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Open PDF file, 189.54 KB,  ALL-253: Updated Appendix C: Third-Party Liability Codes (English, PDF 189.54 KB)

(April 2026)

Open DOCX file, 149 KB,  ALL-253: Updated Appendix C: Third-Party Liability Codes (English, DOCX 149 KB)

(April 2026)

Open PDF file, 431.45 KB,  ALL-252: Updates to Appendices W and Z (English, PDF 431.45 KB)

(April 2025)

Open DOCX file, 186.43 KB,  ALL-252: Updates to Appendices W and Z (English, DOCX 186.43 KB)

(April 2025)

Open PDF file, 883.27 KB,  ALL-251: All Provider Manual: Updated Appendix C: Third Party Liability Codes (English, PDF 883.27 KB)

(April 2025)

Open DOCX file, 298.4 KB,  ALL-251: All Provider Manual: Updated Appendix C: Third Party Liability Codes (English, DOCX 298.4 KB)

(April 2025)

Open PDF file, 1001.47 KB,  ALL-250: Amendments to the Administrative and Billing Regulations (English, PDF 1001.47 KB)

(January 2025)

Open DOCX file, 325.02 KB,  ALL-250: Amendments to the Administrative and Billing Regulations (English, DOCX 325.02 KB)

(January 2025)

Open PDF file, 470.84 KB,  ALL-249: All Provider Manuals: Updates to Appendix W: EPSDT Services Medical and Dental Protocols and Periodicity Schedules and Appendix Z: EPSDT/PPHSD Screening Services Codes (English, PDF 470.84 KB)

(November 2024)

Open DOCX file, 199.04 KB,  ALL-249: All Provider Manuals: Updates to Appendix W: EPSDT Services Medical and Dental Protocols and Periodicity Schedules and Appendix Z: EPSDT/PPHSD Screening Services Codes (English, DOCX 199.04 KB)

(November 2024)

Open PDF file, 164.16 KB,  ALL-248: Updates to Subchapter 5: Administrative and Billing Instructions, Part 7: Other Insurance of All Provider Manuals (English, PDF 164.16 KB)

(August 2024)

Open DOCX file, 139.82 KB,  ALL-248: Updates to Subchapter 5: Administrative and Billing Instructions, Part 7: Other Insurance of All Provider Manuals (English, DOCX 139.82 KB)

(August 2024)

Open PDF file, 377.62 KB,  ALL-247: All Provider Manuals: Revised Appendix T: Children’s Medical Security Plan 2024 HCPCS Code Updates (English, PDF 377.62 KB)

(May 2024)

Open DOCX file, 214.31 KB,  ALL-247: All Provider Manuals: Revised Appendix T: Children’s Medical Security Plan 2024 HCPCS Code Updates (English, DOCX 214.31 KB)

(May 2024)

Open PDF file, 322.07 KB,  ALL-246: Emergency Updates to Administrative and Billing Regulations: Elimination of Copayments for MassHealth Members (English, PDF 322.07 KB)

(March 2024)

Open DOCX file, 130.15 KB,  ALL-246: Emergency Updates to Administrative and Billing Regulations: Elimination of Copayments for MassHealth Members (English, DOCX 130.15 KB)

(March 2024)

Open PDF file, 906.67 KB,  ALL-245: Updates to Appendix C: Third-Party Liability Codes (English, PDF 906.67 KB)

(November 2023)

Open DOCX file, 262.25 KB,  ALL-245: Updates to Appendix C: Third-Party Liability Codes (English, DOCX 262.25 KB)

(November 2023)

Open PDF file, 464.96 KB,  ALL-244: Updates to Appendix Y: EVS Codes/Messages (English, PDF 464.96 KB)

(October 2023)

Open DOCX file, 142.38 KB,  ALL-244: Updates to Appendix Y: EVS Codes/Messages (English, DOCX 142.38 KB)

(October 2023)

Open PDF file, 451.11 KB,  ALL-243: Revised Appendix A (English, PDF 451.11 KB)

(June 2023)

Open DOCX file, 169.95 KB,  ALL-243: Revised Appendix A (English, DOCX 169.95 KB)

(June 2023)

Open PDF file, 369.1 KB,  ALL-242: Revised Appendix T: Children’s Medical Security Plan 2023 HCPCS Code Updates (English, PDF 369.1 KB)

(June 2023)

Open DOCX file, 151.66 KB,  ALL-242: Revised Appendix T: Children’s Medical Security Plan 2023 HCPCS Code Updates (English, DOCX 151.66 KB)

(June 2023)

Open PDF file, 197.32 KB,  ALL-241: Emergency updates to Administrative and Billing Regulations: Elimination of copayments for MassHealth members (English, PDF 197.32 KB)

(May 2023)

Open DOCX file, 86.79 KB,  ALL-241: Emergency updates to Administrative and Billing Regulations: Elimination of copayments for MassHealth members (English, DOCX 86.79 KB)

(May 2023)

Open PDF file, 369.92 KB,  ALL-240: Revised Appendix T: Children’s Medical Security Plan 2023 HCPCS Code Updates (Corrected) (English, PDF 369.92 KB)

(April 2023)

Open DOCX file, 151.53 KB,  ALL-240: Revised Appendix T: Children’s Medical Security Plan 2023 HCPCS Code Updates (Corrected) (English, DOCX 151.53 KB)

(April 2023)

Open PDF file, 741.33 KB,  ALL-239: Updated Appendix C: Third-Party Liability Codes (English, PDF 741.33 KB)

(February 2023)

Open DOCX file, 240.51 KB,  ALL-239: Updated Appendix C: Third-Party Liability Codes (English, DOCX 240.51 KB)

(February 2023)

Open PDF file, 389.49 KB,  ALL-238: All Provider Manuals (Revised Appendix T: Children’s Medical Security Plan (CMSP) 2022 HCPCS Code Updates) (English, PDF 389.49 KB)

(August 2022)

Open DOCX file, 149.57 KB,  ALL-238: All Provider Manuals (Revised Appendix T: Children’s Medical Security Plan (CMSP) 2022 HCPCS Code Updates) (English, DOCX 149.57 KB)

(August 2022)

Open PDF file, 400.7 KB,  ALL-237: Updates to Appendix Y: EVS Codes/Messages (English, PDF 400.7 KB)

(May 2022)

Open DOCX file, 126.32 KB,  ALL-237: Updates to Appendix Y: EVS Codes/Messages (English, DOCX 126.32 KB)

(May 2022)

Open PDF file, 370.34 KB,  ALL-236: Revised Appendix T: Children’s Medical Security Plan (CMSP) 2021 HCPCS Code Updates (English, PDF 370.34 KB)

(March 2022)

Open DOCX file, 126.22 KB,  ALL-236: Revised Appendix T: Children’s Medical Security Plan (CMSP) 2021 HCPCS Code Updates (English, DOCX 126.22 KB)

(March 2022)

Open PDF file, 344.48 KB,  ALL-235: Coverage of Acupuncture and Urgent Care Clinic Services for Certain MassHealth Members (English, PDF 344.48 KB)

(January 2022)

Open DOCX file, 116.12 KB,  ALL-235: Coverage of Acupuncture and Urgent Care Clinic Services for Certain MassHealth Members (English, DOCX 116.12 KB)

(January 2022)

Open PDF file, 257.98 KB,  ALL-234: Cost Sharing Limits (English, PDF 257.98 KB)

(June 2021)

Open DOCX file, 100.29 KB,  ALL-234: Cost Sharing Limits (English, DOCX 100.29 KB)

(June 2021)

Open PDF file, 349.88 KB,  ALL-233: Updates to Appendix W – Behavioral Health, Medical Schedule, and Dental Schedule (English, PDF 349.88 KB)

(December 2020)

Open DOCX file, 120.73 KB,  ALL-233: Updates to Appendix W – Behavioral Health, Medical Schedule, and Dental Schedule (English, DOCX 120.73 KB)

(December 2020)

Open PDF file, 447.53 KB,  ALL-232: Revised Appendix Y (English, PDF 447.53 KB)

(July 2020)

Open DOCX file, 127.63 KB,  ALL-232: Revised Appendix Y (English, DOCX 127.63 KB)

(July 2020)

Open PDF file, 262.72 KB,  ALL-231: Elimination of Copayments for Certain Services and Populations (English, PDF 262.72 KB)

(June 2020)

Open DOCX file, 119.01 KB,  ALL-231: Elimination of Copayments for Certain Services and Populations (English, DOCX 119.01 KB)

(June 2020)

Open PDF file, 200.88 KB,  ALL-230: Elimination of Copayments for Smoking Cessation Products and Drugs (English, PDF 200.88 KB)

(September 2019)

Open DOCX file, 89.67 KB,  ALL-230: Elimination of Copayments for Smoking Cessation Products and Drugs (English, DOCX 89.67 KB)

(September 2019)

Open PDF file, 564.78 KB,  ALL-229: Revised Appendix T Children’s Medical Security Plan (CMSP) 2019 HCPCS Code Updates (English, PDF 564.78 KB)

(April 2019)

Open DOCX file, 239.9 KB,  ALL-229: Revised Appendix T Children’s Medical Security Plan (CMSP) 2019 HCPCS Code Updates (English, DOCX 239.9 KB)

(April 2019)

Open PDF file, 343.64 KB,  ALL-228: Appendix T. Children’s Medical Security Plan (CMSP) 2018 HCPCS Code Updates (English, PDF 343.64 KB)
Open DOCX file, 255.93 KB,  ALL-228: Appendix T. Children’s Medical Security Plan (CMSP) 2018 HCPCS Code Updates (English, DOCX 255.93 KB)
Open PDF file, 627.13 KB,  ALL-227: Updates to Administrative and Billing Regulations, including Out-of-State Acute Hospital Payment Methods; Provider Appeals to Board of Hearings; Exceptions to 90-day Claim Submission Deadline (English, PDF 627.13 KB)
Open DOC file, 349.5 KB,  ALL-227: Updates to Administrative and Billing Regulations, including Out-of-State Acute Hospital Payment Methods; Provider Appeals to Board of Hearings; Exceptions to 90-day Claim Submission Deadline (English, DOC 349.5 KB)
Open PDF file, 321.38 KB,  ALL-226: One Care and Medication Assisted Treatment (MAT) Changes (English, PDF 321.38 KB)
Open DOC file, 213 KB,  ALL-226: One Care and Medication Assisted Treatment (MAT) Changes (English, DOC 213 KB)
Open PDF file, 363.02 KB,  ALL-225: New Payment Methodology for Out-of-State Acute Inpatient Hospitals for Long-acting Reversible Contraception (LARC) Devices (LARC Devices) (English, PDF 363.02 KB)

(February 2018)

Open DOCX file, 47.15 KB,  ALL-225: New Payment Methodology for Out-of-State Acute Inpatient Hospitals for Long-acting Reversible Contraception (LARC) Devices (LARC Devices) (English, DOCX 47.15 KB)

(February 2018)

Open PDF file, 904.2 KB,  ALL-224: Payment Care and Delivery Innovations Regulations (English, PDF 904.2 KB)

(December 2017)

Open DOCX file, 354.31 KB,  ALL-224: Payment Care and Delivery Innovations Regulations (English, DOCX 354.31 KB)

(December 2017)

Open PDF file, 163.24 KB,  ALL-223: Federal Requirements for Ordering, Referring, and Prescribing Providers (English, PDF 163.24 KB)

(October 2017)

Open DOC file, 245 KB,  ALL-223: Federal Requirements for Ordering, Referring, and Prescribing Providers (English, DOC 245 KB)

(October 2017)

Open PDF file, 566.21 KB,  ALL-222: MassHealth Midlevel Practitioner Project; Primary Care Provider Updates (PCC Plan) (English, PDF 566.21 KB)

(July 2017)

Open DOC file, 447.5 KB,  ALL-222: MassHealth Midlevel Practitioner Project; Primary Care Provider Updates (PCC Plan) (English, DOC 447.5 KB)

(July 2017)

Open PDF file, 258.85 KB,  ALL-221: Changes to the Management of the Children’s Medical Security Plan (CMSP) (English, PDF 258.85 KB)

(June 2017)

Open DOC file, 839.74 KB,  ALL-221: Changes to the Management of the Children’s Medical Security Plan (CMSP) (English, DOC 839.74 KB)

(June 2017)

Open PDF file, 931.94 KB,  ALL-220: Regulatory Review Updates (English, PDF 931.94 KB)

(June 2017)

Open DOC file, 867.5 KB,  ALL-220: Regulatory Review Updates (English, DOC 867.5 KB)

(June 2017)

Open PDF file, 439.92 KB,  ALL-219: Appendix W – Behavioral Health Updates (English, PDF 439.92 KB)

(March 2017)

Open DOCX file, 162.74 KB,  ALL-219: Appendix W – Behavioral Health Updates (English, DOCX 162.74 KB)

(March 2017)

Open PDF file, 370.38 KB,  ALL-218: Updates to MassHealth Out-of-State Acute Outpatient Hospital Payment Method in 130 CMR 450.233(D) (English, PDF 370.38 KB)

(February 2017)

Open DOC file, 284 KB,  ALL-218: Updates to MassHealth Out-of-State Acute Outpatient Hospital Payment Method in 130 CMR 450.233(D) (English, DOC 284 KB)

(February 2017)

Open PDF file, 310.11 KB,  ALL-217: Updates to All Provider Manuals, Subchapter 5, Part 7, Administrative and Billing Instructions (English, PDF 310.11 KB)

(February 2017)

Open DOC file, 195.5 KB,  ALL-217: Updates to All Provider Manuals, Subchapter 5, Part 7, Administrative and Billing Instructions (English, DOC 195.5 KB)

(February 2017)

Open PDF file, 419.6 KB,  All-216: Payment Reform regulations (English, PDF 419.6 KB)

(October 2016)

Open DOC file, 264 KB,  All-216: Payment Reform regulations (English, DOC 264 KB)

(October 2016)

Open PDF file, 304 KB,  ALL-215: Primary Care Clinician Plan (English, PDF 304 KB)

(November 2015)

Open DOC file, 152.5 KB,  ALL-215: Primary Care Clinician Plan (English, DOC 152.5 KB)

(November 2015)

Open PDF file, 572.46 KB,  ALL-214: Update to Appendix V: MassHealth Billing Instructions for Provider Preventable Conditions (PPCs) (English, PDF 572.46 KB)

(October 2015)

Open DOC file, 336 KB,  All-214: Update to Appendix V: MassHealth Billing Instructions for Provider Preventable Conditions (PPCs) (English, DOC 336 KB)

(October 2015)

Open PDF file, 613.88 KB,  ALL-213: Revised Appendix C (English, PDF 613.88 KB)

(February 2015)

Open DOC file, 2.47 MB,  ALL-213: Revised Appendix C (English, DOC 2.47 MB)

(February 2015)

Open PDF file, 82.08 KB,  ALL-212: Revised Payment Methodology for Out-of-state Chronic Disease and Rehabilitation Hospitals (English, PDF 82.08 KB)

(January 2015)

Open DOC file, 132 KB,  ALL-212: Revised Payment Methodology for Out-of-state Chronic Disease and Rehabilitation Hospitals (English, DOC 132 KB)

(January 2015)

Open PDF file, 296.54 KB,  ALL-211: Revised Regulations about Electronic Health Records (English, PDF 296.54 KB)

(November 2014)

Open DOC file, 146.5 KB,  ALL-211: Revised Regulations about Electronic Health Records (English, DOC 146.5 KB)

(November 2014)

Open PDF file, 241.01 KB,  ALL-210: Revised Appendix A (English, PDF 241.01 KB)

(September 2014)

Open DOC file, 325.5 KB,  ALL-210: Revised Appendix A (English, DOC 325.5 KB)

(September 2014)

Open PDF file, 61.48 KB,  ALL-209: Revised payment methodology for out-of-state acute hospitals (English, PDF 61.48 KB)

(September 2014)

Open DOC file, 108 KB,  ALL-209: Revised payment methodology for out-of-state acute hospitals (English, DOC 108 KB)

(September 2014)

Open PDF file, 246.99 KB,  ALL-208: Site Visits (English, PDF 246.99 KB)

(August 2014)

Open DOC file, 97 KB,  ALL-208: Site Visits (English, DOC 97 KB)

(August 2014)

Open PDF file, 104.68 KB,  ALL-207: Revised Appendices W and Z (English, PDF 104.68 KB)

(July 2014)

Open DOC file, 1.44 MB,  ALL-207: Revised Appendices W and Z (English, DOC 1.44 MB)

(July 2014)

Open PDF file, 256.78 KB,  ALL-206: Revised Appendix Y (English, PDF 256.78 KB)

(December 2013)

Open DOC file, 170.5 KB,  ALL-206: Revised Appendix Y (English, DOC 170.5 KB)

(December 2013)

Open PDF file, 209.45 KB,  All-205: Revisions to Regulations for the Affordable Care Act (English, PDF 209.45 KB)

(December 2013)

Open TXT file, 116.64 KB,  All-205: Revisions to Regulations for the Affordable Care Act (English, TXT 116.64 KB)

(December 2013)

Open PDF file, 172.46 KB,  ALL-204: Revised Appendix Y (English, PDF 172.46 KB)

(October 2013)

Open TXT file, 14.86 KB,  ALL-204: Revised Appendix Y (English, TXT 14.86 KB)

(October 2013)

Open PDF file, 118.02 KB,  ALL-203: Integrated Care Organizations (English, PDF 118.02 KB)

(September 2013)

Open TXT file, 56.1 KB,  ALL-203: Integrated Care Organizations (English, TXT 56.1 KB)

(September 2013)

Open PDF file, 200.07 KB,  ALL-202: Revised Regulations about Recordkeeping and Disclosure, and Overpayments (English, PDF 200.07 KB)

(September 2013)

Open TXT file, 25.98 KB,  ALL-202: Revised Regulations about Recordkeeping and Disclosure, and Overpayments (English, TXT 25.98 KB)

(September 2013)

Open PDF file, 157.71 KB,  ALL-201: Changes to MassHealth Payment Methods for Out-of-State Acute Hospitals (English, PDF 157.71 KB)

(June 2013)

Open TXT file, 68.22 KB,  ALL-201: Changes to MassHealth Payment Methods for Out-of-State Acute Hospitals (English, TXT 68.22 KB)

(June 2013)

Open PDF file, 67.37 KB,  ALL-200: Emergency Adoption of Mental Health Parity Regulations (English, PDF 67.37 KB)

(May 2013)

Open TXT file, 12.67 KB,  ALL-200: Emergency Adoption of Mental Health Parity Regulations (English, TXT 12.67 KB)

(May 2013)

Open PDF file, 105.73 KB,  ALL-199: Revised Regulations About Electronic 90-Day Waiver and Final Deadline Appeals (English, PDF 105.73 KB)

(March 2013)

Open RTF file, 5.67 MB,  ALL-199: Revised Regulations About Electronic 90-Day Waiver and Final Deadline Appeals (English, RTF 5.67 MB)

(March 2013)

Open PDF file, 76.35 KB,  ALL-198: Emergency Adoption of Mental Health Parity Regulations (English, PDF 76.35 KB)

(March 2013)

Open TXT file, 17.25 KB,  ALL-198: Emergency Adoption of Mental Health Parity Regulations (English, TXT 17.25 KB)

(March 2013)

Open PDF file, 656.35 KB,  ALL-197: Revised Appendix C (English, PDF 656.35 KB)

(February 2013)

Open TXT file, 169.83 KB,  ALL-197: Revised Appendix C (English, TXT 169.83 KB)

(February 2013)

Open PDF file, 175.67 KB,  ALL-196: Updates to Appendices U and V to All Provider Manuals to Reflect Changes in DPH-Designated Serious Reportable Events (SREs) and CMS-Designated Provider Preventable Conditions (PPCs) (English, PDF 175.67 KB)

(October 2012)

Open TXT file, 69.03 KB,  ALL-196: Updates to Appendices U and V to All Provider Manuals to Reflect Changes in DPH-Designated Serious Reportable Events (SREs) and CMS-Designated Provider Preventable Conditions (PPCs) (English, TXT 69.03 KB)

(October 2012)

Open PDF file, 183.36 KB,  ALL-195: MassHealth Billing Instructions for Provider Preventable Conditions (PPCs); Serious Reportable Events; and Rules about PPCs That Are National Coverage Determinations (English, PDF 183.36 KB)

(June 2012)

Open TXT file, 87.62 KB,  ALL-195: MassHealth Billing Instructions for Provider Preventable Conditions (PPCs); Serious Reportable Events; and Rules about PPCs That Are National Coverage Determinations (English, TXT 87.62 KB)

(June 2012)

Open PDF file, 57.75 KB,  ALL-194: Out-of-State Services (English, PDF 57.75 KB)

(May 2012)

Open TXT file, 18.55 KB,  ALL-194: Out-of-State Services (English, TXT 18.55 KB)

(May 2012)

Open PDF file, 68.7 KB,  ALL-193: Revised Appendix Y (English, PDF 68.7 KB)

(April 2012)

Open TXT file, 15.49 KB,  ALL-193: Revised Appendix Y (English, TXT 15.49 KB)

(April 2012)

Open PDF file, 68.24 KB,  ALL-192: Revised Administrative Regulations (English, PDF 68.24 KB)

(March 2012)

Open DOCX file, 27.63 KB,  ALL-192: Revised Administrative Regulations (English, DOCX 27.63 KB)

(March 2012)

Open PDF file, 124.4 KB,  ALL-191: Revised Appendix B: Enrollment Centers (English, PDF 124.4 KB)

(February 2012)

Open TXT file, 35.52 KB,  ALL-191: Revised Appendix B: Enrollment Centers (English, TXT 35.52 KB)

(February 2012)

Open PDF file, 57.53 KB,  ALL-190: Revised Administrative and Billing Instructions (English, PDF 57.53 KB)

(January 2012)

Open TXT file, 11.16 KB,  ALL-190: Revised Administrative and Billing Instructions (English, TXT 11.16 KB)

(January 2012)

Open PDF file, 66.11 KB,  ALL-189: Change in Pharmacy Copayment Calendar-Year Maximum (English, PDF 66.11 KB)

(January 2012)

Open TXT file, 13.52 KB,  ALL-189: Change in Pharmacy Copayment Calendar-Year Maximum (English, TXT 13.52 KB)

(January 2012)

Open PDF file, 178.86 KB,  ALL-188: Revised Appendix A to Reflect Changes in Phone and Fax Information for Some MassHealth Business Units (English, PDF 178.86 KB)

(January 2012)

Open DOCX file, 59.58 KB,  ALL-188: Revised Appendix A to Reflect Changes in Phone and Fax Information for Some MassHealth Business Units (English, DOCX 59.58 KB)

(January 2012)

Open PDF file, 117.8 KB,  ALL-187: Revised Regulations about Claim Submissions (English, PDF 117.8 KB)

(December 2011)

Open TXT file, 14.79 KB,  ALL-187: Revised Regulations about Claim Submissions (English, TXT 14.79 KB)

(December 2011)

Open PDF file, 40.91 KB,  ALL-186: Revised Regulations about NPI (English, PDF 40.91 KB)

(November 2011)

Open TXT file, 11.96 KB,  All-186: Revised Regulations about NPI (English, TXT 11.96 KB)

(November 2011)

Open PDF file, 59.38 KB,  ALL-185: Change in Pharmacy Copayment Amounts (English, PDF 59.38 KB)

(October 2011)

Open TXT file, 16.35 KB,  ALL-185: Change in Pharmacy Copayment Amounts (English, TXT 16.35 KB)

(October 2011)

Open PDF file, 85.11 KB,  ALL-184: Revised Appendix W (English, PDF 85.11 KB)

(July 2011)

Open TXT file, 23.84 KB,  ALL-184: Revised Appendix W (English, TXT 23.84 KB)

(July 2011)

Open PDF file, 400.16 KB,  ALL-183: Revised Appendix C (English, PDF 400.16 KB)

(November 2010)

Open TXT file, 154.59 KB,  ALL-183: Revised Appendix C (English, TXT 154.59 KB)

(November 2010)

Open PDF file, 66.04 KB,  ALL-182: Elimination of PCC Referral Requirement for Certain Services (English, PDF 66.04 KB)

(November 2010)

Open TXT file, 14.46 KB,  ALL-182: Elimination of PCC Referral Requirement for Certain Services (English, TXT 14.46 KB)

(November 2010)

Open PDF file, 138.82 KB,  ALL-181: Revised Appendix A to Reflect Changes in Address and Phone Information for Some MassHealth Business Units (English, PDF 138.82 KB)

(September 2010)

Open TXT file, 38.95 KB,  ALL-181: Revised Appendix A to Reflect Changes in Address and Phone Information for Some MassHealth Business Units (English, TXT 38.95 KB)

(September 2010)

Open PDF file, 160.01 KB,  ALL-180: Revised Appendix Y (English, PDF 160.01 KB)

(July 2010)

Open TXT file, 18.48 KB,  ALL-180: Revised Appendix Y (English, TXT 18.48 KB)

(July 2010)

Open PDF file, 62.63 KB,  ALL-179: Change in Pharmacy Copayment Amounts (English, PDF 62.63 KB)

(July 2010)

Open TXT file, 6.34 KB,  ALL-179: Change in Pharmacy Copayment Amounts (English, TXT 6.34 KB)

(July 2010)

Open PDF file, 144.48 KB,  ALL-178: Managed Care Requirements (English, PDF 144.48 KB)

(June 2010)

Open TXT file, 43.46 KB,  ALL-178: Managed Care Requirements (English, TXT 43.46 KB)

(June 2010)

Open PDF file, 104.27 KB,  ALL-177: Overpayments Determined by Another Agency (English, PDF 104.27 KB)

(January 2010)

Open TXT file, 16.01 KB,  ALL-177: Overpayments Determined by Another Agency (English, TXT 16.01 KB)

(January 2010)

Open PDF file, 107.87 KB,  ALL-176: Dental Benefits for Certain MassHealth Members (English, PDF 107.87 KB)

(December 2009)

Open TXT file, 32.14 KB,  ALL-176: Dental Benefits for Certain MassHealth Members (English, TXT 32.14 KB)

(December 2009)

Open PDF file, 232.89 KB,  ALL-175: Review Process for MassHealth Pay-for-Performance Payment Amounts (English, PDF 232.89 KB)

(December 2009)

Open TXT file, 34.6 KB,  ALL-175: Review Process for MassHealth Pay-for-Performance Payment Amounts (English, TXT 34.6 KB)

(December 2009)

Open PDF file, 127.92 KB,  ALL-174: Revised Appendix A (English, PDF 127.92 KB)

(November 2009)

Open TXT file, 38.69 KB,  ALL-174: Revised Appendix A (English, TXT 38.69 KB)

(November 2009)

Open PDF file, 244.02 KB,  ALL-173: Revised Appendix A (English, PDF 244.02 KB)

(November 2009)

Open TXT file, 40.35 KB,  ALL-173: Revised Appendix A (English, TXT 40.35 KB)

(November 2009)

Open PDF file, 91.22 KB,  ALL-172: Revised Appendix Y (English, PDF 91.22 KB)

(October 2009)

Open TXT file, 17.46 KB,  ALL-172: Revised Appendix Y (English, TXT 17.46 KB)

(October 2009)

Open PDF file, 552.29 KB,  ALL-171: Revised Regulations and Updated EPSDT Information (English, PDF 552.29 KB)

(October 2009)

Open TXT file, 62.04 KB,  ALL-171: Revised Regulations and Updated EPSDT Information (English, TXT 62.04 KB)

(October 2009)

Open PDF file, 74.66 KB,  ALL-170: Managed Care Requirements (English, PDF 74.66 KB)

(September 2009)

Open TXT file, 13.15 KB,  ALL-170: Managed Care Requirements (English, TXT 13.15 KB)

(September 2009)

Open PDF file, 169.97 KB,  ALL-169: Revised Part 6 of the Administrative and Billing Instructions (English, PDF 169.97 KB)

(July 2009)

Open TXT file, 21.91 KB,  ALL-169: Revised Part 6 of the Administrative and Billing Instructions (English, TXT 21.91 KB)

(July 2009)

Open PDF file, 311.08 KB,  ALL-168: Revised Appendix C (English, PDF 311.08 KB)

(June 2009)

Open TXT file, 141.46 KB,  ALL-168: Revised Appendix C (English, TXT 141.46 KB)

(June 2009)

Open PDF file, 349.21 KB,  ALL-167: Revised Appendix Y (English, PDF 349.21 KB)

(May 2009)

Open TXT file, 17 KB,  ALL-167: Revised Appendix Y (English, TXT 17 KB)

(May 2009)

Open PDF file, 484.32 KB,  ALL-166: Revised Appendix A (English, PDF 484.32 KB)

(May 2009)

Open TXT file, 40.37 KB,  ALL-166: Revised Appendix A (English, TXT 40.37 KB)

(May 2009)

Open PDF file, 747.59 KB,  ALL-165: Revised Administrative and Billing Instructions (English, PDF 747.59 KB)

(May 2009)

Open TXT file, 67.15 KB,  ALL-165: Revised Administrative and Billing Instructions (English, TXT 67.15 KB)

(May 2009)

Open PDF file, 364.34 KB,  ALL-164: Revised Appendix C (English, PDF 364.34 KB)

(May 2009)

Open TXT file, 141.27 KB,  ALL-164: Revised Appendix C (English, TXT 141.27 KB)

(May 2009)

Open PDF file, 85.69 KB,  ALL-163: Revised Regulations to Eliminate Nonemergency Ambulance and Wheelchair Van Services to MassHealth Essential, Basic, and Certain Family Assistance Members (English, PDF 85.69 KB)

(March 2009)

Open TXT file, 18.4 KB,  ALL-163: Revised Regulations to Eliminate Nonemergency Ambulance and Wheelchair Van Services to MassHealth Essential, Basic, and Certain Family Assistance Members (English, TXT 18.4 KB)

(March 2009)

Open PDF file, 133.97 KB,  ALL-162: Revised Appendix Y (English, PDF 133.97 KB)

(January 2009)

Open TXT file, 13.27 KB,  ALL-162: Revised Appendix Y (English, TXT 13.27 KB)

(January 2009)

Open PDF file, 71.29 KB,  ALL-161: Increase in Pharmacy Copayment for Generic and Over-the-Counter Drugs (English, PDF 71.29 KB)

(January 2009)

Open TXT file, 6.6 KB,  ALL-161: Increase in Pharmacy Copayment for Generic and Over-the-Counter Drugs (English, TXT 6.6 KB)

(January 2009)

Open PDF file, 272.54 KB,  ALL-160: Revised Appendix C (English, PDF 272.54 KB)

(October 2008)

Open TXT file, 97.43 KB,  ALL-160: Revised Appendix C (English, TXT 97.43 KB)

(October 2008)

Open PDF file, 478.23 KB,  ALL-159: All Provider Manuals (Revised Appendix A) (English, PDF 478.23 KB)

(August 2008)

Open TXT file, 41.69 KB,  ALL-159: All Provider Manuals (Revised Appendix A) (English, TXT 41.69 KB)

(August 2008)

Open PDF file, 93.19 KB,  ALL-158: Revised Appendix Y (English, PDF 93.19 KB)

(June 2008)

Open RTF file, 4.64 MB,  ALL-158: Revised Appendix Y (English, RTF 4.64 MB)

(June 2008)

Open PDF file, 162.57 KB,  ALL-157: Parts 3 and 5 of the Administrative and Billing Instructions (English, PDF 162.57 KB)

(April 2008)

Open TXT file, 16.12 KB,  ALL-157: Parts 3 and 5 of the Administrative and Billing Instructions (English, TXT 16.12 KB)

(April 2008)

Open PDF file, 147.36 KB,  ALL-156: Revised Appendix Y (English, PDF 147.36 KB)

(February 2008)

Open TXT file, 14.93 KB,  ALL-156: Revised Appendix Y (English, TXT 14.93 KB)

(February 2008)

Open PDF file, 539.72 KB,  ALL-155: Revised Regulations and Updated EPSDT and PPHSD Information (English, PDF 539.72 KB)

(December 2007)

Open TXT file, 63.81 KB,  ALL-155: Revised Regulations and Updated EPSDT and PPHSD Information (English, TXT 63.81 KB)

(December 2007)

Open PDF file, 801.91 KB,  ALL-154: Coverage of Nonemergency Ambulance and Wheelchair Van Services to MassHealth Essential, Basic, and Certain Family Assistance Members (English, PDF 801.91 KB)

(October 2007)

Open TXT file, 149.02 KB,  ALL-154: Coverage of Nonemergency Ambulance and Wheelchair Van Services to MassHealth Essential, Basic, and Certain Family Assistance Members (English, TXT 149.02 KB)

(October 2007)

Open PDF file, 88.59 KB,  ALL-153: Revised Appendix Y (English, PDF 88.59 KB)

(October 2007)

Open TXT file, 10.28 KB,  ALL-153: Revised Appendix Y (English, TXT 10.28 KB)

(October 2007)

Open PDF file, 99.18 KB,  ALL-152: Revisions to Third Party Liability Regulations (English, PDF 99.18 KB)

(October 2007)

Open TXT file, 5.24 KB,  ALL-152: Revisions to Third Party Liability Regulations (English, TXT 5.24 KB)

(October 2007)

Open PDF file, 121.34 KB,  ALL-151: Revised Administrative and Billing Regulations for MassHealth Essential Vision Care Services (English, PDF 121.34 KB)

(August 2007)

Open TXT file, 8.98 KB,  ALL-151: Revised Administrative and Billing Regulations for MassHealth Essential Vision Care Services (English, TXT 8.98 KB)

(August 2007)

Open PDF file, 133.28 KB,  ALL-150: Revisions to Regulations - Employee Education about False Claims Laws (English, PDF 133.28 KB)

(August 2007)

Open TXT file, 14.87 KB,  ALL-150: Revisions to Regulations - Employee Education about False Claims Laws (English, TXT 14.87 KB)

(August 2007)

Open PDF file, 228.15 KB,  ALL-149: Revisions to Regulations about Copayments (English, PDF 228.15 KB)

(August 2007)

Open TXT file, 28.03 KB,  ALL-149: Revisions to Regulations about Copayments (English, TXT 28.03 KB)

(August 2007)

Open PDF file, 139.06 KB,  ALL-148: Revised Appendix Y (English, PDF 139.06 KB)

(June 2007)

Open TXT file, 15.07 KB,  ALL-148: Revised Appendix Y (English, TXT 15.07 KB)

(June 2007)

Open PDF file, 86.98 KB,  ALL-147: Revisions to Regulations about Copayments (English, PDF 86.98 KB)

(June 2007)

Open TXT file, 13.31 KB,  ALL-147: Revisions to Regulations about Copayments (English, TXT 13.31 KB)

(June 2007)

Open PDF file, 72.51 KB,  ALL-146: Revisions to Regulations about Copayments (English, PDF 72.51 KB)

(February 2007)

Open TXT file, 6.71 KB,  ALL-146: Revisions to Regulations about Copayments (English, TXT 6.71 KB)

(February 2007)

Open PDF file, 105.76 KB,  ALL-145: Revised Appendix Y (English, PDF 105.76 KB)

(January 2007)

Open TXT file, 13.58 KB,  ALL-145: Revised Appendix Y (English, TXT 13.58 KB)

(January 2007)

Open PDF file, 68.05 KB,  ALL-144: Revised Appendix Y (English, PDF 68.05 KB)

(December 2006)

Open TXT file, 14.57 KB,  ALL-144: Revised Appendix Y (English, TXT 14.57 KB)

(December 2006)

Open PDF file, 350.58 KB,  ALL-143: Revised Appendix A (English, PDF 350.58 KB)

(October 2006)

Open TXT file, 34.23 KB,  ALL-143: Revised Appendix A (English, TXT 34.23 KB)

(October 2006)

Open PDF file, 79.51 KB,  ALL-142: Revisions to Appendix Y Due to Commonwealth Care Coverage (English, PDF 79.51 KB)

(September 2006)

Open DOCX file, 41.59 KB,  ALL-142: Revisions to Appendix Y Due to Commonwealth Care Coverage (English, DOCX 41.59 KB)

(September 2006)

Open PDF file, 107.48 KB,  ALL-141: Revised Appendix Y (English, PDF 107.48 KB)

(August 2006)

Open TXT file, 8.32 KB,  ALL-141: Revised Appendix Y (English, TXT 8.32 KB)

(August 2006)

Open PDF file, 355.7 KB,  ALL-140: Revised Appendix C (English, PDF 355.7 KB)

(August 2006)

Open TXT file, 85.21 KB,  ALL-140: Revised Appendix C (English, TXT 85.21 KB)

(August 2006)

Open PDF file, 589.59 KB,  ALL-139: Revised Administrative and Billing Instructions (English, PDF 589.59 KB)

(April 2006)

Open TXT file, 138.68 KB,  ALL-139: Revised Administrative and Billing Instructions (English, TXT 138.68 KB)

(April 2006)

Open PDF file, 122.73 KB,  ALL-138: Revised Appendix A (English, PDF 122.73 KB)

(May 2006)

Open TXT file, 30.69 KB,  ALL-138: Revised Appendix A (English, TXT 30.69 KB)

(May 2006)

Open PDF file, 126.73 KB,  ALL-137: Updated Appendix W: EPSDT Schedule (English, PDF 126.73 KB)

(March 2006)

Open TXT file, 16.97 KB,  ALL-137: Updated Appendix W: EPSDT Schedule (English, TXT 16.97 KB)

(March 2006)

Open PDF file, 290.04 KB,  ALL-136: Revised Appendix A (English, PDF 290.04 KB)

(November 2005)

Open TXT file, 24.78 KB,  ALL-136: Revised Appendix A (English, TXT 24.78 KB)

(November 2005)

Open PDF file, 124.49 KB,  ALL-135: Provider Manual Appendices (English, PDF 124.49 KB)

(October 2005)

Open TXT file, 9.07 KB,  ALL-135: Provider Manual Appendices (English, TXT 9.07 KB)

(October 2005)

Open PDF file, 268.96 KB,  ALL-134: Revised Appendix A (English, PDF 268.96 KB)

(July 2005)

Open RTF file, 4.13 MB,  ALL-134: Revised Appendix A (English, RTF 4.13 MB)

(July 2005)

Open PDF file, 183.53 KB,  ALL-133: Revised Appendix B - Enrollment Centers (English, PDF 183.53 KB)

(June 2005)

Open RTF file, 6.8 MB,  ALL-133: Revised Appendix B - Enrollment Centers (English, RTF 6.8 MB)

(June 2005)

Open PDF file, 88.65 KB,  ALL-132: Revisions to Regulations (English, PDF 88.65 KB)

(June 2005)

Open RTF file, 4.05 MB,  ALL-132: Revisions to Regulations (English, RTF 4.05 MB)

(June 2005)

Open PDF file, 743.18 KB,  ALL-131: Revised Appendix C (English, PDF 743.18 KB)

(June 2005)

Open TXT file, 76.56 KB,  ALL-131: Revised Appendix C (English, TXT 76.56 KB)

(June 2005)

Open PDF file, 99.75 KB,  ALL-130: Revision to Hearings (English, PDF 99.75 KB)

(February 2005)

Open RTF file, 4.05 MB,  ALL-130: Revision to Hearings (English, RTF 4.05 MB)

(February 2005)

Open PDF file, 60.16 KB,  ALL-129: Provider Manual Appendices (English, PDF 60.16 KB)

(December 2004)

Open RTF file, 159.88 KB,  ALL-129: Provider Manual Appendices (English, RTF 159.88 KB)

(December 2004)

Open PDF file, 74.65 KB,  ALL-128: Revisions to Appendix Y (English, PDF 74.65 KB)

(September 2004)

Open TXT file, 10.12 KB,  ALL-128: Revisions to Appendix Y (English, TXT 10.12 KB)

(September 2004)

Open PDF file, 186.76 KB,  ALL-127: Revisions to Appendix Y (English, PDF 186.76 KB)

(June 2004)

Open TXT file, 6.73 KB,  ALL-127: Revisions to Appendix Y (English, TXT 6.73 KB)

(June 2004)

Open PDF file, 63.06 KB,  ALL-126: Essential Coverage for Certain Aliens with Special Status (English, PDF 63.06 KB)

(July 2004)

Open RTF file, 237.67 KB,  ALL-126: Essential Coverage for Certain Aliens with Special Status (English, RTF 237.67 KB)

(July 2004)

Open PDF file, 206.93 KB,  ALL-125: Changes to MassHealth Copayment Policy (English, PDF 206.93 KB)

(January 2004)

Open RTF file, 212.44 KB,  ALL-125: Changes to MassHealth Copayment Policy (English, RTF 212.44 KB)

(January 2004)

Open PDF file, 191.38 KB,  ALL-124: Revisions to Appendix Y (English, PDF 191.38 KB)

(January 2004)

Open RTF file, 145.47 KB,  ALL-124: Revisions to Appendix Y (English, RTF 145.47 KB)

(January 2004)

Open PDF file, 157.48 KB,  ALL-123: Revision to Covered Services for Aliens with Special Status (English, PDF 157.48 KB)

(January 2004)

Open RTF file, 131.1 KB,  ALL-123: Revision to Covered Services for Aliens with Special Status (English, RTF 131.1 KB)

(January 2004)

Open PDF file, 181.74 KB,  ALL-122: Senior Care Options (English, PDF 181.74 KB)

(January 2004)

Open RTF file, 253.17 KB,  ALL-122: Senior Care Options (English, RTF 253.17 KB)

(January 2004)

Open PDF file, 150.13 KB,  ALL-121: New MassHealth Coverage for Women with Breast or Cervical Cancer (English, PDF 150.13 KB)

(December 2003)

Open RTF file, 27.44 KB,  ALL-121: New MassHealth Coverage for Women with Breast or Cervical Cancer (English, RTF 27.44 KB)

(December 2003)

Open PDF file, 254.42 KB,  ALL-120: Revisions to Appendix A (English, PDF 254.42 KB)

(October 2003)

Open RTF file, 121.98 KB,  ALL-120: Revisions to Appendix A (English, RTF 121.98 KB)

(October 2003)

Open PDF file, 158.58 KB,  ALL-119: Revised Regulations (English, PDF 158.58 KB)

(October 2003)

Open RTF file, 24.73 KB,  ALL-119: Revised Regulations (English, RTF 24.73 KB)

(October 2003)

Open PDF file, 250.53 KB,  ALL-118: Changes to MassHealth Basic and Buy-in Eligibility Rules (English, PDF 250.53 KB)

(September 2003)

Open RTF file, 273.99 KB,  ALL-118: Changes to MassHealth Basic and Buy-in Eligibility Rules (English, RTF 273.99 KB)

(September 2003)

Open PDF file, 175.51 KB,  ALL-117: Revisions to Appendix Y (English, PDF 175.51 KB)

(August 2003)

Open RTF file, 150.74 KB,  ALL-117: Revisions to Appendix Y (English, RTF 150.74 KB)

(August 2003)

Open PDF file, 183.16 KB,  ALL-116: Updated Primary Care Clinician Regulations (English, PDF 183.16 KB)

(August 2003)

Open RTF file, 25.92 KB,  ALL-116: Updated Primary Care Clinician Regulations (English, RTF 25.92 KB)

(August 2003)

Open PDF file, 58.28 KB,  ALL-115: Revision to Covered Services for Aliens with Special Status (English, PDF 58.28 KB)

(July 2003)

Open RTF file, 47.31 KB,  ALL-115: Revision to Covered Services for Aliens with Special Status (English, RTF 47.31 KB)

(July 2003)

Open PDF file, 320.98 KB,  ALL-114: Revised Appendix C (English, PDF 320.98 KB)

(May 2003)

Open RTF file, 408.59 KB,  ALL-114: Revised Appendix C (English, RTF 408.59 KB)

(May 2003)

Open PDF file, 1.37 MB,  ALL-113: Revised Administrative and Billing Regulations (English, PDF 1.37 MB)

(March 2003)

Open RTF file, 1022.29 KB,  ALL-113: Revised Administrative and Billing Regulations (English, RTF 1022.29 KB)

(March 2003)

Open PDF file, 154.98 KB,  ALL-112: Revisions to Appendix Y (English, PDF 154.98 KB)

(January 2003)

Open RTF file, 164.45 KB,  ALL-112: Revisions to Appendix Y (English, RTF 164.45 KB)

(January 2003)

Open PDF file, 237.93 KB,  ALL-111: Age Limitations for Certain Services and Revised Appendix Z (English, PDF 237.93 KB)

(December 2002)

Open RTF file, 70.92 KB,  ALL-111: Age Limitations for Certain Services and Revised Appendix Z (English, RTF 70.92 KB)

(December 2002)

Open PDF file, 194.36 KB,  ALL-110: Changes to Pharmacy Copayments (English, PDF 194.36 KB)

(December 2002)

Open RTF file, 82.67 KB,  ALL-110: Changes to Pharmacy Copayments (English, RTF 82.67 KB)

(December 2002)

Open PDF file, 140.88 KB,  ALL-109: Authority to Implement and Comply with Certain HIPAA Requirements through Subregulatory Issuances (English, PDF 140.88 KB)

(November 2002)

Open RTF file, 60.75 KB,  ALL-109: Authority to Implement and Comply with Certain HIPAA Requirements through Subregulatory Issuances (English, RTF 60.75 KB)

(November 2002)

Open PDF file, 292.43 KB,  ALL-108: Revised Appendix B (English, PDF 292.43 KB)

(October 2002)

Open RTF file, 313.41 KB,  ALL-108: Revised Appendix B (English, RTF 313.41 KB)

(October 2002)

Open PDF file, 124.14 KB,  ALL-107: Revisions to Termination of Provider Agreement (English, PDF 124.14 KB)

(October 2002)

Open RTF file, 112.78 KB,  ALL-107: Revisions to Termination of Provider Agreement (English, RTF 112.78 KB)

(October 2002)

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

(September 2002)

Open RTF file, 89.62 KB,  ALL-106: Payment for Experimental or Unproven Services and Monies Owed by Providers (English, RTF 89.62 KB)

(September 2002)

Open PDF file, 165.86 KB,  ALL-105: Revision to Termination of Provider Agreement (English, PDF 165.86 KB)

(August 2002)

Open RTF file, 39.8 KB,  ALL-105: Revision to Termination of Provider Agreement (English, RTF 39.8 KB)

(August 2002)

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