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Physician Transmittal Letters

Transmittal letters contain changes to MassHealth provider manuals. They summarize the change, contain revised pages for the provider manual, and tell providers how to update their manuals with the new pages.

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Open PDF file, 547.16 KB,  PHY-173: Updates to Subchapter 6 (English, PDF 547.16 KB)

Open DOCX file, 216.15 KB,  PHY-173: Updates to Subchapter 6 (English, DOCX 216.15 KB)

Open PDF file, 386.68 KB,  PHY-172: Physician Manual: Updates to Subchapter 6 (2025 CPT/HCPCS) (English, PDF 386.68 KB)

Open DOCX file, 221.93 KB,  PHY-172: Physician Manual: Updates to Subchapter 6 (2025 CPT/HCPCS) (English, DOCX 221.93 KB)

Open PDF file, 303.84 KB,  PHY-171: Updates to Subchapter 6 (English, PDF 303.84 KB)

Open DOCX file, 228.38 KB,  PHY-171: Updates to Subchapter 6 (English, DOCX 228.38 KB)

Open PDF file, 410.2 KB,  PHY-170: Updates to Subchapter 6 (English, PDF 410.2 KB)

Open DOCX file, 232.25 KB,  PHY-170: Updates to Subchapter 6 (English, DOCX 232.25 KB)

Open PDF file, 449.8 KB,  PHY-169: Updates to Subchapter 6 (2024 HCPCS) (English, PDF 449.8 KB)

(February 2024)

Open DOCX file, 220.83 KB,  PHY-169: Updates to Subchapter 6 (2024 HCPCS) (English, DOCX 220.83 KB)

(February 2024)

Open PDF file, 493.3 KB,  PHY-168: Updates to Subchapter 6 (English, PDF 493.3 KB)

(September 2023)

Open DOCX file, 183.93 KB,  PHY-168: Updates to Subchapter 6 (English, DOCX 183.93 KB)

(September 2023)

Open PDF file, 324.98 KB,  PHY-167: Revised Regulations at 130 CMR 433.000 (English, PDF 324.98 KB)

(July 2023)

Open DOCX file, 132.78 KB,  PHY-167: Revised Regulations at 130 CMR 433.000 (English, DOCX 132.78 KB)

(July 2023)

Open PDF file, 394.25 KB,  PHY-166: 2023 HCPCS Updates to Subchapter 6 (English, PDF 394.25 KB)

(March 2023)

Open DOCX file, 181.72 KB,  PHY-166: 2023 HCPCS Updates to Subchapter 6 (English, DOCX 181.72 KB)

(March 2023)

Open PDF file, 218.27 KB,  PHY-165: Revisions to 130 CMR 433.000 to Clarify Coverage of Abortion Services (English, PDF 218.27 KB)

(June 2022)

Open DOCX file, 81.26 KB,  PHY-165: Revisions to 130 CMR 433.000 to Clarify Coverage of Abortion Services (English, DOCX 81.26 KB)

(June 2022)

Open PDF file, 468.93 KB,  PHY-164: HCPCS Updates to Subchapter 6 (English, PDF 468.93 KB)

(June 2022)

Open DOCX file, 182.34 KB,  PHY-164: HCPCS Updates to Subchapter 6 (English, DOCX 182.34 KB)

(June 2022)

Open PDF file, 210 KB,  PHY-163: Updates to Policy about Acupuncture Services and Certain Psychiatric Services (English, PDF 210 KB)

(January 2022)

Open DOCX file, 82.25 KB,  PHY-163: Updates to Policy about Acupuncture Services and Certain Psychiatric Services (English, DOCX 82.25 KB)

(January 2022)

Open PDF file, 242.13 KB,  PHY-162: Addition of Code 99417 (English, PDF 242.13 KB)
Open DOCX file, 207.12 KB,  PHY-162: Addition of Code 99417 (English, DOCX 207.12 KB)
Open PDF file, 1.03 MB,  PHY-161: Addition of Code G2066 and Deletion of Code 93299; Integrated Behavioral Health Service; Facial Feminization Procedures (English, PDF 1.03 MB)
Open DOCX file, 179.43 KB,  PHY-161: Addition of Code G2066 and Deletion of Code 93299; Integrated Behavioral Health Service; Facial Feminization Procedures (English, DOCX 179.43 KB)
Open PDF file, 237.4 KB,  PHY-160: 2021 HCPCS Updates to Subchapter 6; Continued Suspension of Policy Set forth in Transmittal Letter PHY-157 (English, PDF 237.4 KB)
Open DOCX file, 210.99 KB,  PHY-160: 2021 HCPCS Updates to Subchapter 6; Continued Suspension of Policy Set forth in Transmittal Letter PHY-157 (English, DOCX 210.99 KB)
Open PDF file, 237.05 KB,  PHY-159: HCPCS Updates to Subchapter 6 (English, PDF 237.05 KB)
Open DOCX file, 190.88 KB,  PHY-159: HCPCS Updates to Subchapter 6 (English, DOCX 190.88 KB)
Open DOCX file, 218.41 KB,  PHY-158: 2020 HCPCS Code updates and Removal of PA Requirements for Certain Knee Arthroplasty and Knee Arthroscopy Codes (English, DOCX 218.41 KB)
Open PDF file, 508.73 KB,  PHY-158: 2020 HCPCS Code updates and Removal of PA Requirements for Certain Knee Arthroplasty and Knee Arthroscopy Codes (English, PDF 508.73 KB)
Open PDF file, 629.97 KB,  PHY-157: New MassHealth Third-Party Administrator for Prior Authorization; New Prior Authorization Requirements (English, PDF 629.97 KB)
Open DOCX file, 226.35 KB,  PHY-157: New MassHealth Third-Party Administrator for Prior Authorization; New Prior Authorization Requirements (English, DOCX 226.35 KB)
Open PDF file, 290.26 KB,  PHY-156: 2019 HCPCS Code Revisions; New Drug Codes and Prior-Authorization Requirements for Treatment of Varicose Veins of the Lower Extremities (English, PDF 290.26 KB)
Open DOCX file, 176.04 KB,  PHY-156: 2019 HCPCS Code Revisions; New Drug Codes and Prior-Authorization Requirements for Treatment of Varicose Veins of the Lower Extremities (English, DOCX 176.04 KB)
Open PDF file, 475.71 KB,  PHY-155: 2018 HCPCS Code Revisions & New Prior Authorization Requirements for Knee Arthroscopy and Knee Arthroplasty (English, PDF 475.71 KB)
Open DOCX file, 289.27 KB,  PHY-155: 2018 HCPCS Code Revisions & New Prior Authorization Requirements for Knee Arthroscopy and Knee Arthroplasty (English, DOCX 289.27 KB)
Open DOC file, 673 KB,  PHY-154: Midlevel Practitioner Project and EO562 Regulation Review; Subchapter 6 Updates (English, DOC 673 KB)
Open PDF file, 331.51 KB,  PHY-153: Revised Subchapter 6, Additional Behavioral Health Screening Tools and Revised Coding for Postpartum Depression Screening (English, PDF 331.51 KB)
Open DOC file, 335.5 KB,  PHY-153: Revised Subchapter 6, Additional Behavioral Health Screening Tools and Revised Coding for Postpartum Depression Screening (English, DOC 335.5 KB)
Open PDF file, 528.89 KB,  PHY-152: 2017 HCPCS Updates and Drug Testing/Drug Screen Claim Edits (English, PDF 528.89 KB)
Open DOC file, 345.5 KB,  PHY-152: 2017 HCPCS Updates and Drug Testing/Drug Screen Claim Edits (English, DOC 345.5 KB)
Open DOC file, 325 KB,  PHY-151: Service Code Updates/HIV-Associated Lipodystrophy Syndrome (English, DOC 325 KB)
Open PDF file, 462.4 KB,  PHY-151: Service Code Updates/HIV-Associated Lipodystrophy Syndrome (English, PDF 462.4 KB)
Open PDF file, 431 KB,  PHY-150: Code Revisions in Subchapter 6 and Appendix K (English, PDF 431 KB)
Open DOC file, 327.5 KB,  PHY-150: Code Revisions in Subchapter 6 and Appendix K (English, DOC 327.5 KB)
Open PDF file, 126.04 KB,  PHY-149: Revised Regulations (130 CMR 433.000) (English, PDF 126.04 KB)
Open DOC file, 220 KB,  PHY-149: Revised Regulations (130 CMR 433.000) (English, DOC 220 KB)
Open PDF file, 66.78 KB,  PHY-148: Payment for Postpartum Depression Screening (English, PDF 66.78 KB)
Open DOC file, 203 KB,  PHY-148: Payment for Postpartum Depression Screening (English, DOC 203 KB)
Open PDF file, 397.66 KB,  PHY-147: HCPCS 2016 Codes (English, PDF 397.66 KB)
Open DOC file, 292.5 KB,  PHY-147: HCPCS 2016 Codes (English, DOC 292.5 KB)
Open PDF file, 222.58 KB,  PHY-146: Revised Appendix I (English, PDF 222.58 KB)
Open DOC file, 280 KB,  PHY-145: 2015 HCPCS (English, DOC 280 KB)
Open PDF file, 393.12 KB,  PHY-145: 2015 HCPCS (English, PDF 393.12 KB)
Open DOC file, 76 KB,  PHY-143: Revisions to Abortion Services (English, DOC 76 KB)
Open PDF file, 52.25 KB,  PHY-143: Revisions to Abortion Services (English, PDF 52.25 KB)
Open DOC file, 379 KB,  PHY-142: Updated Gender Dysphoria and Sterilization Policies (English, DOC 379 KB)
Open PDF file, 262.4 KB,  PHY-142: Updated Gender Dysphoria and Sterilization Policies (English, PDF 262.4 KB)
Open DOC file, 671 KB,  PHY-141: 2014 HCPCS (English, DOC 671 KB)
Open PDF file, 197.61 KB,  PHY-141: 2014 HCPCS (English, PDF 197.61 KB)
Open TXT file, 116.75 KB,  PHY-140: Revisions to MassHealth Regulations-Affordable Care Act (English, TXT 116.75 KB)
Open PDF file, 594.25 KB,  PHY-140: Revisions to MassHealth Regulations-Affordable Care Act (English, PDF 594.25 KB)
Open TXT file, 60.8 KB,  PHY-139: 2013 HCPCS (English, TXT 60.8 KB)
Open PDF file, 223.07 KB,  PHY-139: 2013 HCPCS (English, PDF 223.07 KB)
Open PDF file, 79.76 KB,  PHY-137: Certified Registered Nurse Anesthetists (English, PDF 79.76 KB)
Open TXT file, 31.76 KB,  PHY-137: Certified Registered Nurse Anesthetists (English, TXT 31.76 KB)
Open PDF file, 85.75 KB,  PHY-136: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, PDF 85.75 KB)
Open TXT file, 7.25 KB,  PHY-136: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, TXT 7.25 KB)
Open PDF file, 116.47 KB,  PHY-134: 2012 HCPCS (English, PDF 116.47 KB)
Open TXT file, 48.75 KB,  PHY-134: 2012 HCPCS (English, TXT 48.75 KB)
Open TXT file, 5.15 KB,  PHY-133: Anesthesia Units of Service (English, TXT 5.15 KB)
Open PDF file, 35.96 KB,  PHY-133: Anesthesia Units of Service (English, PDF 35.96 KB)
Open PDF file, 129.16 KB,  PHY-132: 2011 HCPCS Updates (English, PDF 129.16 KB)
Open TXT file, 54.43 KB,  PHY-132: 2011 HCPCS Updates (English, TXT 54.43 KB)
Open TXT file, 25.21 KB,  PHY-131: Amendments to Regulations about Payment for Surgery Services (English, TXT 25.21 KB)
Open PDF file, 92.04 KB,  PHY-131: Amendments to Regulations about Payment for Surgery Services (English, PDF 92.04 KB)
Open PDF file, 125.63 KB,  PHY-130: Corrected Subchapter 6 (English, PDF 125.63 KB)
Open DOC file, 206 KB,  PHY-130: Corrected Subchapter 6 (English, DOC 206 KB)
Open PDF file, 1.05 MB,  PHY-129: 2011 HCPCS (English, PDF 1.05 MB)
Open TXT file, 58.01 KB,  PHY-129: 2011 HCPCS (English, TXT 58.01 KB)
Open TXT file, 3.64 KB,  PHY-128: 2010 HCPCS (English, TXT 3.64 KB)
Open PDF file, 67.75 KB,  PHY-128: 2010 HCPCS (English, PDF 67.75 KB)
Open TXT file, 48.52 KB,  PHY-127: 2009 HCPCS (English, TXT 48.52 KB)
Open PDF file, 519.18 KB,  PHY-127: 2009 HCPCS (English, PDF 519.18 KB)
Open PDF file, 121.47 KB,  PHY-126: Appendix I (English, PDF 121.47 KB)
Open TXT file, 3.82 KB,  PHY-126: Appendix I (English, TXT 3.82 KB)
Open PDF file, 494.58 KB,  PHY-125: 2009 HCPCS (English, PDF 494.58 KB)
Open TXT file, 53.79 KB,  PHY-125: 2009 HCPCS (English, TXT 53.79 KB)
Open PDF file, 428.41 KB,  PHY-124: Implementation of the Child and Adolescent Needs and Strengths Tool (English, PDF 428.41 KB)
Open TXT file, 66.88 KB,  PHY-124: Implementation of the Child and Adolescent Needs and Strengths Tool (English, TXT 66.88 KB)
Open TXT file, 33.51 KB,  PHY-123: Application of Fluoride Varnish by Pediatricians and Other Qualified Health Care Professionals (English, TXT 33.51 KB)
Open PDF file, 236.06 KB,  PHY-123: Application of Fluoride Varnish by Pediatricians and Other Qualified Health Care Professionals (English, PDF 236.06 KB)
Open RTF file, 160.77 KB,  PHY-122: Revised Pharmacy Regulations (English, RTF 160.77 KB)
Open PDF file, 285.22 KB,  PHY-122: Revised Pharmacy Regulations (English, PDF 285.22 KB)
Open TXT file, 55.99 KB,  PHY-121: 2008 HCPCS (English, TXT 55.99 KB)
Open PDF file, 473.28 KB,  PHY-121: 2008 HCPCS (English, PDF 473.28 KB)
Open PDF file, 265.6 KB,  PHY-120: New Behavioral Health Screening Fee and 2008 HCPCS Coding Update (English, PDF 265.6 KB)
Open TXT file, 10.89 KB,  PHY-120: New Behavioral Health Screening Fee and 2008 HCPCS Coding Update (English, TXT 10.89 KB)
Open TXT file, 65.31 KB,  PHY-119: 2007 HCPCS Coding Update (English, TXT 65.31 KB)
Open PDF file, 616.04 KB,  PHY-119: 2007 HCPCS Coding Update (English, PDF 616.04 KB)
Open PDF file, 91.19 KB,  PHY-118: Revised Billing Instructions (English, PDF 91.19 KB)
Open TXT file, 16.5 KB,  PHY-118: Revised Billing Instructions (English, TXT 16.5 KB)
Open PDF file, 101.97 KB,  PHY-117: Revisions to Regulations about Medicare Part D (English, PDF 101.97 KB)
Open TXT file, 23.31 KB,  PHY-117: Revisions to Regulations about Medicare Part D (English, TXT 23.31 KB)
Open TXT file, 13.58 KB,  PHY-116: Vision Care Services (English, TXT 13.58 KB)
Open PDF file, 162.47 KB,  PHY-116: Vision Care Services (English, PDF 162.47 KB)
Open PDF file, 269.29 KB,  PHY-115: 2007 HCPCS Coding Update (English, PDF 269.29 KB)
Open TXT file, 40.74 KB,  PHY-115: 2007 HCPCS Coding Update (English, TXT 40.74 KB)
Open TXT file, 11.67 KB,  PHY-114: Vision Care Services (English, TXT 11.67 KB)
Open PDF file, 96.1 KB,  PHY-114: Vision Care Services (English, PDF 96.1 KB)
Open PDF file, 529.67 KB,  PHY-113: 2006 HCPCS Codes (English, PDF 529.67 KB)
Open TXT file, 35.54 KB,  PHY-113: 2006 HCPCS Codes (English, TXT 35.54 KB)
Open PDF file, 115.07 KB,  PHY-112: Revised Regulations About New Tobacco Cessation Services: Correction (English, PDF 115.07 KB)
Open TXT file, 7.84 KB,  PHY-112: Revised Regulations About New Tobacco Cessation Services: Correction (English, TXT 7.84 KB)
Open RTF file, 228.88 KB,  PHY-111: Revised Regulations About New Tobacco Cessation Services and Independent Diagnostic Testing Facility (IDTF) Services (English, RTF 228.88 KB)
Open PDF file, 137.43 KB,  PHY-111: Revised Regulations About New Tobacco Cessation Services and Independent Diagnostic Testing Facility (IDTF) Services (English, PDF 137.43 KB)
Open TXT file, 29.32 KB,  PHY-110: Revisions to Service Codes in Subchapter 6 (English, TXT 29.32 KB)
Open PDF file, 217.6 KB,  PHY-110: Revisions to Service Codes in Subchapter 6 (English, PDF 217.6 KB)
Open TXT file, 184.05 KB,  PHY-109: Revision to Regulations About Medicare Part D (English, TXT 184.05 KB)
Open PDF file, 402.19 KB,  PHY-109: Revision to Regulations About Medicare Part D (English, PDF 402.19 KB)
Open PDF file, 266.44 KB,  PHY-108: Changes to Program Regulations (English, PDF 266.44 KB)
Open TXT file, 16.94 KB,  PHY-108: Changes to Program Regulations (English, TXT 16.94 KB)
Open TXT file, 23.65 KB,  PHY-107: Revised Pharmacy Services Regulations (English, TXT 23.65 KB)
Open PDF file, 253.77 KB,  PHY-107: Revised Pharmacy Services Regulations (English, PDF 253.77 KB)
Open PDF file, 156.92 KB,  PHY-106: Prior Authorization Policy for Rehabilitative Therapy Services (English, PDF 156.92 KB)
Open RTF file, 5.55 MB,  PHY-106: Prior Authorization Policy for Rehabilitative Therapy Services (English, RTF 5.55 MB)
Open RTF file, 4.15 MB,  PHY-105: 2005 HCPCS Codes (English, RTF 4.15 MB)
Open PDF file, 438.06 KB,  PHY-105: 2005 HCPCS Codes (English, PDF 438.06 KB)
Open PDF file, 90.13 KB,  PHY-104: Revision to Service Limitations (English, PDF 90.13 KB)
Open RTF file, 4.08 MB,  PHY-104: Revision to Service Limitations (English, RTF 4.08 MB)
Open RTF file, 180.41 KB,  PHY-103: Revised Pharmacy Services Regulations (English, RTF 180.41 KB)
Open PDF file, 75.49 KB,  PHY-103: Revised Pharmacy Services Regulations (English, PDF 75.49 KB)
Open PDF file, 298.64 KB,  PHY-102: 2004 HCPCS Codes (English, PDF 298.64 KB)
Open RTF file, 881.29 KB,  PHY-102: 2004 HCPCS Codes (English, RTF 881.29 KB)
Open RTF file, 129.24 KB,  PHY-101: Revised Nonlegend Drug List (English, RTF 129.24 KB)
Open PDF file, 187.99 KB,  PHY-101: Revised Nonlegend Drug List (English, PDF 187.99 KB)
Open TXT file, 33.91 KB,  PHY-100: 2004 HCPCS (English, TXT 33.91 KB)
Open PDF file, 177.42 KB,  PHY-100: 2004 HCPCS (English, PDF 177.42 KB)
Open PDF file, 315.65 KB,  PHY-99: Prior Authorization for Certain Therapy Visits (English, PDF 315.65 KB)
Open RTF file, 563.54 KB,  PHY-99: Prior Authorization for Certain Therapy Visits (English, RTF 563.54 KB)
Open RTF file, 240.85 KB,  PHY-98: Revised Regulations (English, RTF 240.85 KB)
Open PDF file, 87.46 KB,  PHY-98: Revised Regulations (English, PDF 87.46 KB)
Open RTF file, 548.36 KB,  PHY-97: Revisions to Service Codes and Descriptions (English, RTF 548.36 KB)
Open PDF file, 408.23 KB,  PHY-97: Revisions to Service Codes and Descriptions (English, PDF 408.23 KB)
Open RTF file, 128.88 KB,  PHY-96: Revised Nonlegend Drug List (English, RTF 128.88 KB)
Open PDF file, 174.25 KB,  PHY-96: Revised Nonlegend Drug List (English, PDF 174.25 KB)
Open RTF file, 213.67 KB,  PHY-95: Revised Regulations about Pharmacy Services (English, RTF 213.67 KB)
Open PDF file, 212.7 KB,  PHY-95: Revised Regulations about Pharmacy Services (English, PDF 212.7 KB)
Open DOC file, 51.5 KB,  PHY-94: 2003 HCPCS Codes (English, DOC 51.5 KB)
Open PDF file, 263.49 KB,  PHY-94: 2003 HCPCS Codes (English, PDF 263.49 KB)
Open PDF file, 172.75 KB,  PHY-93: Age Limitations for Certain Vision Care Services (English, PDF 172.75 KB)
Open RTF file, 148.72 KB,  PHY-93: Age Limitations for Certain Vision Care Services (English, RTF 148.72 KB)
Open RTF file, 1.3 MB,  PHY-92: Revised Regulations and Restructured Subchapter 6 (Service Codes) (English, RTF 1.3 MB)
Open PDF file, 993.82 KB,  PHY-92: Revised Regulations and Restructured Subchapter 6 (Service Codes) (English, PDF 993.82 KB)

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