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2022 MassHealth provider bulletins

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December

Open PDF file, 173.12 KB,  Adult Foster Care Bulletin 27: Specific Guidance for Adult Foster Care Providers regarding Certain Home- and Community-Based Services (English, PDF 173.12 KB)
Open DOCX file, 31.13 KB,  Adult Foster Care Bulletin 27: Specific Guidance for Adult Foster Care Providers regarding Certain Home- and Community-Based Services (English, DOCX 31.13 KB)
Open PDF file, 181.19 KB,  All Provider Bulletin 358: Extension of Flexibilities for Prior Authorization of Formula (English, PDF 181.19 KB)
Open DOCX file, 34.21 KB,  All Provider Bulletin 358: Extension of Flexibilities for Prior Authorization of Formula (English, DOCX 34.21 KB)
Open PDF file, 316.66 KB,  All Provider Bulletin 357: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Doses and Pre-exposure Prophylaxis (English, PDF 316.66 KB)
Open DOCX file, 35.93 KB,  All Provider Bulletin 357: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Doses and Pre-exposure Prophylaxis (English, DOCX 35.93 KB)
Open PDF file, 225.34 KB,  Managed Care Entity Bulletin 94: Process for Existing PACE Organizations to Expand Their Service Area and/or Open a New PACE Center (English, PDF 225.34 KB)
Open DOCX file, 31.7 KB,  Managed Care Entity Bulletin 94: Process for Existing PACE Organizations to Expand Their Service Area and/or Open a New PACE Center (English, DOCX 31.7 KB)
Open PDF file, 357.78 KB,  Nursing Facility Bulletin 176: COVID-19 Preparedness Program Payments (English, PDF 357.78 KB)
Open DOCX file, 38.1 KB,  Nursing Facility Bulletin 176: COVID-19 Preparedness Program Payments (English, DOCX 38.1 KB)

November

Open PDF file, 145.84 KB,  All Provider Bulletin 356: Changes to Prescription Drug Days’ Supply Limitations, Effective December 19, 2022 (English, PDF 145.84 KB)
Open DOCX file, 30.24 KB,  All Provider Bulletin 356: Changes to Prescription Drug Days’ Supply Limitations, Effective December 19, 2022 (English, DOCX 30.24 KB)
Open PDF file, 134.02 KB,  Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 99: Rate Year 2023 (RY23) Quality Performance Incentive Payments for Discharge Planning (English, PDF 134.02 KB)
Open DOCX file, 29.72 KB,  Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 99: Rate Year 2023 (RY23) Quality Performance Incentive Payments for Discharge Planning (English, DOCX 29.72 KB)
Open PDF file, 162.08 KB,  Managed Care Entity Bulletin 93: Behavioral Health Crisis Evaluations in Emergency Departments and Inpatient Mental Health Services Rate Updates (English, PDF 162.08 KB)
Open DOCX file, 34.19 KB,  Managed Care Entity Bulletin 93: Behavioral Health Crisis Evaluations in Emergency Departments and Inpatient Mental Health Services Rate Updates (English, DOCX 34.19 KB)
Open PDF file, 171.17 KB,  Nursing Facility Bulletin 175: COVID-19 Preparedness Program Payments (English, PDF 171.17 KB)
Open DOCX file, 37.25 KB,  Nursing Facility Bulletin 175: COVID-19 Preparedness Program Payments (English, DOCX 37.25 KB)

October

Open PDF file, 294.51 KB,  All Provider Bulletin 355: Access to Health Services through Telehealth Options (Amendment) (English, PDF 294.51 KB)
Open DOCX file, 51.96 KB,  All Provider Bulletin 355: Access to Health Services through Telehealth Options (Amendment) (English, DOCX 51.96 KB)
Open PDF file, 215.95 KB,  Managed Care Entity Bulletin 92: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services for Integrated Care Plans (English, PDF 215.95 KB)
Open DOCX file, 42.52 KB,  Managed Care Entity Bulletin 92: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services for Integrated Care Plans (English, DOCX 42.52 KB)
Open PDF file, 231.02 KB,  Managed Care Entity Bulletin 91: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services (English, PDF 231.02 KB)
Open DOCX file, 64.75 KB,  Managed Care Entity Bulletin 91: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services (English, DOCX 64.75 KB)

September

Open PDF file, 154.6 KB,  Adult Foster Care Bulletin 26: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 154.6 KB)
Open DOCX file, 31.2 KB,  Adult Foster Care Bulletin 26: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 31.2 KB)
Open PDF file, 134.11 KB,  All Provider Bulletin 354: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Boosters (Corrected) (English, PDF 134.11 KB)
Open DOCX file, 32.7 KB,  All Provider Bulletin 354: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Boosters (Corrected) (English, DOCX 32.7 KB)
Open PDF file, 146.8 KB,  All Provider Bulletin 353: Coverage and Reimbursement Policy for Vaccines and Testing for Monkeypox (English, PDF 146.8 KB)
Open DOCX file, 39.34 KB,  All Provider Bulletin 353: Coverage and Reimbursement Policy for Vaccines and Testing for Monkeypox (English, DOCX 39.34 KB)
Open PDF file, 192.82 KB,  All Provider Bulletin 352: Requirements for Reporting and Returning of Overpayments (Corrected) (English, PDF 192.82 KB)
Open DOCX file, 49.56 KB,  All Provider Bulletin 352: Requirements for Reporting and Returning of Overpayments (Corrected) (English, DOCX 49.56 KB)
Open PDF file, 177.81 KB,  Continuous Skilled Nursing Agency Bulletin 8: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 177.81 KB)
Open DOCX file, 36.87 KB,  Continuous Skilled Nursing Agency Bulletin 8: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 36.87 KB)
Open PDF file, 160.72 KB,  HCBS Waiver Provider Bulletin 21: FY23 General Appropriations Act Home Health Aide, Homemaker, and Personal Care Rate Increases and Reporting Requirements (English, PDF 160.72 KB)
Open DOCX file, 34 KB,  HCBS Waiver Provider Bulletin 21: FY23 General Appropriations Act Home Health Aide, Homemaker, and Personal Care Rate Increases and Reporting Requirements (English, DOCX 34 KB)
Open PDF file, 219.18 KB,  HCBS Waiver Provider Bulletin 20: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 219.18 KB)
Open DOCX file, 42.33 KB,  HCBS Waiver Provider Bulletin 20: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 42.33 KB)
Open PDF file, 156.89 KB,  Home Health Agency Bulletin 79: FY23 General Appropriations Act Home Health Aide Rate Increases and Reporting Requirements (English, PDF 156.89 KB)
Open DOCX file, 32.34 KB,  Home Health Agency Bulletin 79: FY23 General Appropriations Act Home Health Aide Rate Increases and Reporting Requirements (English, DOCX 32.34 KB)
Open PDF file, 166.85 KB,  Home Health Agency Bulletin 78: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 166.85 KB)
Open DOCX file, 34.14 KB,  Home Health Agency Bulletin 78: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 34.14 KB)
Open PDF file, 163.68 KB,  Independent Nurse Bulletin 10: Enhanced Rates for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 163.68 KB)
Open DOCX file, 33.51 KB,  Independent Nurse Bulletin 10: Enhanced Rates for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 33.51 KB)
Open PDF file, 147.58 KB,  Managed Care Entity Bulletin 90: 90-day Prescription Drug Supply Policy Change (English, PDF 147.58 KB)
Open DOCX file, 30.81 KB,  Managed Care Entity Bulletin 90: 90-day Prescription Drug Supply Policy Change (English, DOCX 30.81 KB)
Open PDF file, 149.67 KB,  Personal Care Attendant Program Bulletin 13: Enhanced Rates and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (English, PDF 149.67 KB)
Open DOCX file, 31.91 KB,  Personal Care Attendant Program Bulletin 13: Enhanced Rates and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (English, DOCX 31.91 KB)

August

Open PDF file, 185.97 KB,  All Provider Bulletin 351: Extension of Flexibilities for Prior Authorization of Formula (English, PDF 185.97 KB)
Open DOCX file, 33.48 KB,  All Provider Bulletin 351: Extension of Flexibilities for Prior Authorization of Formula (English, DOCX 33.48 KB)
Open PDF file, 130.22 KB,  All Provider Bulletin 350: Developmentally Appropriate Behavioral Health Diagnosis and Assessment for MassHealth Members Birth Through Five Years (English, PDF 130.22 KB)
Open DOCX file, 33.73 KB,  All Provider Bulletin 350: Developmentally Appropriate Behavioral Health Diagnosis and Assessment for MassHealth Members Birth Through Five Years (English, DOCX 33.73 KB)
Open PDF file, 179.21 KB,  All Provider Bulletin 349: Coverage and Reimbursement Policy for Bebtelovimab (English, PDF 179.21 KB)
Open DOCX file, 33.88 KB,  All Provider Bulletin 349: Coverage and Reimbursement Policy for Bebtelovimab (English, DOCX 33.88 KB)
Open PDF file, 188.62 KB,  All Provider Bulletin 348: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (English, PDF 188.62 KB)
Open DOCX file, 35.96 KB,  All Provider Bulletin 348: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (English, DOCX 35.96 KB)
Open PDF file, 170.72 KB,  All Provider Bulletin 347: Changes to Prescription Drug Days’ Supply Limitations, Effective September 19, 2022 (English, PDF 170.72 KB)
Open DOCX file, 30.73 KB,  All Provider Bulletin 347: Changes to Prescription Drug Days’ Supply Limitations, Effective September 19, 2022 (English, DOCX 30.73 KB)
Open PDF file, 182.91 KB,  All Provider Bulletin 346: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Vaccines, including Pediatric Vaccines, and Vaccine Boosters (English, PDF 182.91 KB)
Open DOCX file, 33.87 KB,  All Provider Bulletin 346: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Vaccines, including Pediatric Vaccines, and Vaccine Boosters (English, DOCX 33.87 KB)
Open PDF file, 145.79 KB,  Managed Care Entity Bulletin 89: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (English, PDF 145.79 KB)
Open DOCX file, 29.69 KB,  Managed Care Entity Bulletin 89: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (English, DOCX 29.69 KB)

July

Open PDF file, 195.71 KB,  Adult Day Health Bulletin 34: Adult Day Health (ADH) Wheelchair Transportation Prior Authorization (PA) (English, PDF 195.71 KB)
Open DOCX file, 89.12 KB,  Adult Day Health Bulletin 34: Adult Day Health (ADH) Wheelchair Transportation Prior Authorization (PA) (English, DOCX 89.12 KB)
Open PDF file, 144.64 KB,  Adult Foster Care Bulletin 25: MassHealth Accreditation Requirements for Newly Enrolled Adult Foster Care and Group Adult Foster Care Providers and Existing GAFC Providers (English, PDF 144.64 KB)
Open DOCX file, 29.37 KB,  Adult Foster Care Bulletin 25: MassHealth Accreditation Requirements for Newly Enrolled Adult Foster Care and Group Adult Foster Care Providers and Existing GAFC Providers (English, DOCX 29.37 KB)
Open PDF file, 144.78 KB,  Adult Foster Care Bulletin 24: Group Adult Foster Care Provider Fiscal Soundness Requirement (English, PDF 144.78 KB)
Open DOCX file, 29.31 KB,  Adult Foster Care Bulletin 24: Group Adult Foster Care Provider Fiscal Soundness Requirement (English, DOCX 29.31 KB)
Open PDF file, 152.65 KB,  Continuous Skilled Nursing Agency Bulletin 7: Updates to CSN Overtime Policy effective July 1, 2022 (English, PDF 152.65 KB)
Open DOCX file, 35.35 KB,  Continuous Skilled Nursing Agency Bulletin 7: Updates to CSN Overtime Policy effective July 1, 2022 (English, DOCX 35.35 KB)
Open PDF file, 137.61 KB,  Durable Medical Equipment Provider Bulletin 31: E-Signature policy for DME, OXY, PRT and ORT MassHealth Medical Necessity Review Forms (English, PDF 137.61 KB)
Open DOCX file, 40.37 KB,  Durable Medical Equipment Provider Bulletin 31: E-Signature policy for DME, OXY, PRT and ORT MassHealth Medical Necessity Review Forms (English, DOCX 40.37 KB)
Open PDF file, 152.56 KB,  Home Health Agency Bulletin 77: Updates for CSN Overtime Policy effective July 1, 2022 (English, PDF 152.56 KB)
Open DOCX file, 34.81 KB,  Home Health Agency Bulletin 77: Updates for CSN Overtime Policy effective July 1, 2022 (English, DOCX 34.81 KB)
Open PDF file, 138.33 KB,  Orthotic Provider Bulletin 8: E-Signature policy for DME, OXY, PRT, and ORT MassHealth Medical Necessity Review Forms (English, PDF 138.33 KB)
Open DOCX file, 42.52 KB,  Orthotic Provider Bulletin 8: E-Signature policy for DME, OXY, PRT, and ORT MassHealth Medical Necessity Review Forms (English, DOCX 42.52 KB)
Open PDF file, 139.93 KB,  Oxygen and Respiratory Therapy Provider Bulletin 25: E-Signature policy for DME, OXY, PRT and ORT MassHealth Medical Necessity Review Forms (English, PDF 139.93 KB)
Open DOCX file, 42.39 KB,  Oxygen and Respiratory Therapy Provider Bulletin 25: E-Signature policy for DME, OXY, PRT and ORT MassHealth Medical Necessity Review Forms (English, DOCX 42.39 KB)
Open PDF file, 138 KB,  Prosthetic Provider Bulletin 12: E-Signature policy for DME, OXY, PRT and ORT MassHealth Medical Necessity Review Forms (English, PDF 138 KB)
Open DOCX file, 42.42 KB,  Prosthetic Provider Bulletin 12: E-Signature policy for DME, OXY, PRT and ORT MassHealth Medical Necessity Review Forms (English, DOCX 42.42 KB)

June

Open PDF file, 175.63 KB,  All Provider Bulletin 345: Robotics Processing Automation (RPA) Policy (English, PDF 175.63 KB)
Open DOCX file, 32.12 KB,  All Provider Bulletin 345: Robotics Processing Automation (RPA) Policy (English, DOCX 32.12 KB)

May

Open PDF file, 158.56 KB,  All Provider Bulletin 344: Update Concerning Coverage of and Payment for the Administration of (1) Remdesivir in an Outpatient Setting (2) COVID-19 Vaccines; and (3) Rapid Antigen Testing for COVID-19 for MassHealth Limited Members (English, PDF 158.56 KB)
Open DOCX file, 33.3 KB,  All Provider Bulletin 344: Update Concerning Coverage of and Payment for the Administration of (1) Remdesivir in an Outpatient Setting (2) COVID-19 Vaccines; and (3) Rapid Antigen Testing for COVID-19 for MassHealth Limited Members (English, DOCX 33.3 KB)
Open PDF file, 163.83 KB,  All Provider Bulletin 343: MassHealth and Health Safety Net Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, PDF 163.83 KB)
Open DOCX file, 34.12 KB,  All Provider Bulletin 343: MassHealth and Health Safety Net Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, DOCX 34.12 KB)
Open PDF file, 101.88 KB,  Dental Bulletin 48: Provider Inquiries (English, PDF 101.88 KB)
Open DOCX file, 28.61 KB,  Dental Bulletin 48: Provider Inquiries (English, DOCX 28.61 KB)
Open PDF file, 146.32 KB,  Long-Term-Care Facility Bulletin 117: Annual Review of Personal Needs Allowance Account (English, PDF 146.32 KB)
Open DOCX file, 31.21 KB,  Long-Term-Care Facility Bulletin 117: Annual Review of Personal Needs Allowance Account (English, DOCX 31.21 KB)
Open PDF file, 141.63 KB,  Managed Care Entity Bulletin 88: Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, PDF 141.63 KB)
Open DOCX file, 33.48 KB,  Managed Care Entity Bulletin 88: Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, DOCX 33.48 KB)

April

Open PDF file, 118.98 KB,  All Provider Bulletin 342: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (English, PDF 118.98 KB)
Open DOCX file, 28.14 KB,  All Provider Bulletin 342: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (English, DOCX 28.14 KB)
Open PDF file, 213.76 KB,  Managed Care Entity Bulletin 87: Extension of and Updates to Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services for Integrated Care Plans (English, PDF 213.76 KB)
Open DOCX file, 39.44 KB,  Managed Care Entity Bulletin 87: Extension of and Updates to Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services for Integrated Care Plans (English, DOCX 39.44 KB)
Open PDF file, 240.77 KB,  Managed Care Entity Bulletin 86: Extension of and Updates to the Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services (English, PDF 240.77 KB)
Open DOCX file, 64.93 KB,  Managed Care Entity Bulletin 86: Extension of and Updates to the Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services (English, DOCX 64.93 KB)

March

Open PDF file, 143.85 KB,  Acute Inpatient Hospital Bulletin 192: Continued Temporary Suspension of Requirements for Admission Screening for Admissions to Acute Inpatient Hospitals and Prior Authorization for Physician Services Rendered in Connection with Such Admissions (English, PDF 143.85 KB)
Open DOCX file, 28.79 KB,  Acute Inpatient Hospital Bulletin 192: Continued Temporary Suspension of Requirements for Admission Screening for Admissions to Acute Inpatient Hospitals and Prior Authorization for Physician Services Rendered in Connection with Such Admissions (English, DOCX 28.79 KB)
Open PDF file, 261.13 KB,  Acute Inpatient Hospital Bulletin 191: Temporary Modification of Certain Utilization Management Functions in Response to the COVID-19 Pandemic (English, PDF 261.13 KB)
Open DOCX file, 27.21 KB,  Acute Inpatient Hospital Bulletin 191: Temporary Modification of Certain Utilization Management Functions in Response to the COVID-19 Pandemic (English, DOCX 27.21 KB)
Open PDF file, 193.75 KB,  Acute Inpatient Hospital Bulletin 190: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 193.75 KB)
Open DOCX file, 33.58 KB,  Acute Inpatient Hospital Bulletin 190: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 33.58 KB)
Open PDF file, 246.42 KB,  Acute Inpatient Hospital Bulletin 189: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 246.42 KB)
Open DOCX file, 32.65 KB,  Acute Inpatient Hospital Bulletin 189: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 32.65 KB)
Open PDF file, 110.23 KB,  Adult Day Health Bulletin 33: Adult Day Health (ADH) Claims Submission – Elimination of Span Date Billing (English, PDF 110.23 KB)
Open DOCX file, 28.94 KB,  Adult Day Health Bulletin 33: Adult Day Health (ADH) Claims Submission – Elimination of Span Date Billing (English, DOCX 28.94 KB)
Open PDF file, 137.71 KB,  Adult Day Health Bulletin 32: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 137.71 KB)
Open DOCX file, 30.18 KB,  Adult Day Health Bulletin 32: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 30.18 KB)
Open PDF file, 131.75 KB,  Adult Day Health Bulletin 31: One-time Supplemental Payment for Eligible Adult Day Health (ADH) Providers to Address Decreased On-site Attendance During the COVID-19 Omicron Variant Surge (English, PDF 131.75 KB)
Open DOCX file, 28.75 KB,  Adult Day Health Bulletin 31: One-time Supplemental Payment for Eligible Adult Day Health (ADH) Providers to Address Decreased On-site Attendance During the COVID-19 Omicron Variant Surge (English, DOCX 28.75 KB)
Open PDF file, 136.79 KB,  Adult Foster Care Bulletin 23: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 136.79 KB)
Open DOCX file, 28.46 KB,  Adult Foster Care Bulletin 23: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 28.46 KB)
Open PDF file, 213.42 KB,  All Provider Bulletin 341: Coverage of and Payment for the Administration of (1) Tixagevimab Co-Packaged with Cilgavimab, and (2) Bebtelovimab (English, PDF 213.42 KB)
Open DOCX file, 31.18 KB,  All Provider Bulletin 341: Coverage of and Payment for the Administration of (1) Tixagevimab Co-Packaged with Cilgavimab, and (2) Bebtelovimab (English, DOCX 31.18 KB)
Open PDF file, 116.91 KB,  All Provider Bulletin 340: MassHealth Pharmacy Coverage of Prescription Digital Therapeutics and Formula (English, PDF 116.91 KB)
Open DOCX file, 35.69 KB,  All Provider Bulletin 340: MassHealth Pharmacy Coverage of Prescription Digital Therapeutics and Formula (English, DOCX 35.69 KB)
Open PDF file, 140.81 KB,  Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 98: Continued Temporary Suspension of Requirements for Admission Screening for Admissions to CDR Inpatient Hospitals (English, PDF 140.81 KB)
Open DOCX file, 28.04 KB,  Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 98: Continued Temporary Suspension of Requirements for Admission Screening for Admissions to CDR Inpatient Hospitals (English, DOCX 28.04 KB)
Open PDF file, 197.18 KB,  Community Health Center Bulletin 115: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 197.18 KB)
Open DOCX file, 33.77 KB,  Community Health Center Bulletin 115: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 33.77 KB)
Open PDF file, 383.52 KB,  Community Health Center Bulletin 114: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 383.52 KB)
Open DOCX file, 31.52 KB,  Community Health Center Bulletin 114: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 31.52 KB)
Open PDF file, 137.99 KB,  Continuous Skilled Nursing Agency Bulletin 6: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 137.99 KB)
Open DOCX file, 28.7 KB,  Continuous Skilled Nursing Agency Bulletin 6: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 28.7 KB)
Open PDF file, 151.73 KB,  Continuous Skilled Nursing Agency Bulletin 5: Deadline for Vaccine Requirement for Home Care Workers Extended to March 21, 2022 (English, PDF 151.73 KB)
Open DOCX file, 30.69 KB,  Continuous Skilled Nursing Agency Bulletin 5: Deadline for Vaccine Requirement for Home Care Workers Extended to March 21, 2022 (English, DOCX 30.69 KB)
Open PDF file, 205.04 KB,  Continuous Skilled Nursing Agency Bulletin 4: Revised MassHealth Telehealth Policy for Continuous Skilled Nursing (CSN) Services and Telehealth Documentation Requirement (English, PDF 205.04 KB)
Open DOCX file, 32.75 KB,  Continuous Skilled Nursing Agency Bulletin 4: Revised MassHealth Telehealth Policy for Continuous Skilled Nursing (CSN) Services and Telehealth Documentation Requirement (English, DOCX 32.75 KB)
Open PDF file, 137.56 KB,  Day Habilitation Bulletin 25: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 137.56 KB)
Open DOCX file, 28.7 KB,  Day Habilitation Bulletin 25: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 28.7 KB)
Open PDF file, 131.38 KB,  Day Habilitation Bulletin 24: One-time Supplemental Payment for Eligible Day Habilitation (DH) Providers to Address Decreased On-site Attendance During the COVID-19 Omicron Variant Surge (English, PDF 131.38 KB)
Open DOCX file, 30.33 KB,  Day Habilitation Bulletin 24: One-time Supplemental Payment for Eligible Day Habilitation (DH) Providers to Address Decreased On-site Attendance During the COVID-19 Omicron Variant Surge (English, DOCX 30.33 KB)
Open PDF file, 141.26 KB,  Durable Medical Equipment 30/Oxygen and Respiratory Therapy Bulletin 24: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 141.26 KB)
Open DOCX file, 29.03 KB,  Durable Medical Equipment 30/Oxygen and Respiratory Therapy Bulletin 24: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 29.03 KB)
Open PDF file, 135.77 KB,  HCBS Waiver Provider Bulletin 19: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 135.77 KB)
Open DOCX file, 28.35 KB,  HCBS Waiver Provider Bulletin 19: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 28.35 KB)
Open PDF file, 169.9 KB,  HCBS Waiver Provider Bulletin 18: Deadline for Vaccine Requirement for Home Care Workers Extended to March 21, 2022 (English, PDF 169.9 KB)
Open DOCX file, 32.13 KB,  HCBS Waiver Provider Bulletin 18: Deadline for Vaccine Requirement for Home Care Workers Extended to March 21, 2022 (English, DOCX 32.13 KB)
Open PDF file, 137.34 KB,  Home Health Agency Bulletin 76: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 137.34 KB)
Open DOCX file, 28.7 KB,  Home Health Agency Bulletin 76: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 28.7 KB)
Open PDF file, 152.98 KB,  Home Health Agency Bulletin 75: Deadline for Vaccine Requirement for Home Care Workers Extended to March 21, 2022 (English, PDF 152.98 KB)
Open DOCX file, 30.87 KB,  Home Health Agency Bulletin 75: Deadline for Vaccine Requirement for Home Care Workers Extended to March 21, 2022 (English, DOCX 30.87 KB)
Open PDF file, 214.29 KB,  Home Health Agency Bulletin 74: Revised MassHealth Telehealth Policy for Home Health Services and Telehealth Documentation Requirement (English, PDF 214.29 KB)
Open DOCX file, 32.49 KB,  Home Health Agency Bulletin 74: Revised MassHealth Telehealth Policy for Home Health Services and Telehealth Documentation Requirement (English, DOCX 32.49 KB)
Open PDF file, 149.15 KB,  Independent Nurse Bulletin 9: Deadline for Vaccine Requirement for Home Care Workers under a State Contract Extended to March 21, 2022 (English, PDF 149.15 KB)
Open DOCX file, 30.27 KB,  Independent Nurse Bulletin 9: Deadline for Vaccine Requirement for Home Care Workers under a State Contract Extended to March 21, 2022 (English, DOCX 30.27 KB)
Open PDF file, 167.66 KB,  Managed Care Entity Bulletin 85: Coverage of Pediatric Enteral Special Formula and Thickening Agents as a Pharmacy Benefit (English, PDF 167.66 KB)
Open DOCX file, 31.49 KB,  Managed Care Entity Bulletin 85: Coverage of Pediatric Enteral Special Formula and Thickening Agents as a Pharmacy Benefit (English, DOCX 31.49 KB)
Open PDF file, 277.99 KB,  Managed Care Entity Bulletin 84: Payment, Coverage, and Reporting Requirements related to Community Health Centers (English, PDF 277.99 KB)
Open DOCX file, 34.65 KB,  Managed Care Entity Bulletin 84: Payment, Coverage, and Reporting Requirements related to Community Health Centers (English, DOCX 34.65 KB)
Open PDF file, 295.89 KB,  Managed Care Entity Bulletin 83: Provides rate increase guidance to specific MCEs for COVID-19 positive members, covering behavioral health services, and to temporarily suspend concurrent review for CCS services (English, PDF 295.89 KB)
Open DOCX file, 61.77 KB,  Managed Care Entity Bulletin 83: Provides rate increase guidance to specific MCEs for COVID-19 positive members, covering behavioral health services, and to temporarily suspend concurrent review for CCS services (English, DOCX 61.77 KB)
Open PDF file, 215.5 KB,  Managed Care Entity Bulletin 82: Updates to the MassHealth Peer Recovery Coach Benefit (English, PDF 215.5 KB)
Open DOCX file, 36.7 KB,  Managed Care Entity Bulletin 82: Updates to the MassHealth Peer Recovery Coach Benefit (English, DOCX 36.7 KB)
Open PDF file, 134.67 KB,  Personal Care Attendant Bulletin 12: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 134.67 KB)
Open DOCX file, 28.9 KB,  Personal Care Attendant Bulletin 12: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 28.9 KB)

February

Open PDF file, 144.3 KB,  Acute Inpatient Hospital Bulletin 188: Temporary Modification of Certain Utilization Management Functions in Response to the COVID-19 Pandemic (English, PDF 144.3 KB)
Open DOCX file, 34.06 KB,  Acute Inpatient Hospital Bulletin 188: Temporary Modification of Certain Utilization Management Functions in Response to the COVID-19 Pandemic (English, DOCX 34.06 KB)
Open PDF file, 458.47 KB,  All Provider Bulletin 339: Upcoming Changes to MassHealth Nonemergency Wheelchair Van Transportation Services (English, PDF 458.47 KB)
Open DOCX file, 36.9 KB,  All Provider Bulletin 339: Upcoming Changes to MassHealth Nonemergency Wheelchair Van Transportation Services (English, DOCX 36.9 KB)
Open PDF file, 141.59 KB,  All Provider Bulletin 338: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Treatment Counseling and Vaccines (English, PDF 141.59 KB)
Open DOCX file, 30.94 KB,  All Provider Bulletin 338: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Treatment Counseling and Vaccines (English, DOCX 30.94 KB)
Open PDF file, 185.9 KB,  Continuous Skilled Nursing Agency Bulletin 3: Requirements for Continuous Skilled Nursing Rate Amendments Effective for Dates of Service on or after January 1, 2022 (English, PDF 185.9 KB)
Open DOCX file, 42.89 KB,  Continuous Skilled Nursing Agency Bulletin 3: Requirements for Continuous Skilled Nursing Rate Amendments Effective for Dates of Service on or after January 1, 2022 (English, DOCX 42.89 KB)
Open PDF file, 165.61 KB,  Continuous Skilled Nursing Agency Bulletin 2: Vaccine Requirement for Home Care Workers (English, PDF 165.61 KB)
Open DOCX file, 36.37 KB,  Continuous Skilled Nursing Agency Bulletin 2: Vaccine Requirement for Home Care Workers (English, DOCX 36.37 KB)
Open PDF file, 246.29 KB,  HCBS Waiver Provider Bulletin 17: Updated COVID-19 Vaccine Requirements for Home Care Agency Workers (English, PDF 246.29 KB)
Open DOCX file, 45.27 KB,  HCBS Waiver Provider Bulletin 17: Updated COVID-19 Vaccine Requirements for Home Care Agency Workers (English, DOCX 45.27 KB)
Open PDF file, 188.12 KB,  Home Health Agency Bulletin 73: Requirements for Continuous Skilled Nursing Rate Amendments Effective for Dates of Service on or after January 1, 2022 (English, PDF 188.12 KB)
Open DOCX file, 42.77 KB,  Home Health Agency Bulletin 73: Requirements for Continuous Skilled Nursing Rate Amendments Effective for Dates of Service on or after January 1, 2022 (English, DOCX 42.77 KB)
Open PDF file, 163.74 KB,  Home Health Agency Bulletin 72: Vaccine Requirement for Home Care Workers (English, PDF 163.74 KB)
Open DOCX file, 43.71 KB,  Home Health Agency Bulletin 72: Vaccine Requirement for Home Care Workers (English, DOCX 43.71 KB)
Open PDF file, 201.71 KB,  Hospice Bulletin 24: Submission of the MassHealth Hospice Election Form through the LTSS Provider Portal—Updated (English, PDF 201.71 KB)
Open DOCX file, 36.39 KB,  Hospice Bulletin 24: Submission of the MassHealth Hospice Election Form through the LTSS Provider Portal—Updated (English, DOCX 36.39 KB)
Open PDF file, 159.21 KB,  Hospice Bulletin 23: Updated COVID-19 Vaccine Requirement for Hospice Programs (English, PDF 159.21 KB)
Open DOCX file, 43.52 KB,  Hospice Bulletin 23: Updated COVID-19 Vaccine Requirement for Hospice Programs (English, DOCX 43.52 KB)
Open PDF file, 121.08 KB,  Independent Nurse Bulletin 8: Criminal Offender Record Information (CORI) Requirement Changes for Independent Nurse Providers (English, PDF 121.08 KB)
Open DOCX file, 35.96 KB,  Independent Nurse Bulletin 8: Criminal Offender Record Information (CORI) Requirement Changes for Independent Nurse Providers (English, DOCX 35.96 KB)
Open PDF file, 182.69 KB,  Independent Nurse Bulletin 7: Vaccine Requirement for Home Care Workers under a State Contract (English, PDF 182.69 KB)
Open DOCX file, 44.71 KB,  Independent Nurse Bulletin 7: Vaccine Requirement for Home Care Workers under a State Contract (English, DOCX 44.71 KB)

January

Open PDF file, 152.66 KB,  Adult Day Health Bulletin 30: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 152.66 KB)
Open DOCX file, 36.9 KB,  Adult Day Health Bulletin 30: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 36.9 KB)
Open PDF file, 138.77 KB,  Adult Day Health Bulletin 29: COVID-19 Guidance and Requirements for Adult Day Health Programs throughout the Remainder of the Federal Public Health Emergency (English, PDF 138.77 KB)
Open DOCX file, 35.39 KB,  Adult Day Health Bulletin 29: COVID-19 Guidance and Requirements for Adult Day Health Programs throughout the Remainder of the Federal Public Health Emergency (English, DOCX 35.39 KB)
Open PDF file, 162.88 KB,  Adult Day Health Bulletin 28: Continuation of Hybrid Service Delivery for Adult Day Health Providers throughout the Remainder of the Federal Public Health Emergency (English, PDF 162.88 KB)
Open DOCX file, 34.97 KB,  Adult Day Health Bulletin 28: Continuation of Hybrid Service Delivery for Adult Day Health Providers throughout the Remainder of the Federal Public Health Emergency (English, DOCX 34.97 KB)
Open PDF file, 153.64 KB,  Adult Foster Care Bulletin 22: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 153.64 KB)
Open DOCX file, 37.68 KB,  Adult Foster Care Bulletin 22: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 37.68 KB)
Open PDF file, 66.89 KB,  All Provider Bulletin 337: MassHealth Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, PDF 66.89 KB)
Open DOCX file, 38.87 KB,  All Provider Bulletin 337: MassHealth Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, DOCX 38.87 KB)
Open PDF file, 148.96 KB,  Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 97: Family Assistance Coverage Expansion for MassHealth Chronic Disease and Rehabilitation Hospitals – Updated (English, PDF 148.96 KB)
Open DOCX file, 35.8 KB,  Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 97: Family Assistance Coverage Expansion for MassHealth Chronic Disease and Rehabilitation Hospitals – Updated (English, DOCX 35.8 KB)
Open PDF file, 184.5 KB,  Continuous Skilled Nursing Agency Bulletin 1: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 184.5 KB)
Open DOCX file, 43.19 KB,  Continuous Skilled Nursing Agency Bulletin 1: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 43.19 KB)
Open PDF file, 157.71 KB,  Day Habilitation Bulletin 23: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 157.71 KB)
Open DOCX file, 37.07 KB,  Day Habilitation Bulletin 23: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 37.07 KB)
Open PDF file, 145.51 KB,  Day Habilitation Program Bulletin 22: COVID-19 Guidance and Requirements for Day Habilitation Programs throughout the Remainder of the Federal Public Health Emergency (English, PDF 145.51 KB)
Open DOCX file, 34.5 KB,  Day Habilitation Program Bulletin 22: COVID-19 Guidance and Requirements for Day Habilitation Programs throughout the Remainder of the Federal Public Health Emergency (English, DOCX 34.5 KB)
Open PDF file, 198.07 KB,  Day Habilitation Program Bulletin 21: Continuation of Hybrid Service Delivery for Day Habilitation Providers throughout the Remainder of the Federal Public Health Emergency (English, PDF 198.07 KB)
Open DOCX file, 36.93 KB,  Day Habilitation Program Bulletin 21: Continuation of Hybrid Service Delivery for Day Habilitation Providers throughout the Remainder of the Federal Public Health Emergency (English, DOCX 36.93 KB)
Open PDF file, 150.65 KB,  Durable Medical Equipment 29/Oxygen and Respiratory Therapy Bulletin 23: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 150.65 KB)
Open DOCX file, 36.17 KB,  Durable Medical Equipment 29/Oxygen and Respiratory Therapy Bulletin 23: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 36.17 KB)
Open PDF file, 312.54 KB,  HCBS Waiver Provider Bulletin 16: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 312.54 KB)
Open DOCX file, 59.23 KB,  HCBS Waiver Provider Bulletin 16: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 59.23 KB)
Open PDF file, 182.05 KB,  Home Health Agency Bulletin 71: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 182.05 KB)
Open DOCX file, 41.6 KB,  Home Health Agency Bulletin 71: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 41.6 KB)
Open PDF file, 174.81 KB,  Independent Nurse Bulletin 6: Extension of Rate Increases for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 174.81 KB)
Open DOCX file, 40.72 KB,  Independent Nurse Bulletin 6: Extension of Rate Increases for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 40.72 KB)
Open PDF file, 148.32 KB,  Managed Care Entity Bulletin 81: Policy Updates to Improve the PACE Enrollment Process (English, PDF 148.32 KB)
Open DOCX file, 41 KB,  Managed Care Entity Bulletin 81: Policy Updates to Improve the PACE Enrollment Process (English, DOCX 41 KB)
Open PDF file, 98.51 KB,  Managed Care Entity Bulletin 80: Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, PDF 98.51 KB)
Open DOCX file, 38.72 KB,  Managed Care Entity Bulletin 80: Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, DOCX 38.72 KB)
Open PDF file, 152.64 KB,  Nursing Facility Bulletin 174: Family Assistance Coverage Expansion for Nursing Facility Services – Updated (English, PDF 152.64 KB)
Open DOCX file, 33.29 KB,  Nursing Facility Bulletin 174: Family Assistance Coverage Expansion for Nursing Facility Services – Updated (English, DOCX 33.29 KB)
Open PDF file, 149.32 KB,  Personal Care Attendant Program Bulletin 11: Extension of Rate Increase and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (English, PDF 149.32 KB)
Open DOCX file, 37.54 KB,  Personal Care Attendant Program Bulletin 11: Extension of Rate Increase and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (English, DOCX 37.54 KB)

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