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All Provider bulletins

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All Provider Bulletin 354: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Boosters (Corrected) (PDF 134.11 KB)

All Provider Bulletin 354: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Boosters (Corrected) (DOCX 32.7 KB)

All Provider Bulletin 353: Coverage and Reimbursement Policy for Vaccines and Testing for Monkeypox (PDF 146.8 KB)

All Provider Bulletin 353: Coverage and Reimbursement Policy for Vaccines and Testing for Monkeypox (DOCX 39.34 KB)

All Provider Bulletin 352: Requirements for Reporting and Returning of Overpayments (PDF 195.19 KB)

All Provider Bulletin 352: Requirements for Reporting and Returning of Overpayments (DOCX 34.12 KB)

All Provider Bulletin 351: Extension of Flexibilities for Prior Authorization of Formula (PDF 185.97 KB)

All Provider Bulletin 351: Extension of Flexibilities for Prior Authorization of Formula (DOCX 33.48 KB)

All Provider Bulletin 350: Developmentally Appropriate Behavioral Health Diagnosis and Assessment for MassHealth Members Birth Through Five Years (PDF 130.22 KB)

All Provider Bulletin 350: Developmentally Appropriate Behavioral Health Diagnosis and Assessment for MassHealth Members Birth Through Five Years (DOCX 33.73 KB)

All Provider Bulletin 349: Coverage and Reimbursement Policy for Bebtelovimab (PDF 179.21 KB)

All Provider Bulletin 349: Coverage and Reimbursement Policy for Bebtelovimab (DOCX 33.88 KB)

All Provider Bulletin 348: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (PDF 188.62 KB)

All Provider Bulletin 348: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (DOCX 35.96 KB)

All Provider Bulletin 347: Changes to Prescription Drug Days’ Supply Limitations, Effective September 19, 2022 (PDF 170.72 KB)

All Provider Bulletin 347: Changes to Prescription Drug Days’ Supply Limitations, Effective September 19, 2022 (DOCX 30.73 KB)

All Provider Bulletin 346: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Vaccines, including Pediatric Vaccines, and Vaccine Boosters (PDF 182.91 KB)

All Provider Bulletin 346: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Vaccines, including Pediatric Vaccines, and Vaccine Boosters (DOCX 33.87 KB)

All Provider Bulletin 345: Robotics Processing Automation (RPA) Policy (PDF 175.63 KB)

All Provider Bulletin 345: Robotics Processing Automation (RPA) Policy (DOCX 32.12 KB)

All Provider Bulletin 344: Update Concerning Coverage of and Payment for the Administration of (1) Remdesivir in an Outpatient Setting (2) COVID-19 Vaccines; and (3) Rapid Antigen Testing for COVID-19 for MassHealth Limited Members (PDF 158.56 KB)

All Provider Bulletin 343: MassHealth and Health Safety Net Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (PDF 163.83 KB)

All Provider Bulletin 343: MassHealth and Health Safety Net Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (DOCX 34.12 KB)

All Provider Bulletin 342: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (PDF 118.98 KB)

All Provider Bulletin 342: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (DOCX 28.14 KB)

All Provider Bulletin 341: Coverage of and Payment for the Administration of (1) Tixagevimab Co-Packaged with Cilgavimab, and (2) Bebtelovimab (PDF 213.42 KB)

All Provider Bulletin 341: Coverage of and Payment for the Administration of (1) Tixagevimab Co-Packaged with Cilgavimab, and (2) Bebtelovimab (DOCX 31.18 KB)

All Provider Bulletin 340: MassHealth Pharmacy Coverage of Prescription Digital Therapeutics and Formula (PDF 116.91 KB)

All Provider Bulletin 340: MassHealth Pharmacy Coverage of Prescription Digital Therapeutics and Formula (DOCX 35.69 KB)

All Provider Bulletin 339: Upcoming Changes to MassHealth Nonemergency Wheelchair Van Transportation Services (PDF 458.47 KB)

All Provider Bulletin 339: Upcoming Changes to MassHealth Nonemergency Wheelchair Van Transportation Services (DOCX 36.9 KB)

All Provider Bulletin 338: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Treatment Counseling and Vaccines (PDF 141.59 KB)

All Provider Bulletin 338: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Treatment Counseling and Vaccines (DOCX 30.94 KB)

All Provider Bulletin 337: MassHealth Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (PDF 66.89 KB)

All Provider Bulletin 337: MassHealth Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (DOCX 38.87 KB)

All Provider Bulletin 336: Coverage of and Payment for the Administration of (1) Tixagevimab Co-Packaged with Cilgavimab, and (2) Remdesivir in an Outpatient Setting - Corrected (PDF 132.65 KB)

All Provider Bulletin 336: Coverage of and Payment for the Administration of (1) Tixagevimab Co-Packaged with Cilgavimab, and (2) Remdesivir in an Outpatient Setting - Corrected (DOCX 30.53 KB)

All Provider Bulletin 335: Extension of Coverage and Reimbursement Policy Related to COVID-19 for 24-Hour Substance Use Disorder Services (PDF 170.8 KB)

All Provider Bulletin 335: Extension of Coverage and Reimbursement Policy Related to COVID-19 for 24-Hour Substance Use Disorder Services (DOCX 28.6 KB)

All Provider Bulletin 334: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection Through March 31, 2022 (PDF 181.79 KB)

All Provider Bulletin 334: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection Through March 31, 2022 (DOCX 28.39 KB)

All Provider Bulletin 333: MassHealth Coverage for Coronavirus Disease 2019 (COVID-19) Vaccine Booster Doses (PDF 132.47 KB)

All Provider Bulletin 333: MassHealth Coverage for Coronavirus Disease 2019 (COVID-19) Vaccine Booster Doses (DOCX 32.91 KB)

All Provider Bulletin 332: Federal COVID-19 Vaccine Mandate for Eligible Staff at Health Care Facilities Participating in the Medicare and Medicaid Programs (PDF 76.33 KB)

All Provider Bulletin 332: Federal COVID-19 Vaccine Mandate for Eligible Staff at Health Care Facilities Participating in the Medicare and Medicaid Programs (DOCX 38.91 KB)

All Provider Bulletin 331: Updates to the MassHealth Third Party Liability Indicator (“TPLI-MH”) Form (PDF 219.7 KB)

All Provider Bulletin 331: Updates to the MassHealth Third Party Liability Indicator (“TPLI-MH”) Form (DOCX 60.96 KB)

All Provider Bulletin 330: MassHealth Coverage for Coronavirus Disease 2019 (COVID-19) Vaccines, including Pediatric Vaccines, and Monoclonal Antibodies (PDF 255.56 KB)

All Provider Bulletin 330: MassHealth Coverage for Coronavirus Disease 2019 (COVID-19) Vaccines, including Pediatric Vaccines, and Monoclonal Antibodies (DOCX 223.35 KB)

All Provider Bulletin 329: Changes to the Retroactive Medicare Recovery Project (RMRP) (PDF 75.92 KB)

All Provider Bulletin 329: Changes to the Retroactive Medicare Recovery Project (RMRP) (DOCX 33.16 KB)

All Provider Bulletin 328: Coverage for Booster Doses of Coronavirus Disease 2019 (COVID-19) Vaccines (PDF 173.74 KB)

All Provider Bulletin 328: Coverage for Booster Doses of Coronavirus Disease 2019 (COVID-19) Vaccines (DOCX 31.44 KB)

All Provider Bulletin 327: Access to Health Services through Telehealth Options - Corrected (PDF 178.96 KB)

All Provider Bulletin 327: Access to Health Services through Telehealth Options - Corrected (DOCX 39.48 KB)

All Provider Bulletin 326: Coverage for Monoclonal Antibodies for Treatment and Post-Exposure Prophylaxis for Coronavirus Disease 2019 (COVID-19) (PDF 182.37 KB)

All Provider Bulletin 326: Coverage for Monoclonal Antibodies for Treatment and Post-Exposure Prophylaxis for Coronavirus Disease 2019 (COVID-19) (DOCX 42.68 KB)

All Provider Bulletin 325: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (PDF 175.11 KB)

All Provider Bulletin 325: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (DOCX 32.42 KB)

All Provider Bulletin 324: Temporary Extension of Telehealth Policy Described in All Provider Bulletin 314 through October 15, 2021 (PDF 125.65 KB)

All Provider Bulletin 324: Temporary Extension of Telehealth Policy Described in All Provider Bulletin 314 through October 15, 2021 (DOCX 38.15 KB)

All Provider Bulletin 323: Updated MassHealth Policies on Gender-Affirming Care Coverage (PDF 72.26 KB)

All Provider Bulletin 323: Updated MassHealth Policies on Gender-Affirming Care Coverage (DOCX 39.72 KB)

All Provider Bulletin 322: Coverage for Third Dose of Pfizer-BioNTech and Moderna Coronavirus Disease 2019 (COVID-19) Vaccine for Immunocompromised Individuals (PDF 138.82 KB)

All Provider Bulletin 322: Coverage for Third Dose of Pfizer-BioNTech and Moderna Coronavirus Disease 2019 (COVID-19) Vaccine for Immunocompromised Individuals (DOCX 36.48 KB)

All Provider Bulletin 321: Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) Vaccine Counseling (PDF 69.6 KB)

All Provider Bulletin 321: Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) Vaccine Counseling (DOCX 36.21 KB)

All Provider Bulletin 320: Expiration of Temporary Extension of Timely Replies for Initial Notices of Overpayment during COVID-19 Emergency (PDF 118.28 KB)

All Provider Bulletin 320: Expiration of Temporary Extension of Timely Replies for Initial Notices of Overpayment during COVID-19 Emergency (DOCX 32.53 KB)

All Provider Bulletin 319: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (PDF 235.52 KB)

All Provider Bulletin 319: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (DOCX 57.54 KB)

All Provider Bulletin 318: Update about Monoclonal Antibody Treatment for Coronavirus Disease 2019 (COVID-19) (PDF 142.92 KB)

All Provider Bulletin 318: Update about Monoclonal Antibody Treatment for Coronavirus Disease 2019 (COVID-19) (DOCX 32.81 KB)

All Provider Bulletin 317: Update to Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 81.07 KB)

All Provider Bulletin 317: Update to Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 42.19 KB)

All Provider Bulletin 316: Clarification of Requirements for Adverse Incident Reporting by Certain Behavioral Health Providers (PDF 147.22 KB)

All Provider Bulletin 316: Clarification of Requirements for Adverse Incident Reporting by Certain Behavioral Health Providers (DOCX 39.56 KB)

All Provider Bulletin 315: Change in Pharmacy Copay and Premium Policies (PDF 277.94 KB)

All Provider Bulletin 315: Change in Pharmacy Copay and Premium Policies (DOCX 77.4 KB)

All Provider Bulletin 314: Updated MassHealth Telehealth Policy (PDF 193.82 KB)

All Provider Bulletin 314: Updated MassHealth Telehealth Policy (DOCX 42.58 KB)

All Provider Bulletin 313: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 145.74 KB)

All Provider Bulletin 313: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 36.93 KB)

All Provider Bulletin 312: Additional Authorized Vaccine Product and Antibody Treatment and Update to Authorized Providers and Coverage Policy for MassHealth Limited Members for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 147.39 KB)

All Provider Bulletin 311: Temporary Extension of Timely Reply for Initial Notices of Overpayment (PDF 106.89 KB)

All Provider Bulletin 311: Temporary Extension of Timely Reply for Initial Notices of Overpayment (DOCX 36.54 KB)

All Provider Bulletin 310: Transportation for Members to Vaccination Sites for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 147.69 KB)

All Provider Bulletin 310: Transportation for Members to Vaccination Sites for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 37.88 KB)

All Provider Bulletin 309: Reminder of the EPSDT Schedule and Responsibilities (PDF 169.93 KB)

All Provider Bulletin 309: Reminder of the EPSDT Schedule and Responsibilities (DOCX 30.69 KB)

All Provider Bulletin 308: MassHealth Third Party Prior Authorization Administrator Temporary Suspension (PDF 135.97 KB)

All Provider Bulletin 308: MassHealth Third Party Prior Authorization Administrator Temporary Suspension (DOCX 38.93 KB)

All Provider Bulletin 307: Updated Payment Rates and Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (PDF 168.74 KB)

All Provider Bulletin 307: Updated Payment Rates and Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (DOCX 38.93 KB)

All Provider Bulletin 306: Reminder of 340B indicator for Clinician-Administered Drugs and National Drug Code (NDC) Requirements (PDF 125.48 KB)

All Provider Bulletin 306: Reminder of 340B indicator for Clinician-Administered Drugs and National Drug Code (NDC) Requirements (DOCX 30.86 KB)

All Provider Bulletin 305: Policies and Procedure for Newborn Members: Eligibility, Enrollment and Payment (PDF 948.66 KB)

All Provider Bulletin 305: Policies and Procedure for Newborn Members: Eligibility, Enrollment and Payment (DOCX 1.01 MB)

All Provider Bulletin 304: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (PDF 183.88 KB)

All Provider Bulletin 304: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (DOCX 55.11 KB)

All Provider Bulletin 303: Updated MassHealth Telehealth Policy (PDF 273.33 KB)

All Provider Bulletin 303: Updated MassHealth Telehealth Policy (DOCX 45.69 KB)

All Provider Bulletin 302: Hospital-Determined Presumptive Eligibility Updates during COVID-19 Emergency and Permanent Expansion of HPE for CommonHealth Children and Family Assistance Children (PDF 247.54 KB)

All Provider Bulletin 301: Impact of COVID-19 on Behavioral Health and the Importance of Perinatal and Pediatric Behavioral Health Screening during the Pandemic (PDF 180.27 KB)

All Provider Bulletin 301: Impact of COVID-19 on Behavioral Health and the Importance of Perinatal and Pediatric Behavioral Health Screening during the Pandemic (DOCX 33.6 KB)

All Provider Bulletin 300: Final Deadline Appeals Board Electronic Correspondence (PDF 129.96 KB)

All Provider Bulletin 300: Final Deadline Appeals Board Electronic Correspondence (DOCX 38.12 KB)

All Provider Bulletin 299: Hospital-Determined Presumptive Eligibility (HPE) Updates during COVID-19 Emergency (PDF 168.53 KB)

All Provider Bulletin 299: Hospital-Determined Presumptive Eligibility (HPE) Updates during COVID-19 Emergency (DOCX 41.33 KB)

All Provider Bulletin 298: MassHealth Telehealth Policy (PDF 226.76 KB)

All Provider Bulletin 298: MassHealth Telehealth Policy (DOCX 43.8 KB)

All Provider Bulletin 297: Change in Cost Sharing Policies (PDF 430.58 KB)

All Provider Bulletin 297: Change in Cost Sharing Policies (DOCX 79.89 KB)

All Provider Bulletin 296: MassHealth Payment for COVID-19 Specimen Collection and Testing (PDF 160.94 KB)

All Provider Bulletin 296: MassHealth Payment for COVID-19 Specimen Collection and Testing (DOCX 41.05 KB)

All Provider Bulletin 295: Hospital-Determined Presumptive Eligibility (HPE) Flexibilities during COVID-19 Emergency (PDF 199.15 KB)

All Provider Bulletin 295: Hospital-Determined Presumptive Eligibility (HPE) Flexibilities during COVID-19 Emergency (DOCX 37.44 KB)

All Provider Bulletin 294: MassHealth Coverage Flexibilities for Services Related to Coronavirus Disease 2019 (PDF 234.52 KB)

All Provider Bulletin 294: MassHealth Coverage Flexibilities for Services Related to Coronavirus Disease 2019 (DOCX 46.15 KB)

All Provider Bulletin 293: Flexibilities for Substance Use Disorder Treatment Services During COVID-19 State of Emergency (PDF 200.48 KB)

All Provider Bulletin 293: Flexibilities for Substance Use Disorder Treatment Services During COVID-19 State of Emergency (DOCX 27.88 KB)

All Provider Bulletin 292: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (PDF 136.77 KB)

All Provider Bulletin 292: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (DOCX 31.04 KB)

All Provider Bulletin 291: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (PDF 191.55 KB)

All Provider Bulletin 291: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (DOCX 51.3 KB)

All Provider Bulletin 290: Coverage Provided via Hospital-Determined Presumptive Eligibility (PDF 171.92 KB)

All Provider Bulletin 290: Coverage Provided via Hospital-Determined Presumptive Eligibility (DOCX 44.08 KB)

All Provider Bulletin 289: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (PDF 183.04 KB)

All Provider Bulletin 289: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (DOCX 45.11 KB)

All Provider Bulletin 288: Coverage Provided via Hospital-Determined Presumptive Eligibility (PDF 178.69 KB)

All Provider Bulletin 288: Coverage Provided via Hospital-Determined Presumptive Eligibility (DOCX 39.48 KB)

All Provider Bulletin 287: Clinical Guidelines for New MassHealth Third Party Prior Authorization Administrator (PDF 166.35 KB)

All Provider Bulletin 287: Clinical Guidelines for New MassHealth Third Party Prior Authorization Administrator (DOCX 29.64 KB)

All Provider Bulletin 286: Start Date for Denials for Claims That Do Not Meet Ordering, Referring, and Prescribing Provider Requirements (PDF 296.83 KB)

All Provider Bulletin 286: Start Date for Denials for Claims That Do Not Meet Ordering, Referring, and Prescribing Provider Requirements (DOCX 57.06 KB)

All Provider Bulletin 285: Nonemergency Ambulance Transportation to Medically Necessary Mental Health or Addiction Treatment Services at All 24-Hour Level-of-Care Settings (PDF 177.99 KB)

All Provider Bulletin 285: Nonemergency Ambulance Transportation to Medically Necessary Mental Health or Addiction Treatment Services at All 24-Hour Level-of-Care Settings (DOCX 34.38 KB)

All Provider Bulletin 284: Technical Refresh Project (PDF 145.49 KB)

All Provider Bulletin 284: Technical Refresh Project (DOCX 195.62 KB)

All Provider Bulletin 283: Documentation, Record Keeping, and Supervision Requirements of Behavioral Health Services Providers and Related Auditing (PDF 161.06 KB)

All Provider Bulletin 283: Documentation, Record Keeping, and Supervision Requirements of Behavioral Health Services Providers and Related Auditing (DOCX 34.84 KB)

All Provider Bulletin 282: Change of Address and Fax Number for EDMC/HIPC (PDF 47.8 KB)

All Provider Bulletin 282: Change of Address and Fax Number for EDMC/HIPC (DOCX 102.6 KB)

All Provider Bulletin 281: Access to Behavioral Health Services Through Use of Telehealth Options (PDF 194.19 KB)

All Provider Bulletin 281: Access to Behavioral Health Services Through Use of Telehealth Options (DOCX 47.15 KB)

All Provider Bulletin 280: Nonemergency Medical Transportation Services (PDF 144.38 KB)

All Provider Bulletin 280: Nonemergency Medical Transportation Services (DOCX 34.4 KB)

All Provider Bulletin 279: Accountable Care Organization (ACO) Primary Care Exclusivity and related information about Medication Assisted Treatment Services, School-Based Health Centers, and the MassHealth Eligibility Verification System (EVS) (PDF 630.08 KB)

All Provider Bulletin 278: Change in Phone Number for Retroactive Medicare Recovery (PDF 135.17 KB)

All Provider Bulletin 278: Change in Phone Number for Retroactive Medicare Recovery (DOCX 36.92 KB)

All Provider Bulletin 277: Changes to Billing for Services Delivered by School-Based Health Centers Operated through Community Health Centers (PDF 147.97 KB)

All Provider Bulletin 277: Changes to Billing for Services Delivered by School-Based Health Centers Operated through Community Health Centers (DOCX 105.65 KB)

All Provider Bulletin 276: Member Access to Medication-Assisted Treatment (MAT) Providers and Continuity of Care (PDF 219.45 KB)

All Provider Bulletin 276: Member Access to Medication-Assisted Treatment (MAT) Providers and Continuity of Care (DOCX 114.74 KB)

All Provider Bulletin 275: MassHealth EVS Codes and Restrictive Messages for 2018 Managed Care Health Plans (PDF 167.4 KB)

All Provider Bulletin 275: MassHealth EVS Codes and Restrictive Messages for 2018 Managed Care Health Plans (DOCX 54.65 KB)

All Provider Bulletin 274: Continued Implementation of Ordering, Referring, and Prescribing Provider Requirements (PDF 226.61 KB)

All Provider Bulletin 274: Continued Implementation of Ordering, Referring, and Prescribing Provider Requirements (DOCX 206 KB)

All Provider Bulletin 273: MassHealth Coordination of Benefits (COB) Billing Best Practices and New Claim Error Codes (PDF 163.9 KB)

All Provider Bulletin 273: MassHealth Coordination of Benefits (COB) Billing Best Practices and New Claim Error Codes (DOCX 110.98 KB)

All Provider Bulletin 272: MassHealth Payment and Care Delivery Innovations (PCDI) (PDF 1.25 MB)

All Provider Bulletin 272: MassHealth Payment and Care Delivery Innovations (PCDI) (DOCX 2.65 MB)

All Provider Bulletin 271: New Mailing Address for MassHealth Provider and Claims Documents (PDF 53.32 KB)

All Provider Bulletin 271: New Mailing Address for MassHealth Provider and Claims Documents (DOCX 37.22 KB)

All Provider Bulletin 270: Third-Party Administrator Implementation for Long-Term Services and Supports (LTSS) (PDF 113.38 KB)

All Provider Bulletin 270: Third-Party Administrator Implementation for Long-Term Services and Supports (LTSS) (DOCX 104.81 KB)

All Provider Bulletin 269: Amendments to All Provider Bulletin 251 (PDF 161.74 KB)

All Provider Bulletin 269: Amendments to All Provider Bulletin 251 (DOCX 95.56 KB)

All Provider Bulletin 268: Changes to Primary Care Clinician (PCC) Provider Online Service Center (POSC) Referrals Process for PCCs that are Organizations, Including Group Practices (PDF 89.18 KB)

All Provider Bulletin 268: Changes to Primary Care Clinician (PCC) Provider Online Service Center (POSC) Referrals Process for PCCs that are Organizations, Including Group Practices (DOC 169.5 KB)

All Provider Bulletin 267: Fingerprint Based Criminal Background Checks (PDF 68.74 KB)

All Provider Bulletin 267: Fingerprint Based Criminal Background Checks (DOC 145 KB)

All Provider Bulletin 266: MassHealth Coverage of AAC Non-Dedicated Device New Prior Authorization Process (PDF 148.12 KB)

All Provider Bulletin 266: MassHealth Coverage of AAC Non-Dedicated Device New Prior Authorization Process (DOC 168 KB)

All Provider Bulletin 265: Replaced by All Provider Bulletin 268 - Changes to Primary Care Clinician (PCC) Provider Online Service Center (POSC) Referrals Process for PCCs that are Organizations, Including Group Practices (PDF 89.18 KB)

All Provider Bulletin 264: Clarification on MassHealth Residency Requirement and Process for Reporting Non-residents Receiving MassHealth (PDF 138.06 KB)

All Provider Bulletin 264: Clarification on MassHealth Residency Requirement and Process for Reporting Non-residents Receiving MassHealth (DOC 206.5 KB)

All Provider Bulletin 263: Changes to MassHealth Payment Method for Out-of-State Acute Outpatient Hospital Services (PDF 155.65 KB)

All Provider Bulletin 263: Changes to MassHealth Payment Method for Out-of-State Acute Outpatient Hospital Services (RTF 737.84 KB)

All Provider Bulletin 262: Accountable Care Organization (ACO) Pilot (PDF 200.64 KB)

All Provider Bulletin 262: Accountable Care Organization (ACO) Pilot (DOC 150 KB)

All Provider Bulletin 261: Plan Selection Periods and Fixed Enrollment Periods for Members Enrolled in a Managed Care Organization (MCO) (PDF 144.84 KB)

All Provider Bulletin 261: Plan Selection Periods and Fixed Enrollment Periods for Members Enrolled in a Managed Care Organization (MCO) (DOC 394 KB)

All Provider Bulletin 260: Changes to Primary Care Clinician Plan (PCC Plan) Services Requiring a Referral (PDF 169.41 KB)

All Provider Bulletin 260: Changes to Primary Care Clinician Plan (PCC Plan) Services Requiring a Referral (DOC 395 KB)

All Provider Bulletin 259: Ordering, Referring, and Prescribing Provider Requirements (PDF 66.12 KB)

All Provider Bulletin 259: Ordering, Referring, and Prescribing Provider Requirements (DOC 198 KB)

All Provider Bulletin 258: Health New England’s Withdrawal from the CarePlus Program (PDF 227.41 KB)

All Provider Bulletin 258: Health New England’s Withdrawal from the CarePlus Program (DOC 118 KB)

All Provider Bulletin 257: Centers for Medicare & Medicaid Services (CMS) Issue New Revalidation Guidelines (PDF 144.12 KB)

All Provider Bulletin 257: Centers for Medicare & Medicaid Services (CMS) Issue New Revalidation Guidelines (DOC 120 KB)

All Provider Bulletin 256: The Overpayment Disclosure Process (PDF 168.14 KB)

All Provider Bulletin 256: The Overpayment Disclosure Process (DOC 122 KB)

All Provider Bulletin 255: New CarePlus Enrollment Option (PDF 154.91 KB)

All Provider Bulletin 255: New CarePlus Enrollment Option (DOC 121.5 KB)

All Provider Bulletin 254: Voluntary Reporting on Perinatal Depression Screening (PDF 196.87 KB)

All Provider Bulletin 254: Voluntary Reporting on Perinatal Depression Screening (DOC 412 KB)

All Provider Bulletin 253: Transition to ICD-10 (PDF 277.73 KB)

All Provider Bulletin 253: Transition to ICD-10 (DOC 182 KB)

All Provider Bulletin 252: Improving Access for MassHealth Members with Disabilities (PDF 115.67 KB)

All Provider Bulletin 252: Improving Access for MassHealth Members with Disabilities (DOC 116 KB)

All Provider Bulletin 251: Enhancements to the Claiming Process and New Certification Process for MassHealth Limited Program (PDF 68.88 KB)

All Provider Bulletin 251: Enhancements to the Claiming Process and New Certification Process for MassHealth Limited Program (DOC 127.5 KB)

All Provider Bulletin 250: Enhancements to the Provider Revalidation Process (PDF 150.03 KB)

All Provider Bulletin 250: Enhancements to the Provider Revalidation Process (DOC 121 KB)

All Provider Bulletin 249: ICD-10 Implementation Readiness (PDF 237.39 KB)

All Provider Bulletin 249: ICD-10 Implementation Readiness (DOC 135.5 KB)

All Provider Bulletin 248: Information about ICD-10 (PDF 233.91 KB)

All Provider Bulletin 248: Information about ICD-10 (DOC 61 KB)

All Provider Bulletin 247: Free Enhanced Text Messaging Service to Support Pregnant Women and New Mothers (PDF 228.72 KB)

All Provider Bulletin 247: Free Enhanced Text Messaging Service to Support Pregnant Women and New Mothers (DOC 111.5 KB)

All Provider Bulletin 246: MassHealth Claims Involving Casualty Payer Payments (PDF 62.64 KB)

All Provider Bulletin 246: MassHealth Claims Involving Casualty Payer Payments (DOC 53 KB)

All Provider Bulletin 245: Behavioral Health Services for Members with Temporary MH Coverage (PDF 57.41 KB)

All Provider Bulletin 245: Behavioral Health Services for Members with Temporary MH Coverage (DOC 57.5 KB)

All Provider Bulletin 244: Coverage Provided via Hospital-Determined Presumptive Eligibility (PDF 66.39 KB)

All Provider Bulletin 244: Coverage Provided via Hospital-Determined Presumptive Eligibility (DOC 57.5 KB)

All Provider Bulletin 243: New Coverage Type: MassHealth CarePlus (PDF 156.07 KB)

All Provider Bulletin 243: New Coverage Type: MassHealth CarePlus (DOC 54.5 KB)

All Provider Bulletin 242: Provider Bulletin: Provider Revalidation (PDF 162.53 KB)

All Provider Bulletin 242: Provider Bulletin: Provider Revalidation (DOC 63 KB)

All Provider Bulletin 241: Information about ICD-10-CM/PCS (PDF 75.24 KB)

All Provider Bulletin 241: Information about ICD-10-CM/PCS (TXT 4.26 KB)

All Provider Bulletin 240: Temporary Coverage for Applicants for Subsidized Health Insurance (PDF 238.01 KB)

All Provider Bulletin 240: Temporary Coverage for Applicants for Subsidized Health Insurance (TXT 11.26 KB)

All Provider Bulletin 239: Affordable Care Act Operating Rules (PDF 64.79 KB)

All Provider Bulletin 239: Affordable Care Act Operating Rules (TXT 6.85 KB)

All Provider Bulletin 238: Introduction to the One Care: MassHealth plus Medicare Program (DOC 129.5 KB)

All Provider Bulletin 238: Introduction to the One Care: MassHealth plus Medicare Program (PDF 155.8 KB)

All Provider Bulletin 237: Primary Care Clinician (PCC) Plan Referral Process and Requirements (PDF 93.56 KB)

All Provider Bulletin 237: Primary Care Clinician (PCC) Plan Referral Process and Requirements (TXT 3.27 KB)

All Provider Bulletin 236:Payment for Vaccine Administration and Office Visit (PDF 110.04 KB)

All Provider Bulletin 236: Payment for Vaccine Administration and Office Visit (TXT 7.36 KB)

All Provider Bulletin 235: Section 1202 Rates for Physicians Who Provide Primary Care Services (PDF 134.86 KB)

All Provider Bulletin 235: Section 1202 Rates for Physicians Who Provide Primary Care Services (TXT 7.29 KB)

All Provider Bulletin 234: Predictive Modeling Initiative (PDF 63.96 KB)

All Provider Bulletin 234: Predictive Modeling Initiative (TXT 3.64 KB)

All Provider Bulletin 233: Revisions to the 90-Day Waiver Procedures (TXT 3.39 KB)

All Provider Bulletin 233: Revisions to the 90-Day Waiver Procedures (PDF 44.49 KB)

All Provider Bulletin 232: Revisions to the Final Deadline Appeal Procedures (PDF 44.54 KB)

All Provider Bulletin 232: Revisions to the Final Deadline Appeal Procedures (TXT 3.53 KB)

All Provider Bulletin 231: Payment Error Rate Measurement (PERM) Project (PDF 53.49 KB)

All Provider Bulletin 231: Payment Error Rate Measurement (PERM) Project (TXT 4.52 KB)

All Provider Bulletin 230: Section 1202 Rates for Physicians Who Provide Primary Care Services (PDF 67.63 KB)

All Provider Bulletin 230: Section 1202 Rates for Physicians Who Provide Primary Care Services (TXT 7.27 KB)

All Provider Bulletin 229: Physician Designees and the Ambulance Medical Necessity Form (PDF 30.46 KB)

All Provider Bulletin 229: Physician Designees and the Ambulance Medical Necessity Form (TXT 1.68 KB)

All Provider Bulletin 228: Information about ICD-10-CM/PCS (PDF 51.98 KB)

All Provider Bulletin 228: Information about ICD-10-CM/PCS (TXT 3.14 KB)

All Provider Bulletin 227: Modifier Coverage and National Correct Coding Initiative (NCCI) Updates (PDF 74.04 KB)

All Provider Bulletin 227: Modifier Coverage and National Correct Coding Initiative (NCCI) Updates (TXT 12.28 KB)

All Provider Bulletin 226: Final Deadline Appeal Submissions - New Request for Claim Review Form (PDF 50.08 KB)

All Provider Bulletin 226: Final Deadline Appeal Submissions - New Request for Claim Review Form (TXT 2.11 KB)

All Provider Bulletin 225: Special Circumstances for Electronic Claims (PDF 67.55 KB)

All Provider Bulletin 225: Special Circumstances for Electronic Claims (TXT 6.28 KB)

All Provider Bulletin 224: Provider Overpayment Disclosure Process (PDF 124.37 KB)

All Provider Bulletin 224: Provider Overpayment Disclosure Process (TXT 14.22 KB)

All Provider Bulletin 223: Changes to Electronic Claims Submission Policy (PDF 55.91 KB)

All Provider Bulletin 223: Changes to Electronic Claims Submission Policy (TXT 2.6 KB)

All Provider Bulletin 222: 5010 Implementation Cutover (PDF 83.9 KB)

All Provider Bulletin 222: 5010 Implementation Cutover (TXT 10.82 KB)

All Provider Bulletin 221: Revisions to the Final Deadline Appeal Procedures (PDF 60.74 KB)

All Provider Bulletin 221: Revisions to the Final Deadline Appeal Procedures (TXT 3.51 KB)

All Provider Bulletin 220: Revisions to the 90-Day Waiver Procedures (PDF 60.6 KB)

All Provider Bulletin 220: Revisions to the 90-Day Waiver Procedures (TXT 3.38 KB)

All Provider Bulletin 219a: 5010 Implementation Readiness - Corrected (PDF 89.72 KB)

All Provider Bulletin 219a: 5010 Implementation Readiness - Corrected (TXT 12.54 KB)

All Provider Bulletin 218: Service Animal Indication on the Prescription for Transportation (PT-1) Form (PDF 33.59 KB)

All Provider Bulletin 218: Service Animal Indication on the Prescription for Transportation (PT-1) Form (TXT 1.36 KB)

All Provider Bulletin 217: Waiver Policy for Claim Submissions (PDF 62.59 KB)

All Provider Bulletin 217: Waiver Policy for Claim Submissions (TXT 4.18 KB)

All Provider Bulletin 216: HIPAA 5010 Diagnosis Code Requirement (PDF 56.57 KB)

All Provider Bulletin 216: HIPAA 5010 Diagnosis Code Requirement (TXT 2.95 KB)

All Provider Bulletin 215: Change in Pharmacy Copayments (PDF 131.39 KB)

All Provider Bulletin 215: Change in Pharmacy Copayments (TXT 14.72 KB)

All Provider Bulletin 214: New Address for Disability Supplements (PDF 58.2 KB)

All Provider Bulletin 214: New Address for Disability Supplements (TXT 1.3 KB)

All Provider Bulletin 213: Testing Readiness for CMS 5010 Mandate (PDF 57.71 KB)

All Provider Bulletin 213: Testing Readiness for CMS 5010 Mandate (TXT 10.84 KB)

All Provider Bulletin 212: Important Claims Submission Policy Changes (PDF 59.6 KB)

All Provider Bulletin 212: Important Claims Submission Policy Changes (TXT 2.91 KB)

All Provider Bulletin 211: Critical Edit for Required Behavioral Health Screen Modifier (PDF 103.87 KB)

All Provider Bulletin 211: Critical Edit for Required Behavioral Health Screen Modifier (TXT 4.29 KB)

All Provider Bulletin 210: 5010 Implementation Preparation (PDF 79.72 KB)

All Provider Bulletin 210: 5010 Implementation Preparation (TXT 8.37 KB)

All Provider Bulletin 209: Medicaid National Correct Coding Initiative (PDF 79.02 KB)

All Provider Bulletin 209: Medicaid National Correct Coding Initiative (TXT 9.67 KB)

All Provider Bulletin 208: Overview of Key Changes to Be Implemented on January 1, 2012, to Support the Centers for Medicare & Medicaid Services 5010 Mandate (PDF 65.62 KB)

All Provider Bulletin 208: Overview of Key Changes to Be Implemented on January 1, 2012, to Support the Centers for Medicare & Medicaid Services 5010 Mandate (TXT 8.83 KB)

All Provider Bulletin 207: Reduction of Paper Claim Forms (PDF 52.5 KB)

All Provider Bulletin 207: Reduction of Paper Claim Forms (TXT 3.08 KB)

All Provider Bulletin 206: Medicaid Hospice Benefit for Children and Concurrent Curative Treatment (PDF 51.54 KB)

All Provider Bulletin 206: Medicaid Hospice Benefit for Children and Concurrent Curative Treatment (TXT 2.11 KB)

All Provider Bulletin 205: Implementation Approach for HIPAA X12 5010 Electronic Transactions (PDF 56.17 KB)

All Provider Bulletin 205: Implementation Approach for HIPAA X12 5010 Electronic Transactions (TXT 3.77 KB)

All Provider Bulletin 204: Revised Billing Instructions for Healthy Start Program (HSP) Providers (PDF 57.61 KB)

All Provider Bulletin 204: Revised Billing Instructions for Healthy Start Program (HSP) Providers (TXT 2.5 KB)

All Provider Bulletin 203: Centers for Medicare & Medicaid Services (CMS) FY2010 Payment Error Rate Measurement (PERM) Project (PDF 69.51 KB)

All Provider Bulletin 203: Centers for Medicare & Medicaid Services (CMS) FY2010 Payment Error Rate Measurement (PERM) Project (TXT 4 KB)

All Provider Bulletin 202: Credit Balance Overpayment Policy (PDF 164.17 KB)

All Provider Bulletin 202: Credit Balance Overpayment Policy (TXT 5.32 KB)

All Provider Bulletin 201: New Carrier Code Request Form (PDF 150.38 KB)

All Provider Bulletin 201: New Carrier Code Request Form (TXT 2.69 KB)

All Provider Bulletin 200: Federal Medicaid Integrity Program Provider Audits (PDF 59.11 KB)

All Provider Bulletin 200: Federal Medicaid Integrity Program Provider Audits (TXT 3.43 KB)

All Provider Bulletin 199: Elimination of Full Paper Mailing of Bulletins and Transmittal Letters (PDF 63.77 KB)

All Provider Bulletin 199: Elimination of Full Paper Mailing of Bulletins and Transmittal Letters (TXT 3.68 KB)

All Provider Bulletin 198: Password Expiration and Reset for EVSpc (PDF 131.86 KB)

All Provider Bulletin 198: Password Expiration and Reset for EVSpc (TXT 5.11 KB)

All Provider Bulletin 197: Coverage of H1N1 and Seasonal Influenza Vaccinations (PDF 85.9 KB)

All Provider Bulletin 197: Coverage of H1N1 and Seasonal Influenza Vaccinations (TXT 10.07 KB)

All Provider Bulletin 196: Provider Obligation to Screen Employees and Contractors for Exclusion from Participation in Federal Health Care Programs (PDF 60.4 KB)

All Provider Bulletin 196: Provider Obligation to Screen Employees and Contractors for Exclusion from Participation in Federal Health Care Programs (TXT 6.83 KB)

All Provider Bulletin 195: Changes for Access to Behavioral-Health Services for Certain MassHealth Members (PDF 92.38 KB)

All Provider Bulletin 195: Changes for Access to Behavioral-Health Services for Certain MassHealth Members (TXT 4.57 KB)

All Provider Bulletin 194: Primary Care Clinician (PCC) Referral Process (PDF 69.59 KB)

All Provider Bulletin 194: Primary Care Clinician (PCC) Referral Process (TXT 4.65 KB)

All Provider Bulletin 193: Copies of PDF Remittance Advice (PDF 56.92 KB)

All Provider Bulletin 193: Copies of PDF Remittance Advice (TXT 2.89 KB)

All Provider Bulletin 192: Revised Prescription for Transportation (PT-1) Form (PDF 157.6 KB)

All Provider Bulletin 192: Revised Prescription for Transportation (PT-1) Form (TXT 4.2 KB)

All Provider Bulletin 191: New MassHealth Member ID Card (TXT 3.65 KB)

All Provider Bulletin 191: New MassHealth Member ID Card (PDF 61.71 KB)

All Provider Bulletin 190: Preadmission Screening (PAS-A and PAS-CR) Forms (PDF 575.34 KB)

All Provider Bulletin 190: Preadmission Screening (PAS-A and PAS-CR) Forms (TXT 18.62 KB)

All Provider Bulletin 189: Prior Authorization (PA-1) Form (PDF 228.21 KB)

All Provider Bulletin 189: Prior Authorization (PA-1) Form (TXT 8.46 KB)

All Provider Bulletin 188: Elimination of the PCC Plan Referral Requirement for Certain Services (PDF 63.47 KB)

All Provider Bulletin 188: Elimination of the PCC Plan Referral Requirement for Certain Services (TXT 4.47 KB)

All Provider Bulletin 187: NewMMIS Implementation Schedule (PDF 79.63 KB)

All Provider Bulletin 187: NewMMIS Implementation Schedule (TXT 18.08 KB)

All Provider Bulletin 186: Final Deadline Appeal Procedures (PDF 63.74 KB)

All Provider Bulletin 186: Final Deadline Appeal Procedures (TXT 3.61 KB)

All Provider Bulletin 185: NewMMIS Preparation, E-Learning, Trading Partner Testing, and NPI Readiness (PDF 68.73 KB)

All Provider Bulletin 185: NewMMIS Preparation, E-Learning, Trading Partner Testing, and NPI Readines (TXT 11.71 KB)

All Provider Bulletin 184: NewMMIS Member Eligibility Verification System and Discontinuation of Eligibility Operator (PDF 87.19 KB)

All Provider Bulletin 184: NewMMIS Member Eligibility Verification System and Discontinuation of Eligibility Operator (TXT 8 KB)

All Provider Bulletin 183: Member Eligibility REVS Responses Provided Between 12/17/08 and 01/13/09 (PDF 53.44 KB)

All Provider Bulletin 183: Member Eligibility REVS Responses Provided Between 12/17/08 and 01/13/09 (TXT 2.02 KB)

All Provider Bulletin 182: Important Updates about NewMMIS (PDF 66.1 KB)

All Provider Bulletin 182: Important Updates about NewMMIS (TXT 8.8 KB)

All Provider Bulletin 181: NewMMIS Important Events and Activities Scheduled for November (PDF 110.78 KB)

All Provider Bulletin 181: NewMMIS Important Events and Activities Scheduled for November (TXT 17.92 KB)

All Provider Bulletin 180: Tamper-Resistant Prescription Update (PDF 62.18 KB)

All Provider Bulletin 180: Tamper-Resistant Prescription Update (TXT 3.23 KB)

All Provider Bulletin 179: 90-Day Waiver Request and New 90-Day Waiver Request Form (PDF 149.09 KB)

All Provider Bulletin 179: 90-Day Waiver Request and New 90-Day Waiver Request Form (TXT 5.65 KB)

All Provider Bulletin 178: Point-of-Service (POS) Device Termination (PDF 63.49 KB)

All Provider Bulletin 178: Point-of-Service (POS) Device Termination (TXT 2.71 KB)

All Provider Bulletin 177: Rescheduling of NewMMIS Implementation and Preparation Activities (PDF 71.11 KB)

All Provider Bulletin 177: Rescheduling of NewMMIS Implementation and Preparation Activities (TXT 5.95 KB)

All Provider Bulletin 176: New MassHealth Card (PDF 357.89 KB)

All Provider Bulletin 176: New MassHealth Card (TXT 7.39 KB)

All Provider Bulletin 175: NewMMIS Service Authorization, Eligibility Verification, and Claims Status Inquiry (PDF 73.23 KB)

All Provider Bulletin 175: NewMMIS Service Authorization, Eligibility Verification, and Claims Status Inquiry (TXT 8.09 KB)

All Provider Bulletin 174: Massachusetts Implementation of Tamper-Resistant Prescription Requirements (PDF 75.98 KB)

All Provider Bulletin 174: Massachusetts Implementation of Tamper-Resistant Prescription Requirements (TXT 7.11 KB)

All Provider Bulletin 173: NewMMIS Implementation Schedule for Member, Provider, and Claims Functions (PDF 75.53 KB)

All Provider Bulletin 173: NewMMIS Implementation Schedule for Member, Provider, and Claims Functions (TXT 7.93 KB)

All Provider Bulletin 172: NewMMIS Key Concepts and Provider Preparation Guidelines (PDF 70.73 KB)

All Provider Bulletin 172: NewMMIS Key Concepts and Provider Preparation Guidelines (TXT 8.75 KB)

All Provider Bulletin 171: Credit Balance Overpayment Policy (PDF 161.86 KB)

All Provider Bulletin 171: Credit Balance Overpayment Policy (TXT 4.75 KB)

All Provider Bulletin 170: A New Medicaid Management Information System Is Coming (PDF 77.4 KB)

All Provider Bulletin 170: A New Medicaid Management Information System Is Coming (TXT 8.06 KB)

All Provider Bulletin 169: Ordering MassHealth's Wellness Program Member Brochure (PDF 56.14 KB)

All Provider Bulletin 169: Ordering MassHealth's Wellness Program Member Brochure (TXT 2.29 KB)

All Provider Bulletin 168: Six-Month Delay for the Requirement for Tamper-Resistant, Written Prescriptions (PDF 54.98 KB)

All Provider Bulletin 168: Six-Month Delay for the Requirement for Tamper-Resistant, Written Prescriptions (TXT 2.07 KB)

All Provider Bulletin 167: Requirement for Tamper-Resistant, Written Prescriptions (PDF 71.69 KB)

All Provider Bulletin 167: Requirement for Tamper-Resistant, Written Prescriptions (TXT 5.11 KB)

All Provider Bulletin 166: CMS Payment Error Rate Measurement Project (PERM) (PDF 61.98 KB)

All Provider Bulletin 166: CMS Payment Error Rate Measurement Project (PERM) (TXT 3.9 KB)

All Provider Bulletin 165: MassHealth's Wellness Program Member Brochure (PDF 62.31 KB)

All Provider Bulletin 165: MassHealth's Wellness Program Member Brochure (DOCX 18.48 KB)

All Provider Bulletin 164: Implementation of National Provider Identifier (NPI) Number (PDF 190.11 KB)

All Provider Bulletin 164: Implementation of National Provider Identifier (NPI) Number (TXT 17.25 KB)

All Provider Bulletin 163: New Look for WebREVS (PDF 63.54 KB)

All Provider Bulletin 163: New Look for WebREVS (TXT 2.98 KB)

All Provider Bulletin 162: Employee Education about False Claims (PDF 75.58 KB)

All Provider Bulletin 162: Employee Education about False Claims (TXT 3.75 KB)

All Provider Bulletin 161: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services for MassHealth Members Under Age 21 with CommonHealth Coverage (PDF 95.26 KB)

All Provider Bulletin 161: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services for MassHealth Members Under Age 21 with CommonHealth Coverage (TXT 1.99 KB)

All Provider Bulletin 160: MassHealth Provider Recredentialing (PDF 74.81 KB)

All Provider Bulletin 160: MassHealth Provider Recredentialing (TXT 4.36 KB)

All Provider Bulletin 159: Managed Care Enhancements on REVS (PDF 69.27 KB)

All Provider Bulletin 159: Managed Care Enhancements on REVS (TXT 1.81 KB)

All Provider Bulletin 158: Coordination of Benefits for Crossover Claims (PDF 78.37 KB)

All Provider Bulletin 158: Coordination of Benefits for Crossover Claims (TXT 3.84 KB)

All Provider Bulletin 157: Requesting Nonemergency Transportation for a Member Online (TXT 3.25 KB)

All Provider Bulletin 157: Requesting Nonemergency Transportation for a Member Online (PDF 158.4 KB)

All Provider Bulletin 156: Downloading and Ordering Forms and Other MassHealth Publications Online (PDF 176.53 KB)

All Provider Bulletin 156: Downloading and Ordering Forms and Other MassHealth Publications Online (TXT 4.62 KB)

All Provider Bulletin 155: Expansion of Services for Adult MassHealth Members and Tobacco Cessation Services for Members of All Ages (PDF 77.99 KB)

All Provider Bulletin 155: Expansion of Services for Adult MassHealth Members and Tobacco Cessation Services for Members of All Ages (TXT 6.09 KB)

All Provider Bulletin 154: Enhanced REVS Capabilities (PDF 61.77 KB)

All Provider Bulletin 154: Enhanced REVS Capabilities (TXT 4.13 KB)

All Provider Bulletin 153: Preferred Communication Method Options (PDF 78.27 KB)

All Provider Bulletin 153: Preferred Communication Method Options (TXT 4.16 KB)

All Provider Bulletin 152: Void Request Form for Non-Pharmacy Claims (PDF 126.29 KB)

All Provider Bulletin 152: Void Request Form for Non-Pharmacy Claims (TXT 4.44 KB)

All Provider Bulletin 151: Enhancements to WebREVS (PDF 81.54 KB)

All Provider Bulletin 151: Enhancements to WebREVS (TXT 7.52 KB)

All Provider Bulletin 150: Redesigned MassHealth Card (PDF 118.25 KB)

All Provider Bulletin 150: Redesigned MassHealth Card (TXT 2.36 KB)

All Provider Bulletin 149: Elimination of the MassHealth Secure File Delivery Application (PDF 73.23 KB)

All Provider Bulletin 149: Elimination of the MassHealth Secure File Delivery Application (TXT 2.71 KB)

All Provider Bulletin 148: Expanded REVS Eligibility History (RTF 4.01 MB)

All Provider Bulletin 148: Expanded REVS Eligibility History (PDF 62.35 KB)

All Provider Bulletin 147: Policy Regarding MCO Claims Submission (PDF 42.36 KB)

All Provider Bulletin 147: Policy Regarding MCO Claims Submission (TXT 7.31 KB)

All Provider Bulletin 146: Update on Expanded MassHealth Customer Service (PDF 151.76 KB)

All Provider Bulletin 146: Update on Expanded MassHealth Customer Service (RTF 4.69 MB)

All Provider Bulletin 145: National Provider Identifiers (PDF 145.98 KB)

All Provider Bulletin 145: National Provider Identifiers (RTF 4.08 MB)

All Provider Bulletin 144: Expanded Customer Services for MassHealth Providers and Members (PDF 215.88 KB)

All Provider Bulletin 144: Expanded Customer Services for MassHealth Providers and Members (RTF 8.5 MB)

All Provider Bulletin 143: A New Way to Communicate with Providers (PDF 122.72 KB)

All Provider Bulletin 143: A New Way to Communicate with Providers (RTF 3.62 MB)

All Provider Bulletin 142: Guidelines for Medical Necessity Determination for Certain Products and Services (PDF 143.83 KB)

All Provider Bulletin 142: Guidelines for Medical Necessity Determination for Certain Products and Services (RTF 4.04 MB)

All Provider Bulletin 141: Revised Prescription for Transportation (PT-1) Form on Web Site (PDF 130.62 KB)

All Provider Bulletin 141: Revised Prescription for Transportation (PT-1) Form on Web Site (RTF 4.01 MB)

All Provider Bulletin 140: Integration of the MassHealth Provider Services Web Site into Mass.Gov Portal (RTF 4.5 MB)

All Provider Bulletin 140: Integration of the MassHealth Provider Services Web Site into Mass.Gov Portal (PDF 144.94 KB)

All Provider Bulletin 139: Implementation of a HIPAA-Compliant Secure File Delivery Application (PDF 42.98 KB)

All Provider Bulletin 139: Implementation of a HIPAA-Compliant Secure File Delivery Application (RTF 4.02 MB)

All Provider Bulletin 138: Credit Balance Overpayment Policy (PDF 209.49 KB)

All Provider Bulletin 138: Credit Balance Overpayment Policy (RTF 3.96 MB)

All Provider Bulletin 137: New MassHealth Web Site (PDF 146.4 KB)

All Provider Bulletin 137: New MassHealth Web Site (RTF 3.63 MB)

All Provider Bulletin 136: Claims Processing and HIPAA Compliance for Electronic Claims Transactions (PDF 45.14 KB)

All Provider Bulletin 136: Claims Processing and HIPAA Compliance for Electronic Claims Transactions (RTF 5.38 MB)

All Provider Bulletin 135: New Massachusetts Management and Accounting Reporting System (NewMMARS) (PDF 48.76 KB)

All Provider Bulletin 135: New Massachusetts Management and Accounting Reporting System (NewMMARS) (RTF 3.64 MB)

All Provider Bulletin 134: Billing Deadline for MassHealth Claims (PDF) (PDF 94.97 KB)

All Provider Bulletin 134: Billing Deadline for MassHealth Claims (PDF) (RTF 2.22 MB)

All Provider Bulletin 133: HIPAA Compliance for Electronic Claims Transactions (RTF 4.03 MB)

All Provider Bulletin 133: HIPAA Compliance for Electronic Claims Transactions (PDF 49.35 KB)

All Provider Bulletin 132: HIPAA Compliance for Electronic Claims Transactions (PDF 158.14 KB)

All Provider Bulletin 132: HIPAA Compliance for Electronic Claims Transactions (RTF 3.64 MB)

All Provider Bulletin 131: Revision to MassHealth Breast and Cervical Cancer Treatment Program (PDF 119.61 KB)

All Provider Bulletin 131: Revision to MassHealth Breast and Cervical Cancer Treatment Program (RTF 3.62 MB)

All Provider Bulletin 130: Change in MassHealth Co-payment Policy (RTF 72.57 KB)

All Provider Bulletin 130: Change in MassHealth Co-payment Policy (PDF 273.59 KB)

All Provider Bulletin 129: MassHealth Breast and Cervical Cancer Treatment Program (PDF 264.07 KB)

All Provider Bulletin 129: MassHealth Breast and Cervical Cancer Treatment Program (RTF 29.42 KB)

All Provider Bulletin 128: Implementation of the HIPAA-Compliant Electronic Prior Authorization Request and Response Transaction (PDF 265.83 KB)

All Provider Bulletin 128: Implementation of the HIPAA-Compliant Electronic Prior Authorization Request and Response Transaction (RTF 42.86 KB)

All Provider Bulletin 127: Implementation of HIPAA-Compliant Electronic Remittance Advice (PDF 261.47 KB)

All Provider Bulletin 127: Implementation of HIPAA-Compliant Electronic Remittance Advice (RTF 59.65 KB)

All Provider Bulletin 126: HIPAA Compliance for Electronic Claim Submissions (PDF 127.07 KB)

All Provider Bulletin 126: HIPAA Compliance for Electronic Claim Submissions (RTF 68.89 KB)

All Provider Bulletin 125: Billing Procedure for HIPAA Electronic Claims Requiring Attachments (PDF 119.8 KB)

All Provider Bulletin 125: Billing Procedure for HIPAA Electronic Claims Requiring Attachments (RTF 37.88 KB)

All Provider Bulletin 124: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (PDF 260.76 KB)

All Provider Bulletin 124: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (RTF 793.72 KB)

All Provider Bulletin 123: New Rebilling Procedures for Denied Claims (PDF 49.58 KB)

All Provider Bulletin 123: New Rebilling Procedures for Denied Claims (RTF 39.13 KB)

All Provider Bulletin 122: Administrative Simplification: Remittance Advices (PDF 101.35 KB)

All Provider Bulletin 122: Administrative Simplification: Remittance Advices (RTF 27.7 KB)

All Provider Bulletin 121: Updated Appendix C and New Carrier Code (PDF 131.48 KB)

All Provider Bulletin 121: Updated Appendix C and New Carrier Code (RTF 33.98 KB)

All Provider Bulletin 120: Important Information about the MassHealth Pharmacy Program (PDF 128.14 KB)

All Provider Bulletin 120: Important Information about the MassHealth Pharmacy Program (RTF 42.05 KB)

All Provider Bulletin 119: Modification to REVS Automated Voice Response (AVR) System (PDF) (PDF 240.36 KB)

All Provider Bulletin 119: Modification to REVS Automated Voice Response (AVR) System (RTF 39.54 KB)

All Provider Bulletin 118: Changes to MassHealth Basic and Buy-in Eligibility Rules (PDF 121.86 KB)

All Provider Bulletin 118: Changes to MassHealth Basic and Buy-in Eligibility Rules (RTF 43.46 KB)

All Provider Bulletin 117: New Options for Claim Status Requests (PDF 277.54 KB)

All Provider Bulletin 117: New Options for Claim Status Requests (RTF 76.38 KB)

All Provider Bulletin 116: HIPAA Eligibility and Response Transaction 270/271 (PDF 286.46 KB)

All Provider Bulletin 116: HIPAA Eligibility and Response Transaction 270/271 (RTF 30.27 KB)

All Provider Bulletin 115: MassHealth Drug List (RTF 1.2 MB)

All Provider Bulletin 115: MassHealth Drug List (PDF 214.8 KB)

All Provider Bulletin 114: Payment for the Medicare Part B Crossover Claims Repricing (PDF 96.88 KB)

All Provider Bulletin 114: Payment for the Medicare Part B Crossover Claims Repricing (RTF 26.08 KB)

All Provider Bulletin 113: Division of Medical Assistance Web Site (PDF 115.56 KB)

All Provider Bulletin 113: Division of Medical Assistance Web Site (RTF 9.46 KB)

All Provider Bulletin 112: Overpayment Policy (PDF 20.3 KB)

All Provider Bulletin 112: Overpayment Policy (TXT 3.57 KB)

All Provider Bulletin 111: Redesigned MassHealth Card (PDF 121.74 KB)

All Provider Bulletin 111: Redesigned MassHealth Card (TXT 2.52 KB)

All Provider Bulletin 110: Medicare Part B Crossover Claims Update (PDF 69.53 KB)

All Provider Bulletin 110: Medicare Part B Crossover Claims Update (TXT 2.17 KB)

All Provider Bulletin 109: Billing Deadline for MassHealth Claims (TXT 3.67 KB)

All Provider Bulletin 109: Billing Deadline for MassHealth Claims (PDF 73.08 KB)

All Provider Bulletin 108: Medicare Part B Crossover Claim Update (PDF 18.02 KB)

All Provider Bulletin 108: Medicare Part B Crossover Claim Update (TXT 1.9 KB)

All Provider Bulletin 107: Year-2000 Update (PDF 74.63 KB)

All Provider Bulletin 107: Year-2000 Update (RTF 42.85 KB)

ALL-106: Payment for Experimental or Unproven Services and Monies Owed by Providers (PDF 230.14 KB)

All Provider Bulletin 106: Billing for Missed Appointments (RTF 6.86 KB)

All Provider Bulletin 105: Year 2000 (Readiness Disclosure Notice) (PDF 168.15 KB)

All Provider Bulletin 105: Year 2000 (Readiness Disclosure Notice) (RTF 73.62 KB)

All Provider Bulletin 104: Payment for the Medicare Part B Coinsurance and Deductible (PDF 58.92 KB)

All Provider Bulletin 104: Payment for the Medicare Part B Coinsurance and Deductible (RTF 9.82 KB)

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