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All Provider bulletins

All Provider Bulletin 378: Coverage and Reimbursement Policy for Newly Added Coronavirus Disease 2019 (COVID-19) Vaccines (corrected) (English, PDF 166.49 KB)

All Provider Bulletin 378: Coverage and Reimbursement Policy for Newly Added Coronavirus Disease 2019 (COVID-19) Vaccines (corrected) (English, DOCX 33.21 KB)

All Provider Bulletin 377: MassHealth Provider Online Service Center (POSC) Primary User Policy (English, PDF 197.94 KB)

All Provider Bulletin 377: MassHealth Provider Online Service Center (POSC) Primary User Policy (English, DOCX 32.7 KB)

All Provider Bulletin 376: Updates to the Implementation of Ordering, Referring, and Prescribing Requirements (English, PDF 135.07 KB)

All Provider Bulletin 376: Updates to the Implementation of Ordering, Referring, and Prescribing Requirements (English, DOCX 37.68 KB)

All Provider Bulletin 375: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Vaccines (corrected) (English, PDF 126.36 KB)

All Provider Bulletin 375: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Vaccines (corrected) (English, DOCX 31.83 KB)

All Provider Bulletin 374: Access to Health Services through Telehealth Options (English, PDF 267.2 KB)

All Provider Bulletin 374: Access to Health Services through Telehealth Options (English, DOCX 54.78 KB)

All Provider Bulletin 373: Extension of Flexibilities for Prior Authorization of Formula (English, PDF 192.63 KB)

All Provider Bulletin 373: Extension of Flexibilities for Prior Authorization of Formula (English, DOCX 40.92 KB)

All Provider Bulletin 372: Reminder of Billing Responsibilities and Billing for Retroactively Reinstated Members (English, PDF 112.93 KB)

All Provider Bulletin 372: Reminder of Billing Responsibilities and Billing for Retroactively Reinstated Members (English, DOCX 30.64 KB)

All Provider Bulletin 371: Continued Suspension of Primary Care Clinician Plan & Primary Care ACO Referrals (English, PDF 131.21 KB)

All Provider Bulletin 371: Continued Suspension of Primary Care Clinician Plan & Primary Care ACO Referrals (English, DOCX 30.02 KB)

All Provider Bulletin 370: MassHealth Coordinating Aligned, Relationship-centered, Enhanced Support (CARES) for Kids Program (English, PDF 195.43 KB)

All Provider Bulletin 370: MassHealth Coordinating Aligned, Relationship-centered, Enhanced Support (CARES) for Kids Program (English, DOCX 45.88 KB)

All Provider Bulletin 369: Electronic Submission of Prior Authorization Requests (corrected) (English, PDF 150.12 KB)

All Provider Bulletin 369: Electronic Submission of Prior Authorization Requests (corrected) (English, DOCX 32.45 KB)

All Provider Bulletin 368: Ending Prior Authorization Requirements for Certain Services (English, PDF 157.2 KB)

All Provider Bulletin 368: Ending Prior Authorization Requirements for Certain Services (English, DOCX 33.02 KB)

All Provider Bulletin 367: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 after the Expiration of the Federal Public Health Emergency (Corrected) (English, PDF 233.65 KB)

All Provider Bulletin 367: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 after the Expiration of the Federal Public Health Emergency (Corrected) (English, DOCX 37.77 KB)

All Provider Bulletin 366: Drugs Designated for Exclusion from 340B Coverage (English, PDF 158.53 KB)

All Provider Bulletin 366: Drugs Designated for Exclusion from 340B Coverage (English, DOCX 30.89 KB)

All Provider Bulletin 365: MassHealth’s Continuing Coverage of Reproductive Health Medications (English, PDF 178.25 KB)

All Provider Bulletin 365: MassHealth’s Continuing Coverage of Reproductive Health Medications (English, DOCX 35.98 KB)

All Provider Bulletin 364: Provider-to-Provider E-Consults (English, PDF 199.81 KB)

All Provider Bulletin 364: Provider-to-Provider E-Consults (English, DOCX 51.05 KB)

All Provider Bulletin 363: Accountable Care Organization Program Updates (English, PDF 213.16 KB)

All Provider Bulletin 363: Accountable Care Organization Program Updates (English, DOCX 47 KB)

All Provider Bulletin 362: Coverage and Reimbursement Policy for Vaccine Counseling (English, PDF 160.29 KB)

All Provider Bulletin 362: Coverage and Reimbursement Policy for Vaccine Counseling (English, DOCX 57.87 KB)

All Provider Bulletin 361: Start Dates for Enforcing Ordering, Referring, and Prescribing Requirements (English, PDF 144.65 KB)

All Provider Bulletin 361: Start Dates for Enforcing Ordering, Referring, and Prescribing Requirements (English, DOCX 31.35 KB)

All Provider Bulletin 360: Hospital-Determined Presumptive Eligibility (HPE): Updates for Certain Applicants (English, PDF 172.07 KB)

All Provider Bulletin 360: Hospital-Determined Presumptive Eligibility (HPE): Updates for Certain Applicants (English, DOCX 36.75 KB)

All Provider Bulletin 359: Pediatric Immunization Vaccine / Administration SL Modifier Change (English, PDF 111.82 KB)

All Provider Bulletin 359: Pediatric Immunization Vaccine / Administration SL Modifier Change (English, DOCX 29.25 KB)

All Provider Bulletin 358: Extension of Flexibilities for Prior Authorization of Formula (English, PDF 181.19 KB)

All Provider Bulletin 358: Extension of Flexibilities for Prior Authorization of Formula (English, DOCX 34.21 KB)

All Provider Bulletin 357: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Doses and Pre-exposure Prophylaxis (English, PDF 316.66 KB)

All Provider Bulletin 357: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Doses and Pre-exposure Prophylaxis (English, DOCX 35.93 KB)

All Provider Bulletin 356: Changes to Prescription Drug Days’ Supply Limitations, Effective December 19, 2022 (English, PDF 145.84 KB)

All Provider Bulletin 356: Changes to Prescription Drug Days’ Supply Limitations, Effective December 19, 2022 (English, DOCX 30.24 KB)

All Provider Bulletin 355: Access to Health Services through Telehealth Options (Amendment) (English, PDF 294.51 KB)

All Provider Bulletin 355: Access to Health Services through Telehealth Options (Amendment) (English, DOCX 51.96 KB)

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

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

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

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

All Provider Bulletin 352: Requirements for Reporting and Returning of Overpayments (Corrected) (English, PDF 192.82 KB)

All Provider Bulletin 352: Requirements for Reporting and Returning of Overpayments (Corrected) (English, DOCX 49.56 KB)

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

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

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

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

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

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

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

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

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

All Provider Bulletin 347: Changes to Prescription Drug Days’ Supply Limitations, Effective September 19, 2022 (English, 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 (English, 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 (English, DOCX 33.87 KB)

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

All Provider Bulletin 345: Robotics Processing Automation (RPA) Policy (English, 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 (English, PDF 158.56 KB)

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

All Provider Bulletin 343: MassHealth and Health Safety Net Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, 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 (English, DOCX 28.14 KB)

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

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

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

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

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

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

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

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

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

All Provider Bulletin 337: MassHealth Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, 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 (English, PDF 132.65 KB)

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

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

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

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

All Provider Bulletin 333: MassHealth Coverage for Coronavirus Disease 2019 (COVID-19) Vaccine Booster Doses (English, 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 (English, 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 (English, DOCX 38.91 KB)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

All Provider Bulletin 323: Updated MassHealth Policies on Gender-Affirming Care Coverage (English, 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 (English, 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 (English, DOCX 36.48 KB)

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

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

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

All Provider Bulletin 320: Expiration of Temporary Extension of Timely Replies for Initial Notices of Overpayment during COVID-19 Emergency (English, 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 (English, 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 (English, DOCX 57.54 KB)

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

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

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

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

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

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

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

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

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

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

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

All Provider Bulletin 313: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, 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 (English, PDF 147.39 KB)

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

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

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

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

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

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

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

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

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

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

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

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

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

All Provider Bulletin 305: Policies and Procedure for Newborn Members: Eligibility, Enrollment and Payment (English, 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 (English, 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 (English, DOCX 55.11 KB)

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

All Provider Bulletin 303: Updated MassHealth Telehealth Policy (English, 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 (English, 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 (English, 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 (English, DOCX 33.6 KB)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

All Provider Bulletin 293: Flexibilities for Substance Use Disorder Treatment Services During COVID-19 State of Emergency (English, 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 (English, 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 (English, DOCX 31.04 KB)

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

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

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

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

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

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

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

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

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

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

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

All Provider Bulletin 286: Start Date for Denials for Claims That Do Not Meet Ordering, Referring, and Prescribing Provider Requirements (English, 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 (English, 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 (English, DOCX 34.38 KB)

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

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

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

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

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

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

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

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

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

All Provider Bulletin 280: Nonemergency Medical Transportation Services (English, 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) (English, PDF 630.08 KB)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

All Provider Bulletin 269: Amendments to All Provider Bulletin 251 (English, 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 (English, PDF 89.18 KB)

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

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

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

All Provider Bulletin 266: MassHealth Coverage of AAC Non-Dedicated Device New Prior Authorization Process (English, 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 (English, PDF 89.18 KB)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

All Provider Bulletin 209: Medicaid National Correct Coding Initiative (English, 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 (English, 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 (English, TXT 8.83 KB)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

All Provider Bulletin 162: Employee Education about False Claims (English, 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 (English, 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 (English, TXT 1.99 KB)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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All Provider bulletins

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