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Adult Day Health Provider Publications

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

101 CMR 310.00: Rates for Adult Day Health Services 

This regulation governs the payment rates for adult day health services provided to publicly aided individuals.

130 CMR 404.000: Adult Day Health Services 

This regulation establishes MassHealth requirements for providers of adult day health services.

Bulletins 

Provider bulletins are issued to communicate procedures, reminders, and other information.

Forms 

These forms are used to conduct business with MassHealth.

Manual 

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

Transmittal Letters 

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

Publications for All MassHealth Providers

Bulletins 

Provider bulletins are issued to communicate procedures, reminders, and other information.

Forms 

These forms are used to conduct business with MassHealth.

Manual Appendices 

These appendices are in every provider manual.

MassHealth and EOHHS Regulations 

Policy regulations, rate regulations, administration bulletins, and more.

Transmittal Letters 

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

Guidelines for medical necessity determination

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

All Guidelines for Medical Necessity Determination 
Adult Day Health Services 

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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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