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2025 MassHealth provider bulletins

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December

Open PDF file, 176.79 KB,  Therapist Bulletin 19: Payment for Services Provided by a Speech-Language Pathologist Provisional Licensee (SLP-PL) (English, PDF 176.79 KB)
Open DOCX file, 134 KB,  Therapist Bulletin 19: Payment for Services Provided by a Speech-Language Pathologist Provisional Licensee (SLP-PL) (English, DOCX 134 KB)

November

Open PDF file, 151.49 KB,  Acute Outpatient Hospital Bulletin 44: Prior Authorization Requirements for Hospital Outpatient Drugs (English, PDF 151.49 KB)
Open DOCX file, 131.6 KB,  Acute Outpatient Hospital Bulletin 44: Prior Authorization Requirements for Hospital Outpatient Drugs (English, DOCX 131.6 KB)
Open PDF file, 156.21 KB,  All Provider Bulletin 413: Interoperability - Prior Authorization Process Changes for the MassHealth Medical Benefit (English, PDF 156.21 KB)
Open DOCX file, 124.06 KB,  All Provider Bulletin 413: Interoperability - Prior Authorization Process Changes for the MassHealth Medical Benefit (English, DOCX 124.06 KB)
Open PDF file, 205.46 KB,  All Provider Bulletin 412: Changes in Exclusion of Designated 340B Drugs for MassHealth Coverage (English, PDF 205.46 KB)
Open DOCX file, 123.51 KB,  All Provider Bulletin 412: Changes in Exclusion of Designated 340B Drugs for MassHealth Coverage (English, DOCX 123.51 KB)
Open PDF file, 159.85 KB,  Continuous Skilled Nursing Agency Bulletin 24: Prohibited Contracts or Agreements with Medicaid Members Receiving Continuous Skilled Nursing Services (English, PDF 159.85 KB)
Open DOCX file, 123.03 KB,  Continuous Skilled Nursing Agency Bulletin 24: Prohibited Contracts or Agreements with Medicaid Members Receiving Continuous Skilled Nursing Services (English, DOCX 123.03 KB)
Open PDF file, 223.63 KB,  Managed Care Entity Bulletin 142: Youth Withdrawal Management within Inpatient Psychiatric Unit (English, PDF 223.63 KB)
Open DOCX file, 130.65 KB,  Managed Care Entity Bulletin 142: Youth Withdrawal Management within Inpatient Psychiatric Unit (English, DOCX 130.65 KB)
Open PDF file, 159.64 KB,  Managed Care Entity Bulletin 141: Prior Authorization Requirements for Hospital Outpatient Drugs (English, PDF 159.64 KB)
Open DOCX file, 155.93 KB,  Managed Care Entity Bulletin 141: Prior Authorization Requirements for Hospital Outpatient Drugs (English, DOCX 155.93 KB)
Open PDF file, 199.68 KB,  Managed Care Entity Bulletin 140: Updates to T1015-TH Modifier Use (English, PDF 199.68 KB)
Open DOCX file, 122.86 KB,  Managed Care Entity Bulletin 140: Updates to T1015-TH Modifier Use (English, DOCX 122.86 KB)
Open PDF file, 210.72 KB,  Nursing Facility Bulletin 195: Specialized Ventilator-Dependent Service Programs and Add-ons (English, PDF 210.72 KB)
Open DOCX file, 138.48 KB,  Nursing Facility Bulletin 195: Specialized Ventilator-Dependent Service Programs and Add-ons (English, DOCX 138.48 KB)

October

Open PDF file, 129.55 KB,  Acute Inpatient Hospital Bulletin 205: MassHealth Coverage of Donor Human Milk and Human-Milk-Derived Products (English, PDF 129.55 KB)
Open DOCX file, 122.25 KB,  Acute Inpatient Hospital Bulletin 205: MassHealth Coverage of Donor Human Milk and Human-Milk-Derived Products (English, DOCX 122.25 KB)
Open PDF file, 154.81 KB,  All Provider Bulletin 411: Documentation Required for Review of Unlisted CPT Codes (English, PDF 154.81 KB)
Open DOCX file, 145.89 KB,  All Provider Bulletin 411: Documentation Required for Review of Unlisted CPT Codes (English, DOCX 145.89 KB)
Open PDF file, 212.16 KB,  All Provider Bulletin 410: Changes to MassHealth’s Accountable Care Organizations on January 1, 2026 (English, PDF 212.16 KB)
Open DOCX file, 136.36 KB,  All Provider Bulletin 410: Changes to MassHealth’s Accountable Care Organizations on January 1, 2026 (English, DOCX 136.36 KB)
Open PDF file, 156.9 KB,  All Provider Bulletin 409: Update to Certain Exceptions to Referral Requirements for Services through the Primary Care Clinician Plan and Primary Care Accountable Care Organizations (English, PDF 156.9 KB)
Open DOCX file, 122.82 KB,  All Provider Bulletin 409: Update to Certain Exceptions to Referral Requirements for Services through the Primary Care Clinician Plan and Primary Care Accountable Care Organizations (English, DOCX 122.82 KB)
Open PDF file, 183.75 KB,  Licensed Independent Behavioral Health Clinicians Bulletin 1: Updated guidance related to 130 CMR 462.000: Licensed Independent Behavioral Health Clinician Services (English, PDF 183.75 KB)
Open DOCX file, 120.09 KB,  Licensed Independent Behavioral Health Clinicians Bulletin 1: Updated guidance related to 130 CMR 462.000: Licensed Independent Behavioral Health Clinician Services (English, DOCX 120.09 KB)
Open PDF file, 172.25 KB,  Long-Term-Care Facility Bulletin 118: Annual Review of Personal Needs Allowance Account (English, PDF 172.25 KB)
Open DOCX file, 148.71 KB,  Long-Term-Care Facility Bulletin 118: Annual Review of Personal Needs Allowance Account (English, DOCX 148.71 KB)
Open PDF file, 181.04 KB,  Psychologist Services Bulletin 8: Updated guidance related to 130 CMR 411.000: Psychologist Services (English, PDF 181.04 KB)
Open DOCX file, 120.9 KB,  Psychologist Services Bulletin 8: Updated guidance related to 130 CMR 411.000: Psychologist Services (English, DOCX 120.9 KB)

September

Open PDF file, 118.33 KB,  Adult Day Health Bulletin 40: Reminder and Clarification on Requirements for Adult Day Health Transportation (English, PDF 118.33 KB)
Open DOCX file, 123.89 KB,  Adult Day Health Bulletin 40: Reminder and Clarification on Requirements for Adult Day Health Transportation (English, DOCX 123.89 KB)
Open PDF file, 269.38 KB,  All Provider Bulletin 408: Annual Behavioral Health Wellness Examinations (English, PDF 269.38 KB)
Open DOCX file, 132.32 KB,  All Provider Bulletin 408: Annual Behavioral Health Wellness Examinations (English, DOCX 132.32 KB)
Open PDF file, 204.31 KB,  All Provider Bulletin 407: Changes in Exclusion of Designated 340B Drugs from MassHealth Coverage (English, PDF 204.31 KB)
Open DOCX file, 122.53 KB,  All Provider Bulletin 407: Changes in Exclusion of Designated 340B Drugs from MassHealth Coverage (English, DOCX 122.53 KB)
Open PDF file, 179.08 KB,  Managed Care Entity Bulletin 139: Coverage of COVID-19 Vaccines (English, PDF 179.08 KB)
Open DOCX file, 121.51 KB,  Managed Care Entity Bulletin 139: Coverage of COVID-19 Vaccines (English, DOCX 121.51 KB)
Open PDF file, 194.56 KB,  Managed Care Entity Bulletin 138: Family-based Intensive Treatment within Community Service Agencies (English, PDF 194.56 KB)
Open DOCX file, 122.02 KB,  Managed Care Entity Bulletin 138: Family-based Intensive Treatment within Community Service Agencies (English, DOCX 122.02 KB)
Open PDF file, 184.1 KB,  Managed Care Entity Bulletin 137: Electronic Visit Verification Requirements for Managed Care Entities (English, PDF 184.1 KB)
Open DOCX file, 128.61 KB,  Managed Care Entity Bulletin 137: Electronic Visit Verification Requirements for Managed Care Entities (English, DOCX 128.61 KB)
Open PDF file, 179.51 KB,  Managed Care Entity Bulletin 136: Annual Behavioral Health Wellness Examinations (English, PDF 179.51 KB)
Open DOCX file, 119.09 KB,  Managed Care Entity Bulletin 136: Annual Behavioral Health Wellness Examinations (English, DOCX 119.09 KB)
Open PDF file, 375.06 KB,  Managed Care Entity Bulletin 135: Mental Health Center Policy Updates (English, PDF 375.06 KB)
Open DOCX file, 155.38 KB,  Managed Care Entity Bulletin 135: Mental Health Center Policy Updates (English, DOCX 155.38 KB)
Open PDF file, 201.82 KB,  Managed Care Entity Bulletin 134: Coverage of Peer Recovery Coach for Pregnant and Postpartum Members and Recovery Support Navigator for Pregnant and Postpartum Members (English, PDF 201.82 KB)
Open DOCX file, 130.56 KB,  Managed Care Entity Bulletin 134: Coverage of Peer Recovery Coach for Pregnant and Postpartum Members and Recovery Support Navigator for Pregnant and Postpartum Members (English, DOCX 130.56 KB)
Open PDF file, 186.45 KB,  Managed Care Entity Bulletin 133: Additional Details About the MassHealth Standardized Encounter Data Program (SENDPro) Project (English, PDF 186.45 KB)
Open DOCX file, 172.34 KB,  Managed Care Entity Bulletin 133: Additional Details About the MassHealth Standardized Encounter Data Program (SENDPro) Project (English, DOCX 172.34 KB)
Open PDF file, 246.61 KB,  Managed Care Entity Bulletin 132: Changes in Exclusion of Designated 340B Drugs from MassHealth Coverage (English, PDF 246.61 KB)
Open DOCX file, 121.55 KB,  Managed Care Entity Bulletin 132: Changes in Exclusion of Designated 340B Drugs from MassHealth Coverage (English, DOCX 121.55 KB)

August

Open PDF file, 156.32 KB,  Adult Foster Care Bulletin 34: Updated Guidance Related to Adult Foster Care and Group Adult Foster Care Admission and Monthly Visit Requirements (English, PDF 156.32 KB)
Open DOCX file, 127.35 KB,  Adult Foster Care Bulletin 34: Updated Guidance Related to Adult Foster Care and Group Adult Foster Care Admission and Monthly Visit Requirements (English, DOCX 127.35 KB)
Open PDF file, 150.35 KB,  All Provider Bulletin 406: Update to Certain Exceptions to Services that Require Referrals in the Primary Care Clinician Plan and Primary Care ACOs (English, PDF 150.35 KB)
Open DOCX file, 128.71 KB,  All Provider Bulletin 406: Update to Certain Exceptions to Services that Require Referrals in the Primary Care Clinician Plan and Primary Care ACOs (English, DOCX 128.71 KB)
Open PDF file, 200.04 KB,  All Provider Bulletin 405: Perinatal Depression Screening and Depression Screening for Infant Caregivers (English, PDF 200.04 KB)
Open DOCX file, 133.76 KB,  All Provider Bulletin 405: Perinatal Depression Screening and Depression Screening for Infant Caregivers (English, DOCX 133.76 KB)
Open PDF file, 164.81 KB,  Durable Medical Equipment Bulletin 40: Reporting Requirements for All Providers Using Assistive Technology Professionals and Filing Claims for Corrective Mobility System Repairs (English, PDF 164.81 KB)
Open DOCX file, 139.31 KB,  Durable Medical Equipment Bulletin 40: Reporting Requirements for All Providers Using Assistive Technology Professionals and Filing Claims for Corrective Mobility System Repairs (English, DOCX 139.31 KB)

July

Open PDF file, 168.83 KB,  Acute Outpatient Hospital Bulletin 43: Hearing Aid History Search in Provider Online Service Center - Reminder (English, PDF 168.83 KB)
Open DOCX file, 121.53 KB,  Acute Outpatient Hospital Bulletin 43: Hearing Aid History Search in Provider Online Service Center - Reminder (English, DOCX 121.53 KB)
Open PDF file, 139.83 KB,  Adult Day Health Bulletin 39: Cessation/Discontinuation of Adult Day Health Admission and Re-engagement Services (English, PDF 139.83 KB)
Open DOCX file, 120.94 KB,  Adult Day Health Bulletin 39: Cessation/Discontinuation of Adult Day Health Admission and Re-engagement Services (English, DOCX 120.94 KB)
Open PDF file, 191.24 KB,  All Provider Bulletin 404: Administrative and Billing Regulations – Reinforcing Sanctioning Process for ”Past Due” Cost Reports (English, PDF 191.24 KB)
Open DOCX file, 131.19 KB,  All Provider Bulletin 404: Administrative and Billing Regulations – Reinforcing Sanctioning Process for ”Past Due” Cost Reports (English, DOCX 131.19 KB)
Open PDF file, 167.01 KB,  Audiologist Bulletin 7: Hearing Aid History Search in Provider Online Service Center - Reminder (English, PDF 167.01 KB)
Open DOCX file, 121.26 KB,  Audiologist Bulletin 7: Hearing Aid History Search in Provider Online Service Center - Reminder (English, DOCX 121.26 KB)
Open PDF file, 147.42 KB,  HCBS Waiver Provider Bulletin 24: Electronic Visit Verification Registration and Compliance for Certain Waiver Services (English, PDF 147.42 KB)
Open DOCX file, 124.76 KB,  HCBS Waiver Provider Bulletin 24: Electronic Visit Verification Registration and Compliance for Certain Waiver Services (English, DOCX 124.76 KB)
Open PDF file, 167.26 KB,  Hearing Instrument Specialist Bulletin 14: Hearing Aid History Search in Provider Online Service Center - Reminder (English, PDF 167.26 KB)
Open DOCX file, 121.69 KB,  Hearing Instrument Specialist Bulletin 14: Hearing Aid History Search in Provider Online Service Center - Reminder (English, DOCX 121.69 KB)
Open PDF file, 123.93 KB,  Independent Nurse Bulletin 21: New Independent Nurse Provider Orientation and Training Requirement (English, PDF 123.93 KB)
Open DOCX file, 122.9 KB,  Independent Nurse Bulletin 21: New Independent Nurse Provider Orientation and Training Requirement (English, DOCX 122.9 KB)
Open PDF file, 170.42 KB,  Managed Care Entity Bulletin 131: SCO Medicaid Only Transition to MassHealth Fee-for-Service (FFS) (English, PDF 170.42 KB)
Open DOCX file, 120.52 KB,  Managed Care Entity Bulletin 131: SCO Medicaid Only Transition to MassHealth Fee-for-Service (FFS) (English, DOCX 120.52 KB)
Open PDF file, 203.8 KB,  Managed Care Entity Bulletin 130: Clarification on Payment for Psychiatric Inpatient Hospital Stays and Use of Administratively Necessary Days (English, PDF 203.8 KB)
Open DOCX file, 124.47 KB,  Managed Care Entity Bulletin 130: Clarification on Payment for Psychiatric Inpatient Hospital Stays and Use of Administratively Necessary Days (English, DOCX 124.47 KB)
Open PDF file, 321.96 KB,  Nursing Facility Bulletin 194: Additional Updates to Transition to CMS OBRA MDS 3.0 Assessments for Nursing Facility Fee-for-Service Payments (English, PDF 321.96 KB)
Open DOCX file, 142.16 KB,  Nursing Facility Bulletin 194: Additional Updates to Transition to CMS OBRA MDS 3.0 Assessments for Nursing Facility Fee-for-Service Payments (English, DOCX 142.16 KB)

June

Open PDF file, 242.77 KB,  Acute Inpatient Hospital Bulletin 204: Discharge Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports (English, PDF 242.77 KB)
Open DOCX file, 153.75 KB,  Acute Inpatient Hospital Bulletin 204: Discharge Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports (English, DOCX 153.75 KB)
Open PDF file, 132.33 KB,  Acute Inpatient Hospital Bulletin 203: Correction of Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, PDF 132.33 KB)
Open DOCX file, 123.66 KB,  Acute Inpatient Hospital Bulletin 203: Correction of Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, DOCX 123.66 KB)
Open PDF file, 151.63 KB,  Acute Outpatient Hospital Bulletin 42: Correction of Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, PDF 151.63 KB)
Open DOCX file, 123.7 KB,  Acute Outpatient Hospital Bulletin 42: Correction of Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, DOCX 123.7 KB)
Open PDF file, 227.01 KB,  Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 104: Discharge and Transition Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports (English, PDF 227.01 KB)
Open DOCX file, 142.94 KB,  Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 104: Discharge and Transition Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports (English, DOCX 142.94 KB)
Open PDF file, 234.04 KB,  Nursing Facility Bulletin 193: Discharge and Transition Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports (English, PDF 234.04 KB)
Open DOCX file, 144.4 KB,  Nursing Facility Bulletin 193: Discharge and Transition Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports (English, DOCX 144.4 KB)
Open PDF file, 154.48 KB,  Personal Care Attendant Bulletin 17: Primary Care Provider Summary Form Requirement for Personal Care Attendant Complex Care (English, PDF 154.48 KB)
Open DOCX file, 124.62 KB,  Personal Care Attendant Bulletin 17: Primary Care Provider Summary Form Requirement for Personal Care Attendant Complex Care (English, DOCX 124.62 KB)
Open PDF file, 225.09 KB,  Psychiatric Inpatient Hospital Bulletin 28: Discharge Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports (English, PDF 225.09 KB)
Open DOCX file, 141.96 KB,  Psychiatric Inpatient Hospital Bulletin 28: Discharge Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports (English, DOCX 141.96 KB)

May

Open PDF file, 337.94 KB,  Acute Inpatient Hospital Bulletin 202: Greenhouse Gas Emissions Reporting Requirements (English, PDF 337.94 KB)
Open DOCX file, 143.78 KB,  Acute Inpatient Hospital Bulletin 202: Greenhouse Gas Emissions Reporting Requirements (English, DOCX 143.78 KB)
Open PDF file, 148.6 KB,  Adult Foster Care Bulletin 33: Electronic Visit Verification Registration and Compliance for Group Adult Foster Care Services (English, PDF 148.6 KB)
Open DOCX file, 124.26 KB,  Adult Foster Care Bulletin 33: Electronic Visit Verification Registration and Compliance for Group Adult Foster Care Services (English, DOCX 124.26 KB)
Open PDF file, 176.58 KB,  All Provider Bulletin 403: Ending the Suspension of Primary Care Clinician Plan & Primary Care ACO Referrals and Updating Referral Requirements for Urgent Care Services (English, PDF 176.58 KB)
Open DOCX file, 121.29 KB,  All Provider Bulletin 403: Ending the Suspension of Primary Care Clinician Plan & Primary Care ACO Referrals and Updating Referral Requirements for Urgent Care Services (English, DOCX 121.29 KB)
Open PDF file, 149.55 KB,  Home Health Agency Bulletin 94: Electronic Visit Verification Registration and Compliance for Home Health Agency Services (English, PDF 149.55 KB)
Open DOCX file, 124.15 KB,  Home Health Agency Bulletin 94: Electronic Visit Verification Registration and Compliance for Home Health Agency Services (English, DOCX 124.15 KB)
Open PDF file, 125.06 KB,  Indian Health Services Provider Bulletin 2: Billing for Pharmacy Services Rendered by Indian Health Services Facilities (English, PDF 125.06 KB)
Open DOCX file, 125.44 KB,  Indian Health Services Provider Bulletin 2: Billing for Pharmacy Services Rendered by Indian Health Services Facilities (English, DOCX 125.44 KB)
Open PDF file, 139.87 KB,  Managed Care Entity Bulletin 129: Important Information About the MassHealth Standardized Encounter Data Program (SENDPro) Project (English, PDF 139.87 KB)
Open DOCX file, 114.28 KB,  Managed Care Entity Bulletin 129: Important Information About the MassHealth Standardized Encounter Data Program (SENDPro) Project (English, DOCX 114.28 KB)
Open PDF file, 228.55 KB,  Managed Care Entity Bulletin 128: Ending the Suspension of Referrals and Updating Referral Requirements for Urgent Care Services (English, PDF 228.55 KB)
Open DOCX file, 121.69 KB,  Managed Care Entity Bulletin 128: Ending the Suspension of Referrals and Updating Referral Requirements for Urgent Care Services (English, DOCX 121.69 KB)

April

Open PDF file, 142.31 KB,  All Provider Bulletin 402: Third-Party Liability Billing Requirements for Health Reimbursement Arrangements and Similar Instruments (English, PDF 142.31 KB)
Open DOCX file, 121.67 KB,  All Provider Bulletin 402: Third-Party Liability Billing Requirements for Health Reimbursement Arrangements and Similar Instruments (English, DOCX 121.67 KB)
Open PDF file, 196.57 KB,  Nursing Facility Bulletin 192: Update to Requirement for Appropriate Agreements between High-SUD Nursing Facilities and Opioid Treatment Programs (English, PDF 196.57 KB)
Open DOCX file, 130.87 KB,  Nursing Facility Bulletin 192: Update to Requirement for Appropriate Agreements between High-SUD Nursing Facilities and Opioid Treatment Programs (English, DOCX 130.87 KB)

March

Open PDF file, 130.64 KB,  Acute Inpatient Hospital Bulletin 201: Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, PDF 130.64 KB)
Open DOCX file, 122.83 KB,  Acute Inpatient Hospital Bulletin 201: Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, DOCX 122.83 KB)
Open PDF file, 180.76 KB,  Acute Inpatient Hospital Bulletin 200: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 180.76 KB)
Open DOCX file, 122.74 KB,  Acute Inpatient Hospital Bulletin 200: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 122.74 KB)
Open PDF file, 184.45 KB,  Acute Inpatient Hospital Bulletin 199: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 184.45 KB)
Open DOCX file, 122.5 KB,  Acute Inpatient Hospital Bulletin 199: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 122.5 KB)
Open PDF file, 130.95 KB,  Acute Outpatient Hospital Bulletin 41: Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, PDF 130.95 KB)
Open DOCX file, 122.39 KB,  Acute Outpatient Hospital Bulletin 41: Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, DOCX 122.39 KB)
Open PDF file, 180.65 KB,  Community Health Center Bulletin 124: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 180.65 KB)
Open DOCX file, 122.72 KB,  Community Health Center Bulletin 124: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 122.72 KB)
Open PDF file, 179.76 KB,  Community Health Center Bulletin 123: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 179.76 KB)
Open DOCX file, 122.35 KB,  Community Health Center Bulletin 123: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 122.35 KB)
Open PDF file, 111.02 KB,  Dental Bulletin 53: Dental Third-party Administrator Transition (English, PDF 111.02 KB)
Open DOCX file, 121.72 KB,  Dental Bulletin 53: Dental Third-party Administrator Transition (English, DOCX 121.72 KB)
Open PDF file, 203.06 KB,  Managed Care Entity Bulletin 127: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2026 (English, PDF 203.06 KB)
Open DOCX file, 125.26 KB,  Managed Care Entity Bulletin 127: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2026 (English, DOCX 125.26 KB)
Open PDF file, 245.5 KB,  Managed Care Entity Bulletin 126: Accountable Care Organizations—Primary Care Provider Additions and Removals Effective January 1, 2026 (English, PDF 245.5 KB)
Open DOCX file, 129.08 KB,  Managed Care Entity Bulletin 126: Accountable Care Organizations—Primary Care Provider Additions and Removals Effective January 1, 2026 (English, DOCX 129.08 KB)
Open PDF file, 161.01 KB,  Managed Care Entity Bulletin 125: Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, PDF 161.01 KB)
Open DOCX file, 123.67 KB,  Managed Care Entity Bulletin 125: Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, DOCX 123.67 KB)

February

Open PDF file, 169.87 KB,  All Provider Bulletin 401: Medicaid Management Information System and Provider Online Service Center Migration to Amazon Web Services (English, PDF 169.87 KB)
Open DOCX file, 126.51 KB,  All Provider Bulletin 401: Medicaid Management Information System and Provider Online Service Center Migration to Amazon Web Services (English, DOCX 126.51 KB)
Open PDF file, 170.98 KB,  All Provider Bulletin 400: Changes in Exclusion of Designated 340B Drugs for MassHealth Coverage (English, PDF 170.98 KB)
Open DOCX file, 158.23 KB,  All Provider Bulletin 400: Changes in Exclusion of Designated 340B Drugs for MassHealth Coverage (English, DOCX 158.23 KB)
Open PDF file, 122.66 KB,  Dental Bulletin 52: New Anticipated Start Date for New Dental Third-Party Administrator (English, PDF 122.66 KB)
Open DOCX file, 121.15 KB,  Dental Bulletin 52: New Anticipated Start Date for New Dental Third-Party Administrator (English, DOCX 121.15 KB)
Open PDF file, 103.99 KB,  Indian Health Services Provider Bulletin 1: Updates to MassHealth Indian Health Services Facilities Billing (English, PDF 103.99 KB)
Open DOCX file, 124.9 KB,  Indian Health Services Provider Bulletin 1: Updates to MassHealth Indian Health Services Facilities Billing (English, DOCX 124.9 KB)
Open PDF file, 204.82 KB,  Managed Care Entity Bulletin 124: Medicaid Management Information System and Provider Online Service Center Migration to Amazon Web Services (English, PDF 204.82 KB)
Open DOCX file, 127.59 KB,  Managed Care Entity Bulletin 124: Medicaid Management Information System and Provider Online Service Center Migration to Amazon Web Services (English, DOCX 127.59 KB)
Open PDF file, 426.85 KB,  Managed Care Entity Bulletin 123: Primary Care Sub-Capitation Tier Requirement Updates (English, PDF 426.85 KB)
Open DOCX file, 149.92 KB,  Managed Care Entity Bulletin 123: Primary Care Sub-Capitation Tier Requirement Updates (English, DOCX 149.92 KB)

January

Open PDF file, 235.35 KB,  All Provider Bulletin 399: New MassHealth Member Card (English, PDF 235.35 KB)
Open DOCX file, 308.78 KB,  All Provider Bulletin 399: New MassHealth Member Card (English, DOCX 308.78 KB)
Open PDF file, 143.79 KB,  Continuous Skilled Nursing Agency Bulletin 23: Revision to Continuous Skilled Nursing Agency Eligibility Requirements at 130 CMR 438.404(A) (English, PDF 143.79 KB)
Open DOCX file, 127.24 KB,  Continuous Skilled Nursing Agency Bulletin 23: Revision to Continuous Skilled Nursing Agency Eligibility Requirements at 130 CMR 438.404(A) (English, DOCX 127.24 KB)
Open PDF file, 122.41 KB,  Dental Bulletin 51: Delayed Start Date for New Dental Third-Party Administrator (English, PDF 122.41 KB)
Open DOCX file, 120.81 KB,  Dental Bulletin 51: Delayed Start Date for New Dental Third-Party Administrator (English, DOCX 120.81 KB)
Open PDF file, 172.98 KB,  Nursing Facility Bulletin 191: Additional member specific criterion required to bill for the Substance Use Disorder (SUD) Add-on (English, PDF 172.98 KB)
Open DOCX file, 123.26 KB,  Nursing Facility Bulletin 191: Additional member specific criterion required to bill for the Substance Use Disorder (SUD) Add-on (English, DOCX 123.26 KB)
Open PDF file, 231.61 KB,  Nursing Facility Bulletin 190: Updates to Transition to CMS OBRA MDS 3.0 Assessments for Nursing Facility Fee-for-Service Payments (English, PDF 231.61 KB)
Open DOCX file, 139.37 KB,  Nursing Facility Bulletin 190: Updates to Transition to CMS OBRA MDS 3.0 Assessments for Nursing Facility Fee-for-Service Payments (English, DOCX 139.37 KB)

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