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2025 MassHealth provider bulletins

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December

Acute Inpatient Hospital Bulletin 206: Coverage of and Reimbursement for Hospital at Home (HaH) Services, Open PDF file, 235.33 KB (English, PDF 235.33 KB)
Acute Inpatient Hospital Bulletin 206: Coverage of and Reimbursement for Hospital at Home (HaH) Services, Open DOCX file, 128.74 KB (English, DOCX 128.74 KB)
Adult Day Health Bulletin 41: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 198.69 KB (English, PDF 198.69 KB)
Adult Day Health Bulletin 41: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 123.1 KB (English, DOCX 123.1 KB)
Adult Foster Care Bulletin 35: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 176.33 KB (English, PDF 176.33 KB)
Adult Foster Care Bulletin 35: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 121.83 KB (English, DOCX 121.83 KB)
Community Health Center Bulletin 125: Preventive Behavioral Health Services for Members Younger than 21, Open PDF file, 156.23 KB (English, PDF 156.23 KB)
Community Health Center Bulletin 125: Preventive Behavioral Health Services for Members Younger than 21, Open DOCX file, 121.74 KB (English, DOCX 121.74 KB)
Continuous Skilled Nursing Agency Bulletin 25: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 175.97 KB (English, PDF 175.97 KB)
Continuous Skilled Nursing Agency Bulletin 25: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 121.94 KB (English, DOCX 121.94 KB)
Day Habilitation Bulletin 33: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 177.3 KB (English, PDF 177.3 KB)
Day Habilitation Bulletin 33: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 122.9 KB (English, DOCX 122.9 KB)
Dental Bulletin 54: Waiving Dental Prior Authorization for Enrollees Transitioning to Fee-for-Service, Open PDF file, 134.85 KB (English, PDF 134.85 KB)
Dental Bulletin 54: Waiving Dental Prior Authorization for Enrollees Transitioning to Fee-for-Service, Open DOCX file, 143.57 KB (English, DOCX 143.57 KB)
HCBS Waiver Provider Bulletin 26: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 173.07 KB (English, PDF 173.07 KB)
HCBS Waiver Provider Bulletin 26: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 121.74 KB (English, DOCX 121.74 KB)
HCBS Waiver Provider Bulletin 25: Waiver Participant Self-Direction: Program Rules for Providers, Open PDF file, 235.91 KB (English, PDF 235.91 KB)
HCBS Waiver Provider Bulletin 25: Waiver Participant Self-Direction: Program Rules for Providers, Open DOCX file, 147.88 KB (English, DOCX 147.88 KB)
Home Health Agency Bulletin 95: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 175.73 KB (English, PDF 175.73 KB)
Home Health Agency Bulletin 95: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 121.97 KB (English, DOCX 121.97 KB)
Hospice Bulletin 32: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 175.22 KB (English, PDF 175.22 KB)
Hospice Bulletin 32: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 121.94 KB (English, DOCX 121.94 KB)
Independent Nurse Bulletin 22: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 174.39 KB (English, PDF 174.39 KB)
Independent Nurse Bulletin 22: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 121.92 KB (English, DOCX 121.92 KB)
Managed Care Entity Bulletin 143: Preventive Behavioral Health Services for Members Younger than 21, Open PDF file, 182.82 KB (English, PDF 182.82 KB)
Managed Care Entity Bulletin 143: Preventive Behavioral Health Services for Members Younger than 21, Open DOCX file, 122.33 KB (English, DOCX 122.33 KB)
Personal Care Attendant Bulletin 18: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 175.28 KB (English, PDF 175.28 KB)
Personal Care Attendant Bulletin 18: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 121.98 KB (English, DOCX 121.98 KB)
Rehabilitation Center Bulletin 17: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 174.91 KB (English, PDF 174.91 KB)
Rehabilitation Center Bulletin 17: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 121.79 KB (English, DOCX 121.79 KB)
Speech and Hearing Center Bulletin 17: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 174.92 KB (English, PDF 174.92 KB)
Speech and Hearing Center Bulletin 17: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 122 KB (English, DOCX 122 KB)
Therapist Bulletin 20: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open PDF file, 176.31 KB (English, PDF 176.31 KB)
Therapist Bulletin 20: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days, Open DOCX file, 122.08 KB (English, DOCX 122.08 KB)
Therapist Bulletin 19: Payment for Services Provided by a Speech-Language Pathologist Provisional Licensee (SLP-PL), Open PDF file, 176.79 KB (English, PDF 176.79 KB)
Therapist Bulletin 19: Payment for Services Provided by a Speech-Language Pathologist Provisional Licensee (SLP-PL), Open DOCX file, 134 KB (English, DOCX 134 KB)

November

Acute Outpatient Hospital Bulletin 44: Prior Authorization Requirements for Hospital Outpatient Drugs, Open PDF file, 151.49 KB (English, PDF 151.49 KB)
Acute Outpatient Hospital Bulletin 44: Prior Authorization Requirements for Hospital Outpatient Drugs, Open DOCX file, 131.6 KB (English, DOCX 131.6 KB)
All Provider Bulletin 413: Interoperability - Prior Authorization Process Changes for the MassHealth Medical Benefit, Open PDF file, 156.21 KB (English, PDF 156.21 KB)
All Provider Bulletin 413: Interoperability - Prior Authorization Process Changes for the MassHealth Medical Benefit, Open DOCX file, 124.06 KB (English, DOCX 124.06 KB)
All Provider Bulletin 412: Changes in Exclusion of Designated 340B Drugs for MassHealth Coverage, Open PDF file, 205.46 KB (English, PDF 205.46 KB)
All Provider Bulletin 412: Changes in Exclusion of Designated 340B Drugs for MassHealth Coverage, Open DOCX file, 123.51 KB (English, DOCX 123.51 KB)
Continuous Skilled Nursing Agency Bulletin 24: Prohibited Contracts or Agreements with Medicaid Members Receiving Continuous Skilled Nursing Services, Open PDF file, 159.85 KB (English, PDF 159.85 KB)
Continuous Skilled Nursing Agency Bulletin 24: Prohibited Contracts or Agreements with Medicaid Members Receiving Continuous Skilled Nursing Services, Open DOCX file, 123.03 KB (English, DOCX 123.03 KB)
Managed Care Entity Bulletin 142: Youth Withdrawal Management within Inpatient Psychiatric Unit, Open PDF file, 223.63 KB (English, PDF 223.63 KB)
Managed Care Entity Bulletin 142: Youth Withdrawal Management within Inpatient Psychiatric Unit, Open DOCX file, 130.65 KB (English, DOCX 130.65 KB)
Managed Care Entity Bulletin 141: Prior Authorization Requirements for Hospital Outpatient Drugs, Open PDF file, 159.64 KB (English, PDF 159.64 KB)
Managed Care Entity Bulletin 141: Prior Authorization Requirements for Hospital Outpatient Drugs, Open DOCX file, 155.93 KB (English, DOCX 155.93 KB)
Managed Care Entity Bulletin 140: Updates to T1015-TH Modifier Use, Open PDF file, 199.68 KB (English, PDF 199.68 KB)
Managed Care Entity Bulletin 140: Updates to T1015-TH Modifier Use, Open DOCX file, 122.86 KB (English, DOCX 122.86 KB)
Nursing Facility Bulletin 195: Specialized Ventilator-Dependent Service Programs and Add-ons, Open PDF file, 208.87 KB (English, PDF 208.87 KB)
Nursing Facility Bulletin 195: Specialized Ventilator-Dependent Service Programs and Add-ons, Open DOCX file, 138.54 KB (English, DOCX 138.54 KB)

October

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

September

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

August

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

July

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

June

Acute Inpatient Hospital Bulletin 204: Discharge Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports, Open PDF file, 242.77 KB (English, PDF 242.77 KB)
Acute Inpatient Hospital Bulletin 204: Discharge Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports, Open DOCX file, 153.75 KB (English, DOCX 153.75 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, Open PDF file, 132.33 KB (English, PDF 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, Open DOCX file, 123.66 KB (English, DOCX 123.66 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, Open PDF file, 151.63 KB (English, PDF 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, Open DOCX file, 123.7 KB (English, DOCX 123.7 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, Open PDF file, 227.01 KB (English, PDF 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, Open DOCX file, 142.94 KB (English, DOCX 142.94 KB)
Nursing Facility Bulletin 193: Discharge and Transition Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports, Open PDF file, 234.04 KB (English, PDF 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, Open DOCX file, 144.4 KB (English, DOCX 144.4 KB)
Personal Care Attendant Bulletin 17: Primary Care Provider Summary Form Requirement for Personal Care Attendant Complex Care, Open PDF file, 154.48 KB (English, PDF 154.48 KB)
Personal Care Attendant Bulletin 17: Primary Care Provider Summary Form Requirement for Personal Care Attendant Complex Care, Open DOCX file, 124.62 KB (English, DOCX 124.62 KB)
Psychiatric Inpatient Hospital Bulletin 28: Discharge Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports, Open PDF file, 225.09 KB (English, PDF 225.09 KB)
Psychiatric Inpatient Hospital Bulletin 28: Discharge Planning to Support Certain Family Assistance Members in Need of Long-Term Services and Supports, Open DOCX file, 141.96 KB (English, DOCX 141.96 KB)

May

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

April

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

March

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

February

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

January

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

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