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Acute Outpatient Hospital Provider Publications

Find related MassHealth publications for Acute Outpatient Hospital (AOH) providers below.
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Publications for Acute Outpatient Hospital providers

Bulletins 

MassHealth issues provider bulletins as needed to communicate procedures, reminders, and other information to MassHealth providers.

Manual 

The Acute Outpatient Hospital Manual guides providers to the regulations, administrative and billing instructions, and service codes they need.

Special notices for acute hospitals 

Annual notices of proposed and final agency actions, and charts of acute hospital MassHealth All-Patient Refined Diagnostic Related Groups (APR-DRG) and Enhanced Ambulatory Patient Groups (EAPGs)

Transmittal letters 

Transmittal letters contain changes to MassHealth provider manuals. They summarize the change, contain revised pages for the provider manual, and tell providers how to update their manuals with the new pages.

130 CMR 410.000: Outpatient Hospital Services 

Publications for all MassHealth providers

Information that all providers should review and understand. 

Manual appendices 
Bulletins 
Transmittal letters 
Forms 
MassHealth and EOHHS Regulations 

Medical Necessity Guidelines

The MassHealth guidelines for medical necessity determination identify the clinical information MassHealth needs to determine medical necessity for certain products and services that require prior authorization.

Botulinum Toxin in the Treatment of Hyperhidrosis 
Breast Reconstruction 
CardioMEMS 
Treatment of Erectile Dysfunction 
Excision of Excessive Skin and Subcutaneous Tissue 
Gender Affirming Surgery 
Hair Removal 
Mastectomy for Gynecomastia 
Occupational Therapy 
Physical Therapy 
Reduction Mammoplasty 
Rhinoplasty and Septoplasty 
Skin Substitutes 
Speech and Language Therapy 

Stay updated

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Sign up to receive email notifications of updates to the Guidelines and the availability of related forms. Note: When you follow this link, a blank e-mail will appear. Just send the blank e-mail as it's addressed. No text in the body or subject line is needed.

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