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Managed Care Entity 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, 223.63 KB,  Managed Care Entity Bulletin 142: Youth Withdrawal Management within Inpatient Psychiatric Unit (English, PDF 223.63 KB)

Open DOCX file, 130.65 KB,  Managed Care Entity Bulletin 142: Youth Withdrawal Management within Inpatient Psychiatric Unit (English, DOCX 130.65 KB)

Open PDF file, 159.64 KB,  Managed Care Entity Bulletin 141: Prior Authorization Requirements for Hospital Outpatient Drugs (English, PDF 159.64 KB)

Open DOCX file, 155.93 KB,  Managed Care Entity Bulletin 141: Prior Authorization Requirements for Hospital Outpatient Drugs (English, DOCX 155.93 KB)

Open PDF file, 199.68 KB,  Managed Care Entity Bulletin 140: Updates to T1015-TH Modifier Use (English, PDF 199.68 KB)

Open DOCX file, 122.86 KB,  Managed Care Entity Bulletin 140: Updates to T1015-TH Modifier Use (English, DOCX 122.86 KB)

Open PDF file, 179.08 KB,  Managed Care Entity Bulletin 139: Coverage of COVID-19 Vaccines (English, PDF 179.08 KB)

Open DOCX file, 121.51 KB,  Managed Care Entity Bulletin 139: Coverage of COVID-19 Vaccines (English, DOCX 121.51 KB)

Open PDF file, 194.56 KB,  Managed Care Entity Bulletin 138: Family-based Intensive Treatment within Community Service Agencies (English, PDF 194.56 KB)

Open DOCX file, 122.02 KB,  Managed Care Entity Bulletin 138: Family-based Intensive Treatment within Community Service Agencies (English, DOCX 122.02 KB)

Open PDF file, 184.1 KB,  Managed Care Entity Bulletin 137: Electronic Visit Verification Requirements for Managed Care Entities (English, PDF 184.1 KB)

Open DOCX file, 128.61 KB,  Managed Care Entity Bulletin 137: Electronic Visit Verification Requirements for Managed Care Entities (English, DOCX 128.61 KB)

Open PDF file, 179.51 KB,  Managed Care Entity Bulletin 136: Annual Behavioral Health Wellness Examinations (English, PDF 179.51 KB)

Open DOCX file, 119.09 KB,  Managed Care Entity Bulletin 136: Annual Behavioral Health Wellness Examinations (English, DOCX 119.09 KB)

Open PDF file, 375.06 KB,  Managed Care Entity Bulletin 135: Mental Health Center Policy Updates (English, PDF 375.06 KB)

(September 2025)

Open DOCX file, 155.38 KB,  Managed Care Entity Bulletin 135: Mental Health Center Policy Updates (English, DOCX 155.38 KB)

(September 2025)

Open PDF file, 201.82 KB,  Managed Care Entity Bulletin 134: Coverage of Peer Recovery Coach for Pregnant and Postpartum Members and Recovery Support Navigator for Pregnant and Postpartum Members (English, PDF 201.82 KB)

Open DOCX file, 130.56 KB,  Managed Care Entity Bulletin 134: Coverage of Peer Recovery Coach for Pregnant and Postpartum Members and Recovery Support Navigator for Pregnant and Postpartum Members (English, DOCX 130.56 KB)

Open PDF file, 186.45 KB,  Managed Care Entity Bulletin 133: Additional Details About the MassHealth Standardized Encounter Data Program (SENDPro) Project (English, PDF 186.45 KB)

Open DOCX file, 172.34 KB,  Managed Care Entity Bulletin 133: Additional Details About the MassHealth Standardized Encounter Data Program (SENDPro) Project (English, DOCX 172.34 KB)

Open PDF file, 246.61 KB,  Managed Care Entity Bulletin 132: Changes in Exclusion of Designated 340B Drugs from MassHealth Coverage (English, PDF 246.61 KB)

Open DOCX file, 121.55 KB,  Managed Care Entity Bulletin 132: Changes in Exclusion of Designated 340B Drugs from MassHealth Coverage (English, DOCX 121.55 KB)

Open PDF file, 170.42 KB,  Managed Care Entity Bulletin 131: SCO Medicaid Only Transition to MassHealth Fee-for-Service (FFS) (English, PDF 170.42 KB)

Open DOCX file, 120.52 KB,  Managed Care Entity Bulletin 131: SCO Medicaid Only Transition to MassHealth Fee-for-Service (FFS) (English, DOCX 120.52 KB)

Open PDF file, 203.8 KB,  Managed Care Entity Bulletin 130: Clarification on Payment for Psychiatric Inpatient Hospital Stays and Use of Administratively Necessary Days (English, PDF 203.8 KB)

Open DOCX file, 124.47 KB,  Managed Care Entity Bulletin 130: Clarification on Payment for Psychiatric Inpatient Hospital Stays and Use of Administratively Necessary Days (English, DOCX 124.47 KB)

Open PDF file, 139.87 KB,  Managed Care Entity Bulletin 129: Important Information About the MassHealth Standardized Encounter Data Program (SENDPro) Project (English, PDF 139.87 KB)

Open DOCX file, 114.28 KB,  Managed Care Entity Bulletin 129: Important Information About the MassHealth Standardized Encounter Data Program (SENDPro) Project (English, DOCX 114.28 KB)

Open PDF file, 228.55 KB,  Managed Care Entity Bulletin 128: Ending the Suspension of Referrals and Updating Referral Requirements for Urgent Care Services (English, PDF 228.55 KB)

Open DOCX file, 121.69 KB,  Managed Care Entity Bulletin 128: Ending the Suspension of Referrals and Updating Referral Requirements for Urgent Care Services (English, DOCX 121.69 KB)

Open PDF file, 203.06 KB,  Managed Care Entity Bulletin 127: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2026 (English, PDF 203.06 KB)

Open DOCX file, 125.26 KB,  Managed Care Entity Bulletin 127: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2026 (English, DOCX 125.26 KB)

Open PDF file, 245.5 KB,  Managed Care Entity Bulletin 126: Accountable Care Organizations—Primary Care Provider Additions and Removals Effective January 1, 2026 (English, PDF 245.5 KB)

Open DOCX file, 129.08 KB,  Managed Care Entity Bulletin 126: Accountable Care Organizations—Primary Care Provider Additions and Removals Effective January 1, 2026 (English, DOCX 129.08 KB)

Open PDF file, 161.01 KB,  Managed Care Entity Bulletin 125: Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, PDF 161.01 KB)

Open DOCX file, 123.67 KB,  Managed Care Entity Bulletin 125: Cell and Gene Therapy Adjudicated Payment Amount per Discharge and Adjudicated Payment per Episode of Care Carve-Out (English, DOCX 123.67 KB)

Open PDF file, 204.82 KB,  Managed Care Entity Bulletin 124: Medicaid Management Information System and Provider Online Service Center Migration to Amazon Web Services (English, PDF 204.82 KB)

Open DOCX file, 127.59 KB,  Managed Care Entity Bulletin 124: Medicaid Management Information System and Provider Online Service Center Migration to Amazon Web Services (English, DOCX 127.59 KB)

Open PDF file, 426.85 KB,  Managed Care Entity Bulletin 123: Primary Care Sub-Capitation Tier Requirement Updates (English, PDF 426.85 KB)

Open DOCX file, 149.92 KB,  Managed Care Entity Bulletin 123: Primary Care Sub-Capitation Tier Requirement Updates (English, DOCX 149.92 KB)

Open PDF file, 182.55 KB,  Managed Care Entity Bulletin 122: Enrollment in an Integrated Care Plan while Residing in a Nursing Facility (English, PDF 182.55 KB)

Open DOCX file, 121.13 KB,  Managed Care Entity Bulletin 122: Enrollment in an Integrated Care Plan while Residing in a Nursing Facility (English, DOCX 121.13 KB)

Open PDF file, 196.42 KB,  Managed Care Entity Bulletin 121: Continued Access to Care for Covered Members Impacted by the Closing of Carney Hospital and Nashoba Valley Medical Center (English, PDF 196.42 KB)

Open DOCX file, 130 KB,  Managed Care Entity Bulletin 121: Continued Access to Care for Covered Members Impacted by the Closing of Carney Hospital and Nashoba Valley Medical Center (English, DOCX 130 KB)

Open PDF file, 158.97 KB,  Managed Care Entity Bulletin 120: Policy Regarding Expectations for Enrollment into the Community Partners Program (English, PDF 158.97 KB)

Open DOCX file, 128.77 KB,  Managed Care Entity Bulletin 120: Policy Regarding Expectations for Enrollment into the Community Partners Program (English, DOCX 128.77 KB)

Open PDF file, 158.97 KB,  Managed Care Entity Bulletin 119: Access to Out-of-Network Urgent Care Clinics (English, PDF 158.97 KB)

Open DOCX file, 109.59 KB,  Managed Care Entity Bulletin 119: Access to Out-of-Network Urgent Care Clinics (English, DOCX 109.59 KB)

Open PDF file, 207.16 KB,  Managed Care Entity Bulletin 118: Accountable Care Organization—Primary Care Provider Additions and Removals Effective January 1, 2025 (English, PDF 207.16 KB)
Open DOCX file, 116.77 KB,  Managed Care Entity Bulletin 118: Accountable Care Organization—Primary Care Provider Additions and Removals Effective January 1, 2025 (English, DOCX 116.77 KB)
Open PDF file, 169.39 KB,  Managed Care Entity Bulletin 117: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2025 (English, PDF 169.39 KB)
Open DOCX file, 113.2 KB,  Managed Care Entity Bulletin 117: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2025 (English, DOCX 113.2 KB)
Open PDF file, 163.82 KB,  Managed Care Entity Bulletin 116: Update to Coverage of and Reimbursement for Hospital at Home Services (English, PDF 163.82 KB)
Open DOCX file, 110.3 KB,  Managed Care Entity Bulletin 116: Update to Coverage of and Reimbursement for Hospital at Home Services (English, DOCX 110.3 KB)
Open PDF file, 156.49 KB,  Managed Care Entity Bulletin 115: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, PDF 156.49 KB)
Open DOCX file, 109.47 KB,  Managed Care Entity Bulletin 115: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, DOCX 109.47 KB)
Open PDF file, 205.76 KB,  Managed Care Entity Bulletin 114: Exclusion of Designated 340B Drugs from MassHealth Coverage (English, PDF 205.76 KB)
Open DOCX file, 108.98 KB,  Managed Care Entity Bulletin 114: Exclusion of Designated 340B Drugs from MassHealth Coverage (English, DOCX 108.98 KB)
Open PDF file, 147.82 KB,  Managed Care Entity Bulletin 113: Elimination of Copays (English, PDF 147.82 KB)
Open DOCX file, 107.53 KB,  Managed Care Entity Bulletin 113: Elimination of Copays (English, DOCX 107.53 KB)
Open PDF file, 185.41 KB,  Managed Care Entity Bulletin 112: Obesity Drugs and the 340B Drug Pricing Program Change in Effective Date (English, PDF 185.41 KB)
Open DOCX file, 110.54 KB,  Managed Care Entity Bulletin 112: Obesity Drugs and the 340B Drug Pricing Program Change in Effective Date (English, DOCX 110.54 KB)
Open PDF file, 243.84 KB,  Managed Care Entity Bulletin 111: Critical Incident Definition, Criteria, and Reporting Requirements (English, PDF 243.84 KB)
Open DOCX file, 126.96 KB,  Managed Care Entity Bulletin 111: Critical Incident Definition, Criteria, and Reporting Requirements (English, DOCX 126.96 KB)
Open PDF file, 217.77 KB,  Managed Care Entity Bulletin 110: Updates to Policies Pertaining to Members’ Behavioral Health Needs in Acute Medical Settings and Inpatient Psychiatry Settings (English, PDF 217.77 KB)
Open DOCX file, 115.03 KB,  Managed Care Entity Bulletin 110: Updates to Policies Pertaining to Members’ Behavioral Health Needs in Acute Medical Settings and Inpatient Psychiatry Settings (English, DOCX 115.03 KB)
Open PDF file, 183.85 KB,  Managed Care Entity Bulletin 109: Obesity Drugs and the 340B Drug Pricing Program (English, PDF 183.85 KB)
Open DOCX file, 109.92 KB,  Managed Care Entity Bulletin 109: Obesity Drugs and the 340B Drug Pricing Program (English, DOCX 109.92 KB)
Open PDF file, 401.4 KB,  Managed Care Entity Bulletin 108: Updates to Minimum Rates for Mental Health Centers and to Provider Billing Rules for GJ Modifier (English, PDF 401.4 KB)
Open DOCX file, 133.49 KB,  Managed Care Entity Bulletin 108: Updates to Minimum Rates for Mental Health Centers and to Provider Billing Rules for GJ Modifier (English, DOCX 133.49 KB)
Open PDF file, 201.64 KB,  Managed Care Entity Bulletin 107: Updates to Policies Pertaining to Members’ Behavioral Health Needs in Acute Medical Settings and Inpatient Psychiatry Settings (Corrected) (English, PDF 201.64 KB)
Open DOCX file, 84.67 KB,  Managed Care Entity Bulletin 107: Updates to Policies Pertaining to Members’ Behavioral Health Needs in Acute Medical Settings and Inpatient Psychiatry Settings (Corrected) (English, DOCX 84.67 KB)
Open DOCX file, 30.53 KB,  Managed Care Entity Bulletin 106: Updates to Certain Child and Adolescent Needs and Strengths Assessment Requirements (English, DOCX 30.53 KB)
Open PDF file, 155.56 KB,  Managed Care Entity Bulletin 106: Updates to Certain Child and Adolescent Needs and Strengths Assessment Requirements (English, PDF 155.56 KB)
Open PDF file, 213.69 KB,  Managed Care Entity Bulletin 105: Extension of and Updates to the Temporary Rate Increases for Home- and Community-based Services and Behavioral Health Services for Integrated Care Plans (English, PDF 213.69 KB)
Open DOCX file, 71.49 KB,  Managed Care Entity Bulletin 105: Extension of and Updates to the Temporary Rate Increases for Home- and Community-based Services and Behavioral Health Services for Integrated Care Plans (English, DOCX 71.49 KB)
Open PDF file, 207.75 KB,  Managed Care Entity Bulletin 104: Extension of and Updates to the Temporary Rate Increases for Home- and Community-based Services and Behavioral Health Services (corrected) (English, PDF 207.75 KB)
Open DOCX file, 66.44 KB,  Managed Care Entity Bulletin 104: Extension of and Updates to the Temporary Rate Increases for Home- and Community-based Services and Behavioral Health Services (corrected) (English, DOCX 66.44 KB)
Open PDF file, 154.3 KB,  Managed Care Entity Bulletin 103: Payment and Coverage Policies and Performance Specifications for Youth and Transition-Age Youth Detoxification and Stabilization Programs (English, PDF 154.3 KB)
Open DOCX file, 36.77 KB,  Managed Care Entity Bulletin 103: Payment and Coverage Policies and Performance Specifications for Youth and Transition-Age Youth Detoxification and Stabilization Programs (English, DOCX 36.77 KB)
Open PDF file, 178.35 KB,  Managed Care Entity Bulletin 102: Rate Floors for Acute Treatment Services, Clinical Stabilization Services, Residential Rehabilitation Services, and Intensive Stabilization and Treatment Services (English, PDF 178.35 KB)
Open DOCX file, 61.1 KB,  Managed Care Entity Bulletin 102: Rate Floors for Acute Treatment Services, Clinical Stabilization Services, Residential Rehabilitation Services, and Intensive Stabilization and Treatment Services (English, DOCX 61.1 KB)
Open PDF file, 265.12 KB,  Managed Care Entity Bulletin 101: Accountable Care Partnership Plans—Primary Care Provider Additions and Removals Effective January 1, 2024 (English, PDF 265.12 KB)
Open DOCX file, 57.57 KB,  Managed Care Entity Bulletin 101: Accountable Care Partnership Plans—Primary Care Provider Additions and Removals Effective January 1, 2024 (English, DOCX 57.57 KB)
Open PDF file, 220.92 KB,  Managed Care Entity Bulletin 100: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2024 (English, PDF 220.92 KB)
Open DOCX file, 44.79 KB,  Managed Care Entity Bulletin 100: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2024 (English, DOCX 44.79 KB)
Open PDF file, 327.36 KB,  Managed Care Entity Bulletin 99: Specialized Community Support Program Services (English, PDF 327.36 KB)
Open DOCX file, 49.41 KB,  Managed Care Entity Bulletin 99: Specialized Community Support Program Services (English, DOCX 49.41 KB)
Open PDF file, 184.65 KB,  Managed Care Entity Bulletin 98: Temporary Prior Authorizations Flexibilities Effective April 1, 2023 (English, PDF 184.65 KB)
Open DOCX file, 64.12 KB,  Managed Care Entity Bulletin 98: Temporary Prior Authorizations Flexibilities Effective April 1, 2023 (English, DOCX 64.12 KB)
Open PDF file, 167.44 KB,  Managed Care Entity Bulletin 97: Communications with Members Enrolled in Managed Care Entities Covered by the Federal Communications Commission January 23, 2023, Declaratory Ruling (English, PDF 167.44 KB)
Open DOCX file, 32.79 KB,  Managed Care Entity Bulletin 97: Communications with Members Enrolled in Managed Care Entities Covered by the Federal Communications Commission January 23, 2023, Declaratory Ruling (English, DOCX 32.79 KB)
Open PDF file, 190.54 KB,  Managed Care Entity Bulletin 96: Policies Regarding the Launch of the New Community Partners Program (English, PDF 190.54 KB)
Open DOCX file, 64.56 KB,  Managed Care Entity Bulletin 96: Policies Regarding the Launch of the New Community Partners Program (English, DOCX 64.56 KB)
Open PDF file, 162.8 KB,  Managed Care Entity Bulletin 95: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, PDF 162.8 KB)
Open DOCX file, 30.19 KB,  Managed Care Entity Bulletin 95: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, DOCX 30.19 KB)
Open PDF file, 225.34 KB,  Managed Care Entity Bulletin 94: Process for Existing PACE Organizations to Expand Their Service Area and/or Open a New PACE Center (English, PDF 225.34 KB)
Open DOCX file, 31.7 KB,  Managed Care Entity Bulletin 94: Process for Existing PACE Organizations to Expand Their Service Area and/or Open a New PACE Center (English, DOCX 31.7 KB)
Open PDF file, 162.08 KB,  Managed Care Entity Bulletin 93: Behavioral Health Crisis Evaluations in Emergency Departments and Inpatient Mental Health Services Rate Updates (English, PDF 162.08 KB)
Open DOCX file, 34.19 KB,  Managed Care Entity Bulletin 93: Behavioral Health Crisis Evaluations in Emergency Departments and Inpatient Mental Health Services Rate Updates (English, DOCX 34.19 KB)
Open PDF file, 215.95 KB,  Managed Care Entity Bulletin 92: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services for Integrated Care Plans (English, PDF 215.95 KB)
Open DOCX file, 42.52 KB,  Managed Care Entity Bulletin 92: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services for Integrated Care Plans (English, DOCX 42.52 KB)
Open PDF file, 231.02 KB,  Managed Care Entity Bulletin 91: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services (English, PDF 231.02 KB)
Open DOCX file, 64.75 KB,  Managed Care Entity Bulletin 91: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services (English, DOCX 64.75 KB)
Open PDF file, 147.58 KB,  Managed Care Entity Bulletin 90: 90-day Prescription Drug Supply Policy Change (English, PDF 147.58 KB)
Open DOCX file, 30.81 KB,  Managed Care Entity Bulletin 90: 90-day Prescription Drug Supply Policy Change (English, DOCX 30.81 KB)
Open PDF file, 145.79 KB,  Managed Care Entity Bulletin 89: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (English, PDF 145.79 KB)
Open DOCX file, 29.69 KB,  Managed Care Entity Bulletin 89: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (English, DOCX 29.69 KB)
Open PDF file, 141.63 KB,  Managed Care Entity Bulletin 88: Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, PDF 141.63 KB)
Open DOCX file, 33.48 KB,  Managed Care Entity Bulletin 88: Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, DOCX 33.48 KB)
Open PDF file, 213.76 KB,  Managed Care Entity Bulletin 87: Extension of and Updates to Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services for Integrated Care Plans (English, PDF 213.76 KB)
Open DOCX file, 39.44 KB,  Managed Care Entity Bulletin 87: Extension of and Updates to Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services for Integrated Care Plans (English, DOCX 39.44 KB)
Open PDF file, 240.77 KB,  Managed Care Entity Bulletin 86: Extension of and Updates to the Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services (English, PDF 240.77 KB)
Open DOCX file, 64.93 KB,  Managed Care Entity Bulletin 86: Extension of and Updates to the Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services (English, DOCX 64.93 KB)
Open PDF file, 167.66 KB,  Managed Care Entity Bulletin 85: Coverage of Pediatric Enteral Special Formula and Thickening Agents as a Pharmacy Benefit (English, PDF 167.66 KB)
Open DOCX file, 31.49 KB,  Managed Care Entity Bulletin 85: Coverage of Pediatric Enteral Special Formula and Thickening Agents as a Pharmacy Benefit (English, DOCX 31.49 KB)
Open PDF file, 277.99 KB,  Managed Care Entity Bulletin 84: Payment, Coverage, and Reporting Requirements related to Community Health Centers (English, PDF 277.99 KB)
Open DOCX file, 34.65 KB,  Managed Care Entity Bulletin 84: Payment, Coverage, and Reporting Requirements related to Community Health Centers (English, DOCX 34.65 KB)
Open PDF file, 295.89 KB,  Managed Care Entity Bulletin 83: Provides rate increase guidance to specific MCEs for COVID-19 positive members, covering behavioral health services, and to temporarily suspend concurrent review for CCS services (English, PDF 295.89 KB)
Open DOCX file, 61.77 KB,  Managed Care Entity Bulletin 83: Provides rate increase guidance to specific MCEs for COVID-19 positive members, covering behavioral health services, and to temporarily suspend concurrent review for CCS services (English, DOCX 61.77 KB)
Open PDF file, 215.5 KB,  Managed Care Entity Bulletin 82: Updates to the MassHealth Peer Recovery Coach Benefit (English, PDF 215.5 KB)
Open DOCX file, 36.7 KB,  Managed Care Entity Bulletin 82: Updates to the MassHealth Peer Recovery Coach Benefit (English, DOCX 36.7 KB)
Open PDF file, 148.32 KB,  Managed Care Entity Bulletin 81: Policy Updates to Improve the PACE Enrollment Process (English, PDF 148.32 KB)
Open DOCX file, 41 KB,  Managed Care Entity Bulletin 81: Policy Updates to Improve the PACE Enrollment Process (English, DOCX 41 KB)
Open PDF file, 98.51 KB,  Managed Care Entity Bulletin 80: Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, PDF 98.51 KB)
Open DOCX file, 38.72 KB,  Managed Care Entity Bulletin 80: Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, DOCX 38.72 KB)
Open PDF file, 353.86 KB,  Managed Care Entity Bulletin 79: Extension of Coverage and Reimbursement Policy Related to COVID-19 for 24-Hour Substance Use Disorder Services (English, PDF 353.86 KB)
Open DOCX file, 29.58 KB,  Managed Care Entity Bulletin 79: Extension of Coverage and Reimbursement Policy Related to COVID-19 for 24-Hour Substance Use Disorder Services (English, DOCX 29.58 KB)
Open PDF file, 347.21 KB,  Managed Care Entity Bulletin 78: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (English, PDF 347.21 KB)
Open DOCX file, 30.36 KB,  Managed Care Entity Bulletin 78: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (English, DOCX 30.36 KB)
Open PDF file, 238.48 KB,  Managed Care Entity Bulletin 77: Coverage and Payment Policy for Booster Doses of Coronavirus Disease 2019 (COVID-19) Vaccines, Pediatric Vaccines, and Monoclonal Antibody Treatments (English, PDF 238.48 KB)
Open DOCX file, 33.98 KB,  Managed Care Entity Bulletin 77: Coverage and Payment Policy for Booster Doses of Coronavirus Disease 2019 (COVID-19) Vaccines, Pediatric Vaccines, and Monoclonal Antibody Treatments (English, DOCX 33.98 KB)
Open PDF file, 285.13 KB,  Managed Care Entity Bulletin 76: Behavioral Health Urgent Care Providers (English, PDF 285.13 KB)
Open DOCX file, 89.06 KB,  Managed Care Entity Bulletin 76: Behavioral Health Urgent Care Providers (English, DOCX 89.06 KB)
Open PDF file, 108.9 KB,  Managed Care Entity Bulletin 75: 90 Day Suspension of Prior Authorization for Previously Scheduled Surgery, and Behavioral Health and Non-Behavioral Health Inpatient Care (English, PDF 108.9 KB)
Open DOCX file, 33.44 KB,  Managed Care Entity Bulletin 75: 90 Day Suspension of Prior Authorization for Previously Scheduled Surgery, and Behavioral Health and Non-Behavioral Health Inpatient Care (English, DOCX 33.44 KB)
Open PDF file, 147.93 KB,  Managed Care Entity Bulletin 74: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, PDF 147.93 KB)
Open DOCX file, 30.14 KB,  Managed Care Entity Bulletin 74: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, DOCX 30.14 KB)
Open PDF file, 98.22 KB,  Managed Care Entity Bulletin 73: Coverage for Monoclonal Antibodies for Treatment and Post-Exposure Prophylaxis for Coronavirus Disease 2019 (COVID-19) (English, PDF 98.22 KB)
Open DOCX file, 35.81 KB,  Managed Care Entity Bulletin 73: Coverage for Monoclonal Antibodies for Treatment and Post-Exposure Prophylaxis for Coronavirus Disease 2019 (COVID-19) (English, DOCX 35.81 KB)
Open PDF file, 233.57 KB,  Managed Care Entity Bulletin 72: Temporary Rate Increases Due to American Rescue Plan Act–Integrated Care Plans (English, PDF 233.57 KB)
Open DOCX file, 42.08 KB,  Managed Care Entity Bulletin 72: Temporary Rate Increases Due to American Rescue Plan Act–Integrated Care Plans (English, DOCX 42.08 KB)
Open PDF file, 253 KB,  Managed Care Entity Bulletin 71: Temporary Rate Increases Due to American Rescue Plan Act HCBS–Services and Behavioral Health Services (English, PDF 253 KB)
Open DOCX file, 59.07 KB,  Managed Care Entity Bulletin 71: Temporary Rate Increases Due to American Rescue Plan Act HCBS–Services and Behavioral Health Services (English, DOCX 59.07 KB)
Open PDF file, 219.47 KB,  Managed Care Entity Bulletin 70: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (English, PDF 219.47 KB)
Open DOCX file, 35.02 KB,  Managed Care Entity Bulletin 70: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (English, DOCX 35.02 KB)
Open PDF file, 430.89 KB,  Managed Care Entity Bulletin 69: Coronavirus Disease 2019 (COVID-19) Updated Guidance for Integrated Care Plans (English, PDF 430.89 KB)
Open DOCX file, 46.23 KB,  Managed Care Entity Bulletin 69: Coronavirus Disease 2019 (COVID-19) Updated Guidance for Integrated Care Plans (English, DOCX 46.23 KB)
Open PDF file, 149.35 KB,  Managed Care Entity Bulletin 68: Updated MassHealth Telehealth Policy (September 2021) (English, PDF 149.35 KB)
Open DOCX file, 34.35 KB,  Managed Care Entity Bulletin 68: Updated MassHealth Telehealth Policy (September 2021) (English, DOCX 34.35 KB)
Open PDF file, 172.6 KB,  Managed Care Entity Bulletin 67: Coverage and Payment Policy for Services Related to COVID-19 Vaccine Counseling and 3rd Dose of Pfizer-BioNTech Vaccine and Moderna COVID-19 Vaccine for Immunocompromised Individuals (English, PDF 172.6 KB)
Open DOCX file, 38.43 KB,  Managed Care Entity Bulletin 67: Coverage and Payment Policy for Services Related to COVID-19 Vaccine Counseling and 3rd Dose of Pfizer-BioNTech Vaccine and Moderna COVID-19 Vaccine for Immunocompromised Individuals (English, DOCX 38.43 KB)
Open PDF file, 168.34 KB,  Managed Care Entity Bulletin 66: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (English, PDF 168.34 KB)
Open DOCX file, 33.42 KB,  Managed Care Entity Bulletin 66: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (English, DOCX 33.42 KB)
Open PDF file, 258.56 KB,  Managed Care Entity Bulletin 65: Preventive Behavioral Health Services for Members Younger than 21 (English, PDF 258.56 KB)
Open DOCX file, 228.05 KB,  Managed Care Entity Bulletin 65: Preventive Behavioral Health Services for Members Younger than 21 (English, DOCX 228.05 KB)
Open PDF file, 301.46 KB,  Managed Care Entity Bulletin 64: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (English, PDF 301.46 KB)
Open DOCX file, 55.91 KB,  Managed Care Entity Bulletin 64: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (English, DOCX 55.91 KB)
Open PDF file, 219.77 KB,  Managed Care Entity Bulletin 63: MassHealth Rate Floor Enhancements for Acute Treatment Services, Clinical Stabilization Services, and Residential Rehabilitation Services (English, PDF 219.77 KB)
Open DOCX file, 37.9 KB,  Managed Care Entity Bulletin 63: MassHealth Rate Floor Enhancements for Acute Treatment Services, Clinical Stabilization Services, and Residential Rehabilitation Services (English, DOCX 37.9 KB)
Open PDF file, 87.66 KB,  Managed Care Entity Bulletin 62: Update to Authorized Providers and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, PDF 87.66 KB)
Open DOCX file, 41.81 KB,  Managed Care Entity Bulletin 62: Update to Authorized Providers and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, DOCX 41.81 KB)
Open PDF file, 218.82 KB,  Managed Care Entity Bulletin 61: Updated: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (English, PDF 218.82 KB)
Open DOCX file, 49.87 KB,  Managed Care Entity Bulletin 61: Updated: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (English, DOCX 49.87 KB)
Open PDF file, 117.74 KB,  Managed Care Entity Bulletin 60: Updated MassHealth Telehealth Policy (English, PDF 117.74 KB)
Open DOCX file, 39.13 KB,  Managed Care Entity Bulletin 60: Updated MassHealth Telehealth Policy (English, DOCX 39.13 KB)
Open PDF file, 131.26 KB,  Managed Care Entity Bulletin 59: Accountable Care Partnership Plans—Service Area Changes Effective January 1, 2022 (English, PDF 131.26 KB)
Open DOCX file, 42.69 KB,  Managed Care Entity Bulletin 59: Accountable Care Partnership Plans—Service Area Changes Effective January 1, 2022 (English, DOCX 42.69 KB)
Open PDF file, 185.95 KB,  Managed Care Entity Bulletin 58: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (English, PDF 185.95 KB)
Open DOCX file, 48.39 KB,  Managed Care Entity Bulletin 58: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (English, DOCX 48.39 KB)
Open PDF file, 134.78 KB,  Managed Care Entity Bulletin 57: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Authorized Vaccine Providers, and Mass Immunizer Providers (English, PDF 134.78 KB)
Open DOCX file, 37.45 KB,  Managed Care Entity Bulletin 57: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Authorized Vaccine Providers, and Mass Immunizer Providers (English, DOCX 37.45 KB)
Open PDF file, 232.52 KB,  Managed Care Entity Bulletin 56: Coverage of and Reimbursement for Hospital-at-Home Services (English, PDF 232.52 KB)
Open DOCX file, 29.41 KB,  Managed Care Entity Bulletin 56: Coverage of and Reimbursement for Hospital-at-Home Services (English, DOCX 29.41 KB)
Open PDF file, 170.38 KB,  Managed Care Entity Bulletin 55: Temporary Incremental Rate Increase for Inpatient Hospitals Accepting COVID-Positive MassHealth Members for Inpatient Mental Health Services (English, PDF 170.38 KB)
Open DOCX file, 31.61 KB,  Managed Care Entity Bulletin 55: Temporary Incremental Rate Increase for Inpatient Hospitals Accepting COVID-Positive MassHealth Members for Inpatient Mental Health Services (English, DOCX 31.61 KB)
Open PDF file, 109.52 KB,  Managed Care Entity Bulletin 54: Care Plan Requirements for Accountable Care Organizations and Managed Care Organizations (English, PDF 109.52 KB)
Open DOCX file, 36.46 KB,  Managed Care Entity Bulletin 54: Care Plan Requirements for Accountable Care Organizations and Managed Care Organizations (English, DOCX 36.46 KB)
Open PDF file, 112.64 KB,  Managed Care Entity Bulletin 53: Enhanced Rates for ADH Services for Dates of Service December 1, 2020 through May 31, 2021 (English, PDF 112.64 KB)
Open DOCX file, 34.35 KB,  Managed Care Entity Bulletin 53: Enhanced Rates for ADH Services for Dates of Service December 1, 2020 through May 31, 2021 (English, DOCX 34.35 KB)
Open PDF file, 127.75 KB,  Managed Care Entity Bulletin 52: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Update to Authorized Vaccine Providers, and New Mass Immunizer Providers (English, PDF 127.75 KB)
Open DOCX file, 36.69 KB,  Managed Care Entity Bulletin 52: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Update to Authorized Vaccine Providers, and New Mass Immunizer Providers (English, DOCX 36.69 KB)
Open PDF file, 214.36 KB,  Managed Care Entity Bulletin 51: Reminder of Required 340B Identifier for Clinician-Administered Drugs (English, PDF 214.36 KB)
Open DOCX file, 31.32 KB,  Managed Care Entity Bulletin 51: Reminder of Required 340B Identifier for Clinician-Administered Drugs (English, DOCX 31.32 KB)
Open PDF file, 142.46 KB,  Managed Care Entity Bulletin 50: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (English, PDF 142.46 KB)
Open DOCX file, 36.92 KB,  Managed Care Entity Bulletin 50: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (English, DOCX 36.92 KB)
Open PDF file, 141.55 KB,  Managed Care Entity Bulletin 49: Flu Vaccine Access and Birth Control Supply Flexibility (English, PDF 141.55 KB)
Open DOCX file, 36.66 KB,  Managed Care Entity Bulletin 49: Flu Vaccine Access and Birth Control Supply Flexibility (English, DOCX 36.66 KB)
Open PDF file, 368.99 KB,  Managed Care Entity Bulletin 48: Accountable Care Organization Primary Care Provider Changes Effective July 1, 2021 (English, PDF 368.99 KB)
Open DOCX file, 60.72 KB,  Managed Care Entity Bulletin 48: Accountable Care Organization Primary Care Provider Changes Effective July 1, 2021 (English, DOCX 60.72 KB)
Open PDF file, 231.2 KB,  Managed Care Entity Bulletin 47: Managed Care Entities—Service Area Changes Effective July 1, 2021 (English, PDF 231.2 KB)
Open DOCX file, 47.36 KB,  Managed Care Entity Bulletin 47: Managed Care Entities—Service Area Changes Effective July 1, 2021 (English, DOCX 47.36 KB)
Open PDF file, 163.31 KB,  Managed Care Entity Bulletin 46: Updated MassHealth Telehealth Policy (English, PDF 163.31 KB)
Open DOCX file, 29.45 KB,  Managed Care Entity Bulletin 46: Updated MassHealth Telehealth Policy (English, DOCX 29.45 KB)
Open PDF file, 185.67 KB,  Managed Care Entity Bulletin 45: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (English, PDF 185.67 KB)
Open DOCX file, 31.56 KB,  Managed Care Entity Bulletin 45: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (English, DOCX 31.56 KB)
Open PDF file, 513.07 KB,  Managed Care Entity Bulletin 44: Community Support Program for Chronically Homeless Individuals (English, PDF 513.07 KB)
Open DOCX file, 45.18 KB,  Managed Care Entity Bulletin 44: Community Support Program for Chronically Homeless Individuals (English, DOCX 45.18 KB)
Open PDF file, 186.5 KB,  Managed Care Entity Bulletin 43: Requirements for Adult Day Health Services Delivered Remotely (via Telehealth and In-Home Settings) and Enhanced Rates for Adult Day Health Services During the Reopening Period (August 1, 2020, through November 30, 2020) (English, PDF 186.5 KB)
Open DOCX file, 39.35 KB,  Managed Care Entity Bulletin 43: Requirements for Adult Day Health Services Delivered Remotely (via Telehealth and In-Home Settings) and Enhanced Rates for Adult Day Health Services During the Reopening Period (August 1, 2020, through November 30, 2020) (English, DOCX 39.35 KB)
Open PDF file, 199.67 KB,  Managed Care Entity Bulletin 42: Updated MassHealth Acute Hospital Carve-Out Drugs Requirements (English, PDF 199.67 KB)
Open DOCX file, 34.78 KB,  Managed Care Entity Bulletin 42: Updated MassHealth Acute Hospital Carve-Out Drugs Requirements (English, DOCX 34.78 KB)
Open PDF file, 153.03 KB,  Managed Care Entity Bulletin 41: Updated Pharmacy Coverage Policies (English, PDF 153.03 KB)
Open DOCX file, 33.77 KB,  Managed Care Entity Bulletin 41: Updated Pharmacy Coverage Policies (English, DOCX 33.77 KB)
Open PDF file, 92.24 KB,  Managed Care Entity Bulletin 40: Payment for COVID-19 Specimen Collection and Testing (English, PDF 92.24 KB)
Open DOCX file, 44.93 KB,  Managed Care Entity Bulletin 40: Payment for COVID-19 Specimen Collection and Testing (English, DOCX 44.93 KB)
Open PDF file, 144.33 KB,  Managed Care Entity Bulletin 39: Updated MassHealth Telehealth, Durable Medical Equipment (DME), and Home Health Policies (English, PDF 144.33 KB)
Open DOCX file, 34.4 KB,  Managed Care Entity Bulletin 39: Updated MassHealth Telehealth, Durable Medical Equipment (DME), and Home Health Policies (English, DOCX 34.4 KB)
Open PDF file, 204.52 KB,  Managed Care Entity Bulletin 38: Limited Modification and Extension of Temporary Incremental Rate Increase for Inpatient Mental Health Services in Response to COVID-19 Pandemic (English, PDF 204.52 KB)
Open DOCX file, 30.58 KB,  Managed Care Entity Bulletin 38: Limited Modification and Extension of Temporary Incremental Rate Increase for Inpatient Mental Health Services in Response to COVID-19 Pandemic (English, DOCX 30.58 KB)
Open PDF file, 224.81 KB,  Managed Care Entity Bulletin 37: UPDATED - Temporary Retainer Payments for COVID-19 Emergency (English, PDF 224.81 KB)
Open DOCX file, 37.88 KB,  Managed Care Entity Bulletin 37: UPDATED - Temporary Retainer Payments for COVID-19 Emergency (English, DOCX 37.88 KB)
Open PDF file, 235.38 KB,  Managed Care Entity Bulletin 36: Community Support Program for Homeless Individuals Residing in Department of Housing and Community Development-Funded New Temporary Shelters (English, PDF 235.38 KB)
Open DOCX file, 34.2 KB,  Managed Care Entity Bulletin 36: Community Support Program for Homeless Individuals Residing in Department of Housing and Community Development-Funded New Temporary Shelters (English, DOCX 34.2 KB)
Open PDF file, 172.42 KB,  Managed Care Entity Bulletin 35: Temporary Rate Increases due to COVID-19 National Emergency (English, PDF 172.42 KB)
Open DOCX file, 46.03 KB,  Managed Care Entity Bulletin 35: Temporary Rate Increases due to COVID-19 National Emergency (English, DOCX 46.03 KB)
Open PDF file, 282.61 KB,  Managed Care Entity Bulletin 34: Temporary Extension of Coverage for Early Intervention Services (English, PDF 282.61 KB)
Open DOCX file, 31.34 KB,  Managed Care Entity Bulletin 34: Temporary Extension of Coverage for Early Intervention Services (English, DOCX 31.34 KB)
Open PDF file, 209.58 KB,  Managed Care Entity Bulletin 33: Temporary Incremental Rate Increase for Inpatient Mental Health Services In Response to COVID-19 Pandemic (English, PDF 209.58 KB)
Open DOCX file, 38.23 KB,  Managed Care Entity Bulletin 33: Temporary Incremental Rate Increase for Inpatient Mental Health Services In Response to COVID-19 Pandemic (English, DOCX 38.23 KB)
Open DOCX file, 76.46 KB,  Managed Care Entity Bulletin 32: Update: Temporary Rate Increases Due to COVID-19 National Emergency (English, DOCX 76.46 KB)
Open PDF file, 551.76 KB,  Managed Care Entity Bulletin 32: Update: Temporary Rate Increases Due to COVID-19 National Emergency (English, PDF 551.76 KB)
Open PDF file, 233.44 KB,  Managed Care Entity Bulletin 31: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2021 (English, PDF 233.44 KB)
Open DOCX file, 66.29 KB,  Managed Care Entity Bulletin 31: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2021 (English, DOCX 66.29 KB)
Open PDF file, 155.31 KB,  Managed Care Entity Bulletin 30: Managed Care Entities—Service Area Changes Effective January 1, 2021 (English, PDF 155.31 KB)
Open DOCX file, 49.69 KB,  Managed Care Entity Bulletin 30: Managed Care Entities—Service Area Changes Effective January 1, 2021 (English, DOCX 49.69 KB)
Open PDF file, 231.04 KB,  MCE 29: Add. Telehealth Guidance, Temporary CPT for ABA, Coverage of Preventive Telehealth visits, Remote Patient Monitoring, Payment for Specimen Collection, Suspension of Behavioral Health PA 24-hour Levels of Care, and Out of Network Access (English, PDF 231.04 KB)
Open DOCX file, 47.12 KB,  MCE 29: Add. Telehealth Guidance, Temporary CPT for ABA, Coverage of Preventive Telehealth visits, Remote Patient Monitoring, Payment for Specimen Collection, Suspension of Behavioral Health PA 24-hour Levels of Care, and Out of Network Access (English, DOCX 47.12 KB)
Open PDF file, 210.53 KB,  Managed Care Entity Bulletin 28: Updates Regarding Coverage of Medications for Addiction Treatment in the Opioid Treatment Programs (English, PDF 210.53 KB)
Open DOCX file, 31.52 KB,  Managed Care Entity Bulletin 28: Updates Regarding Coverage of Medications for Addiction Treatment in the Opioid Treatment Programs (English, DOCX 31.52 KB)
Open PDF file, 151 KB,  Managed Care Entity Bulletin 27: Temporary Retainer Payments Due to COVID-19 National Emergency (English, PDF 151 KB)
Open DOCX file, 37.46 KB,  Managed Care Entity Bulletin 27: Temporary Retainer Payments Due to COVID-19 National Emergency (English, DOCX 37.46 KB)
Open PDF file, 146.08 KB,  Managed Care Entity Bulletin 26: Investments in Community Based Acute Treatment and Intensive Community Based Acute Treatment in Support of Network Management Strategy (English, PDF 146.08 KB)
Open DOCX file, 37.77 KB,  Managed Care Entity Bulletin 26: Investments in Community Based Acute Treatment and Intensive Community Based Acute Treatment in Support of Network Management Strategy (English, DOCX 37.77 KB)
Open PDF file, 200.78 KB,  Managed Care Entity Bulletin 25: New Payment Methodology Requirements for Accountable Care Partnership Plans and Managed Care Organizations for Nasal Naloxone Packages Distributed by Acute Outpatient Hospital Emergency Departments (English, PDF 200.78 KB)
Open DOCX file, 30.63 KB,  Managed Care Entity Bulletin 25: New Payment Methodology Requirements for Accountable Care Partnership Plans and Managed Care Organizations for Nasal Naloxone Packages Distributed by Acute Outpatient Hospital Emergency Departments (English, DOCX 30.63 KB)
Open PDF file, 447.28 KB,  Managed Care Entity Bulletin 24: Temporary Rate Increases Due to COVID-19 National Emergency (English, PDF 447.28 KB)
Open DOCX file, 64.15 KB,  Managed Care Entity Bulletin 24: Temporary Rate Increases Due to COVID-19 National Emergency (English, DOCX 64.15 KB)
Open PDF file, 135.51 KB,  Managed Care Entity Bulletin 23: Temporary Rate Increases Due to COVID-19 National Emergency (English, PDF 135.51 KB)
Open DOCX file, 37.58 KB,  Managed Care Entity Bulletin 23: Temporary Rate Increases Due to COVID-19 National Emergency (English, DOCX 37.58 KB)
Open PDF file, 154.39 KB,  Managed Care Entity Bulletin 22: Updated Coverage and Payment Policies (English, PDF 154.39 KB)
Open DOCX file, 39.64 KB,  Managed Care Entity Bulletin 22: Updated Coverage and Payment Policies (English, DOCX 39.64 KB)
Open PDF file, 172.82 KB,  Managed Care Entity Bulletin 21: Coverage and Reimbursement for Services Related to Coronavirus Disease 2019 (COVID-19) (English, PDF 172.82 KB)
Open DOCX file, 36.12 KB,  Managed Care Entity Bulletin 21: Coverage and Reimbursement for Services Related to Coronavirus Disease 2019 (COVID-19) (English, DOCX 36.12 KB)
Open DOCX file, 27.34 KB,  Managed Care Entity Bulletin 20: MassHealth ACPP/MCO Uniform Preferred Drug List (English, DOCX 27.34 KB)
Open PDF file, 28.72 KB,  Managed Care Entity Bulletin 20: MassHealth ACPP/MCO Uniform Preferred Drug List (English, PDF 28.72 KB)
Open PDF file, 121.21 KB,  Managed Care Entity Bulletin 19: MassHealth ACPP/MCO Uniform Preferred Drug List (English, PDF 121.21 KB)
Open DOCX file, 27.88 KB,  Managed Care Entity Bulletin 19: MassHealth ACPP/MCO Uniform Preferred Drug List (English, DOCX 27.88 KB)
Open PDF file, 139.27 KB,  Managed Care Entity Bulletin 18: Service Area and Region Additions Effective January 1, 2020 (English, PDF 139.27 KB)
Open DOCX file, 39.25 KB,  Managed Care Entity Bulletin 18: Service Area and Region Additions Effective January 1, 2020 (English, DOCX 39.25 KB)
Open PDF file, 108.64 KB,  Managed Care Entity Bulletin 17: Prior Authorization and Utilization Management for Suboxone® (buprenorphine/naloxone) (English, PDF 108.64 KB)
Open DOCX file, 26.33 KB,  Managed Care Entity Bulletin 17: Prior Authorization and Utilization Management for Suboxone® (buprenorphine/naloxone) (English, DOCX 26.33 KB)
Open PDF file, 142.58 KB,  Managed Care Entity Bulletin 16: Updated: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, PDF 142.58 KB)
Open DOCX file, 60.13 KB,  Managed Care Entity Bulletin 16: Updated: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, DOCX 60.13 KB)
Open PDF file, 151.64 KB,  Managed Care Entity Bulletin 15: Accountable Care Partnership Plans—Service Area Additions Effective January 1, 2020 (English, PDF 151.64 KB)
Open DOCX file, 41.36 KB,  Managed Care Entity Bulletin 15: Accountable Care Partnership Plans—Service Area Additions Effective January 1, 2020 (English, DOCX 41.36 KB)
Open PDF file, 142.71 KB,  Managed Care Entity Bulletin 14: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, PDF 142.71 KB)
Open DOCX file, 61.02 KB,  Managed Care Entity Bulletin 14: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, DOCX 61.02 KB)
Open PDF file, 178.08 KB,  Managed Care Entity Bulletin 13: Coding Systems for Medications for Addiction Treatment, Including Opioid Agonist Treatment (English, PDF 178.08 KB)
Open DOCX file, 55.82 KB,  Managed Care Entity Bulletin 13: Coding Systems for Medications for Addiction Treatment, Including Opioid Agonist Treatment (English, DOCX 55.82 KB)
Open PDF file, 219.2 KB,  Managed Care Entity Bulletin 12: Medications for Addiction Treatment in the Opioid Treatment Programs (English, PDF 219.2 KB)
Open DOCX file, 37.08 KB,  Managed Care Entity Bulletin 12: Medications for Addiction Treatment in the Opioid Treatment Programs (English, DOCX 37.08 KB)
Open PDF file, 126.99 KB,  Managed Care Entity Bulletin 11: Pharmacy Benefits Manager Pricing Report for Accountable Care Partnership Plans and Managed Care Organizations (English, PDF 126.99 KB)
Open DOCX file, 107.01 KB,  Managed Care Entity Bulletin 11: Pharmacy Benefits Manager Pricing Report for Accountable Care Partnership Plans and Managed Care Organizations (English, DOCX 107.01 KB)
Open PDF file, 168.77 KB,  Managed Care Entity Bulletin 10: Access to Behavioral Health Services Through Use of Telehealth Options (English, PDF 168.77 KB)
Open DOCX file, 45.3 KB,  Managed Care Entity Bulletin 10: Access to Behavioral Health Services Through Use of Telehealth Options (English, DOCX 45.3 KB)
Open PDF file, 137.65 KB,  Managed Care Entity Bulletin 9: Clarification on the use of Administratively Necessary Days in all Psychiatric Inpatient Hospital Stays (English, PDF 137.65 KB)
Open DOCX file, 29.24 KB,  Managed Care Entity Bulletin 9: Clarification on the use of Administratively Necessary Days in all Psychiatric Inpatient Hospital Stays (English, DOCX 29.24 KB)
Open PDF file, 150.24 KB,  Managed Care Entity Bulletin 8: Housing-Related Activities and the Medical Loss Ratio (MLR): Guidance for SCO Plans (English, PDF 150.24 KB)
Open DOCX file, 106.04 KB,  Managed Care Entity Bulletin 8: Housing-Related Activities and the Medical Loss Ratio (MLR): Guidance for SCO Plans (English, DOCX 106.04 KB)
Open PDF file, 58.6 KB,  Managed Care Entity Bulletin 7: MassHealth Accountable Care Partnership Plan and Managed Care Organization Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, PDF 58.6 KB)
Open DOCX file, 104.47 KB,  Managed Care Entity Bulletin 7: MassHealth Accountable Care Partnership Plan and Managed Care Organization Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, DOCX 104.47 KB)
Open PDF file, 181.19 KB,  Managed Care Entity Bulletin 6: Accountable Care Organization Primary Care Provider Additions Effective January 1, 2019 (English, PDF 181.19 KB)
Open DOC file, 167.5 KB,  Managed Care Entity Bulletin 6: Accountable Care Organization Primary Care Provider Additions Effective January 1, 2019 (English, DOC 167.5 KB)
Open PDF file, 117.65 KB,  Managed Care Entity Bulletin 5: Primary Care Provider (PCP) Arrangements for the Special Kids Special Care (SKSC) Program (English, PDF 117.65 KB)
Open DOCX file, 103.6 KB,  Managed Care Entity Bulletin 5: Primary Care Provider (PCP) Arrangements for the Special Kids Special Care (SKSC) Program (English, DOCX 103.6 KB)
Open PDF file, 137.2 KB,  Managed Care Entity Bulletin 4: MassHealth Accountable Care Partnership Plan and Managed Care Organization (MCO) Coverage of Home Health Services (English, PDF 137.2 KB)
Open DOCX file, 110.36 KB,  Managed Care Entity Bulletin 4: MassHealth Accountable Care Partnership Plan and Managed Care Organization (MCO) Coverage of Home Health Services (English, DOCX 110.36 KB)
Open PDF file, 144.08 KB,  Managed Care Entity Bulletin 3: MassHealth Accountable Care Partnership Plan (ACPP) and Managed Care Organization (MCO) Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, PDF 144.08 KB)
Open DOCX file, 104.48 KB,  Managed Care Entity Bulletin 3: MassHealth Accountable Care Partnership Plan (ACPP) and Managed Care Organization (MCO) Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, DOCX 104.48 KB)
Open PDF file, 55.96 KB,  Managed Care Entity Bulletin 2: Prior Authorization and Utilization Management Requirements for Certain Substance Use Recovery Services (English, PDF 55.96 KB)
Open DOCX file, 66.82 KB,  Managed Care Entity Bulletin 2: Prior Authorization and Utilization Management Requirements for Certain Substance Use Recovery Services (English, DOCX 66.82 KB)
Open PDF file, 168.33 KB,  Managed Care Entity Bulletin 1: Prior Authorization and Utilization Management Requirements for Certain Substance Use Recovery Services (English, PDF 168.33 KB)
Open DOC file, 129.5 KB,  Managed Care Entity Bulletin 1: Prior Authorization and Utilization Management Requirements for Certain Substance Use Recovery Services (English, DOC 129.5 KB)

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