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Dental Manual For MassHealth Providers

The Dental Manual guides dental providers to the regulations, administrative and billing instructions, and service codes they need.

Administrative regulations and billing regulations apply to all providers and are contained in 130 CMR 450.000. These regulations are reproduced as Subchapters 1, 2, and 3 in this and all other manuals.

Program regulations cover matters that apply specifically to the type of provider for which the manual was prepared. For dental providers, those matters are covered in 130 CMR 420.000, reproduced as Subchapter 4 in the Dental Manual.

The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. These rate regulations for dental services may be found in 101 CMR 314.00.

Table of Contents

Subchapters 1 through 3: Administrative and Billing Regulations for all MassHealth Providers

Subchapter 4: Dental Providers Regulation

Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers

Subchapter 6: Dental Service Codes

Appendices for All MassHealth Providers (includes appendices A, C, T, U, V, W, X, Y, and Z)

Appendices for Dental Providers (includes appendices D, E, F, G, and H)

Contact

Phone

For people with partial or total hearing loss

Address

12121 N. Corporate Parkway
Meqoun, WI 53092

Phone

Open Monday–Friday 8 a.m.–5 p.m.

Open Monday–Friday 8 a.m.–5 p.m.

Fax

(617) 988-8974
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