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MassHealth Physician 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, 139.19 KB,  Physician Bulletin 105: Removal of the Fluoride Varnish Training Requirement (English, PDF 139.19 KB)
Open DOCX file, 32.19 KB,  Physician Bulletin 105: Removal of the Fluoride Varnish Training Requirement (English, DOCX 32.19 KB)
Open PDF file, 143.84 KB,  Physician Bulletin 104: Addition to Qualified Personnel for Fluoride Varnish Services (English, PDF 143.84 KB)
Open DOCX file, 28.68 KB,  Physician Bulletin 104: Addition to Qualified Personnel for Fluoride Varnish Services (English, DOCX 28.68 KB)
Open PDF file, 163.04 KB,  Physician Bulletin 103: Integrated Behavioral Health Service Code, Description, and Billing Requirements (English, PDF 163.04 KB)
Open DOCX file, 37.12 KB,  Physician Bulletin 103: Integrated Behavioral Health Service Code, Description, and Billing Requirements (English, DOCX 37.12 KB)
Open PDF file, 189.83 KB,  Physician Bulletin 102: Temporary Flexibilities for the Provision of Laboratory Services by Individual Physicians and Group Practices Enrolled in the MassHealth Physician Program (English, PDF 189.83 KB)
Open DOCX file, 31.88 KB,  Physician Bulletin 102: Temporary Flexibilities for the Provision of Laboratory Services by Individual Physicians and Group Practices Enrolled in the MassHealth Physician Program (English, DOCX 31.88 KB)
Open PDF file, 197.89 KB,  Physician Bulletin 101: Alternative Interim Payments (English, PDF 197.89 KB)
Open DOCX file, 39.11 KB,  Physician Bulletin 101: Alternative Interim Payments (English, DOCX 39.11 KB)
Open PDF file, 87.04 KB,  Physician Bulletin 100: Pediatric Immunization Administration Code Reimbursement Change (English, PDF 87.04 KB)
Open DOCX file, 28.25 KB,  Physician Bulletin 100: Pediatric Immunization Administration Code Reimbursement Change (English, DOCX 28.25 KB)
Open PDF file, 148.81 KB,  Physician Bulletin 99: Clarification on Bayer Pharmaceuticals Return Policy for Abandoned Mirena® and Skyla® Units (English, PDF 148.81 KB)
Open RTF file, 563.54 KB,  Physician Bulletin 99: Clarification on Bayer Pharmaceuticals Return Policy for Abandoned Mirena® and Skyla® Units (English, RTF 563.54 KB)
Open PDF file, 162.8 KB,  Physician Bulletin 98: Section 1202 Rates for Hospital-Based Physicians and Physicians Working in Group Practices Who Provide Primary Care Services (English, PDF 162.8 KB)
Open DOC file, 122 KB,  Physician Bulletin 98: Section 1202 Rates for Hospital-Based Physicians and Physicians Working in Group Practices Who Provide Primary Care Services (English, DOC 122 KB)
Open PDF file, 48.68 KB,  Physician Bulletin 97: MassCor Online Eyeglass Order System (English, PDF 48.68 KB)
Open DOC file, 42 KB,  Physician Bulletin 97: MassCor Online Eyeglass Order System (English, DOC 42 KB)
Open PDF file, 121.27 KB,  Physician Bulletin 96: Improving Treatment for Substance Use Disorders (English, PDF 121.27 KB)
Open TXT file, 6.97 KB,  Physician Bulletin 96: Improving Treatment for Substance Use Disorders (English, TXT 6.97 KB)
Open PDF file, 117.97 KB,  Physician Bulletin 95: Improving the Management of Postpartum Visits (English, PDF 117.97 KB)
Open TXT file, 5.19 KB,  Physician Bulletin 95: Improving the Management of Postpartum Visits (English, TXT 5.19 KB)
Open PDF file, 60.49 KB,  Physician Bulletin 94: Drug Screen/Quantitative Drug Test Claim Edit; Drug Screens Performed For Residential Monitoring (English, PDF 60.49 KB)
Open TXT file, 4.13 KB,  Physician Bulletin 94: Drug Screen/Quantitative Drug Test Claim Edit; Drug Screens Performed For Residential Monitoring (English, TXT 4.13 KB)
Open TXT file, 2.37 KB,  Physician Bulletin 93: Clarification of Policy for Members’ Home Use of Nebulizers (English, TXT 2.37 KB)
Open PDF file, 45.37 KB,  Physician Bulletin 93: Clarification of Policy for Members’ Home Use of Nebulizers (English, PDF 45.37 KB)
Open PDF file, 138.85 KB,  Physician Bulletin 92: Updated Vision Care Material Order Form (English, PDF 138.85 KB)
Open TXT file, 3.98 KB,  Physician Bulletin 92: Updated Vision Care Material Order Form (English, TXT 3.98 KB)
Open PDF file, 55.74 KB,  Physician Bulletin 91: Anesthesia Services and 5010 Requirements (English, PDF 55.74 KB)
Open TXT file, 2.77 KB,  Physician Bulletin 91: Anesthesia Services and 5010 Requirements (English, TXT 2.77 KB)
Open PDF file, 82 KB,  Physician Bulletin 90: Pediatric Immunization Administration Codes (PDF) (English, PDF 82 KB)
Open TXT file, 3.04 KB,  Physician Bulletin 90: Pediatric Immunization Administration Codes (English, TXT 3.04 KB)
Open PDF file, 46.37 KB,  Physician Bulletin 89: Updated Drug Screen Testing Unit Limitation (English, PDF 46.37 KB)
Open TXT file, 1.81 KB,  Physician Bulletin 89: Updated Drug Screen Testing Unit Limitation (English, TXT 1.81 KB)
Open PDF file, 57.77 KB,  Physician Bulletin 88: Clarification of Coverage of Formulas (Enteral-Nutrition Products) (English, PDF 57.77 KB)
Open TXT file, 4.24 KB,  Physician Bulletin 88: Clarification of Coverage of Formulas (Enteral-Nutrition Products) (English, TXT 4.24 KB)
Open PDF file, 69.43 KB,  Physician Bulletin 87: Clarification of Coverage of Formulas (Enteral-Nutrition Products) (English, PDF 69.43 KB)
Open TXT file, 4.58 KB,  Physician Bulletin 87: Clarification of Coverage of Formulas (Enteral-Nutrition Products) (English, TXT 4.58 KB)
Open PDF file, 43.76 KB,  Physician Bulletin 86: Medical Nutrition Therapy and Diabetes Self-Management Training (English, PDF 43.76 KB)
Open TXT file, 5.47 KB,  Physician Bulletin 86: Medical Nutrition Therapy and Diabetes Self-Management Training (English, TXT 5.47 KB)
Open PDF file, 52.16 KB,  Physician Bulletin 85: Correction for MassHealth Tobacco Cessation Counseling Benefit Chart (English, PDF 52.16 KB)
Open TXT file, 2.7 KB,  Physician Bulletin 85: Correction for MassHealth Tobacco Cessation Counseling Benefit Chart (English, TXT 2.7 KB)
Open PDF file, 68.37 KB,  Physician Bulletin 84: 2006 Healthcare Common Procedure Coding System (HCPCS) Coding Update (PDF) (English, PDF 68.37 KB)
Open TXT file, 6.07 KB,  Physician Bulletin 84: 2006 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, TXT 6.07 KB)
Open PDF file, 149.75 KB,  Physician Bulletin 83: Guideline for Medical Necessity Determination for Breast Reduction (English, PDF 149.75 KB)
Open RTF file, 3.64 MB,  Physician Bulletin 83: Guideline for Medical Necessity Determination for Breast Reduction (English, RTF 3.64 MB)
Open PDF file, 129.54 KB,  Physician Bulletin 82: 2005 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, PDF 129.54 KB)
Open RTF file, 459.46 KB,  Physician Bulletin 82: 2005 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, RTF 459.46 KB)
Open PDF file, 138.4 KB,  Physician Bulletin 81: New Prior Authorization Policy for Rehabilitation Therapy Services (English, PDF 138.4 KB)
Open RTF file, 4.03 MB,  Physician Bulletin 81: New Prior Authorization Policy for Rehabilitation Therapy Services (English, RTF 4.03 MB)
Open PDF file, 139.9 KB,  Physician Bulletin 80: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services (English, PDF 139.9 KB)
Open RTF file, 3.62 MB,  Physician Bulletin 80: Delay in Implementation of New Prior Authorization Policy for Certain Therapy Services (English, RTF 3.62 MB)
Open PDF file, 117.06 KB,  Physician Bulletin 79: Administrative Simplification for Claims Requiring Attachments (English, PDF 117.06 KB)
Open RTF file, 35.25 KB,  Physician Bulletin 79: Administrative Simplification for Claims Requiring Attachments (English, RTF 35.25 KB)
Open PDF file, 122.79 KB,  Physician Bulletin 78: Controlled Substances Management Program (English, PDF 122.79 KB)
Open RTF file, 39.86 KB,  Physician Bulletin 78: Controlled Substances Management Program (English, RTF 39.86 KB)
Open PDF file, 137 KB,  Physician Bulletin 77: Revisions to the MassHealth Dental Program (English, PDF 137 KB)
Open RTF file, 38.13 KB,  Physician Bulletin 77: Revisions to the MassHealth Dental Program (English, RTF 38.13 KB)
Open PDF file, 82.52 KB,  Physician Bulletin 76: HIV Resistance Testing (English, PDF 82.52 KB)
Open RTF file, 24.55 KB,  Physician Bulletin 76: HIV Resistance Testing (English, RTF 24.55 KB)
Open PDF file, 70.5 KB,  Physician Bulletin 75: Physician Supervision of Anesthesia (English, PDF 70.5 KB)
Open RTF file, 4.45 KB,  Physician Bulletin 75: Physician Supervision of Anesthesia (English, RTF 4.45 KB)
Open PDF file, 82.29 KB,  Physician Bulletin 74: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, PDF 82.29 KB)
Open RTF file, 9.51 KB,  Physician Bulletin 74: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, RTF 9.51 KB)
Open PDF file, 18.39 KB,  Physician Bulletin 73: HCFA Common Procedure Coding System (HCPCS ) Update (English, PDF 18.39 KB)
Open RTF file, 63.21 KB,  Physician Bulletin 73: HCFA Common Procedure Coding System (HCPCS ) Update (English, RTF 63.21 KB)
Open PDF file, 127.96 KB,  Physician Bulletin 72: Injectable and Infusible Drugs and Devices (PDF) (English, PDF 127.96 KB)
Open RTF file, 41.94 KB,  Physician Bulletin 72: Injectable and Infusible Drugs and Devices (English, RTF 41.94 KB)
Open PDF file, 58.18 KB,  Physician Bulletin 71: Reporting Anesthesia Time (English, PDF 58.18 KB)
Open RTF file, 9.64 KB,  Physician Bulletin 71: Reporting Anesthesia Time (English, RTF 9.64 KB)
Open PDF file, 99.19 KB,  Physician Bulletin 70: Obtaining Prior Authorization and Submitting Claims for Synagis (Palivizumab) (English, PDF 99.19 KB)
Open RTF file, 38.96 KB,  Physician Bulletin 70: Obtaining Prior Authorization and Submitting Claims for Synagis (Palivizumab) (English, RTF 38.96 KB)
Open PDF file, 71.06 KB,  Physician Bulletin 69: Lyme Disease Vaccine (English, PDF 71.06 KB)
Open RTF file, 16.97 KB,  Physician Bulletin 69: Lyme Disease Vaccine (English, RTF 16.97 KB)
Open PDF file, 110.29 KB,  Physician Bulletin 68: New Address for Prior Authorization Requests for Drugs (English, PDF 110.29 KB)
Open RTF file, 20.66 KB,  Physician Bulletin 68: New Address for Prior Authorization Requests for Drugs (English, RTF 20.66 KB)
Open PDF file, 64.69 KB,  Physician Bulletin 67: Prior Authorization for Celebrex in Dosages of 200 mg or More (English, PDF 64.69 KB)
Open RTF file, 19.9 KB,  Physician Bulletin 67: Prior Authorization for Celebrex in Dosages of 200 mg or More (English, RTF 19.9 KB)
Open PDF file, 71 KB,  Physician Bulletin 66: Prior Authorization for Enbrel, Herceptin, and Remicade (English, PDF 71 KB)
Open RTF file, 33.82 KB,  Physician Bulletin 66: Prior Authorization for Enbrel, Herceptin, and Remicade (English, RTF 33.82 KB)

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