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  • MassHealth

Adult Day Health Provider Publications

Find related MassHealth publications for Adult Day Health (ADH) providers below.
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Publications for ADH providers

Bulletins 

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

Manual 

The Adult Day Health Manual guides providers to the regulations, administrative and billing instructions, and service codes they need.

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.

Forms 
130 CMR 404.000: Adult Day Health Services 
101 CMR 310.00: Rates for Adult Day Health Services 

Publications for all MassHealth providers

Information that all providers should review and understand. 

Manual appendices 
Bulletins 
Transmittal letters 
Forms 
MassHealth and EOHHS Regulations 

Guidelines for Medical Necessity Determination

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.

Adult Day Health Services 
All Guidelines for Medical Necessity Determination 

Stay updated

Sign up to receive email notifications when new provider bulletins and transmittal letters are published.

Sign up to receive email notifications about EOHHS regulatory actions.

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.

Contact

Phone

General Provider Service (844) 368-5184
Prior Authorization Line (800) 862-8341

Hours: 8 a.m. to 6 p.m. ET, Monday through Friday, excluding holidays.

Online

Email support@masshealthltss.com
MassHealth LTSS Provider Portal  

Fax

Fax (888) 832-3006

Address

MassHealth LTSS
PO Box 159108
Boston, MA 02215
Directions 

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