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2020 MassHealth provider bulletins

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Table of Contents

December

All Provider Bulletin 305: Policies and Procedure for Newborn Members: Eligibility, Enrollment and Payment (PDF 948.66 KB)

All Provider Bulletin 305: Policies and Procedure for Newborn Members: Eligibility, Enrollment and Payment (DOCX 1.01 MB)

All Provider Bulletin 304: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (PDF 183.88 KB)

All Provider Bulletin 304: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (DOCX 55.11 KB)

HCBS Waiver Provider Bulletin 6: Updated Guidance for Home and Community-Based Services (HCBS) Waiver Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (PDF 232.99 KB)

HCBS Waiver Provider Bulletin 6: Updated Guidance for Home and Community-Based Services (HCBS) Waiver Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (DOCX 39.57 KB)

Long-Term-Care Facility Bulletin 115: Revised Status Change for Members in a Nursing Facility or Chronic Disease and Rehabilitation Inpatient Hospital (SC-1) Form (PDF 222.48 KB)

Long-Term-Care Facility Bulletin 115: Revised Status Change for Members in a Nursing Facility or Chronic Disease and Rehabilitation Inpatient Hospital (SC-1) Form (DOCX 39.36 KB)

Managed Care Entity Bulletin 50: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (PDF 142.46 KB)

Managed Care Entity Bulletin 50: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (DOCX 36.92 KB)

Managed Care Entity Bulletin 49: Flu Vaccine Access and Birth Control Supply Flexibility (PDF 141.55 KB)

Managed Care Entity Bulletin 49: Flu Vaccine Access and Birth Control Supply Flexibility (DOCX 36.66 KB)

Nursing Facility Bulletin 158: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (PDF 250.45 KB)

Nursing Facility Bulletin 158: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (DOCX 40.44 KB)

November

All Provider Bulletin 303: Updated MassHealth Telehealth Policy (PDF 273.33 KB)

All Provider Bulletin 303: Updated MassHealth Telehealth Policy (DOCX 45.69 KB)

All Provider Bulletin 302: Hospital-Determined Presumptive Eligibility Updates during COVID-19 Emergency and Permanent Expansion of HPE for CommonHealth Children and Family Assistance Children (PDF 247.54 KB)

All Provider Bulletin 302: Hospital-Determined Presumptive Eligibility Updates during COVID-19 Emergency and Permanent Expansion of HPE for CommonHealth Children and Family Assistance Children (DOCX 44.87 KB)

Durable Medical Equipment Bulletin 24: Policy for Temporary Replacement Equipment During Repair; New Service Code - Corrected (PDF 207.48 KB)

Durable Medical Equipment Bulletin 24: Policy for Temporary Replacement Equipment During Repair; New Service Code - Corrected (DOCX 31.75 KB)

Managed Care Entity Bulletin 48: Accountable Care Organization Primary Care Provider Changes Effective July 1, 2021 (PDF 368.99 KB)

Managed Care Entity Bulletin 48: Accountable Care Organization Primary Care Provider Changes Effective July 1, 2021 (DOCX 60.72 KB)

Managed Care Entity Bulletin 47: Managed Care Entities—Service Area Changes Effective July 1, 2021 (PDF 231.2 KB)

Managed Care Entity Bulletin 47: Managed Care Entities—Service Area Changes Effective July 1, 2021 (DOCX 47.36 KB)

Managed Care Entity Bulletin 46: Updated MassHealth Telehealth Policy (PDF 163.31 KB)

Managed Care Entity Bulletin 46: Updated MassHealth Telehealth Policy (DOCX 29.45 KB)

Nursing Facility Bulletin 157: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (PDF 196.24 KB)

Nursing Facility Bulletin 157: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (DOCX 44.92 KB)

Nursing Facility Bulletin 156: Updated Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (PDF 197.18 KB)

Nursing Facility Bulletin 156: Updated Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (DOCX 59.26 KB)

Nursing Facility Bulletin 155: Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (PDF 295.65 KB)

Nursing Facility Bulletin 155: Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (DOCX 50.86 KB)

October

All Provider Bulletin 301: Impact of COVID-19 on Behavioral Health and the Importance of Perinatal and Pediatric Behavioral Health Screening during the Pandemic (PDF 180.27 KB)

All Provider Bulletin 301: Impact of COVID-19 on Behavioral Health and the Importance of Perinatal and Pediatric Behavioral Health Screening during the Pandemic (DOCX 33.6 KB)

Community Health Center Bulletin 104: Temporary Flexibilities for the Provision of Laboratory Services by Community Health Centers (PDF 190.96 KB)

Community Health Center Bulletin 104: Temporary Flexibilities for the Provision of Laboratory Services by Community Health Centers (DOCX 36 KB)

Hospice Bulletin 15: Hospice Election Requirements for Dual-Eligible Members and MassHealth Hospice Election Form Update (PDF 142.36 KB)

Hospice Bulletin 15: Hospice Election Requirements for Dual-Eligible Members and MassHealth Hospice Election Form Update (DOCX 32.05 KB)

Managed Care Entity Bulletin 45: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (PDF 185.67 KB)

Managed Care Entity Bulletin 45: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (DOCX 31.56 KB)

Managed Care Entity Bulletin 44: Community Support Program for Chronically Homeless Individuals (PDF 513.07 KB)

Managed Care Entity Bulletin 44: Community Support Program for Chronically Homeless Individuals (DOCX 45.18 KB)

Nursing Facility Bulletin 154: Updated Room Density Reporting and Planning for Nursing Facilities (PDF 278.14 KB)

Nursing Facility Bulletin 154: Updated Room Density Reporting and Planning for Nursing Facilities (DOCX 39.62 KB)

Nursing Facility Bulletin 153: Deadline Extension for Reporting Room Density in Nursing Facilities (PDF 142.52 KB)

Nursing Facility Bulletin 153: Deadline Extension for Reporting Room Density in Nursing Facilities (DOCX 32.89 KB)

Nursing Facility Bulletin 152: COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (PDF 192.23 KB)

Nursing Facility Bulletin 152: COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (DOCX 43.92 KB)

Nursing Facility Bulletin 151: Room Density Reporting and Planning for Nursing Facilities (PDF 267.64 KB)

Nursing Facility Bulletin 151: Room Density Reporting and Planning for Nursing Facilities (DOCX 37.92 KB)

Nursing Facility Bulletin 150: Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (PDF 186.82 KB)

Nursing Facility Bulletin 150: Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (DOCX 51.59 KB)

Physician Bulletin 102: Temporary Flexibilities for the Provision of Laboratory Services by Individual Physicians and Group Practices Enrolled in the MassHealth Physician Program (PDF 189.83 KB)

Physician Bulletin 102: Temporary Flexibilities for the Provision of Laboratory Services by Individual Physicians and Group Practices Enrolled in the MassHealth Physician Program (DOCX 31.88 KB)

September

All Provider Bulletin 300: Final Deadline Appeals Board Electronic Correspondence (PDF 129.96 KB)

All Provider Bulletin 300: Final Deadline Appeals Board Electronic Correspondence (DOCX 38.12 KB)

HCBS Waiver Provider Bulletin 5: Additional Guidance and Requirements for Day Services During Phase III (PDF 142.78 KB)

HCBS Waiver Provider Bulletin 5: Additional Guidance and Requirements for Day Services During Phase III (DOCX 50.4 KB)

HCBS Waiver Provider Bulletin 4: Guidance for Home and Community-Based Services (HCBS) Waiver Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (PDF 171.91 KB)

HCBS Waiver Provider Bulletin 4: Guidance for Home and Community-Based Services (HCBS) Waiver Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (DOCX 54.46 KB)

Managed Care Entity Bulletin 43: Requirements for Adult Day Health Services Delivered Remotely (via Telehealth and In-Home Settings) and Enhanced Rates for Adult Day Health Services During the Reopening Period (August 1, 2020, through November 30, 2020) (PDF 186.5 KB)

Managed Care Entity Bulletin 43: Requirements for Adult Day Health Services Delivered Remotely (via Telehealth and In-Home Settings) and Enhanced Rates for Adult Day Health Services During the Reopening Period (August 1, 2020, through November 30, 2020) (DOCX 39.35 KB)

Managed Care Entity Bulletin 42: Updated MassHealth Acute Hospital Carve-Out Drugs Requirements (PDF 199.67 KB)

Managed Care Entity Bulletin 42: Updated MassHealth Acute Hospital Carve-Out Drugs Requirements (DOCX 34.78 KB)

Managed Care Entity Bulletin 41: Updated Pharmacy Coverage Policies (PDF 153.03 KB)

Managed Care Entity Bulletin 41: Updated Pharmacy Coverage Policies (DOCX 33.77 KB)

August

Acute Inpatient Hospital Bulletin 177: Limited Modification and Extension of Financial Support for Certain Acute Inpatient Hospitals with DMH-Licensed Beds in Response to the COVID-19 Pandemic (PDF 214.03 KB)

Acute Inpatient Hospital Bulletin 177: Limited Modification and Extension of Financial Support for Certain Acute Inpatient Hospitals with DMH-Licensed Beds in Response to the COVID-19 Pandemic (DOCX 34.73 KB)

Acute Outpatient Hospital Bulletin 36: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (PDF 181.31 KB)

Acute Outpatient Hospital Bulletin 36: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (DOCX 38.4 KB)

Adult Day Health Bulletin 19: Additional Guidance and Requirements for Reopening Adult Day Health Programs During Phase III (PDF 186.08 KB)

Adult Day Health Bulletin 19: Additional Guidance and Requirements for Reopening Adult Day Health Programs During Phase III (DOCX 51.73 KB)

Adult Day Health Bulletin 18: Guidance for Adult Day Health (ADH) Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (PDF 189.26 KB)

Adult Day Health Bulletin 18: Guidance for Adult Day Health (ADH) Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (DOCX 50.74 KB)

Adult Day Health Bulletin 17: Enhanced Rates for Adult Day Health Services During the Reopening Period (August 1, 2020, through November 30, 2020) and Billing Instructions for Standard Rates (PDF 185.83 KB)

Adult Day Health Bulletin 17: Enhanced Rates for Adult Day Health Services During the Reopening Period (August 1, 2020, through November 30, 2020) and Billing Instructions for Standard Rates (DOCX 40.45 KB)

Audiologist Bulletin 6: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (PDF 178.67 KB)

Audiologist Bulletin 6: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (DOCX 41.99 KB)

Day Habilitation Bulletin 12: Additional Guidance and Requirements for Reopening Day Habilitation Programs During Phase III (PDF 154.88 KB)

Day Habilitation Bulletin 12: Additional Guidance and Requirements for Reopening Day Habilitation Programs During Phase III (DOCX 52.83 KB)

Day Habilitation Bulletin 11: Guidance for Day Habilitation (DH) Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (PDF 188.49 KB)

Day Habilitation Bulletin 11: Guidance for Day Habilitation (DH) Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (DOCX 51.12 KB)

Day Habilitation Program Bulletin 10: Enhanced Rates for Day Habilitation Services During the Reopening Period (August 1, 2020, through November 30, 2020) and Billing Instructions for Standard Rates - Corrected (PDF 182.35 KB)

Day Habilitation Program Bulletin 10: Enhanced Rates for Day Habilitation Services During the Reopening Period (August 1, 2020, through November 30, 2020) and Billing Instructions for Standard Rates - Corrected (DOCX 45.87 KB)

HCBS Waiver Provider Bulletin 3: Enhanced Rates for ABI and MFP Waiver Day Services, Community-Based Day Supports, Prevocational Services, and Supported Employment During the Reopening Period and Billing Instructions for Standard Rates for Day Services (PDF 183.7 KB)

HCBS Waiver Provider Bulletin 3: Enhanced Rates for ABI and MFP Waiver Day Services, Community-Based Day Supports, Prevocational Services, and Supported Employment During the Reopening Period and Billing Instructions for Standard Rates for Day Services (DOCX 44.62 KB)

Hearing Instrument Specialist Bulletin 13: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (PDF 180.6 KB)

Hearing Instrument Specialist Bulletin 13: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (DOCX 39.92 KB)

Managed Care Entity Bulletin 40: Payment for COVID-19 Specimen Collection and Testing (PDF 92.24 KB)

Managed Care Entity Bulletin 40: Payment for COVID-19 Specimen Collection and Testing (DOCX 44.93 KB)

Managed Care Entity Bulletin 39: Updated MassHealth Telehealth, Durable Medical Equipment (DME), and Home Health Policies (PDF 144.33 KB)

Managed Care Entity Bulletin 39: Updated MassHealth Telehealth, Durable Medical Equipment (DME), and Home Health Policies (DOCX 34.4 KB)

Managed Care Entity Bulletin 38: Limited Modification and Extension of Temporary Incremental Rate Increase for Inpatient Mental Health Services in Response to COVID-19 Pandemic (PDF 204.52 KB)

Managed Care Entity Bulletin 38: Limited Modification and Extension of Temporary Incremental Rate Increase for Inpatient Mental Health Services in Response to COVID-19 Pandemic (DOCX 30.58 KB)

Psychiatric Inpatient Hospital Bulletin 26: Limited Modification and Extension of Financial Support for Certain DMH-Licensed Psychiatric Hospitals in Response to the COVID-19 Pandemic (PDF 199.23 KB)

Psychiatric Inpatient Hospital Bulletin 26: Limited Modification and Extension of Financial Support for Certain DMH-Licensed Psychiatric Hospitals in Response to the COVID-19 Pandemic (DOCX 33.94 KB)

July

All Provider Bulletin 299: Hospital-Determined Presumptive Eligibility (HPE) Updates during COVID-19 Emergency (PDF 168.53 KB)

All Provider Bulletin 299: Hospital-Determined Presumptive Eligibility (HPE) Updates during COVID-19 Emergency (DOCX 41.33 KB)

All Provider Bulletin 298: MassHealth Telehealth Policy (PDF 226.76 KB)

All Provider Bulletin 298: MassHealth Telehealth Policy (DOCX 43.8 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 91: Temporary Suspension of the 45-Day Administrative-Day Nonpayment Provision under 130 CMR 435.000 (PDF 128.5 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 91: Temporary Suspension of the 45-Day Administrative-Day Nonpayment Provision under 130 CMR 435.000 (DOCX 29.21 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 90: Family Assistance Coverage Expansion for MassHealth Chronic Disease and Rehabilitation Hospitals (PDF 153.89 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 90: Family Assistance Coverage Expansion for MassHealth Chronic Disease and Rehabilitation Hospitals (DOCX 31.49 KB)

Freestanding Ambulatory Surgery Center Bulletin 4: Change to Provider Eligibility Requirements (PDF 68.06 KB)

Freestanding Ambulatory Surgery Center Bulletin 4: Change to Provider Eligibility Requirements (DOCX 25.64 KB)

HCBS Waiver Provider Bulletin 2: FY19 Supplemental Budget Surplus Distribution (PDF 197.81 KB)

HCBS Waiver Provider Bulletin 2: FY19 Supplemental Budget Surplus Distribution (DOCX 31.9 KB)

Home Health Agency Bulletin 59: FY19 Supplemental Budget Surplus Distribution (PDF 179.94 KB)

Home Health Agency Bulletin 59: FY19 Supplemental Budget Surplus Distribution (DOCX 34.45 KB)

Managed Care Entity Bulletin 37: UPDATED - Temporary Retainer Payments for COVID-19 Emergency (PDF 224.81 KB)

Managed Care Entity Bulletin 37: UPDATED - Temporary Retainer Payments for COVID-19 Emergency (DOCX 37.88 KB)

Managed Care Entity Bulletin 36: Community Support Program for Homeless Individuals Residing in Department of Housing and Community Development-Funded New Temporary Shelters (PDF 235.38 KB)

Managed Care Entity Bulletin 36: Community Support Program for Homeless Individuals Residing in Department of Housing and Community Development-Funded New Temporary Shelters (DOCX 34.2 KB)

Nursing Facility Bulletin 149: Family Assistance Coverage Expansion for Nursing Facility Services (PDF 167.79 KB)

Nursing Facility Bulletin 149: Family Assistance Coverage Expansion for Nursing Facility Services (DOCX 30.25 KB)

Nursing Facility Bulletin 148: COVID-19 Baseline and Surveillance Testing Requirements for Nursing Facilities (PDF 166.38 KB)

Nursing Facility Bulletin 148: COVID-19 Baseline and Surveillance Testing Requirements for Nursing Facilities (DOCX 39.03 KB)

June

Acute Inpatient Hospital Bulletin 176: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (PDF 152.21 KB)

Acute Inpatient Hospital Bulletin 176: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (DOCX 30.81 KB)

Community Health Center Bulletin 103: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (PDF 151.32 KB)

Community Health Center Bulletin 103: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (DOCX 35.2 KB)

Dental Bulletin 47: Alternative Interim Payments (PDF 225.83 KB)

Dental Bulletin 47: Alternative Interim Payments (DOCX 38.58 KB)

Early Intervention Bulletin 3: Temporary Extension of Coverage for Early Intervention Services (PDF 301.78 KB)

Early Intervention Bulletin 3: Temporary Extension of Coverage for Early Intervention Services (DOCX 34.75 KB)

Home Health Agency Bulletin 58: Implementation of Rate Add-On Applicable to Certain Continuous Skilled Nursing Serves to Address Costs Associated with Coronavirus Disease 2019 (COVID-19) (PDF 286.12 KB)

Home Health Agency Bulletin 58: Implementation of Rate Add-On Applicable to Certain Continuous Skilled Nursing Serves to Address Costs Associated with Coronavirus Disease 2019 (COVID-19) (DOCX 30.05 KB)

Managed Care Entity Bulletin 35: Temporary Rate Increases due to COVID-19 National Emergency (PDF 172.42 KB)

Managed Care Entity Bulletin 35: Temporary Rate Increases due to COVID-19 National Emergency (DOCX 46.03 KB)

Mental Health Center Bulletin 34: UPDATE: Mental Health Center Transformation Incentive Payments (PDF 192.88 KB)

Mental Health Center Bulletin 34: UPDATE: Mental Health Center Transformation Incentive Payments (DOCX 41.13 KB)

Managed Care Entity Bulletin 34: Temporary Extension of Coverage for Early Intervention Services (PDF 282.61 KB)

Managed Care Entity Bulletin 34: Temporary Extension of Coverage for Early Intervention Services (DOCX 31.34 KB)

Physician Bulletin 101: Alternative Interim Payments (PDF 197.89 KB)

Physician Bulletin 101: Alternative Interim Payments (DOCX 39.11 KB)

May

Acute Inpatient Hospital Bulletin 175: Financial Support for Acute Inpatient Hospitals with DMH-Licensed Beds in Response to the COVID-19 Pandemic (PDF 222.23 KB)

Acute Inpatient Hospital Bulletin 175: Financial Support for Acute Inpatient Hospitals with DMH-Licensed Beds in Response to the COVID-19 Pandemic (DOCX 41.32 KB)

All Provider Bulletin 297: Change in Cost Sharing Policies (PDF 430.58 KB)

All Provider Bulletin 297: Change in Cost Sharing Policies (DOCX 79.89 KB)

All Provider Bulletin 296: MassHealth Payment for COVID-19 Specimen Collection and Testing (PDF 160.94 KB)

All Provider Bulletin 296: MassHealth Payment for COVID-19 Specimen Collection and Testing (DOCX 41.05 KB)

All Provider Bulletin 295: Hospital-Determined Presumptive Eligibility (HPE) Flexibilities during COVID-19 Emergency (PDF 199.15 KB)

All Provider Bulletin 295: Hospital-Determined Presumptive Eligibility (HPE) Flexibilities during COVID-19 Emergency (DOCX 37.44 KB)

All Provider Bulletin 294: MassHealth Coverage Flexibilities for Services Related to Coronavirus Disease 2019 (PDF 234.52 KB)

All Provider Bulletin 294: MassHealth Coverage Flexibilities for Services Related to Coronavirus Disease 2019 (DOCX 46.15 KB)

All Provider Bulletin 293: Flexibilities for Substance Use Disorder Treatment Services During COVID-19 State of Emergency (PDF 200.48 KB)

All Provider Bulletin 293: Flexibilities for Substance Use Disorder Treatment Services During COVID-19 State of Emergency (DOCX 27.88 KB)

All Provider Bulletin 292: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (PDF 136.77 KB)

All Provider Bulletin 292: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (DOCX 31.04 KB)

Community Health Center Bulletin 102: Temporary Flexibilities for the Provision of Health Services by Community Health Centers (PDF 141.66 KB)

Community Health Center Bulletin 102: Temporary Flexibilities for the Provision of Health Services by Community Health Centers (DOCX 30.35 KB)

Community Health Center Bulletin 101: Temporary Flexibilities for the Provision of Laboratory Services by Community Health Centers (PDF 141.33 KB)

Community Health Center Bulletin 101: Temporary Flexibilities for the Provision of Laboratory Services by Community Health Centers (DOCX 31.06 KB)

Managed Care Entity Bulletin 33: Temporary Incremental Rate Increase for Inpatient Mental Health Services In Response to COVID-19 Pandemic (PDF 209.58 KB)

Managed Care Entity Bulletin 33: Temporary Incremental Rate Increase for Inpatient Mental Health Services In Response to COVID-19 Pandemic (DOCX 38.23 KB)

Managed Care Entity Bulletin 32: Update: Temporary Rate Increases Due to COVID-19 National Emergency (PDF 551.76 KB)

Managed Care Entity Bulletin 32: Update: Temporary Rate Increases Due to COVID-19 National Emergency (DOCX 76.46 KB)

Managed Care Entity Bulletin 31: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2021 (PDF 233.44 KB)

Managed Care Entity Bulletin 31: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2021 (DOCX 66.29 KB)

Managed Care Entity Bulletin 30: Managed Care Entities—Service Area Changes Effective January 1, 2021 (PDF 155.31 KB)

Managed Care Entity Bulletin 30: Managed Care Entities—Service Area Changes Effective January 1, 2021 (DOCX 49.69 KB)

MCE 29: Add. Telehealth Guidance, Temporary CPT for ABA, Coverage of Preventive Telehealth visits, Remote Patient Monitoring, Payment for Specimen Collection, Suspension of Behavioral Health PA 24-hour Levels of Care, and Out of Network Access (PDF 231.04 KB)

MCE 29: Add. Telehealth Guidance, Temporary CPT for ABA, Coverage of Preventive Telehealth visits, Remote Patient Monitoring, Payment for Specimen Collection, Suspension of Behavioral Health PA 24-hour Levels of Care, and Out of Network Access (DOCX 47.12 KB)

Managed Care Entity Bulletin 28: Updates Regarding Coverage of Medications for Addiction Treatment in the Opioid Treatment Programs (PDF 210.53 KB)

Managed Care Entity Bulletin 28: Updates Regarding Coverage of Medications for Addiction Treatment in the Opioid Treatment Programs (DOCX 31.52 KB)

Managed Care Entity Bulletin 27: Temporary Retainer Payments Due to COVID-19 National Emergency (PDF 151 KB)

Managed Care Entity Bulletin 27: Temporary Retainer Payments Due to COVID-19 National Emergency (DOCX 37.46 KB)

Managed Care Entity Bulletin 26: Investments in Community Based Acute Treatment and Intensive Community Based Acute Treatment in Support of Network Management Strategy (PDF 146.08 KB)

Managed Care Entity Bulletin 26: Investments in Community Based Acute Treatment and Intensive Community Based Acute Treatment in Support of Network Management Strategy (DOCX 37.77 KB)

Mental Health Center Bulletin 33: Clarifying the Provision of Diagnostic Services (PDF 157.54 KB)

Mental Health Center Bulletin 33: Clarifying the Provision of Diagnostic Services (DOCX 28.17 KB)

Mental Health Center Bulletin 32: Mental Health Center Transformation Incentive Payments (PDF 261.33 KB)

Mental Health Center Bulletin 32: Mental Health Center Transformation Incentive Payments (DOCX 40.17 KB)

Nursing Facility Bulletin 147: Signing Bonuses for Nursing Facility Staff (PDF 210.13 KB)

Nursing Facility Bulletin 147: Signing Bonuses for Nursing Facility Staff (DOCX 56.18 KB)

Nursing Facility Bulletin 146: COVID-19 Baseline Testing Requirements for Nursing Facilities (PDF 163.29 KB)

Nursing Facility Bulletin 146: COVID-19 Baseline Testing Requirements for Nursing Facilities (DOCX 44.31 KB)

Psychiatric Hospital Bulletin 25: Financial Support for DMH-Licensed Psychiatric Hospitals in Response to the COVID-19 Pandemic (PDF 219.39 KB)

Psychiatric Hospital Bulletin 25: Financial Support for DMH-Licensed Psychiatric Hospitals in Response to the COVID-19 Pandemic (DOCX 40.04 KB)

Resident Care Facility Bulletin 34: COVID-19 Signing Bonuses for Resident Care Facility Staff (PDF 217.79 KB)

Resident Care Facility Bulletin 34: COVID-19 Signing Bonuses for Resident Care Facility Staff (DOCX 66.24 KB)

April

Acute Inpatient Hospital Bulletin 174: Elimination of Copayment on Acute Inpatient Hospital Stays (PDF 107.73 KB)

Acute Inpatient Hospital Bulletin 174: Elimination of Copayment on Acute Inpatient Hospital Stays (DOCX 32.59 KB)

Acute Outpatient Hospital Bulletin 35: New Billing Requirements and Payment Methodology for Acute Hospital Emergency Department-Distributed Nasal Naloxone Packages (PDF 193.54 KB)

Acute Outpatient Hospital Bulletin 35: New Billing Requirements and Payment Methodology for Acute Hospital Emergency Department-Distributed Nasal Naloxone Packages (DOCX 35.83 KB)

Home Health Agency Bulletin 57: Temporary Expansion of Home Health Aide Services (PDF 134.5 KB)

Home Health Agency Bulletin 57: Temporary Expansion of Home Health Aide Services (DOCX 37.67 KB)

Managed Care Entity Bulletin 25: New Payment Methodology Requirements for Accountable Care Partnership Plans and Managed Care Organizations for Nasal Naloxone Packages Distributed by Acute Outpatient Hospital Emergency Departments (PDF 200.78 KB)

Managed Care Entity Bulletin 25: New Payment Methodology Requirements for Accountable Care Partnership Plans and Managed Care Organizations for Nasal Naloxone Packages Distributed by Acute Outpatient Hospital Emergency Departments (DOCX 30.63 KB)

Managed Care Entity Bulletin 24: Temporary Rate Increases Due to COVID-19 National Emergency (PDF 447.28 KB)

Managed Care Entity Bulletin 24: Temporary Rate Increases Due to COVID-19 National Emergency (DOCX 64.15 KB)

Managed Care Entity Bulletin 23: Temporary Rate Increases Due to COVID-19 National Emergency (PDF 135.51 KB)

Managed Care Entity Bulletin 23: Temporary Rate Increases Due to COVID-19 National Emergency (DOCX 37.58 KB)

Nursing Facility Bulletin 145: Infection Control Competencies and Expectations for Nursing Facilities (PDF 264.67 KB)

Nursing Facility Bulletin 145: Infection Control Competencies and Expectations for Nursing Facilities (DOCX 53.29 KB)

Nursing Facility Bulletin 144: Isolated Spaces for Nursing Facility Residents with a Positive Coronavirus Disease 2019 (COVID-19) Diagnosis (PDF 336.88 KB)

Nursing Facility Bulletin 144: Isolated Spaces for Nursing Facility Residents with a Positive Coronavirus Disease 2019 (COVID-19) Diagnosis (DOCX 38.46 KB)

Telehealth Network Provider Bulletin 1: Provider Participation Requirements, Covered Encounters and Other Information (PDF 146.21 KB)

Telehealth Network Provider Bulletin 1: Provider Participation Requirements, Covered Encounters and Other Information (DOC 71 KB)

Transportation Bulletin 17: MassHealth Coverage and Reimbursement Policy for Transportation Services Related to the 2019 Novel Coronavirus Disease (COVID-19) (PDF 132.86 KB)

Transportation Bulletin 17: MassHealth Coverage and Reimbursement Policy for Transportation Services Related to the 2019 Novel Coronavirus Disease (COVID-19) (DOCX 29.28 KB)

March

Acute Inpatient Hospital Bulletin 173: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (PDF 174.41 KB)

Acute Inpatient Hospital Bulletin 173: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (DOCX 34.19 KB)

All Provider Bulletin 291: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (PDF 191.55 KB)

All Provider Bulletin 291: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (DOCX 51.3 KB)

All Provider Bulletin 290: Coverage Provided via Hospital-Determined Presumptive Eligibility (PDF 171.92 KB)

All Provider Bulletin 290: Coverage Provided via Hospital-Determined Presumptive Eligibility (DOCX 44.08 KB)

All Provider Bulletin 289: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (PDF 183.04 KB)

All Provider Bulletin 289: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (DOCX 45.11 KB)

All Provider Bulletin 288: Coverage Provided via Hospital-Determined Presumptive Eligibility (PDF 178.69 KB)

All Provider Bulletin 288: Coverage Provided via Hospital-Determined Presumptive Eligibility (DOCX 39.48 KB)

Community Health Center Bulletin 100: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (PDF 172.29 KB)

Community Health Center Bulletin 100: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (DOCX 34.32 KB)

HCBS Waiver Provider Bulletin 1: Provider Homemaker, Personal Care and Home Health Aide Spending Plan Reporting Requirements (PDF 194.5 KB)

HCBS Waiver Provider Bulletin 1: Provider Homemaker, Personal Care and Home Health Aide Spending Plan Reporting Requirements (DOCX 41.03 KB)

Home Health Agency Bulletin 56: Temporary Expansion of Home Health Aide Services (PDF 139.75 KB)

Home Health Agency Bulletin 56: Temporary Expansion of Home Health Aide Services (DOCX 36.59 KB)

Long-Term-Care Facility Bulletin 114: Annual Review of Personal Needs Allowance Account (PDF 182.04 KB)

Long-Term-Care Facility Bulletin 114: Annual Review of Personal Needs Allowance Account (DOCX 30.48 KB)

Managed Care Entity Bulletin 22: Updated Coverage and Payment Policies (PDF 154.39 KB)

Managed Care Entity Bulletin 22: Updated Coverage and Payment Policies (DOCX 39.64 KB)

Managed Care Entity Bulletin 21: Coverage and Reimbursement for Services Related to Coronavirus Disease 2019 (COVID-19) (PDF 172.82 KB)

Managed Care Entity Bulletin 21: Coverage and Reimbursement for Services Related to Coronavirus Disease 2019 (COVID-19) (DOCX 36.12 KB)

Managed Care Entity Bulletin 20: MassHealth ACPP/MCO Uniform Preferred Drug List (PDF 28.72 KB)

Managed Care Entity Bulletin 20: MassHealth ACPP/MCO Uniform Preferred Drug List (DOCX 27.34 KB)

February

All Provider Bulletin 287: Clinical Guidelines for New MassHealth Third Party Prior Authorization Administrator (PDF 166.35 KB)

All Provider Bulletin 287: Clinical Guidelines for New MassHealth Third Party Prior Authorization Administrator (DOCX 29.64 KB)

Home Health Agency Bulletin 55: Provider Home Health Aide Spending Plan Reporting Requirements (PDF 61.61 KB)

Home Health Agency Bulletin 55: Provider Home Health Aide Spending Plan Reporting Requirements (DOCX 30.83 KB)