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2021 MassHealth provider bulletins

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Table of Contents

October

All Provider Bulletin 327: Access to Health Services through Telehealth Options - Corrected (PDF 178.96 KB)
All Provider Bulletin 327: Access to Health Services through Telehealth Options - Corrected (DOCX 39.48 KB)
HCBS Waiver Provider Bulletin 14: Expanded Vaccine Requirement to Include Home Care Agency Workers (PDF 182.97 KB)
HCBS Waiver Provider Bulletin 14: Expanded Vaccine Requirement to Include Home Care Agency Workers (DOCX 36.67 KB)
Managed Care Entity Bulletin 69: Coronavirus Disease 2019 (COVID-19) Updated Guidance for Integrated Care Plans (PDF 430.89 KB)
Managed Care Entity Bulletin 69: Coronavirus Disease 2019 (COVID-19) Updated Guidance for Integrated Care Plans (DOCX 46.23 KB)

September

Adult Day Health Bulletin 27: COVID-19 Guidance and Requirements for Adult Day Health Programs through the Remainder of the Federal Public Health Emergency (September 2021) (PDF 145.73 KB)
Adult Day Health Bulletin 27: COVID-19 Guidance and Requirements for Adult Day Health Programs through the Remainder of the Federal Public Health Emergency (September 2021) (DOCX 44.66 KB)
Adult Day Health Bulletin 26: COVID-19 Guidance for Hybrid Services throughout the Federal Public Health Emergency (Updated September 2021) (PDF 244.05 KB)
Adult Day Health Bulletin 26: COVID-19 Guidance for Hybrid Services throughout the Federal Public Health Emergency (Updated September 2021) (DOCX 46.79 KB)
Adult Foster Care Bulletin 21: Extended MassHealth Telehealth Policy for Adult Foster Care and Group Adult Foster Care Services and New Telehealth Documentation Requirement (PDF 128.8 KB)
Adult Foster Care Bulletin 21: Extended MassHealth Telehealth Policy for Adult Foster Care and Group Adult Foster Care Services and New Telehealth Documentation Requirement (DOCX 35.36 KB)
All Provider Bulletin 326: Coverage for Monoclonal Antibodies for Treatment and Post-Exposure Prophylaxis for Coronavirus Disease 2019 (COVID-19) (PDF 182.37 KB)
All Provider Bulletin 326: Coverage for Monoclonal Antibodies for Treatment and Post-Exposure Prophylaxis for Coronavirus Disease 2019 (COVID-19) (DOCX 42.68 KB)
All Provider Bulletin 325: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (PDF 175.11 KB)
All Provider Bulletin 325: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (DOCX 32.42 KB)
All Provider Bulletin 324: Temporary Extension of Telehealth Policy Described in All Provider Bulletin 314 through October 15, 2021 (PDF 125.65 KB)
All Provider Bulletin 324: Temporary Extension of Telehealth Policy Described in All Provider Bulletin 314 through October 15, 2021 (DOCX 38.15 KB)
All Provider Bulletin 323: Updated MassHealth Policies on Gender-Affirming Care Coverage (PDF 72.26 KB)
All Provider Bulletin 323: Updated MassHealth Policies on Gender-Affirming Care Coverage (DOCX 39.72 KB)
Day Habilitation Program Bulletin 19: COVID-19 Guidance and Requirements for Day Habilitation Programs through the Remainder of the Federal Public Health Emergency (September 2021) (PDF 176.97 KB)
Day Habilitation Program Bulletin 19: COVID-19 Guidance and Requirements for Day Habilitation Programs through the Remainder of the Federal Public Health Emergency (September 2021) (DOCX 44.95 KB)
Day Habilitation Program Bulletin 18: COVID-19 Guidance for Hybrid Services throughout the Federal Public Health Emergency (Updated September 2021) (PDF 185.52 KB)
Day Habilitation Program Bulletin 18: COVID-19 Guidance for Hybrid Services throughout the Federal Public Health Emergency (Updated September 2021) (DOCX 45.32 KB)
Durable Medical Equipment Bulletin 28/Oxygen and Respiratory Therapy Bulletin 22: Adoption of Premium Performance Specifications for Absorbent Products and Update for Absorbent Products Prior Authorization Process (PDF 211.93 KB)
Durable Medical Equipment Bulletin 28/Oxygen and Respiratory Therapy Bulletin 22: Adoption of Premium Performance Specifications for Absorbent Products and Update for Absorbent Products Prior Authorization Process (DOCX 46.72 KB)
HCBS Waiver Provider Bulletin 13: Additional Guidance and Requirements for Day Services throughout the Remainder of the Federal Public Health Emergency and Billing Guidance for Community-Based Day Supports (PDF 112.14 KB)
HCBS Waiver Provider Bulletin 13: Additional Guidance and Requirements for Day Services throughout the Remainder of the Federal Public Health Emergency and Billing Guidance for Community-Based Day Supports (DOCX 31.14 KB)
Home Health Agency Bulletin 69: Expanded Vaccine Requirement to Include Home Care Workers (PDF 154.3 KB)
Home Health Agency Bulletin 69: Expanded Vaccine Requirement to Include Home Care Workers (DOCX 37.34 KB)
Home Health Agency Bulletin 68: Extended MassHealth Telehealth Policy for Home Health Services and New Telehealth Documentation Requirement (PDF 149.34 KB)
Home Health Agency Bulletin 68: Extended MassHealth Telehealth Policy for Home Health Services and New Telehealth Documentation Requirement (DOCX 35.58 KB)
Hospice Bulletin 22: Expanded Vaccine Requirement to Include Hospice Programs (PDF 150.69 KB)
Hospice Bulletin 22: Expanded Vaccine Requirement to Include Hospice Programs (DOCX 36.88 KB)
Independent Nurse Bulletin 5: Expanded Vaccine Requirement to Include Home Care Workers under a State Contract (PDF 171.75 KB)
Independent Nurse Bulletin 5: Expanded Vaccine Requirement to Include Home Care Workers under a State Contract (DOCX 38.59 KB)
Independent Nurse Bulletin 4: Extended COVID-19 Related Administrative Flexibilities for Independent Nurses Including Telehealth and New Telehealth Documentation Requirement (PDF 143.18 KB)
Independent Nurse Bulletin 4: Extended COVID-19 Related Administrative Flexibilities for Independent Nurses Including Telehealth and New Telehealth Documentation Requirement (DOCX 38.44 KB)
Managed Care Entity Bulletin 68: Updated MassHealth Telehealth Policy (September 2021) (PDF 149.35 KB)
Managed Care Entity Bulletin 68: Updated MassHealth Telehealth Policy (September 2021) (DOCX 34.35 KB)
Nursing Facility Bulletin 168: Minimum Data Set Requirements for MassHealth Nursing Facility Residents (PDF 156.27 KB)
Nursing Facility Bulletin 168: Minimum Data Set Requirements for MassHealth Nursing Facility Residents (DOCX 39.89 KB)
Personal Care Attendant Bulletin 10: COVID-19-related Administrative Flexibilities for the Personal Care Attendant Program (PDF 205.99 KB)
Personal Care Attendant Bulletin 10: COVID-19-related Administrative Flexibilities for the Personal Care Attendant Program (DOCX 40.77 KB)
Personal Care Agency Bulletin 9: Extended MassHealth Telehealth Policy for Personal Care Management (PCM) Functions, Personal Care Attendant (PCA) Program, and New Telehealth Documentation Requirement (PDF 210.46 KB)
Personal Care Agency Bulletin 9: Extended MassHealth Telehealth Policy for Personal Care Management (PCM) Functions, Personal Care Attendant (PCA) Program, and New Telehealth Documentation Requirement (DOCX 35.31 KB)
Rehabilitation Center Bulletin 14: Extended COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth and New Telehealth Documentation Requirement (PDF 158.92 KB)
Rehabilitation Center Bulletin 14: Extended COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth and New Telehealth Documentation Requirement (DOCX 37.39 KB)
Speech and Hearing Center Bulletin 14: Extended COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth and New Telehealth Documentation Requirement (PDF 160.97 KB)
Speech and Hearing Center Bulletin 14: Extended COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth and New Telehealth Documentation Requirement (DOCX 37.6 KB)
Therapist Bulletin 17: Extended COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth and New Telehealth Documentation Requirement (PDF 161.5 KB)
Therapist Bulletin 17: Extended COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth and New Telehealth Documentation Requirement (DOCX 37.1 KB)

August

Adult Day Health Bulletin 25: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (PDF 124.55 KB)
Adult Day Health Bulletin 25: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (DOCX 39.58 KB)
Adult Foster Care Bulletin 20: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (PDF 126.17 KB)
Adult Foster Care Bulletin 20: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (DOCX 40.21 KB)
All Provider Bulletin 322: Coverage for Third Dose of Pfizer-BioNTech and Moderna Coronavirus Disease 2019 (COVID-19) Vaccine for Immunocompromised Individuals (PDF 138.82 KB)
All Provider Bulletin 322: Coverage for Third Dose of Pfizer-BioNTech and Moderna Coronavirus Disease 2019 (COVID-19) Vaccine for Immunocompromised Individuals (DOCX 36.48 KB)
Day Habilitation Bulletin 17: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (PDF 143.65 KB)
Durable Medical Equipment Bulletin 27/ Oxygen and Respiratory Therapy Bulletin 21: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (PDF 124.98 KB)
Durable Medical Equipment Bulletin 27/ Oxygen and Respiratory Therapy Bulletin 21: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (DOCX 39.34 KB)
Day Habilitation Bulletin 17: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (DOCX 42.08 KB)
HCBS Waiver Provider Bulletin 12: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (PDF 283.63 KB)
HCBS Waiver Provider Bulletin 12: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (DOCX 54.7 KB)
Home Health Agency Bulletin 67: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (PDF 149.13 KB)
Home Health Agency Bulletin 67: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (DOCX 47.01 KB)
Hospice Bulletin 21: Submission of the MassHealth Hospice Election Form through the LTSS Provider Portal (PDF 153.37 KB)
Hospice Bulletin 21: Submission of the MassHealth Hospice Election Form through the LTSS Provider Portal (DOCX 39.07 KB)
Independent Nurse Bulletin 3: Rate Increases for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (PDF 132.78 KB)
Independent Nurse Bulletin 3: Rate Increases for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (DOCX 41.91 KB)
Managed Care Entity Bulletin 67: Coverage and Payment Policy for Services Related to COVID-19 Vaccine Counseling and 3rd Dose of Pfizer-BioNTech Vaccine and Moderna COVID-19 Vaccine for Immunocompromised Individuals (PDF 172.6 KB)
Managed Care Entity Bulletin 67: Coverage and Payment Policy for Services Related to COVID-19 Vaccine Counseling and 3rd Dose of Pfizer-BioNTech Vaccine and Moderna COVID-19 Vaccine for Immunocompromised Individuals (DOCX 38.43 KB)
Managed Care Entity Bulletin 66: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (PDF 168.34 KB)
Managed Care Entity Bulletin 66: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (DOCX 33.42 KB)
Managed Care Entity Bulletin 65: Preventive Behavioral Health Services for Members Younger than 21 (PDF 258.56 KB)
Managed Care Entity Bulletin 65: Preventive Behavioral Health Services for Members Younger than 21 (DOCX 228.05 KB)
Nursing Facility Bulletin 167: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (PDF 184.14 KB)
Nursing Facility Bulletin 167: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (DOCX 38.9 KB)
Nursing Facility Bulletin 166: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (PDF 172.03 KB)
Nursing Facility Bulletin 166: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (DOCX 31.72 KB)
Personal Care Agency Bulletin 8: Rate Increases and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (PDF 122.63 KB)
Personal Care Agency Bulletin 8: Rate Increases and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (DOCX 39.56 KB)

July

Acute Inpatient Hospital Bulletin 186: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (PDF 322.53 KB)
Acute Inpatient Hospital Bulletin 186: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (DOCX 53.79 KB)
Acute Inpatient Hospital Bulletin 185: Updated the Application for Seniors and People Needing Long-Term Care Services (SACA-2) (PDF 174.26 KB)
Acute Inpatient Hospital Bulletin 185: Updated the Application for Seniors and People Needing Long-Term Care Services (SACA-2) (DOCX 38.08 KB)
All Provider Bulletin 321: Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) Vaccine Counseling (PDF 69.6 KB)
All Provider Bulletin 321: Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) Vaccine Counseling (DOCX 36.21 KB)
Community Health Center Bulletin 112: Community Health Centers Providing Vaccine Administration Services (PDF 156.71 KB)
Community Health Center Bulletin 112: Community Health Centers Providing Vaccine Administration Services (DOCX 34.99 KB)
Community Health Center Bulletin 111: Updated the Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (PDF 247.34 KB)
Community Health Center Bulletin 111: Updated the Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (DOCX 39.9 KB)
Managed Care Entity Bulletin 64: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (PDF 301.46 KB)
Managed Care Entity Bulletin 64: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (DOCX 55.91 KB)
Physician Bulletin 103: Integrated Behavioral Health Service Code, Description, and Billing Requirements (PDF 163.04 KB)
Physician Bulletin 103: Integrated Behavioral Health Service Code, Description, and Billing Requirements (DOCX 37.12 KB)
Psychiatric Inpatient Hospital Bulletin 27: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (PDF 319.32 KB)
Psychiatric Inpatient Hospital Bulletin 27: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (DOCX 54.04 KB)

June

Acute Inpatient Hospital Bulletin 184: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (PDF 142.47 KB)
Acute Inpatient Hospital Bulletin 184: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (DOCX 31.63 KB)
Acute Inpatient Hospital Bulletin 183: Partial Resumption of Certain Utilization Management Functions Previously Suspended in Response to the COVID-19 Pandemic (PDF 209.71 KB)
Acute Inpatient Hospital Bulletin 183: Partial Resumption of Certain Utilization Management Functions Previously Suspended in Response to the COVID-19 Pandemic (DOCX 41.13 KB)
Adult Day Health Bulletin 24: Enhanced Rates and Billing Instructions for Adult Day Health Services for Dates of Service from June 1, 2021, through June 30, 2021 (PDF 146.92 KB)
Adult Day Health Bulletin 24: Enhanced Rates and Billing Instructions for Adult Day Health Services for Dates of Service from June 1, 2021, through June 30, 2021 (DOCX 34.5 KB)
All Provider Bulletin 320: Expiration of Temporary Extension of Timely Replies for Initial Notices of Overpayment during COVID-19 Emergency (PDF 118.28 KB)
All Provider Bulletin 320: Expiration of Temporary Extension of Timely Replies for Initial Notices of Overpayment during COVID-19 Emergency (DOCX 32.53 KB)
All Provider Bulletin 319: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (PDF 235.52 KB)
All Provider Bulletin 319: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (DOCX 57.54 KB)
All Provider Bulletin 318: Update about Monoclonal Antibody Treatment for Coronavirus Disease 2019 (COVID-19) (PDF 142.92 KB)
All Provider Bulletin 318: Update about Monoclonal Antibody Treatment for Coronavirus Disease 2019 (COVID-19) (DOCX 32.81 KB)
Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 94: Claiming, Refund, and Reporting Requirements for Patient Paid Amount Retroactive Decreases for Residents of Chronic Disease and Rehabilitation Hospitals (PDF 249.46 KB)
Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 94: Claiming, Refund, and Reporting Requirements for Patient Paid Amount Retroactive Decreases for Residents of Chronic Disease and Rehabilitation Hospitals (DOCX 44.26 KB)
Community Health Center Bulletin 110: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (PDF 141.03 KB)
Community Health Center Bulletin 110: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (DOCX 31.25 KB)
Day Habilitation Program Bulletin 16: Enhanced Rates and Billing Instructions for Day Habilitation Services for Dates of Service from June 1, 2021, through June 30, 2021 (PDF 140.37 KB)
Day Habilitation Program Bulletin 16: Enhanced Rates and Billing Instructions for Day Habilitation Services for Dates of Service from June 1, 2021, through June 30, 2021 (DOCX 39.35 KB)
HCBS Waiver Provider Bulletin 11: Enhanced Rates and Billing Instructions for ABI and MFP Waiver Day Services, Community-based Day Supports, Prevocational Services, and Supported Employment for Dates of Service from June 1, 2021, through June 30, 2021 (PDF 167.54 KB)
HCBS Waiver Provider Bulletin 11: Enhanced Rates and Billing Instructions for ABI and MFP Waiver Day Services, Community-based Day Supports, Prevocational Services, and Supported Employment for Dates of Service from June 1, 2021, through June 30, 2021 (DOCX 35.93 KB)
Home Health Agency Bulletin 66: MassHealth Comprehensive Needs Assessment Conducted Through Telehealth for Community Case Management Members (PDF 126.71 KB)
Home Health Agency Bulletin 66: MassHealth Comprehensive Needs Assessment Conducted Through Telehealth for Community Case Management Members (DOCX 32.92 KB)
Home Health Agency Bulletin 65: Updates to Certain COVID-19 Flexibilities for Home Health Aide Services (PDF 131.01 KB)
Home Health Agency Bulletin 65: Updates to Certain COVID-19 Flexibilities for Home Health Aide Services (DOCX 33.77 KB)
Managed Care Entity Bulletin 63: MassHealth Rate Floor Enhancements for Acute Treatment Services, Clinical Stabilization Services, and Residential Rehabilitation Services (PDF 219.77 KB)
Managed Care Entity Bulletin 63: MassHealth Rate Floor Enhancements for Acute Treatment Services, Clinical Stabilization Services, and Residential Rehabilitation Services (DOCX 37.9 KB)
Nursing Facility Bulletin 165: Claiming, Refund, and Reporting Requirements for Patient Paid Amount Retroactive Decreases for Residents of Nursing Facilities (PDF 249.18 KB)
Nursing Facility Bulletin 165: Claiming, Refund, and Reporting Requirements for Patient Paid Amount Retroactive Decreases for Residents of Nursing Facilities (DOCX 43.67 KB)
Transportation Bulletin 18: Billing Guidance for Use of Unlisted Code A0999 for Transportation of Dialysis Patients (PDF 124.66 KB)
Transportation Bulletin 18: Billing Guidance for Use of Unlisted Code A0999 for Transportation of Dialysis Patients (DOCX 32.76 KB)

May

Adult Day Health Bulletin 23: Adult Day Health Services When Member Elects Hospice (PDF 177.74 KB)
Adult Day Health Bulletin 23: Adult Day Health Services When Member Elects Hospice (DOCX 30.18 KB)
Adult Foster Care Bulletin 19: COVID-19-related Administrative Flexibilities for Adult Foster Care and Group Adult Foster Care Providers (PDF 134.89 KB)
Adult Foster Care Bulletin 19: COVID-19-related Administrative Flexibilities for Adult Foster Care and Group Adult Foster Care Providers (DOCX 30.9 KB)
Adult Foster Care Bulletin 18: MassHealth Telehealth Policy for Adult Foster Care and Group Adult Foster Care Services (PDF 130.95 KB)
Adult Foster Care Bulletin 18: MassHealth Telehealth Policy for Adult Foster Care and Group Adult Foster Care Services (DOCX 34.35 KB)
Community Health Center Bulletin 109: Community Health Centers Providing Vaccine Administration Services (PDF 71.94 KB)
Community Health Center Bulletin 109: Community Health Centers Providing Vaccine Administration Services (DOCX 31.84 KB)
HCBS Waiver Provider Bulletin 10: Updated Guidance for Home and Community-Based Services (HCBS) Waiver Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (PDF 155.73 KB)
HCBS Waiver Provider Bulletin 10: Updated Guidance for Home and Community-Based Services (HCBS) Waiver Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (DOCX 43.9 KB)
HCBS Waiver Provider Bulletin 9: Additional Guidance and Requirements for Day Services During Phase IV of the Reopening Plan (PDF 135.95 KB)
HCBS Waiver Provider Bulletin 9: Additional Guidance and Requirements for Day Services During Phase IV of the Reopening Plan (DOCX 37.34 KB)
Hospice Provider Bulletin 20: Hospice Services in Conjunction with Adult Day Health Services (PDF 163.25 KB)
Hospice Provider Bulletin 20: Hospice Services in Conjunction with Adult Day Health Services (DOCX 30.37 KB)
Managed Care Entity Bulletin 62: Update to Authorized Providers and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 87.66 KB)
Managed Care Entity Bulletin 62: Update to Authorized Providers and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 41.81 KB)
Managed Care Entity Bulletin 61: Updated: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (PDF 218.82 KB)
Managed Care Entity Bulletin 61: Updated: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (DOCX 49.87 KB)
Managed Care Entity Bulletin 60: Updated MassHealth Telehealth Policy (PDF 117.74 KB)
Managed Care Entity Bulletin 60: Updated MassHealth Telehealth Policy (DOCX 39.13 KB)
Nursing Facility Bulletin 164: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (PDF 178.7 KB)
Nursing Facility Bulletin 164: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (DOCX 45.96 KB)

April

All Provider Bulletin 317: Update to Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 81.07 KB)
All Provider Bulletin 317: Update to Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 42.19 KB)
All Provider Bulletin 316: Clarification of Requirements for Adverse Incident Reporting by Certain Behavioral Health Providers (PDF 147.22 KB)
All Provider Bulletin 316: Clarification of Requirements for Adverse Incident Reporting by Certain Behavioral Health Providers (DOCX 39.56 KB)
All Provider Bulletin 315: Change in Pharmacy Copay and Premium Policies (PDF 277.94 KB)
All Provider Bulletin 315: Change in Pharmacy Copay and Premium Policies (DOCX 77.4 KB)
Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 93: Temporary Suspension of the 45-Day Administrative Day Nonpayment Provision Under 130 CMR 435.000 (PDF 129.85 KB)
Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 93: Temporary Suspension of the 45-Day Administrative Day Nonpayment Provision Under 130 CMR 435.000 (DOCX 29.1 KB)
Freestanding Birth Centers Bulletin 1: Provider Participation Requirements and Service Codes and Descriptions (PDF 238.91 KB)
Freestanding Birth Centers Bulletin 1: Provider Participation Requirements and Service Codes and Descriptions (DOCX 44.56 KB)
Long-Term-Care Facility Bulletin 116: Annual Review of Personal Needs Allowance Account (PDF 121.92 KB)
Long-Term-Care Facility Bulletin 116: Annual Review of Personal Needs Allowance Account (DOCX 30.44 KB)
Managed Care Entity Bulletin 59: Accountable Care Partnership Plans—Service Area Changes Effective January 1, 2022 (PDF 131.26 KB)
Managed Care Entity Bulletin 59: Accountable Care Partnership Plans—Service Area Changes Effective January 1, 2022 (DOCX 42.69 KB)
Managed Care Entity Bulletin 58: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (PDF 185.95 KB)
Managed Care Entity Bulletin 58: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (DOCX 48.39 KB)
Managed Care Entity Bulletin 57: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Authorized Vaccine Providers, and Mass Immunizer Providers (PDF 134.78 KB)
Managed Care Entity Bulletin 57: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Authorized Vaccine Providers, and Mass Immunizer Providers (DOCX 37.45 KB)

March

Acute Inpatient Hospital Bulletin 182: Updated Packet for Member Booklet (ACA-1) and Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (PDF 146.7 KB)
Acute Inpatient Hospital Bulletin 182: Updated Packet for Member Booklet (ACA-1) and Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (DOCX 33.73 KB)
Acute Inpatient Hospital Bulletin 181: Updated Application Packet for Seniors and People Needing Long-Term-Care Services (SACA-2-Packet) (PDF 153 KB)
Acute Inpatient Hospital Bulletin 181: Updated Application Packet for Seniors and People Needing Long-Term-Care Services (SACA-2-Packet) (DOCX 34.25 KB)
All Provider Bulletin 314: Updated MassHealth Telehealth Policy (PDF 193.82 KB)
All Provider Bulletin 314: Updated MassHealth Telehealth Policy (DOCX 42.58 KB)
All Provider Bulletin 313: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 145.74 KB)
All Provider Bulletin 313: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 36.93 KB)
All Provider Bulletin 312: Additional Authorized Vaccine Product and Antibody Treatment and Update to Authorized Providers and Coverage Policy for MassHealth Limited Members for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 147.39 KB)
All Provider Bulletin 312: Additional Authorized Vaccine Product and Antibody Treatment and Update to Authorized Providers and Coverage Policy for MassHealth Limited Members for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 38.22 KB)
Community Health Center Bulletin 108: Updated Packet for Member Booklet (ACA-1) and Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (PDF 146.57 KB)
Community Health Center Bulletin 108: Updated Packet for Member Booklet (ACA-1) and Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (DOCX 33.1 KB)
Community Health Center Bulletin 107: Updated Application Packet for Seniors and People Needing Long-Term-Care Services (SACA-2-Packet) (PDF 228.41 KB)
Community Health Center Bulletin 107: Updated Application Packet for Seniors and People Needing Long-Term-Care Services (SACA-2-Packet) (DOCX 36.08 KB)
Durable Medical Equipment Bulletin 26: COVID-19 Related Administrative Flexibilities for Durable Medical Equipment Providers - Extension (PDF 179.77 KB)
Durable Medical Equipment Bulletin 26: COVID-19 Related Administrative Flexibilities for Durable Medical Equipment Providers - Extension (DOCX 31 KB)
Home Health Agency Bulletin 64: COVID-19 Related Administrative Flexibilities for Home Health Providers-Extension (PDF 118.19 KB)
Home Health Agency Bulletin 64: COVID-19 Related Administrative Flexibilities for Home Health Providers-Extension (DOCX 30.65 KB)
Home Health Agency Bulletin 63: MassHealth Telehealth Policy for Home Health Services - Extension (PDF 140.44 KB)
Home Health Agency Bulletin 63: MassHealth Telehealth Policy for Home Health Services - Extension (DOCX 32.88 KB)
Hospice Bulletin 19: MassHealth Telehealth Policy for Hospice Services - Extension (PDF 128.9 KB)
Hospice Bulletin 19: MassHealth Telehealth Policy for Hospice Services - Extension (DOCX 32.12 KB)
Hospice Bulletin 18: COVID-19 Related Administrative Flexibilities for Hospice Providers - Extension (PDF 129.19 KB)
Hospice Bulletin 18: COVID-19 Related Administrative Flexibilities for Hospice Providers - Extension (DOCX 29.9 KB)
Independent Nurses Bulletin 2: COVID-19 Related Administrative Flexibilities for Independent Nurses including Telehealth - Extension (PDF 137.67 KB)
Independent Nurses Bulletin 2: COVID-19 Related Administrative Flexibilities for Independent Nurses including Telehealth - Extension (DOCX 35.03 KB)
Managed Care Entity Bulletin 56: Coverage of and Reimbursement for Hospital-at-Home Services (PDF 232.52 KB)
Managed Care Entity Bulletin 56: Coverage of and Reimbursement for Hospital-at-Home Services (DOCX 29.41 KB)
Managed Care Entity Bulletin 55: Temporary Incremental Rate Increase for Inpatient Hospitals Accepting COVID-Positive MassHealth Members for Inpatient Mental Health Services (PDF 170.38 KB)
Managed Care Entity Bulletin 55: Temporary Incremental Rate Increase for Inpatient Hospitals Accepting COVID-Positive MassHealth Members for Inpatient Mental Health Services (DOCX 31.61 KB)
Mass Immunizer Bulletin 2: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 142.4 KB)
Mass Immunizer Bulletin 2: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 42 KB)
Nursing Facility Bulletin 163: Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (PDF 281.92 KB)
Nursing Facility Bulletin 163: Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (DOCX 50.62 KB)
Nursing Facility Bulletin 162: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (PDF 261.45 KB)
Nursing Facility Bulletin 162: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (DOCX 54.32 KB)
Nursing Facility Bulletin 161: Termination of Coronavirus Disease 2019 (COVID-19) Isolated Spaces Program for Nursing Facilities (PDF 67.13 KB)
Nursing Facility Bulletin 161: Termination of Coronavirus Disease 2019 (COVID-19) Isolated Spaces Program for Nursing Facilities (DOCX 39.27 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 20: COVID-19 Related Administrative Flexibilities for Oxygen and Respiratory Therapy Equipment Providers - Extension (PDF 174.57 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 20: COVID-19 Related Administrative Flexibilities for Oxygen and Respiratory Therapy Equipment Providers - Extension (DOCX 34.04 KB)
Rehabilitation Center Bulletin 13: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth - Extension (PDF 155.69 KB)
Rehabilitation Center Bulletin 13: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth - Extension (DOCX 33.69 KB)
Speech and Hearing Center Bulletin 13: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth - Extension (PDF 151.9 KB)
Speech and Hearing Center Bulletin 13: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth - Extension (DOCX 39.12 KB)
Therapist Bulletin 16: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth - Extension (PDF 152.38 KB)
Therapist Bulletin 16: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth - Extension (DOCX 38.97 KB)

February

Acute Inpatient Hospital Bulletin 180: Coverage of and Reimbursement for Hospital-at-Home Services (PDF 242.81 KB)
Acute Inpatient Hospital Bulletin 180: Coverage of and Reimbursement for Hospital-at-Home Services (DOCX 43.34 KB)
Acute Outpatient Hospital Bulletin 37: Temporary Flexibilities for the Provision of Laboratory Services by Acute Outpatient Hospitals (PDF 73.14 KB)
Acute Outpatient Hospital Bulletin 37: Temporary Flexibilities for the Provision of Laboratory Services by Acute Outpatient Hospitals (DOCX 32.55 KB)
All Provider Bulletin 311: Temporary Extension of Timely Reply for Initial Notices of Overpayment (PDF 106.89 KB)
All Provider Bulletin 311: Temporary Extension of Timely Reply for Initial Notices of Overpayment (DOCX 36.54 KB)
All Provider Bulletin 310: Transportation for Members to Vaccination Sites for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 147.69 KB)
All Provider Bulletin 310: Transportation for Members to Vaccination Sites for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 37.88 KB)
All Provider Bulletin 309: Reminder of the EPSDT Schedule and Responsibilities (PDF 169.93 KB)
All Provider Bulletin 309: Reminder of the EPSDT Schedule and Responsibilities (DOCX 30.69 KB)
All Provider Bulletin 308: MassHealth Third Party Prior Authorization Administrator Temporary Suspension (PDF 135.97 KB)
All Provider Bulletin 308: MassHealth Third Party Prior Authorization Administrator Temporary Suspension (DOCX 38.93 KB)
Managed Care Entity Bulletin 54: Care Plan Requirements for Accountable Care Organizations and Managed Care Organizations (PDF 109.52 KB)
Managed Care Entity Bulletin 54: Care Plan Requirements for Accountable Care Organizations and Managed Care Organizations (DOCX 36.46 KB)
Nursing Facility Bulletin 160: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Monoclonal Antibody Product Infusion administered by Nursing Facilities (PDF 151.88 KB)
Nursing Facility Bulletin 160: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Monoclonal Antibody Product Infusion administered by Nursing Facilities (DOCX 35.6 KB)

January

Acute Inpatient Hospital Bulletin 179: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (PDF 179.53 KB)
Acute Inpatient Hospital Bulletin 179: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (DOCX 32.98 KB)
Acute Inpatient Hospital Bulletin 178: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (PDF 144.05 KB)
Acute Inpatient Hospital Bulletin 178: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (DOCX 30.91 KB)
Adult Day Health Bulletin 22: Enhanced Rates and Billing Instructions for Adult Day Health Services for Dates of Service Provided on or after December 1, 2020, through May 31, 2021 (PDF 76.86 KB)
Adult Day Health Bulletin 22: Enhanced Rates and Billing Instructions for Adult Day Health Services for Dates of Service Provided on or after December 1, 2020, through May 31, 2021 (DOCX 31.52 KB)
Adult Day Health Bulletin 21: Additional Guidance and Requirements for Adult Day Health Programs during the Public Health Emergency (PDF 90.65 KB)
Adult Day Health Bulletin 21: Additional Guidance and Requirements for Adult Day Health Programs during the Public Health Emergency (DOCX 36.42 KB)
Adult Day Health Bulletin 20: Guidance for Adult Day Health Providers Delivering Multi-model Hybrid Services During the COVID-19 Public Health Emergency (PDF 95.97 KB)
Adult Day Health Bulletin 20: Guidance for Adult Day Health Providers Delivering Multi-model Hybrid Services During the COVID-19 Public Health Emergency (DOCX 36.78 KB)
All Provider Bulletin 307: Updated Payment Rates and Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 168.74 KB)
All Provider Bulletin 307: Updated Payment Rates and Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 38.93 KB)
All Provider Bulletin 306: Reminder of 340B indicator for Clinician-Administered Drugs and National Drug Code (NDC) Requirements (PDF 125.48 KB)
All Provider Bulletin 306: Reminder of 340B indicator for Clinician-Administered Drugs and National Drug Code (NDC) Requirements (DOCX 30.86 KB)
Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 92: Temporary Suspension of the 45-Day Administrative Day Nonpayment Provision Under 130 CMR 435.000 (PDF 131.24 KB)
Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 92: Temporary Suspension of the 45-Day Administrative Day Nonpayment Provision Under 130 CMR 435.000 (DOCX 28.82 KB)
Community Health Center Bulletin 106: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (PDF 253.82 KB)
Community Health Center Bulletin 106: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (DOCX 34.34 KB)
Community Health Center Bulletin 105: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (PDF 150.06 KB)
Community Health Center Bulletin 105: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (DOCX 45.34 KB)
Day Habilitation Program Bulletin 15: Enhanced Rates and Billing Instructions for Day Habilitation Services for Dates of Services on or after December 1, 2020 through May 31, 2021 (PDF 96.48 KB)
Day Habilitation Program Bulletin 15: Enhanced Rates and Billing Instructions for Day Habilitation Services for Dates of Services on or after December 1, 2020 through May 31, 2021 (DOCX 35.21 KB)
Day Habilitation Program Bulletin 14: Additional Guidance and Requirements for Day Habilitation Programs during the Public Health Emergency (PDF 94.65 KB)
Day Habilitation Program Bulletin 14: Additional Guidance and Requirements for Day Habilitation Programs during the Public Health Emergency (DOCX 37.76 KB)
Day Habilitation Program Bulletin 13: Guidance for Day Habilitation Providers Delivering Multi-model Hybrid Services during the COVID-19 Public Health Emergency (PDF 94.81 KB)
Day Habilitation Program Bulletin 13: Guidance for Day Habilitation Providers Delivering Multi-model Hybrid Services during the COVID-19 Public Health Emergency (DOCX 35.15 KB)
Durable Medical Equipment Bulletin 25: COVID-19 Related Administrative Flexibilities for Durable Medical Equipment Providers (PDF 193.55 KB)
Durable Medical Equipment Bulletin 25: COVID-19 Related Administrative Flexibilities for Durable Medical Equipment Providers (DOCX 33.05 KB)
HCBS Waiver Provider Bulletin 8: Enhanced Rates and Billing Instructions for ABI and MFP Waiver Day Services, Community-based Day Supports, Prevocational Services, and Supported Employment for Dates of Service from December 1, 2020, through May 31, 2021 (PDF 205.54 KB)
HCBS Waiver Provider Bulletin 8: Enhanced Rates and Billing Instructions for ABI and MFP Waiver Day Services, Community-based Day Supports, Prevocational Services, and Supported Employment for Dates of Service from December 1, 2020, through May 31, 2021 (DOCX 33.67 KB)
HCBS Waiver Provider Bulletin 7: FY21 General Appropriations Act Home Health Aide, Homemaker and Personal Care Rate Increases and Reporting Requirements (PDF 157.54 KB)
HCBS Waiver Provider Bulletin 7: FY21 General Appropriations Act Home Health Aide, Homemaker and Personal Care Rate Increases and Reporting Requirements (DOCX 39.29 KB)
Home Health Agency Bulletin 62: FY21 General Appropriations Act Home Health Aide Rate Increases and Reporting Requirements (PDF 172.55 KB)
Home Health Agency Bulletin 62: FY21 General Appropriations Act Home Health Aide Rate Increases and Reporting Requirements (DOCX 38.79 KB)
Home Health Agency Bulletin 61: COVID-19 Related Administrative Flexibilities for Home Health Providers (PDF 126.69 KB)
Home Health Agency Bulletin 61: COVID-19 Related Administrative Flexibilities for Home Health Providers (DOCX 33.5 KB)
Home Health Agency Bulletin 60: MassHealth Telehealth Policy for Home Health Services (PDF 153.06 KB)
Home Health Agency Bulletin 60: MassHealth Telehealth Policy for Home Health Services (DOCX 34.07 KB)
Hospice Bulletin 17: COVID-19 Related Administrative Flexibilities for Hospice Providers (PDF 139.32 KB)
Hospice Bulletin 17: COVID-19 Related Administrative Flexibilities for Hospice Providers (DOCX 31.55 KB)
Hospice Bulletin 16: MassHealth Telehealth Policy for Hospice Services (PDF 144.06 KB)
Hospice Bulletin 16: MassHealth Telehealth Policy for Hospice Services (DOCX 35.1 KB)
Independent Nurses Bulletin 1: COVID-19 Related Administrative Flexibilities for Independent Nurses including Telehealth (PDF 148.62 KB)
Independent Nurses Bulletin 1: COVID-19 Related Administrative Flexibilities for Independent Nurses including Telehealth (DOCX 40.08 KB)
Managed Care Entity Bulletin 53: Enhanced Rates for ADH Services for Dates of Service December 1, 2020 through May 31, 2021 (PDF 112.64 KB)
Managed Care Entity Bulletin 53: Enhanced Rates for ADH Services for Dates of Service December 1, 2020 through May 31, 2021 (DOCX 34.35 KB)
Managed Care Entity Bulletin 52: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Update to Authorized Vaccine Providers, and New Mass Immunizer Providers (PDF 127.75 KB)
Managed Care Entity Bulletin 52: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Update to Authorized Vaccine Providers, and New Mass Immunizer Providers (DOCX 36.69 KB)
Managed Care Entity Bulletin 51: Reminder of Required 340B Identifier for Clinician-Administered Drugs (PDF 214.36 KB)
Managed Care Entity Bulletin 51: Reminder of Required 340B Identifier for Clinician-Administered Drugs (DOCX 31.32 KB)
Mass Immunizer Bulletin 1: Mass Immunizer Requirements and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 128.71 KB)
Mass Immunizer Bulletin 1: Mass Immunizer Requirements and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 43.33 KB)
Nursing Facility Bulletin 159: Updated Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (PDF 194.56 KB)
Nursing Facility Bulletin 159: Updated Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (DOCX 48.04 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 19: COVID-19 Related Administrative Flexibilities for Oxygen and Respiratory Therapy Equipment Providers (PDF 187.97 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 19: COVID-19 Related Administrative Flexibilities for Oxygen and Respiratory Therapy Equipment Providers (DOCX 33.2 KB)
Rehabilitation Center Bulletin 12: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth (PDF 157.64 KB)
Rehabilitation Center Bulletin 12: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth (DOCX 31.94 KB)
Speech and Hearing Center Bulletin 12: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth (PDF 167.13 KB)
Speech and Hearing Center Bulletin 12: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth (DOCX 32.25 KB)
Therapist Bulletin 15: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth (PDF 168.86 KB)
Therapist Bulletin 15: COVID-19 Related Administrative Flexibilities for Therapy Services Including Telehealth (DOCX 32.08 KB)
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