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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)
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)
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)
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)
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)
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)
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)
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)
Open PDF file, 906.67 KB,  ALL-245: Updates to Appendix C: Third-Party Liability Codes (English, PDF 906.67 KB)
Open DOCX file, 262.25 KB,  ALL-245: Updates to Appendix C: Third-Party Liability Codes (English, DOCX 262.25 KB)
Open PDF file, 464.96 KB,  ALL-244: Updates to Appendix Y: EVS Codes/Messages (English, PDF 464.96 KB)
Open DOCX file, 142.38 KB,  ALL-244: Updates to Appendix Y: EVS Codes/Messages (English, DOCX 142.38 KB)
Open PDF file, 451.11 KB,  ALL-243: Revised Appendix A (English, PDF 451.11 KB)
Open DOCX file, 169.95 KB,  ALL-243: Revised Appendix A (English, DOCX 169.95 KB)
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)
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)
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)
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)
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)
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)
Open PDF file, 741.33 KB,  ALL-239: Updated Appendix C: Third-Party Liability Codes (English, PDF 741.33 KB)
Open DOCX file, 240.51 KB,  ALL-239: Updated Appendix C: Third-Party Liability Codes (English, DOCX 240.51 KB)
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)
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)
Open PDF file, 400.7 KB,  ALL-237: Updates to Appendix Y: EVS Codes/Messages (English, PDF 400.7 KB)
Open DOCX file, 126.32 KB,  ALL-237: Updates to Appendix Y: EVS Codes/Messages (English, DOCX 126.32 KB)
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)
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)
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)
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)
Open PDF file, 257.98 KB,  ALL-234: Cost Sharing Limits (English, PDF 257.98 KB)
Open DOCX file, 100.29 KB,  ALL-234: Cost Sharing Limits (English, DOCX 100.29 KB)
Open PDF file, 349.88 KB,  ALL-233: Updates to Appendix W – Behavioral Health, Medical Schedule, and Dental Schedule (English, PDF 349.88 KB)
Open DOCX file, 120.73 KB,  ALL-233: Updates to Appendix W – Behavioral Health, Medical Schedule, and Dental Schedule (English, DOCX 120.73 KB)
Open PDF file, 447.53 KB,  ALL-232: Revised Appendix Y (English, PDF 447.53 KB)
Open DOCX file, 127.63 KB,  ALL-232: Revised Appendix Y (English, DOCX 127.63 KB)
Open PDF file, 262.72 KB,  ALL-231: Elimination of Copayments for Certain Services and Populations (English, PDF 262.72 KB)
Open DOCX file, 119.01 KB,  ALL-231: Elimination of Copayments for Certain Services and Populations (English, DOCX 119.01 KB)
Open PDF file, 200.88 KB,  ALL-230: Elimination of Copayments for Smoking Cessation Products and Drugs (English, PDF 200.88 KB)
Open DOCX file, 89.67 KB,  ALL-230: Elimination of Copayments for Smoking Cessation Products and Drugs (English, DOCX 89.67 KB)
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)
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)
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)
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)
Open PDF file, 904.2 KB,  ALL-224: Payment Care and Delivery Innovations Regulations (English, PDF 904.2 KB)
Open DOCX file, 354.31 KB,  ALL-224: Payment Care and Delivery Innovations Regulations (English, DOCX 354.31 KB)
Open PDF file, 163.24 KB,  ALL-223: Federal Requirements for Ordering, Referring, and Prescribing Providers (English, PDF 163.24 KB)
Open DOC file, 245 KB,  ALL-223: Federal Requirements for Ordering, Referring, and Prescribing Providers (English, DOC 245 KB)
Open PDF file, 566.21 KB,  ALL-222: MassHealth Midlevel Practitioner Project; Primary Care Provider Updates (PCC Plan) (English, PDF 566.21 KB)
Open DOC file, 447.5 KB,  ALL-222: MassHealth Midlevel Practitioner Project; Primary Care Provider Updates (PCC Plan) (English, DOC 447.5 KB)
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)
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)
Open PDF file, 931.94 KB,  ALL-220: Regulatory Review Updates (English, PDF 931.94 KB)
Open DOC file, 867.5 KB,  ALL-220: Regulatory Review Updates (English, DOC 867.5 KB)
Open PDF file, 439.92 KB,  ALL-219: Appendix W – Behavioral Health Updates (English, PDF 439.92 KB)
Open DOCX file, 162.74 KB,  ALL-219: Appendix W – Behavioral Health Updates (English, DOCX 162.74 KB)
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)
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)
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)
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)
Open PDF file, 419.6 KB,  All-216: Payment Reform regulations (English, PDF 419.6 KB)
Open DOC file, 264 KB,  All-216: Payment Reform regulations (English, DOC 264 KB)
Open PDF file, 304 KB,  ALL-215: Primary Care Clinician Plan (English, PDF 304 KB)
Open DOC file, 152.5 KB,  ALL-215: Primary Care Clinician Plan (English, DOC 152.5 KB)
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)
Open DOC file, 336 KB,  All-214: Update to Appendix V: MassHealth Billing Instructions for Provider Preventable Conditions (PPCs) (English, DOC 336 KB)
Open PDF file, 613.88 KB,  ALL-213: Revised Appendix C (English, PDF 613.88 KB)
Open DOC file, 2.47 MB,  ALL-213: Revised Appendix C (English, DOC 2.47 MB)
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)
Open DOC file, 132 KB,  ALL-212: Revised Payment Methodology for Out-of-state Chronic Disease and Rehabilitation Hospitals (English, DOC 132 KB)
Open PDF file, 296.54 KB,  ALL-211: Revised Regulations about Electronic Health Records (English, PDF 296.54 KB)
Open DOC file, 146.5 KB,  ALL-211: Revised Regulations about Electronic Health Records (English, DOC 146.5 KB)
Open PDF file, 241.01 KB,  ALL-210: Revised Appendix A (English, PDF 241.01 KB)
Open DOC file, 325.5 KB,  ALL-210: Revised Appendix A (English, DOC 325.5 KB)
Open PDF file, 61.48 KB,  ALL-209: Revised payment methodology for out-of-state acute hospitals (English, PDF 61.48 KB)
Open DOC file, 108 KB,  ALL-209: Revised payment methodology for out-of-state acute hospitals (English, DOC 108 KB)
Open PDF file, 246.99 KB,  ALL-208: Site Visits (English, PDF 246.99 KB)
Open DOC file, 97 KB,  ALL-208: Site Visits (English, DOC 97 KB)
Open PDF file, 104.68 KB,  ALL-207: Revised Appendices W and Z (English, PDF 104.68 KB)
Open DOC file, 1.44 MB,  ALL-207: Revised Appendices W and Z (English, DOC 1.44 MB)
Open PDF file, 256.78 KB,  ALL-206: Revised Appendix Y (English, PDF 256.78 KB)
Open DOC file, 170.5 KB,  ALL-206: Revised Appendix Y (English, DOC 170.5 KB)
Open PDF file, 209.45 KB,  All-205: Revisions to Regulations for the Affordable Care Act (English, PDF 209.45 KB)
Open TXT file, 116.64 KB,  All-205: Revisions to Regulations for the Affordable Care Act (English, TXT 116.64 KB)
Open PDF file, 172.46 KB,  ALL-204: Revised Appendix Y (English, PDF 172.46 KB)
Open TXT file, 14.86 KB,  ALL-204: Revised Appendix Y (English, TXT 14.86 KB)
Open PDF file, 118.02 KB,  ALL-203: Integrated Care Organizations (English, PDF 118.02 KB)
Open TXT file, 56.1 KB,  ALL-203: Integrated Care Organizations (English, TXT 56.1 KB)
Open PDF file, 200.07 KB,  ALL-202: Revised Regulations about Recordkeeping and Disclosure, and Overpayments (English, PDF 200.07 KB)
Open TXT file, 25.98 KB,  ALL-202: Revised Regulations about Recordkeeping and Disclosure, and Overpayments (English, TXT 25.98 KB)
Open PDF file, 157.71 KB,  ALL-201: Changes to MassHealth Payment Methods for Out-of-State Acute Hospitals (English, PDF 157.71 KB)
Open TXT file, 68.22 KB,  ALL-201: Changes to MassHealth Payment Methods for Out-of-State Acute Hospitals (English, TXT 68.22 KB)
Open PDF file, 67.37 KB,  ALL-200: Emergency Adoption of Mental Health Parity Regulations (English, PDF 67.37 KB)
Open TXT file, 12.67 KB,  ALL-200: Emergency Adoption of Mental Health Parity Regulations (English, TXT 12.67 KB)
Open PDF file, 105.73 KB,  ALL-199: Revised Regulations About Electronic 90-Day Waiver and Final Deadline Appeals (English, PDF 105.73 KB)
Open RTF file, 5.67 MB,  ALL-199: Revised Regulations About Electronic 90-Day Waiver and Final Deadline Appeals (English, RTF 5.67 MB)
Open PDF file, 76.35 KB,  ALL-198: Emergency Adoption of Mental Health Parity Regulations (English, PDF 76.35 KB)
Open TXT file, 17.25 KB,  ALL-198: Emergency Adoption of Mental Health Parity Regulations (English, TXT 17.25 KB)
Open PDF file, 656.35 KB,  ALL-197: Revised Appendix C (English, PDF 656.35 KB)
Open TXT file, 169.83 KB,  ALL-197: Revised Appendix C (English, TXT 169.83 KB)
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)
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)
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)
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)
Open PDF file, 57.75 KB,  ALL-194: Out-of-State Services (English, PDF 57.75 KB)
Open TXT file, 18.55 KB,  ALL-194: Out-of-State Services (English, TXT 18.55 KB)
Open PDF file, 68.7 KB,  ALL-193: Revised Appendix Y (English, PDF 68.7 KB)
Open TXT file, 15.49 KB,  ALL-193: Revised Appendix Y (English, TXT 15.49 KB)
Open PDF file, 68.24 KB,  Transmittal Letter ALL-192: Revised Administrative Regulations (English, PDF 68.24 KB)
Open DOCX file, 27.63 KB,  Transmittal Letter ALL-192: Revised Administrative Regulations (English, DOCX 27.63 KB)
Open PDF file, 124.4 KB,  ALL-191: Revised Appendix B: Enrollment Centers (English, PDF 124.4 KB)
Open TXT file, 35.52 KB,  ALL-191: Revised Appendix B: Enrollment Centers (English, TXT 35.52 KB)
Open PDF file, 57.53 KB,  ALL-190: Revised Administrative and Billing Instructions (English, PDF 57.53 KB)
Open TXT file, 11.16 KB,  ALL-190: Revised Administrative and Billing Instructions (English, TXT 11.16 KB)
Open PDF file, 66.11 KB,  ALL-189: Change in Pharmacy Copayment Calendar-Year Maximum (English, PDF 66.11 KB)
Open TXT file, 13.52 KB,  ALL-189: Change in Pharmacy Copayment Calendar-Year Maximum (English, TXT 13.52 KB)
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)
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)
Open PDF file, 117.8 KB,  ALL-187: Revised Regulations about Claim Submissions (English, PDF 117.8 KB)
Open TXT file, 14.79 KB,  ALL-187: Revised Regulations about Claim Submissions (English, TXT 14.79 KB)
Open PDF file, 40.91 KB,  ALL-186: Revised Regulations about NPI (English, PDF 40.91 KB)
Open TXT file, 11.96 KB,  All-186: Revised Regulations about NPI (English, TXT 11.96 KB)
Open PDF file, 59.38 KB,  ALL-185: Change in Pharmacy Copayment Amounts (English, PDF 59.38 KB)
Open TXT file, 16.35 KB,  ALL-185: Change in Pharmacy Copayment Amounts (English, TXT 16.35 KB)
Open PDF file, 85.11 KB,  ALL-184: Revised Appendix W (English, PDF 85.11 KB)
Open TXT file, 23.84 KB,  ALL-184: Revised Appendix W (English, TXT 23.84 KB)
Open PDF file, 400.16 KB,  ALL-183: Revised Appendix C (English, PDF 400.16 KB)
Open TXT file, 154.59 KB,  ALL-183: Revised Appendix C (English, TXT 154.59 KB)
Open PDF file, 66.04 KB,  ALL-182: Elimination of PCC Referral Requirement for Certain Services (English, PDF 66.04 KB)
Open TXT file, 14.46 KB,  ALL-182: Elimination of PCC Referral Requirement for Certain Services (English, TXT 14.46 KB)
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)
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)
Open PDF file, 160.01 KB,  ALL-180: Revised Appendix Y (English, PDF 160.01 KB)
Open TXT file, 18.48 KB,  ALL-180: Revised Appendix Y (English, TXT 18.48 KB)
Open PDF file, 62.63 KB,  ALL-179: Change in Pharmacy Copayment Amounts (English, PDF 62.63 KB)
Open TXT file, 6.34 KB,  ALL-179: Change in Pharmacy Copayment Amounts (English, TXT 6.34 KB)
Open PDF file, 144.48 KB,  ALL-178: Managed Care Requirements (English, PDF 144.48 KB)
Open TXT file, 43.46 KB,  ALL-178: Managed Care Requirements (English, TXT 43.46 KB)
Open PDF file, 104.27 KB,  ALL-177: Overpayments Determined by Another Agency (English, PDF 104.27 KB)
Open TXT file, 16.01 KB,  ALL-177: Overpayments Determined by Another Agency (English, TXT 16.01 KB)
Open PDF file, 107.87 KB,  ALL-176: Dental Benefits for Certain MassHealth Members (English, PDF 107.87 KB)
Open TXT file, 32.14 KB,  ALL-176: Dental Benefits for Certain MassHealth Members (English, TXT 32.14 KB)
Open PDF file, 232.89 KB,  ALL-175: Review Process for MassHealth Pay-for-Performance Payment Amounts (English, PDF 232.89 KB)
Open TXT file, 34.6 KB,  ALL-175: Review Process for MassHealth Pay-for-Performance Payment Amounts (English, TXT 34.6 KB)
Open PDF file, 127.92 KB,  ALL-174: Revised Appendix A (English, PDF 127.92 KB)
Open TXT file, 38.69 KB,  ALL-174: Revised Appendix A (English, TXT 38.69 KB)
Open PDF file, 244.02 KB,  ALL-173: Revised Appendix A (English, PDF 244.02 KB)
Open TXT file, 40.35 KB,  ALL-173: Revised Appendix A (English, TXT 40.35 KB)
Open PDF file, 91.22 KB,  ALL-172: Revised Appendix Y (English, PDF 91.22 KB)
Open TXT file, 17.46 KB,  ALL-172: Revised Appendix Y (English, TXT 17.46 KB)
Open PDF file, 552.29 KB,  ALL-171: Revised Regulations and Updated EPSDT Information (English, PDF 552.29 KB)
Open TXT file, 62.04 KB,  ALL-171: Revised Regulations and Updated EPSDT Information (English, TXT 62.04 KB)
Open PDF file, 74.66 KB,  ALL-170: Managed Care Requirements (English, PDF 74.66 KB)
Open TXT file, 13.15 KB,  ALL-170: Managed Care Requirements (English, TXT 13.15 KB)
Open PDF file, 169.97 KB,  ALL-169: Revised Part 6 of the Administrative and Billing Instructions (English, PDF 169.97 KB)
Open TXT file, 21.91 KB,  ALL-169: Revised Part 6 of the Administrative and Billing Instructions (English, TXT 21.91 KB)
Open PDF file, 311.08 KB,  ALL-168: Revised Appendix C (English, PDF 311.08 KB)
Open TXT file, 141.46 KB,  ALL-168: Revised Appendix C (English, TXT 141.46 KB)
Open PDF file, 349.21 KB,  ALL-167: Revised Appendix Y (English, PDF 349.21 KB)
Open TXT file, 17 KB,  ALL-167: Revised Appendix Y (English, TXT 17 KB)
Open PDF file, 484.32 KB,  ALL-166: Revised Appendix A (English, PDF 484.32 KB)
Open TXT file, 40.37 KB,  ALL-166: Revised Appendix A (English, TXT 40.37 KB)
Open PDF file, 747.59 KB,  ALL-165: Revised Administrative and Billing Instructions (English, PDF 747.59 KB)
Open TXT file, 67.15 KB,  ALL-165: Revised Administrative and Billing Instructions (English, TXT 67.15 KB)
Open PDF file, 364.34 KB,  ALL-164: Revised Appendix C (English, PDF 364.34 KB)
Open TXT file, 141.27 KB,  ALL-164: Revised Appendix C (English, TXT 141.27 KB)
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)
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)
Open PDF file, 133.97 KB,  ALL-162: Revised Appendix Y (English, PDF 133.97 KB)
Open TXT file, 13.27 KB,  ALL-162: Revised Appendix Y (English, TXT 13.27 KB)
Open PDF file, 71.29 KB,  ALL-161: Increase in Pharmacy Copayment for Generic and Over-the-Counter Drugs (English, PDF 71.29 KB)
Open TXT file, 6.6 KB,  ALL-161: Increase in Pharmacy Copayment for Generic and Over-the-Counter Drugs (English, TXT 6.6 KB)
Open PDF file, 272.54 KB,  ALL-160: Revised Appendix C (English, PDF 272.54 KB)
Open TXT file, 97.43 KB,  ALL-160: Revised Appendix C (English, TXT 97.43 KB)
Open PDF file, 478.23 KB,  ALL-159: All Provider Manuals (Revised Appendix A) (English, PDF 478.23 KB)
Open TXT file, 41.69 KB,  ALL-159: All Provider Manuals (Revised Appendix A) (English, TXT 41.69 KB)
Open PDF file, 93.19 KB,  ALL-158: Revised Appendix Y (English, PDF 93.19 KB)
Open RTF file, 4.64 MB,  ALL-158: Revised Appendix Y (English, RTF 4.64 MB)
Open PDF file, 162.57 KB,  ALL-157: Parts 3 and 5 of the Administrative and Billing Instructions (English, PDF 162.57 KB)
Open TXT file, 16.12 KB,  ALL-157: Parts 3 and 5 of the Administrative and Billing Instructions (English, TXT 16.12 KB)
Open PDF file, 147.36 KB,  ALL-156: Revised Appendix Y (English, PDF 147.36 KB)
Open TXT file, 14.93 KB,  ALL-156: Revised Appendix Y (English, TXT 14.93 KB)
Open PDF file, 539.72 KB,  ALL-155: Revised Regulations and Updated EPSDT and PPHSD Information (English, PDF 539.72 KB)
Open TXT file, 63.81 KB,  ALL-155: Revised Regulations and Updated EPSDT and PPHSD Information (English, TXT 63.81 KB)
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)
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)
Open PDF file, 88.59 KB,  ALL-153: Revised Appendix Y (English, PDF 88.59 KB)
Open TXT file, 10.28 KB,  ALL-153: Revised Appendix Y (English, TXT 10.28 KB)
Open PDF file, 99.18 KB,  ALL-152: Revisions to Third Party Liability Regulations (English, PDF 99.18 KB)
Open TXT file, 5.24 KB,  ALL-152: Revisions to Third Party Liability Regulations (English, TXT 5.24 KB)
Open PDF file, 121.34 KB,  ALL-151: Revised Administrative and Billing Regulations for MassHealth Essential Vision Care Services (English, PDF 121.34 KB)
Open TXT file, 8.98 KB,  ALL-151: Revised Administrative and Billing Regulations for MassHealth Essential Vision Care Services (English, TXT 8.98 KB)
Open PDF file, 133.28 KB,  ALL-150: Revisions to Regulations - Employee Education about False Claims Laws (English, PDF 133.28 KB)
Open TXT file, 14.87 KB,  ALL-150: Revisions to Regulations - Employee Education about False Claims Laws (English, TXT 14.87 KB)
Open PDF file, 228.15 KB,  ALL-149: Revisions to Regulations about Copayments (English, PDF 228.15 KB)
Open TXT file, 28.03 KB,  ALL-149: Revisions to Regulations about Copayments (English, TXT 28.03 KB)
Open PDF file, 139.06 KB,  ALL-148: Revised Appendix Y (English, PDF 139.06 KB)
Open TXT file, 15.07 KB,  ALL-148: Revised Appendix Y (English, TXT 15.07 KB)
Open PDF file, 86.98 KB,  ALL-147: Revisions to Regulations about Copayments (English, PDF 86.98 KB)
Open TXT file, 13.31 KB,  ALL-147: Revisions to Regulations about Copayments (English, TXT 13.31 KB)
Open PDF file, 72.51 KB,  ALL-146: Revisions to Regulations about Copayments (English, PDF 72.51 KB)
Open TXT file, 6.71 KB,  ALL-146: Revisions to Regulations about Copayments (English, TXT 6.71 KB)
Open PDF file, 105.76 KB,  ALL-145: Revised Appendix Y (English, PDF 105.76 KB)
Open TXT file, 13.58 KB,  ALL-145: Revised Appendix Y (English, TXT 13.58 KB)
Open PDF file, 68.05 KB,  ALL-144: Revised Appendix Y (English, PDF 68.05 KB)
Open TXT file, 14.57 KB,  ALL-144: Revised Appendix Y (English, TXT 14.57 KB)
Open PDF file, 350.58 KB,  ALL-143: Revised Appendix A (English, PDF 350.58 KB)
Open TXT file, 34.23 KB,  ALL-143: Revised Appendix A (English, TXT 34.23 KB)
Open PDF file, 79.51 KB,  ALL-142: Revisions to Appendix Y Due to Commonwealth Care Coverage (English, PDF 79.51 KB)
Open DOCX file, 41.59 KB,  ALL-142: Revisions to Appendix Y Due to Commonwealth Care Coverage (English, DOCX 41.59 KB)
Open PDF file, 107.48 KB,  ALL-141: Revised Appendix Y (English, PDF 107.48 KB)
Open TXT file, 8.32 KB,  ALL-141: Revised Appendix Y (English, TXT 8.32 KB)
Open PDF file, 355.7 KB,  ALL-140: Revised Appendix C (English, PDF 355.7 KB)
Open TXT file, 85.21 KB,  ALL-140: Revised Appendix C (English, TXT 85.21 KB)
Open PDF file, 589.59 KB,  ALL-139: Revised Administrative and Billing Instructions (English, PDF 589.59 KB)
Open TXT file, 138.68 KB,  ALL-139: Revised Administrative and Billing Instructions (English, TXT 138.68 KB)
Open PDF file, 122.73 KB,  ALL-138: Revised Appendix A (English, PDF 122.73 KB)
Open TXT file, 30.69 KB,  ALL-138: Revised Appendix A (English, TXT 30.69 KB)
Open PDF file, 126.73 KB,  ALL-137: Updated Appendix W: EPSDT Schedule (English, PDF 126.73 KB)
Open TXT file, 16.97 KB,  ALL-137: Updated Appendix W: EPSDT Schedule (English, TXT 16.97 KB)
Open PDF file, 290.04 KB,  ALL-136: Revised Appendix A (English, PDF 290.04 KB)
Open TXT file, 24.78 KB,  ALL-136: Revised Appendix A (English, TXT 24.78 KB)
Open PDF file, 124.49 KB,  ALL-135: Provider Manual Appendices (English, PDF 124.49 KB)
Open TXT file, 9.07 KB,  ALL-135: Provider Manual Appendices (English, TXT 9.07 KB)
Open PDF file, 268.96 KB,  ALL-134: Revised Appendix A (English, PDF 268.96 KB)
Open RTF file, 4.13 MB,  ALL-134: Revised Appendix A (English, RTF 4.13 MB)
Open PDF file, 183.53 KB,  ALL-133: Revised Appendix B - Enrollment Centers (English, PDF 183.53 KB)
Open RTF file, 6.8 MB,  ALL-133: Revised Appendix B - Enrollment Centers (English, RTF 6.8 MB)
Open PDF file, 88.65 KB,  ALL-132: Revisions to Regulations (English, PDF 88.65 KB)
Open RTF file, 4.05 MB,  ALL-132: Revisions to Regulations (English, RTF 4.05 MB)
Open PDF file, 743.18 KB,  ALL-131: Revised Appendix C (English, PDF 743.18 KB)
Open TXT file, 76.56 KB,  ALL-131: Revised Appendix C (English, TXT 76.56 KB)
Open PDF file, 99.75 KB,  ALL-130: Revision to Hearings (English, PDF 99.75 KB)
Open RTF file, 4.05 MB,  ALL-130: Revision to Hearings (English, RTF 4.05 MB)
Open PDF file, 60.16 KB,  ALL-129: Provider Manual Appendices (English, PDF 60.16 KB)
Open RTF file, 159.88 KB,  ALL-129: Provider Manual Appendices (English, RTF 159.88 KB)
Open PDF file, 74.65 KB,  ALL-128: Revisions to Appendix Y (English, PDF 74.65 KB)
Open TXT file, 10.12 KB,  ALL-128: Revisions to Appendix Y (English, TXT 10.12 KB)
Open PDF file, 186.76 KB,  ALL-127: Revisions to Appendix Y (English, PDF 186.76 KB)
Open TXT file, 6.73 KB,  ALL-127: Revisions to Appendix Y (English, TXT 6.73 KB)
Open PDF file, 63.06 KB,  ALL-126: Essential Coverage for Certain Aliens with Special Status (English, PDF 63.06 KB)
Open RTF file, 237.67 KB,  ALL-126: Essential Coverage for Certain Aliens with Special Status (English, RTF 237.67 KB)
Open PDF file, 206.93 KB,  ALL-125: Changes to MassHealth Copayment Policy (English, PDF 206.93 KB)
Open RTF file, 212.44 KB,  ALL-125: Changes to MassHealth Copayment Policy (English, RTF 212.44 KB)
Open PDF file, 191.38 KB,  ALL-124: Revisions to Appendix Y (English, PDF 191.38 KB)
Open RTF file, 145.47 KB,  ALL-124: Revisions to Appendix Y (English, RTF 145.47 KB)
Open PDF file, 157.48 KB,  ALL-123: Revision to Covered Services for Aliens with Special Status (English, PDF 157.48 KB)
Open RTF file, 131.1 KB,  ALL-123: Revision to Covered Services for Aliens with Special Status (English, RTF 131.1 KB)
Open PDF file, 181.74 KB,  ALL-122: Senior Care Options (English, PDF 181.74 KB)
Open RTF file, 253.17 KB,  ALL-122: Senior Care Options (English, RTF 253.17 KB)
Open PDF file, 150.13 KB,  ALL-121: New MassHealth Coverage for Women with Breast or Cervical Cancer (English, PDF 150.13 KB)
Open RTF file, 27.44 KB,  ALL-121: New MassHealth Coverage for Women with Breast or Cervical Cancer (English, RTF 27.44 KB)
Open PDF file, 254.42 KB,  ALL-120: Revisions to Appendix A (English, PDF 254.42 KB)
Open RTF file, 121.98 KB,  ALL-120: Revisions to Appendix A (English, RTF 121.98 KB)
Open PDF file, 158.58 KB,  ALL-119: Revised Regulations (English, PDF 158.58 KB)
Open RTF file, 24.73 KB,  ALL-119: Revised Regulations (English, RTF 24.73 KB)
Open PDF file, 250.53 KB,  ALL-118: Changes to MassHealth Basic and Buy-in Eligibility Rules (English, PDF 250.53 KB)
Open RTF file, 273.99 KB,  ALL-118: Changes to MassHealth Basic and Buy-in Eligibility Rules (English, RTF 273.99 KB)
Open PDF file, 175.51 KB,  ALL-117: Revisions to Appendix Y (English, PDF 175.51 KB)
Open RTF file, 150.74 KB,  ALL-117: Revisions to Appendix Y (English, RTF 150.74 KB)
Open PDF file, 183.16 KB,  ALL-116: Updated Primary Care Clinician Regulations (English, PDF 183.16 KB)
Open RTF file, 25.92 KB,  ALL-116: Updated Primary Care Clinician Regulations (English, RTF 25.92 KB)
Open PDF file, 58.28 KB,  ALL-115: Revision to Covered Services for Aliens with Special Status (English, PDF 58.28 KB)
Open RTF file, 47.31 KB,  ALL-115: Revision to Covered Services for Aliens with Special Status (English, RTF 47.31 KB)
Open PDF file, 320.98 KB,  ALL-114: Revised Appendix C (English, PDF 320.98 KB)
Open RTF file, 408.59 KB,  ALL-114: Revised Appendix C (English, RTF 408.59 KB)
Open PDF file, 1.37 MB,  ALL-113: Revised Administrative and Billing Regulations (English, PDF 1.37 MB)
Open RTF file, 1022.29 KB,  ALL-113: Revised Administrative and Billing Regulations (English, RTF 1022.29 KB)
Open PDF file, 154.98 KB,  ALL-112: Revisions to Appendix Y (English, PDF 154.98 KB)
Open RTF file, 164.45 KB,  ALL-112: Revisions to Appendix Y (English, RTF 164.45 KB)
Open PDF file, 237.93 KB,  ALL-111: Age Limitations for Certain Services and Revised Appendix Z (English, PDF 237.93 KB)
Open RTF file, 70.92 KB,  ALL-111: Age Limitations for Certain Services and Revised Appendix Z (English, RTF 70.92 KB)
Open PDF file, 194.36 KB,  ALL-110: Changes to Pharmacy Copayments (English, PDF 194.36 KB)
Open RTF file, 82.67 KB,  ALL-110: Changes to Pharmacy Copayments (English, RTF 82.67 KB)
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)
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)
Open PDF file, 292.43 KB,  ALL-108: Revised Appendix B (English, PDF 292.43 KB)
Open RTF file, 313.41 KB,  ALL-108: Revised Appendix B (English, RTF 313.41 KB)
Open PDF file, 124.14 KB,  ALL-107: Revisions to Termination of Provider Agreement (English, PDF 124.14 KB)
Open RTF file, 112.78 KB,  ALL-107: Revisions to Termination of Provider Agreement (English, RTF 112.78 KB)
Open PDF file, 230.14 KB,  ALL-106: Payment for Experimental or Unproven Services and Monies Owed by Providers (English, PDF 230.14 KB)
Open RTF file, 89.62 KB,  ALL-106: Payment for Experimental or Unproven Services and Monies Owed by Providers (English, RTF 89.62 KB)
Open PDF file, 165.86 KB,  ALL-105: Revision to Termination of Provider Agreement (English, PDF 165.86 KB)
Open RTF file, 39.8 KB,  ALL-105: Revision to Termination of Provider Agreement (English, RTF 39.8 KB)

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