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  • This page, 2026 MassHealth provider bulletins, is   offered by
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2026 MassHealth provider bulletins

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October

All Provider Bulletin 421: Enrollment Requirement for All Providers on Claims Submitted to MassHealth, Open PDF file, 411.21 KB (English, PDF 411.21 KB)
Nursing Facility Bulletin 204: Updated Eligibility Criteria for Substance Use Disorder (SUD) Add-on and New Medications for Opioid Use Disorder (MOUD) Add-on, Open PDF file, 456.29 KB (English, PDF 456.29 KB)
Nursing Facility Bulletin 203: Updates to the Bariatric Add-on, Open PDF file, 352.59 KB (English, PDF 352.59 KB)
Nursing Facility Bulletin 202: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities, Open PDF file, 404.64 KB (English, PDF 404.64 KB)

September

Acute Outpatient Hospital Bulletin 45: Acute Outpatient Hospital Services Utilization Management Review , Open PDF file, 380.56 KB (English, PDF 380.56 KB)
All Provider Bulletin 420: Continued Coverage of Gender-Affirming Care Services for MassHealth Members, Open PDF file, 235.4 KB (English, PDF 235.4 KB)
School-Based Medicaid Program Bulletin 33: Updates to Qualified Practitioners List and to Diagnostic Requirements for Applied Behavioral Analysis, Open PDF file, 221.15 KB (English, PDF 221.15 KB)

August

Acute Inpatient Hospital Bulletin 210: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3), Open PDF file, 281.12 KB (English, PDF 281.12 KB)
Acute Inpatient Hospital Bulletin 209: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2), Open PDF file, 317.18 KB (English, PDF 317.18 KB)
All Provider Bulletin 419: Transition to Separate Reporting of Maternity Care Services , Open PDF file, 214.52 KB (English, PDF 214.52 KB)
Community Health Center Bulletin 129: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3), Open PDF file, 280.98 KB (English, PDF 280.98 KB)
Community Health Center Bulletin 128: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2), Open PDF file, 330.29 KB (English, PDF 330.29 KB)
Dental Bulletin 59: Additional Extension for Submitting Dental Claims, Open PDF file, 342.23 KB (English, PDF 342.23 KB)
Dental Bulletin 59: Additional Extension for Submitting Dental Claims, Open DOCX file, 121.14 KB (English, DOCX 121.14 KB)

July

All Provider Bulletin 418: Update to Certain Exceptions to Referral Requirements through the Primary Care Clinician Plan and Primary Care Accountable Care Organizations: Radiology and Imaging, Open PDF file, 148.72 KB (English, PDF 148.72 KB)
All Provider Bulletin 418: Update to Certain Exceptions to Referral Requirements through the Primary Care Clinician Plan and Primary Care Accountable Care Organizations: Radiology and Imaging, Open DOCX file, 122.8 KB (English, DOCX 122.8 KB)
All Provider Bulletin 417: Continued Access to Care for MassHealth Members Transitioning from Managed Care to Fee-For-Service, Open PDF file, 243.52 KB (English, PDF 243.52 KB)
All Provider Bulletin 417: Continued Access to Care for MassHealth Members Transitioning from Managed Care to Fee-For-Service, Open DOCX file, 122.28 KB (English, DOCX 122.28 KB)
Dental Bulletin 58: Adult Dental Benefit Annual Maximum, Open PDF file, 173.14 KB (English, PDF 173.14 KB)
Dental Bulletin 58: Adult Dental Benefit Annual Maximum, Open DOCX file, 123.5 KB (English, DOCX 123.5 KB)
Long Term Care Facility Bulletin 119: Annual Review of Personal Needs Allowance Account, Open PDF file, 153.9 KB (English, PDF 153.9 KB)
Long Term Care Facility Bulletin 119: Annual Review of Personal Needs Allowance Account, Open DOCX file, 146.29 KB (English, DOCX 146.29 KB)
Nursing Facility Bulletin 201: Updates to Instructions for Nursing Facility Fee-for-Service Payments: MDS 3.0 Assessments, Open PDF file, 231.12 KB (English, PDF 231.12 KB)
Nursing Facility Bulletin 201: Updates to Instructions for Nursing Facility Fee-for-Service Payments: MDS 3.0 Assessments, Open DOCX file, 156.96 KB (English, DOCX 156.96 KB)

June

Durable Medical Equipment Bulletin 41: Corrective Mobility System Repair Add-on Payment and Supplemental Payment for Certain Patient Lift Systems, Open PDF file, 233.24 KB (English, PDF 233.24 KB)
Durable Medical Equipment Bulletin 41: Corrective Mobility System Repair Add-on Payment and Supplemental Payment for Certain Patient Lift Systems, Open DOCX file, 129.14 KB (English, DOCX 129.14 KB)
HCBS Waiver Provider Bulletin 27: Waiver Participant Self-Direction: Program Rules for Providers – Update, Open PDF file, 235.78 KB (English, PDF 235.78 KB)
HCBS Waiver Provider Bulletin 27: Waiver Participant Self-Direction: Program Rules for Providers – Update, Open DOCX file, 142.41 KB (English, DOCX 142.41 KB)

May

All Provider Bulletin 416: Requirement to Provide Medical Records to MassHealth Upon Request, Open PDF file, 131.54 KB (English, PDF 131.54 KB)
All Provider Bulletin 416: Requirement to Provide Medical Records to MassHealth Upon Request, Open DOCX file, 152.93 KB (English, DOCX 152.93 KB)
Managed Care Entity Bulletin 147: Guidance for Payment to Community Partners During CP Program Transition, Open PDF file, 194.54 KB (English, PDF 194.54 KB)
Managed Care Entity Bulletin 147: Guidance for Payment to Community Partners During CP Program Transition, Open DOCX file, 160.61 KB (English, DOCX 160.61 KB)
Nursing Facility Bulletin 200: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities, Open PDF file, 247.12 KB (English, PDF 247.12 KB)
Nursing Facility Bulletin 200: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities, Open DOCX file, 129.09 KB (English, DOCX 129.09 KB)

April

All Provider Bulletin 415: Update to MassHealth Coverage of Speech-Generating Devices and Review of Coverage for Augmentative and Alternative Communication-related Services, Open PDF file, 247.81 KB (English, PDF 247.81 KB)
All Provider Bulletin 415: Update to MassHealth Coverage of Speech-Generating Devices and Review of Coverage for Augmentative and Alternative Communication-related Services, Open DOCX file, 134.36 KB (English, DOCX 134.36 KB)
All Provider Bulletin 414: Changes in Exclusion of Designated 340B Drugs for MassHealth Fee-for-Service Coverage – Corrected, Open PDF file, 126.18 KB (English, PDF 126.18 KB)
All Provider Bulletin 414: Changes in Exclusion of Designated 340B Drugs for MassHealth Fee-for-Service Coverage – Corrected, Open DOCX file, 122.57 KB (English, DOCX 122.57 KB)
Nursing Facility Bulletin 199: Nursing Facility Ownership Disclosure Form Reporting Requirement, Open PDF file, 125.71 KB (English, PDF 125.71 KB)
Nursing Facility Bulletin 199: Nursing Facility Ownership Disclosure Form Reporting Requirement, Open DOCX file, 121.89 KB (English, DOCX 121.89 KB)

March

Acute Inpatient Hospital Bulletin 208: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2), Open PDF file, 230.86 KB (English, PDF 230.86 KB)
Acute Inpatient Hospital Bulletin 208: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2), Open DOCX file, 122.86 KB (English, DOCX 122.86 KB)
Acute Inpatient Hospital Bulletin 207: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3), Open PDF file, 196.24 KB (English, PDF 196.24 KB)
Acute Inpatient Hospital Bulletin 207: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3), Open DOCX file, 122.62 KB (English, DOCX 122.62 KB)
Community Health Center Bulletin 127: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2), Open PDF file, 222.12 KB (English, PDF 222.12 KB)
Community Health Center Bulletin 127: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2), Open DOCX file, 122.58 KB (English, DOCX 122.58 KB)
Community Health Center Bulletin 126: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3), Open PDF file, 195.85 KB (English, PDF 195.85 KB)
Community Health Center Bulletin 126: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3), Open DOCX file, 122.59 KB (English, DOCX 122.59 KB)
Dental Bulletin 57: Additional Information Regarding the Extension for Submitting Dental Claims and Claim Submission Requirements, Open PDF file, 170.77 KB (English, PDF 170.77 KB)
Dental Bulletin 57: Additional Information Regarding the Extension for Submitting Dental Claims and Claim Submission Requirements, Open DOCX file, 127.44 KB (English, DOCX 127.44 KB)
Independent Nurse Bulletin 23: Third-Party Liability Requirements for Independent Nurse Providers, Open PDF file, 177.94 KB (English, PDF 177.94 KB)
Independent Nurse Bulletin 23: Third-Party Liability Requirements for Independent Nurse Providers, Open DOCX file, 149.63 KB (English, DOCX 149.63 KB)
Managed Care Entity Bulletin 146: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2027, Open PDF file, 248.87 KB (English, PDF 248.87 KB)
Managed Care Entity Bulletin 146: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2027, Open DOCX file, 125.78 KB (English, DOCX 125.78 KB)
Managed Care Entity Bulletin 145: Accountable Care Organizations—Primary Care Provider Additions and Removals, Effective January 1, 2027, Open PDF file, 295.03 KB (English, PDF 295.03 KB)
Managed Care Entity Bulletin 145: Accountable Care Organizations—Primary Care Provider Additions and Removals, Effective January 1, 2027, Open DOCX file, 129.24 KB (English, DOCX 129.24 KB)

February

Continuous Skilled Nursing Agency Bulletin 26: Revision to Complex Care Assistant Service Supervision Requirements, Open PDF file, 140.98 KB (English, PDF 140.98 KB)
Continuous Skilled Nursing Agency Bulletin 26: Revision to Complex Care Assistant Service Supervision Requirements, Open DOCX file, 128.46 KB (English, DOCX 128.46 KB)
Managed Care Entity Bulletin 144: Guidance for Upcoming Care Management Changes Effective June 30, 2026, Open PDF file, 201.59 KB (English, PDF 201.59 KB)
Managed Care Entity Bulletin 144: Guidance for Upcoming Care Management Changes Effective June 30, 2026, Open DOCX file, 141.35 KB (English, DOCX 141.35 KB)

January

Dental Bulletin 56: Extension for Submitting Dental Claims, Open PDF file, 129.32 KB (English, PDF 129.32 KB)
Dental Bulletin 56: Extension for Submitting Dental Claims, Open DOCX file, 124.18 KB (English, DOCX 124.18 KB)
Dental Bulletin 55: Upcoming Transition of Dental Third-Party Administrator for MassHealth, the Children’s Medical Security Plan, and Health Safety Net , Open PDF file, 242.4 KB (English, PDF 242.4 KB)
Dental Bulletin 55: Upcoming Transition of Dental Third-Party Administrator for MassHealth, the Children’s Medical Security Plan, and Health Safety Net , Open DOCX file, 142.22 KB (English, DOCX 142.22 KB)
Nursing Facility Bulletin 198: Audits of Antipsychotic Medication Use in Nursing Facilities, Open PDF file, 220.93 KB (English, PDF 220.93 KB)
Nursing Facility Bulletin 198: Audits of Antipsychotic Medication Use in Nursing Facilities, Open DOCX file, 140.26 KB (English, DOCX 140.26 KB)
Nursing Facility Bulletin 197: Updates to Transition to CMS OBRA MDS 3.0 Assessments for Nursing Facility Fee-for-Service Payments, Open PDF file, 287.34 KB (English, PDF 287.34 KB)
Nursing Facility Bulletin 197: Updates to Transition to CMS OBRA MDS 3.0 Assessments for Nursing Facility Fee-for-Service Payments, Open DOCX file, 153.73 KB (English, DOCX 153.73 KB)
Nursing Facility Bulletin 196: Community Transitions Liaison Program, Open PDF file, 152.19 KB (English, PDF 152.19 KB)
Nursing Facility Bulletin 196: Community Transitions Liaison Program, Open DOCX file, 145.67 KB (English, DOCX 145.67 KB)

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