Clinician-Administered Drugs (English, PDF 174.13 KB)
Open DOCX file, 27.88 KB,  Acute Outpatient Hospital Bulletin 34: New Requirements for Completion of Data Fields on Claims for Clinician-Administered Drugs (English, DOCX 27.88 KB)
Open PDF file, 70.33 KB,  Orthotics Bulletin 7: Prior Authorization, Prescription Attestations, and Detailed Written Orders (English, PDF 70.33 KB)
Open DOCX file, 35.25 KB,  Orthotics Bulletin 7: Prior Authorization, Prescription Attestations, and Detailed Written Orders (English, DOCX 35.25 KB)

November

Open PDF file, 140.33 KB,  Durable Medical Equipment Bulletin 23: Revised Process for Requesting Coverage of Direct Service Components RE1 through RE23 (RE Units) (English, PDF 140.33 KB)
Open DOCX file, 30.63 KB,  Durable Medical Equipment Bulletin 23: Revised Process for Requesting Coverage of Direct Service Components RE1 through RE23 (RE Units) (English, DOCX 30.63 KB)
Open PDF file, 179.76 KB,  Hospice Bulletin 14: Transition of the MassHealth Hospice Enrollment Unit (English, PDF 179.76 KB)
Open DOCX file, 26.7 KB,  Hospice Bulletin 14: Transition of the MassHealth Hospice Enrollment Unit (English, DOCX 26.7 KB)
Open PDF file, 121.21 KB,  Managed Care Entity Bulletin 19: MassHealth ACPP/MCO Uniform Preferred Drug List (English, PDF 121.21 KB)
Open DOCX file, 27.88 KB,  Managed Care Entity Bulletin 19: MassHealth ACPP/MCO Uniform Preferred Drug List (English, DOCX 27.88 KB)
Open PDF file, 139.74 KB,  Oxygen and Respiratory Therapy Equipment Bulletin 18: Revised Process for Requesting Coverage of Direct Service Components RE1 through RE23 (RE Units) (English, PDF 139.74 KB)
Open DOCX file, 33.41 KB,  Oxygen and Respiratory Therapy Equipment Bulletin 18: Revised Process for Requesting Coverage of Direct Service Components RE1 through RE23 (RE Units) (English, DOCX 33.41 KB)

October

Open PDF file, 134.42 KB,  Acute Inpatient Hospital Bulletin 172: Affidavits for Proof of Zero Income, Massachusetts Residency, and Incarceration Status (English, PDF 134.42 KB)
Open DOCX file, 52.12 KB,  Acute Inpatient Hospital Bulletin 172: Affidavits for Proof of Zero Income, Massachusetts Residency, and Incarceration Status (English, DOCX 52.12 KB)
Open PDF file, 147.09 KB,  Community Health Center Bulletin 99: Affidavits for Proof of Zero Income, Massachusetts Residency, and Incarceration Status (English, PDF 147.09 KB)
Open DOCX file, 29.23 KB,  Community Health Center Bulletin 99: Affidavits for Proof of Zero Income, Massachusetts Residency, and Incarceration Status (English, DOCX 29.23 KB)

September

Open PDF file, 296.83 KB,  All Provider Bulletin 286: Start Date for Denials for Claims That Do Not Meet Ordering, Referring, and Prescribing Provider Requirements (English, PDF 296.83 KB)
Open DOCX file, 57.06 KB,  All Provider Bulletin 286: Start Date for Denials for Claims That Do Not Meet Ordering, Referring, and Prescribing Provider Requirements (English, DOCX 57.06 KB)
Open PDF file, 87.04 KB,  Physician Bulletin 100: Pediatric Immunization Administration Code Reimbursement Change (English, PDF 87.04 KB)
Open DOCX file, 28.25 KB,  Physician Bulletin 100: Pediatric Immunization Administration Code Reimbursement Change (English, DOCX 28.25 KB)

August

Open PDF file, 77.95 KB,  Adult Day Health Bulletin 16: Aging Services Access Point (ASAP) Clinical Assessment Process and Documentation Requirements for Initial Prior Authorization Requests for Adult Day Health Services (English, PDF 77.95 KB)
Open DOCX file, 32.27 KB,  Adult Day Health Bulletin 16: Aging Services Access Point (ASAP) Clinical Assessment Process and Documentation Requirements for Initial Prior Authorization Requests for Adult Day Health Services (English, DOCX 32.27 KB)
Open PDF file, 177.99 KB,  All Provider Bulletin 285: Nonemergency Ambulance Transportation to Medically Necessary Mental Health or Addiction Treatment Services at All 24-Hour Level-of-Care Settings (English, PDF 177.99 KB)
Open DOCX file, 34.38 KB,  All Provider Bulletin 285: Nonemergency Ambulance Transportation to Medically Necessary Mental Health or Addiction Treatment Services at All 24-Hour Level-of-Care Settings (English, DOCX 34.38 KB)
Open PDF file, 139.27 KB,  Managed Care Entity Bulletin 18: Service Area and Region Additions Effective January 1, 2020 (English, PDF 139.27 KB)
Open DOCX file, 39.25 KB,  Managed Care Entity Bulletin 18: Service Area and Region Additions Effective January 1, 2020 (English, DOCX 39.25 KB)

July

Open PDF file, 162.2 KB,  Acute Inpatient Hospital Bulletin 171: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 162.2 KB)
Open DOCX file, 30.11 KB,  Acute Inpatient Hospital Bulletin 171: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 30.11 KB)
Open PDF file, 138.03 KB,  Acute Inpatient Hospital Bulletin 170: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 138.03 KB)
Open DOCX file, 29.55 KB,  Acute Inpatient Hospital Bulletin 170: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 29.55 KB)
Open PDF file, 162.28 KB,  Community Health Center Bulletin 98: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 162.28 KB)
Open DOCX file, 30.26 KB,  Community Health Center Bulletin 98: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 30.26 KB)
Open PDF file, 137.7 KB,  Community Health Center Bulletin 97: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 137.7 KB)
Open DOCX file, 29.79 KB,  Community Health Center Bulletin 97: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 29.79 KB)
Open PDF file, 108.64 KB,  Managed Care Entity Bulletin 17: Prior Authorization and Utilization Management for Suboxone® (buprenorphine/naloxone) (English, PDF 108.64 KB)
Open DOCX file, 26.33 KB,  Managed Care Entity Bulletin 17: Prior Authorization and Utilization Management for Suboxone® (buprenorphine/naloxone) (English, DOCX 26.33 KB)
Open PDF file, 77.12 KB,  Mental Health Center Bulletin 31: Mental Health Center Annual Report Submission Requirement (English, PDF 77.12 KB)
Open DOCX file, 25.69 KB,  Mental Health Center Bulletin 31: Mental Health Center Annual Report Submission Requirement (English, DOCX 25.69 KB)
Open PDF file, 199.42 KB,  Nursing Facility Bulletin 143: Updates to Nursing Facility Regulations: Preadmission Screening and Resident Review (PASRR) for Intellectual Disability, Developmental Disability, and/or Serious Mental Illness (English, PDF 199.42 KB)
Open DOCX file, 56.13 KB,  Nursing Facility Bulletin 143: Updates to Nursing Facility Regulations: Preadmission Screening and Resident Review (PASRR) for Intellectual Disability, Developmental Disability, and/or Serious Mental Illness (English, DOCX 56.13 KB)
Open PDF file, 66.69 KB,  Prosthetics Provider Bulletin 11: Updates to MassHealth Policy for Prescription Requirements: Implementation of Detailed Written Order Process (English, PDF 66.69 KB)
Open DOCX file, 37.92 KB,  Prosthetics Provider Bulletin 11: Updates to MassHealth Policy for Prescription Requirements: Implementation of Detailed Written Order Process (English, DOCX 37.92 KB)

June

Open PDF file, 77.2 KB,  Adult Day Health Bulletin 15: Prior Authorization for Adult Day Health Providers (English, PDF 77.2 KB)
Open DOCX file, 33.53 KB,  Adult Day Health Bulletin 15: Prior Authorization for Adult Day Health Providers (English, DOCX 33.53 KB)
Open PDF file, 153.51 KB,  Adult Foster Care Bulletin 17: MassHealth Accreditation Requirements for Adult Foster Care (AFC) Providers (English, PDF 153.51 KB)
Open DOCX file, 30.89 KB,  Adult Foster Care Bulletin 17: MassHealth Accreditation Requirements for Adult Foster Care (AFC) Providers (English, DOCX 30.89 KB)
Open PDF file, 90.83 KB,  Home Health Agency Bulletin 54: Revisions to MassHealth Coverage of Home Health Aide Services (English, PDF 90.83 KB)
Open DOCX file, 47.09 KB,  Home Health Agency Bulletin 54: Revisions to MassHealth Coverage of Home Health Aide Services (English, DOCX 47.09 KB)
Open PDF file, 140.58 KB,  School-Based Medicaid Program Bulletin 32: Parental Consent for Local Education Agencies to Bill MassHealth Does Not Change MassHealth Benefits Outside of School (English, PDF 140.58 KB)
Open DOCX file, 29.72 KB,  School-Based Medicaid Program Bulletin 32: Parental Consent for Local Education Agencies to Bill MassHealth Does Not Change MassHealth Benefits Outside of School (English, DOCX 29.72 KB)

May

Open PDF file, 150.46 KB,  Acute Inpatient Hospital Bulletin 169: In-State Acute Hospital 30-day Readmissions Policy —Extension of Transitional Period and Postponement of Full Implementation Period (English, PDF 150.46 KB)
Open DOCX file, 31.84 KB,  Acute Inpatient Hospital Bulletin 169: In-State Acute Hospital 30-day Readmissions Policy —Extension of Transitional Period and Postponement of Full Implementation Period (English, DOCX 31.84 KB)
Open PDF file, 142.58 KB,  Managed Care Entity Bulletin 16: Updated: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, PDF 142.58 KB)
Open DOCX file, 60.13 KB,  Managed Care Entity Bulletin 16: Updated: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, DOCX 60.13 KB)
Open PDF file, 151.64 KB,  Managed Care Entity Bulletin 15: Accountable Care Partnership Plans—Service Area Additions Effective January 1, 2020 (English, PDF 151.64 KB)
Open DOCX file, 41.36 KB,  Managed Care Entity Bulletin 15: Accountable Care Partnership Plans—Service Area Additions Effective January 1, 2020 (English, DOCX 41.36 KB)
Open PDF file, 142.71 KB,  Managed Care Entity Bulletin 14: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, PDF 142.71 KB)
Open DOCX file, 61.02 KB,  Managed Care Entity Bulletin 14: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, DOCX 61.02 KB)
Open PDF file, 178.08 KB,  Managed Care Entity Bulletin 13: Coding Systems for Medications for Addiction Treatment, Including Opioid Agonist Treatment (English, PDF 178.08 KB)
Open DOCX file, 55.82 KB,  Managed Care Entity Bulletin 13: Coding Systems for Medications for Addiction Treatment, Including Opioid Agonist Treatment (English, DOCX 55.82 KB)
Open PDF file, 219.2 KB,  Managed Care Entity Bulletin 12: Medications for Addiction Treatment in the Opioid Treatment Programs (English, PDF 219.2 KB)
Open DOCX file, 37.08 KB,  Managed Care Entity Bulletin 12: Medications for Addiction Treatment in the Opioid Treatment Programs (English, DOCX 37.08 KB)
Open PDF file, 163.63 KB,  Nursing Facility Bulletin 142: Nursing Facility Provider Requirements for Comprehensive Care Planning, Quality of Life and Care, and Providing Services in Anticipation of Discharge (English, PDF 163.63 KB)
Open DOCX file, 37.46 KB,  Nursing Facility Bulletin 142: Nursing Facility Provider Requirements for Comprehensive Care Planning, Quality of Life and Care, and Providing Services in Anticipation of Discharge (English, DOCX 37.46 KB)

April

Open PDF file, 183 KB,  Acute Inpatient Hospital Bulletin 168: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 183 KB)
Open DOCX file, 32.89 KB,  Acute Inpatient Hospital Bulletin 168: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 32.89 KB)
Open PDF file, 240.06 KB,  Acute Inpatient Hospital Bulletin 167: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 240.06 KB)
Open DOCX file, 33 KB,  Acute Inpatient Hospital Bulletin 167: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 33 KB)
Open PDF file, 152.96 KB,  Adult Foster Care Bulletin 16: Prior Authorization for Adult Foster Care Providers (English, PDF 152.96 KB)
Open DOCX file, 34.89 KB,  Adult Foster Care Bulletin 16: Prior Authorization for Adult Foster Care Providers (English, DOCX 34.89 KB)
Open PDF file, 182.18 KB,  Community Health Center Bulletin 96: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 182.18 KB)
Open DOCX file, 33.04 KB,  Community Health Center Bulletin 96: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 33.04 KB)
Open PDF file, 142.72 KB,  Community Health Center Bulletin 95: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 142.72 KB)
Open DOCX file, 33.2 KB,  Community Health Center Bulletin 95: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 33.2 KB)
Open PDF file, 190.75 KB,  Long Term Care Facility Bulletin 113: Annual Review of Personal Needs Allowance Account (English, PDF 190.75 KB)
Open DOCX file, 39.81 KB,  Long Term Care Facility Bulletin 113: Annual Review of Personal Needs Allowance Account (English, DOCX 39.81 KB)
Open PDF file, 126.99 KB,  Managed Care Entity Bulletin 11: Pharmacy Benefits Manager Pricing Report for Accountable Care Partnership Plans and Managed Care Organizations (English, PDF 126.99 KB)
Open DOCX file, 107.01 KB,  Managed Care Entity Bulletin 11: Pharmacy Benefits Manager Pricing Report for Accountable Care Partnership Plans and Managed Care Organizations (English, DOCX 107.01 KB)

March

Open PDF file, 145.49 KB,  All Provider Bulletin 284: Technical Refresh Project (English, PDF 145.49 KB)
Open DOCX file, 195.62 KB,  All Provider Bulletin 284: Technical Refresh Project (English, DOCX 195.62 KB)
Open PDF file, 161.06 KB,  All Provider Bulletin 283: Documentation, Record Keeping, and Supervision Requirements of Behavioral Health Services Providers and Related Auditing (English, PDF 161.06 KB)
Open DOCX file, 34.84 KB,  All Provider Bulletin 283: Documentation, Record Keeping, and Supervision Requirements of Behavioral Health Services Providers and Related Auditing (English, DOCX 34.84 KB)
Open PDF file, 47.8 KB,  All Provider Bulletin 282: Change of Address and Fax Number for EDMC/HIPC (English, PDF 47.8 KB)
Open DOCX file, 102.6 KB,  All Provider Bulletin 282: Change of Address and Fax Number for EDMC/HIPC (English, DOCX 102.6 KB)

February

Open PDF file, 67.87 KB,  Durable Medical Equipment Bulletin 22/Oxygen and Respiratory Therapy Equipment Bulletin 17: Face-to-Face Encounter Requirements for Durable Medical Equipment and Oxygen and Respiratory Equipment (English, PDF 67.87 KB)
Open DOCX file, 36.54 KB,  Durable Medical Equipment Bulletin 22/Oxygen and Respiratory Therapy Equipment Bulletin 17: Face-to-Face Encounter Requirements for Durable Medical Equipment and Oxygen and Respiratory Equipment (English, DOCX 36.54 KB)

January

Open PDF file, 194.19 KB,  All Provider Bulletin 281: Access to Behavioral Health Services Through Use of Telehealth Options (English, PDF 194.19 KB)
Open DOCX file, 47.15 KB,  All Provider Bulletin 281: Access to Behavioral Health Services Through Use of Telehealth Options (English, DOCX 47.15 KB)
Open PDF file, 144.38 KB,  All Provider Bulletin 280: Nonemergency Medical Transportation Services (English, PDF 144.38 KB)
Open DOCX file, 34.4 KB,  All Provider Bulletin 280: Nonemergency Medical Transportation Services (English, DOCX 34.4 KB)
Open PDF file, 168.77 KB,  Managed Care Entity Bulletin 10: Access to Behavioral Health Services Through Use of Telehealth Options (English, PDF 168.77 KB)
Open DOCX file, 45.3 KB,  Managed Care Entity Bulletin 10: Access to Behavioral Health Services Through Use of Telehealth Options (English, DOCX 45.3 KB)

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