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Home Health Agency Provider Bulletins

MassHealth issues provider bulletins as needed to communicate procedures, reminders, and other information to MassHealth providers.
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Open PDF file, 175.73 KB,  Home Health Agency Bulletin 95: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days (English, PDF 175.73 KB)

(December 2025)

Open DOCX file, 121.97 KB,  Home Health Agency Bulletin 95: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days (English, DOCX 121.97 KB)

(December 2025)

Open PDF file, 149.55 KB,  Home Health Agency Bulletin 94: Electronic Visit Verification Registration and Compliance for Home Health Agency Services (English, PDF 149.55 KB)

Open DOCX file, 124.15 KB,  Home Health Agency Bulletin 94: Electronic Visit Verification Registration and Compliance for Home Health Agency Services (English, DOCX 124.15 KB)

Open PDF file, 195.95 KB,  Home Health Agency Bulletin 93: Implementation of Section 24 of Chapter 197 of the Acts of 2024 for Members Accessing Post-Acute Home Health Services (English, PDF 195.95 KB)

Open DOCX file, 126.99 KB,  Home Health Agency Bulletin 93: Implementation of Section 24 of Chapter 197 of the Acts of 2024 for Members Accessing Post-Acute Home Health Services (English, DOCX 126.99 KB)

Open PDF file, 149.78 KB,  Home Health Agency Bulletin 92: Provider Eligibility for Continuous Skilled Nursing Services (English, PDF 149.78 KB)

Open DOCX file, 108.87 KB,  Home Health Agency Bulletin 92: Provider Eligibility for Continuous Skilled Nursing Services (English, DOCX 108.87 KB)

Open PDF file, 143.95 KB,  Home Health Agency Bulletin 91: Amended: Home Health Agency Retention Bonuses for Nurses Providing Continuous Skilled Nursing Services (English, PDF 143.95 KB)

Open DOCX file, 112.31 KB,  Home Health Agency Bulletin 91: Amended: Home Health Agency Retention Bonuses for Nurses Providing Continuous Skilled Nursing Services (English, DOCX 112.31 KB)

Open PDF file, 147.16 KB,  Home Health Agency Bulletin 90: Updates to MassHealth Home Health Appendices, including for Dual-Eligible Billing—Updated (English, PDF 147.16 KB)

Open DOCX file, 33.59 KB,  Home Health Agency Bulletin 90: Updates to MassHealth Home Health Appendices, including for Dual-Eligible Billing—Updated (English, DOCX 33.59 KB)

Open PDF file, 131.51 KB,  Home Health Agency Bulletin 89: Updated COVID-19 Vaccine Guidance for Home Health Agency Providers (English, PDF 131.51 KB)

Open DOCX file, 59.75 KB,  Home Health Agency Bulletin 89: Updated COVID-19 Vaccine Guidance for Home Health Agency Providers (English, DOCX 59.75 KB)

Open PDF file, 139.07 KB,  Home Health Agency Bulletin 88: Prohibited Contracts or Agreements with Agency Nurses Providing Nursing Services (English, PDF 139.07 KB)

Open DOCX file, 31.59 KB,  Home Health Agency Bulletin 88: Prohibited Contracts or Agreements with Agency Nurses Providing Nursing Services (English, DOCX 31.59 KB)

Open PDF file, 164.15 KB,  Home Health Agency Bulletin 87: COVID-19 Flexibilities after the End of the Federal Public Health Emergency - Amended (English, PDF 164.15 KB)

Open DOCX file, 34.88 KB,  Home Health Agency Bulletin 87: COVID-19 Flexibilities after the End of the Federal Public Health Emergency - Amended (English, DOCX 34.88 KB)

Open PDF file, 186.19 KB,  Home Health Agency Bulletin 86: Updates to MassHealth Home Health Appendices, including for Dual-Eligible Billing (English, PDF 186.19 KB)

Open DOCX file, 30.03 KB,  Home Health Agency Bulletin 86: Updates to MassHealth Home Health Appendices, including for Dual-Eligible Billing (English, DOCX 30.03 KB)

Open PDF file, 150.53 KB,  Home Health Agency Bulletin 85: Home Health Plan of Care Signature Compliance and Clarification on Third-Party Liability (English, PDF 150.53 KB)

Open DOCX file, 32.84 KB,  Home Health Agency Bulletin 85: Home Health Plan of Care Signature Compliance and Clarification on Third-Party Liability (English, DOCX 32.84 KB)

Open PDF file, 144.65 KB,  Home Health Agency Bulletin 84: Conclusion of the Temporary Expansion of Home Health Aide Services COVID-19 Flexibility (English, PDF 144.65 KB)

Open DOCX file, 51.72 KB,  Home Health Agency Bulletin 84: Conclusion of the Temporary Expansion of Home Health Aide Services COVID-19 Flexibility (English, DOCX 51.72 KB)

Open PDF file, 162.17 KB,  Home Health Agency Bulletin 83: COVID-19 Flexibilities after the End of the Public Health Emergency (English, PDF 162.17 KB)

Open DOCX file, 54.37 KB,  Home Health Agency Bulletin 83: COVID-19 Flexibilities after the End of the Public Health Emergency (English, DOCX 54.37 KB)

Open DOCX file, 34.4 KB,  Home Health Agency Bulletin 82: Home Health Agency Retention Bonuses for Nurses Providing Continuous Skilled Nursing Services (English, DOCX 34.4 KB)

Open PDF file, 145.08 KB,  Home Health Agency Bulletin 82: Home Health Agency Retention Bonuses for Nurses Providing Continuous Skilled Nursing Services (English, PDF 145.08 KB)

Open PDF file, 143.58 KB,  Home Health Agency Bulletin 81: Updates to CSN Overtime Policy effective January 1, 2023 (English, PDF 143.58 KB)

Open DOCX file, 42.14 KB,  Home Health Agency Bulletin 81: Updates to CSN Overtime Policy effective January 1, 2023 (English, DOCX 42.14 KB)

Open PDF file, 189.41 KB,  Home Health Agency Bulletin 80: Home Health Plan of Care Signature Compliance (English, PDF 189.41 KB)

Open DOCX file, 36.01 KB,  Home Health Agency Bulletin 80: Home Health Plan of Care Signature Compliance (English, DOCX 36.01 KB)

Open PDF file, 156.89 KB,  Home Health Agency Bulletin 79: FY23 General Appropriations Act Home Health Aide Rate Increases and Reporting Requirements (English, PDF 156.89 KB)

Open DOCX file, 32.34 KB,  Home Health Agency Bulletin 79: FY23 General Appropriations Act Home Health Aide Rate Increases and Reporting Requirements (English, DOCX 32.34 KB)

Open PDF file, 166.85 KB,  Home Health Agency Bulletin 78: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 166.85 KB)

Open DOCX file, 34.14 KB,  Home Health Agency Bulletin 78: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 34.14 KB)

Open PDF file, 152.56 KB,  Home Health Agency Bulletin 77: Updates for CSN Overtime Policy effective July 1, 2022 (English, PDF 152.56 KB)

Open DOCX file, 34.81 KB,  Home Health Agency Bulletin 77: Updates for CSN Overtime Policy effective July 1, 2022 (English, DOCX 34.81 KB)

Open PDF file, 137.34 KB,  Home Health Agency Bulletin 76: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 137.34 KB)

Open DOCX file, 28.7 KB,  Home Health Agency Bulletin 76: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 28.7 KB)

Open PDF file, 152.98 KB,  Home Health Agency Bulletin 75: Deadline for Vaccine Requirement for Home Care Workers Extended to March 21, 2022 (English, PDF 152.98 KB)

Open DOCX file, 30.87 KB,  Home Health Agency Bulletin 75: Deadline for Vaccine Requirement for Home Care Workers Extended to March 21, 2022 (English, DOCX 30.87 KB)

Open PDF file, 214.29 KB,  Home Health Agency Bulletin 74: Revised MassHealth Telehealth Policy for Home Health Services and Telehealth Documentation Requirement (English, PDF 214.29 KB)

Open DOCX file, 32.49 KB,  Home Health Agency Bulletin 74: Revised MassHealth Telehealth Policy for Home Health Services and Telehealth Documentation Requirement (English, DOCX 32.49 KB)

Open PDF file, 188.12 KB,  Home Health Agency Bulletin 73: Requirements for Continuous Skilled Nursing Rate Amendments Effective for Dates of Service on or after January 1, 2022 (English, PDF 188.12 KB)

Open DOCX file, 42.77 KB,  Home Health Agency Bulletin 73: Requirements for Continuous Skilled Nursing Rate Amendments Effective for Dates of Service on or after January 1, 2022 (English, DOCX 42.77 KB)

Open PDF file, 163.74 KB,  Home Health Agency Bulletin 72: Vaccine Requirement for Home Care Workers (English, PDF 163.74 KB)

Open DOCX file, 43.71 KB,  Home Health Agency Bulletin 72: Vaccine Requirement for Home Care Workers (English, DOCX 43.71 KB)

Open PDF file, 182.05 KB,  Home Health Agency Bulletin 71: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 182.05 KB)

Open DOCX file, 41.6 KB,  Home Health Agency Bulletin 71: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 41.6 KB)

Open PDF file, 143.32 KB,  Home Health Agency Bulletin 70: FY22 General Appropriations Act Home Health Aide Rate Increases and Reporting Requirements (English, PDF 143.32 KB)

Open DOCX file, 37.04 KB,  Home Health Agency Bulletin 70: FY22 General Appropriations Act Home Health Aide Rate Increases and Reporting Requirements (English, DOCX 37.04 KB)

Open PDF file, 154.3 KB,  Home Health Agency Bulletin 69: Expanded Vaccine Requirement to Include Home Care Workers (English, PDF 154.3 KB)
Open DOCX file, 37.34 KB,  Home Health Agency Bulletin 69: Expanded Vaccine Requirement to Include Home Care Workers (English, DOCX 37.34 KB)
Open PDF file, 149.34 KB,  Home Health Agency Bulletin 68: Extended MassHealth Telehealth Policy for Home Health Services and New Telehealth Documentation Requirement (English, PDF 149.34 KB)
Open DOCX file, 35.58 KB,  Home Health Agency Bulletin 68: Extended MassHealth Telehealth Policy for Home Health Services and New Telehealth Documentation Requirement (English, DOCX 35.58 KB)
Open PDF file, 149.13 KB,  Home Health Agency Bulletin 67: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 149.13 KB)
Open DOCX file, 47.01 KB,  Home Health Agency Bulletin 67: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 47.01 KB)
Open PDF file, 126.71 KB,  Home Health Agency Bulletin 66: MassHealth Comprehensive Needs Assessment Conducted Through Telehealth for Community Case Management Members (English, PDF 126.71 KB)
Open DOCX file, 32.92 KB,  Home Health Agency Bulletin 66: MassHealth Comprehensive Needs Assessment Conducted Through Telehealth for Community Case Management Members (English, DOCX 32.92 KB)
Open PDF file, 131.01 KB,  Home Health Agency Bulletin 65: Updates to Certain COVID-19 Flexibilities for Home Health Aide Services (English, PDF 131.01 KB)
Open DOCX file, 33.77 KB,  Home Health Agency Bulletin 65: Updates to Certain COVID-19 Flexibilities for Home Health Aide Services (English, DOCX 33.77 KB)
Open PDF file, 118.19 KB,  Home Health Agency Bulletin 64: COVID-19 Related Administrative Flexibilities for Home Health Providers-Extension (English, PDF 118.19 KB)
Open DOCX file, 30.65 KB,  Home Health Agency Bulletin 64: COVID-19 Related Administrative Flexibilities for Home Health Providers-Extension (English, DOCX 30.65 KB)
Open PDF file, 140.44 KB,  Home Health Agency Bulletin 63: MassHealth Telehealth Policy for Home Health Services - Extension (English, PDF 140.44 KB)
Open DOCX file, 32.88 KB,  Home Health Agency Bulletin 63: MassHealth Telehealth Policy for Home Health Services - Extension (English, DOCX 32.88 KB)
Open PDF file, 172.55 KB,  Home Health Agency Bulletin 62: FY21 General Appropriations Act Home Health Aide Rate Increases and Reporting Requirements (English, PDF 172.55 KB)
Open DOCX file, 38.79 KB,  Home Health Agency Bulletin 62: FY21 General Appropriations Act Home Health Aide Rate Increases and Reporting Requirements (English, DOCX 38.79 KB)
Open PDF file, 126.69 KB,  Home Health Agency Bulletin 61: COVID-19 Related Administrative Flexibilities for Home Health Providers (English, PDF 126.69 KB)
Open DOCX file, 33.5 KB,  Home Health Agency Bulletin 61: COVID-19 Related Administrative Flexibilities for Home Health Providers (English, DOCX 33.5 KB)
Open PDF file, 153.06 KB,  Home Health Agency Bulletin 60: MassHealth Telehealth Policy for Home Health Services (English, PDF 153.06 KB)
Open DOCX file, 34.07 KB,  Home Health Agency Bulletin 60: MassHealth Telehealth Policy for Home Health Services (English, DOCX 34.07 KB)
Open PDF file, 179.94 KB,  Home Health Agency Bulletin 59: FY19 Supplemental Budget Surplus Distribution (English, PDF 179.94 KB)
Open DOCX file, 34.45 KB,  Home Health Agency Bulletin 59: FY19 Supplemental Budget Surplus Distribution (English, DOCX 34.45 KB)
Open PDF file, 286.12 KB,  Home Health Agency Bulletin 58: Implementation of Rate Add-On Applicable to Certain Continuous Skilled Nursing Serves to Address Costs Associated with Coronavirus Disease 2019 (COVID-19) (English, PDF 286.12 KB)
Open DOCX file, 30.05 KB,  Home Health Agency Bulletin 58: Implementation of Rate Add-On Applicable to Certain Continuous Skilled Nursing Serves to Address Costs Associated with Coronavirus Disease 2019 (COVID-19) (English, DOCX 30.05 KB)
Open PDF file, 134.5 KB,  Home Health Agency Bulletin 57: Temporary Expansion of Home Health Aide Services (English, PDF 134.5 KB)
Open DOCX file, 37.67 KB,  Home Health Agency Bulletin 57: Temporary Expansion of Home Health Aide Services (English, DOCX 37.67 KB)
Open PDF file, 139.75 KB,  Home Health Agency Bulletin 56: Temporary Expansion of Home Health Aide Services (English, PDF 139.75 KB)
Open DOCX file, 36.59 KB,  Home Health Agency Bulletin 56: Temporary Expansion of Home Health Aide Services (English, DOCX 36.59 KB)
Open PDF file, 61.61 KB,  Home Health Agency Bulletin 55: Provider Home Health Aide Spending Plan Reporting Requirements (English, PDF 61.61 KB)
Open DOCX file, 30.83 KB,  Home Health Agency Bulletin 55: Provider Home Health Aide Spending Plan Reporting Requirements (English, DOCX 30.83 KB)
Open PDF file, 90.83 KB,  Home Health Agency Bulletin 54: Revisions to MassHealth Coverage of Home Health Aide Services (English, PDF 90.83 KB)
Open DOCX file, 47.09 KB,  Home Health Agency Bulletin 54: Revisions to MassHealth Coverage of Home Health Aide Services (English, DOCX 47.09 KB)
Open PDF file, 51.52 KB,  Home Health Agency Bulletin 53: Supervision of Home Health Aides (130 CMR 403.421(A)(5)) (English, PDF 51.52 KB)
Open DOC file, 106 KB,  Home Health Agency Bulletin 53: Supervision of Home Health Aides (130 CMR 403.421(A)(5)) (English, DOC 106 KB)
Open PDF file, 129.82 KB,  Home Health Agency Bulletin 52: Face-to-Face Encounter Requirements for Home Health Services (English, PDF 129.82 KB)
Open DOC file, 142 KB,  Home Health Agency Bulletin 52: Face-to-Face Encounter Requirements for Home Health Services (English, DOC 142 KB)
Open PDF file, 86.62 KB,  Home Health Agency Bulletin 51: New Prior Authorization (PA) Policy for Home Health Services, New Physician Referral Procedure/Face-to-Face Requirement, New Requirement to Inform MassHealth of Member Transfers Update on Referral Procedures to Aging Serv (English, PDF 86.62 KB)
Open DOC file, 58 KB,  Home Health Agency Bulletin 51: New Prior Authorization (PA) Policy for Home Health Services, New Physician Referral Procedure/Face-to-Face Requirement, New Requirement to Inform MassHealth of Member Transfers Update on Referral Procedures to Aging Serv (English, DOC 58 KB)
Open PDF file, 120.98 KB,  Home Health Agency Bulletin 50: Improving Treatment for Substance Use Disorders (English, PDF 120.98 KB)
Open TXT file, 7 KB,  Home Health Agency Bulletin 50: Improving Treatment for Substance Use Disorders (English, TXT 7 KB)
Open PDF file, 98.67 KB,  Home Health Agency Bulletin 49: Improving the Management of Postpartum Visits (English, PDF 98.67 KB)
Open TXT file, 5.2 KB,  Home Health Agency Bulletin 49: Improving the Management of Postpartum Visits (English, TXT 5.2 KB)
Open PDF file, 115.13 KB,  Home Health Agency Bulletin 48: Introduction of the New Homebound Assessment Form (English, PDF 115.13 KB)
Open TXT file, 7.79 KB,  Home Health Agency Bulletin 48: Introduction of the New Homebound Assessment Form (English, TXT 7.79 KB)
Open PDF file, 58.51 KB,  Home Health Agency Bulletin 47: Coverage of Seasonal Influenza Vaccinations (English, PDF 58.51 KB)
Open TXT file, 2.06 KB,  Home Health Agency Bulletin 47: Coverage of Seasonal Influenza Vaccinations (English, TXT 2.06 KB)
Open PDF file, 200.41 KB,  Home Health Agency Bulletin 46: New Home Health Coverage Determination Form (English, PDF 200.41 KB)
Open TXT file, 8.58 KB,  Home Health Agency Bulletin 46: New Home Health Coverage Determination Form (English, TXT 8.58 KB)
Open PDF file, 137.32 KB,  Home Health Agency Bulletin 45: Changes in Screening Procedures for Members Aged 60 or Older (English, PDF 137.32 KB)
Open TXT file, 10.77 KB,  Home Health Agency Bulletin 45: Changes in Screening Procedures for Members Aged 60 or Older (English, TXT 10.77 KB)
Open PDF file, 138.44 KB,  Home Health Agency Bulletin 44: New Prior Authorization Policy for Rehabilitation Therapy Services (English, PDF 138.44 KB)
Open RTF file, 4.02 MB,  Home Health Agency Bulletin 44: New Prior Authorization Policy for Rehabilitation Therapy Services (English, RTF 4.02 MB)
Open PDF file, 140.18 KB,  Home Health Agency Bulletin 43: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services (English, PDF 140.18 KB)
Open RTF file, 3.62 MB,  Home Health Agency Bulletin 43: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services (English, RTF 3.62 MB)
Open PDF file, 188.99 KB,  Home Health Agency Bulletin 42: Correction to Transmittal Letter HHA-35 (English, PDF 188.99 KB)
Open RTF file, 4.49 MB,  Home Health Agency Bulletin 42: Correction to Transmittal Letter HHA-35 (English, RTF 4.49 MB)
Open PDF file, 124.59 KB,  Home Health Agency Bulletin 41: Electronic Claim Submissions for Members with Medicare and Commercial Insurance (English, PDF 124.59 KB)
Open RTF file, 64.13 KB,  Home Health Agency Bulletin 41: Electronic Claim Submissions for Members with Medicare and Commercial Insurance (English, RTF 64.13 KB)
Open PDF file, 14.29 KB,  Home Health Agency Bulletin 40: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, PDF 14.29 KB)
Open RTF file, 53.34 KB,  Home Health Agency Bulletin 40: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, RTF 53.34 KB)
Open PDF file, 18.74 KB,  Home Health Agency Bulletin 39: Submitting Claims to MassHealth Based on Physicians' Verbal Orders (English, PDF 18.74 KB)
Open RTF file, 29.03 KB,  Home Health Agency Bulletin 39: Submitting Claims to MassHealth Based on Physicians' Verbal Orders (English, RTF 29.03 KB)
Open PDF file, 47.16 KB,  Home Health Agency Bulletin 38: Revised MassHealth Reporting Form for Continuous Skilled Nursing (English, PDF 47.16 KB)
Open TXT file, 3.21 KB,  Home Health Agency Bulletin 38: Revised MassHealth Reporting Form for Continuous Skilled Nursing (English, TXT 3.21 KB)
Open PDF file, 58.95 KB,  Home Health Agency Bulletin 37: Suspension of Home and Health Agency Bulletin 36 (English, PDF 58.95 KB)
Open TXT file, 1 KB,  Home Health Agency Bulletin 37: Suspension of Home and Health Agency Bulletin 36 (English, TXT 1 KB)
Open PDF file, 21.67 KB,  Home Health Agency Bulletin 36: Behavioral Health Services (English, PDF 21.67 KB)
Open RTF file, 365.28 KB,  Home Health Agency Bulletin 36: Behavioral Health Services (English, RTF 365.28 KB)
Open PDF file, 46.42 KB,  Home Health Agency Bulletin 35: Changes in the Prior Authorization Process for Private-Duty Nursing Services (English, PDF 46.42 KB)
Open RTF file, 39.61 KB,  Home Health Agency Bulletin 35: Changes in the Prior Authorization Process for Private-Duty Nursing Services (English, RTF 39.61 KB)
Open PDF file, 46.35 KB,  Home Health Agency Bulletin 34: Temporary Emergency Personal Care Attendant (PCA) Services Plan (English, PDF 46.35 KB)
Open RTF file, 36.55 KB,  Home Health Agency Bulletin 34: Temporary Emergency Personal Care Attendant (PCA) Services Plan (English, RTF 36.55 KB)

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