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This page, MassHealth provider bulletins by provider type A - C, is offered by
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MassHealth provider bulletins by provider type A - C

MassHealth issues provider bulletins as needed to communicate procedures, reminders, and other information to MassHealth providers.

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Abortion Clinic Provider Bulletins

Abortion Clinic Bulletin 8: Elimination of Global Billing for Services with a Professional and a Technical Component (English, PDF 47.62 KB)

Abortion Clinic Bulletin 8: Elimination of Global Billing for Services with a Professional and a Technical Component (English, RTF 5.35 MB)

Abortion Clinic Bulletin 7: Administrative Simplification for Claims Requiring Attachments (English, PDF 107.55 KB)

Abortion Clinic Bulletin 7: Administrative Simplification for Claims Requiring Attachments (English, RTF 36.58 KB)

Acute Inpatient Hospital Provider Bulletins

Acute Inpatient Hospital Bulletin 194: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 178.27 KB)

Acute Inpatient Hospital Bulletin 194: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 35.19 KB)

Acute Inpatient Hospital Bulletin 193: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 139.9 KB)

Acute Inpatient Hospital Bulletin 193: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 32.9 KB)

Acute Inpatient Hospital Bulletin 192: Continued Temporary Suspension of Requirements for Admission Screening for Admissions to Acute Inpatient Hospitals and Prior Authorization for Physician Services Rendered in Connection with Such Admissions (English, PDF 143.85 KB)

Acute Inpatient Hospital Bulletin 192: Continued Temporary Suspension of Requirements for Admission Screening for Admissions to Acute Inpatient Hospitals and Prior Authorization for Physician Services Rendered in Connection with Such Admissions (English, DOCX 28.79 KB)

Acute Inpatient Hospital Bulletin 191: Temporary Modification of Certain Utilization Management Functions in Response to the COVID-19 Pandemic (English, PDF 261.13 KB)

Acute Inpatient Hospital Bulletin 191: Temporary Modification of Certain Utilization Management Functions in Response to the COVID-19 Pandemic (English, DOCX 27.21 KB)

Acute Inpatient Hospital Bulletin 190: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 193.75 KB)

Acute Inpatient Hospital Bulletin 190: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 33.58 KB)

Acute Inpatient Hospital Bulletin 189: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 246.42 KB)

Acute Inpatient Hospital Bulletin 189: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 32.65 KB)

Acute Inpatient Hospital Bulletin 188: Temporary Modification of Certain Utilization Management Functions in Response to the COVID-19 Pandemic (English, PDF 144.3 KB)

Acute Inpatient Hospital Bulletin 188: Temporary Modification of Certain Utilization Management Functions in Response to the COVID-19 Pandemic (English, DOCX 34.06 KB)

Acute Inpatient Hospital Bulletin 187: Temporary Suspension of Requirements for Admission Screening for Admissions to Acute Inpatient Hospitals and Prior Authorization for Physician Services Rendered in Connection with Acute Inpatient Hospital Admissions (English, PDF 145.01 KB)

Acute Inpatient Hospital Bulletin 187: Temporary Suspension of Requirements for Admission Screening for Admissions to Acute Inpatient Hospitals and Prior Authorization for Physician Services Rendered in Connection with Acute Inpatient Hospital Admissions (English, DOCX 36.26 KB)

Acute Inpatient Hospital Bulletin 186: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (English, PDF 322.53 KB)

Acute Inpatient Hospital Bulletin 186: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (English, DOCX 53.79 KB)

Acute Inpatient Hospital Bulletin 185: Updated the Application for Seniors and People Needing Long-Term Care Services (SACA-2) (English, PDF 174.26 KB)

Acute Inpatient Hospital Bulletin 185: Updated the Application for Seniors and People Needing Long-Term Care Services (SACA-2) (English, DOCX 38.08 KB)

Acute Inpatient Hospital Bulletin 184: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 142.47 KB)

Acute Inpatient Hospital Bulletin 184: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 31.63 KB)

Acute Inpatient Hospital Bulletin 183: Partial Resumption of Certain Utilization Management Functions Previously Suspended in Response to the COVID-19 Pandemic (English, PDF 209.71 KB)

Acute Inpatient Hospital Bulletin 183: Partial Resumption of Certain Utilization Management Functions Previously Suspended in Response to the COVID-19 Pandemic (English, DOCX 41.13 KB)

Acute Inpatient Hospital Bulletin 182: Updated Packet for Member Booklet (ACA-1) and Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 146.7 KB)

Acute Inpatient Hospital Bulletin 182: Updated Packet for Member Booklet (ACA-1) and Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 33.73 KB)

Acute Inpatient Hospital Bulletin 181: Updated Application Packet for Seniors and People Needing Long-Term-Care Services (SACA-2-Packet) (English, PDF 153 KB)

Acute Inpatient Hospital Bulletin 181: Updated Application Packet for Seniors and People Needing Long-Term-Care Services (SACA-2-Packet) (English, DOCX 34.25 KB)

Acute Inpatient Hospital Bulletin 180: Coverage of and Reimbursement for Hospital-at-Home Services (English, PDF 242.81 KB)

Acute Inpatient Hospital Bulletin 180: Coverage of and Reimbursement for Hospital-at-Home Services (English, DOCX 43.34 KB)

Acute Inpatient Hospital Bulletin 179: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 179.53 KB)

Acute Inpatient Hospital Bulletin 179: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 32.98 KB)

Acute Inpatient Hospital Bulletin 178: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 144.05 KB)

Acute Inpatient Hospital Bulletin 178: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 30.91 KB)

Acute Inpatient Hospital Bulletin 177: Limited Modification and Extension of Financial Support for Certain Acute Inpatient Hospitals with DMH-Licensed Beds in Response to the COVID-19 Pandemic (English, PDF 214.03 KB)

Acute Inpatient Hospital Bulletin 177: Limited Modification and Extension of Financial Support for Certain Acute Inpatient Hospitals with DMH-Licensed Beds in Response to the COVID-19 Pandemic (English, DOCX 34.73 KB)

Acute Inpatient Hospital Bulletin 176: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 152.21 KB)

Acute Inpatient Hospital Bulletin 176: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 30.81 KB)

Acute Inpatient Hospital Bulletin 175: Financial Support for Acute Inpatient Hospitals with DMH-Licensed Beds in Response to the COVID-19 Pandemic (English, PDF 222.23 KB)

Acute Inpatient Hospital Bulletin 175: Financial Support for Acute Inpatient Hospitals with DMH-Licensed Beds in Response to the COVID-19 Pandemic (English, DOCX 41.32 KB)

Acute Inpatient Hospital Bulletin 174: Elimination of Copayment on Acute Inpatient Hospital Stays (English, PDF 107.73 KB)

Acute Inpatient Hospital Bulletin 174: Elimination of Copayment on Acute Inpatient Hospital Stays (English, DOCX 32.59 KB)

Acute Inpatient Hospital Bulletin 173: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 174.41 KB)

Acute Inpatient Hospital Bulletin 173: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 34.19 KB)

Acute Inpatient Hospital Bulletin 172: Affidavits for Proof of Zero Income, Massachusetts Residency, and Incarceration Status (English, PDF 134.42 KB)

Acute Inpatient Hospital Bulletin 172: Affidavits for Proof of Zero Income, Massachusetts Residency, and Incarceration Status (English, DOCX 52.12 KB)

Acute Inpatient Hospital Bulletin 171: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 162.2 KB)

Acute Inpatient Hospital Bulletin 171: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 30.11 KB)

Acute Inpatient Hospital Bulletin 170: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 138.03 KB)

Acute Inpatient Hospital Bulletin 170: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 29.55 KB)

Acute Inpatient Hospital Bulletin 169: In-State Acute Hospital 30-day Readmissions Policy —Extension of Transitional Period and Postponement of Full Implementation Period (English, PDF 150.46 KB)

Acute Inpatient Hospital Bulletin 169: In-State Acute Hospital 30-day Readmissions Policy —Extension of Transitional Period and Postponement of Full Implementation Period (English, DOCX 31.84 KB)

Acute Inpatient Hospital Bulletin 168: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 183 KB)

Acute Inpatient Hospital Bulletin 168: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 32.89 KB)

Acute Inpatient Hospital Bulletin 167: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 240.06 KB)

Acute Inpatient Hospital Bulletin 167: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 33 KB)

Acute Inpatient Hospital Bulletin 166: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 71.72 KB)

Acute Inpatient Hospital Bulletin 166: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 109.44 KB)

Acute Inpatient Hospital Bulletin 165: Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 170.26 KB)

Acute Inpatient Hospital Bulletin 165: Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 109.96 KB)

Acute Inpatient Hospital Bulletin 164: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 194.63 KB)

Acute Inpatient Hospital Bulletin 164: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 109.86 KB)

Acute Inpatient Hospital Bulletin 163: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 62.14 KB)

Acute Inpatient Hospital Bulletin 163: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 107.25 KB)

Acute Inpatient Hospital Bulletin 162: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 73.56 KB)

Acute Inpatient Hospital Bulletin 162: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 108.58 KB)

Acute Inpatient Hospital Bulletin 161: Changes to Notification of Birth (NOB-1) Form and Filing Process (English, PDF 327.97 KB)

Acute Inpatient Hospital Bulletin 161: Changes to Notification of Birth (NOB-1) Form and Filing Process (English, DOCX 111.1 KB)

Acute Inpatient Hospital Bulletin 160: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 177.61 KB)

Acute Inpatient Hospital Bulletin 160: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 111 KB)

Acute Inpatient Hospital Bulletin 159: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 153.76 KB)

Acute Inpatient Hospital Bulletin 159: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 107 KB)

Acute Inpatient Hospital Bulletin 158: Hospital Incentive–Accessible Equipment (English, PDF 166.76 KB)

Acute Inpatient Hospital Bulletin 158: Hospital Incentive–Accessible Equipment (English, DOC 363.5 KB)

Acute Inpatient Hospital Bulletin 157: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 164.69 KB)

Acute Inpatient Hospital Bulletin 157: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 113 KB)

Acute Inpatient Hospital Bulletin 156: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 156.37 KB)

Acute Inpatient Hospital Bulletin 156: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 112 KB)

Acute Inpatient Hospital Bulletin 155: Inpatient Services for Incarcerated Individuals (English, PDF 145.47 KB)

Acute Inpatient Hospital Bulletin 155: Inpatient Services for Incarcerated Individuals (English, DOC 117.5 KB)

Acute Inpatient Hospital Bulletin 154: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 53.45 KB)

Acute Inpatient Hospital Bulletin 154: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 119.5 KB)

Acute Inpatient Hospital Bulletin 153: Preadmission Screening Requests Processed through POSC (English, DOC 115 KB)

Acute Inpatient Hospital Bulletin 153: Preadmission Screening Requests Processed through POSC (English, PDF 116.72 KB)

Acute Inpatient Hospital Bulletin 152: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 80.26 KB)

Acute Inpatient Hospital Bulletin 152: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 124 KB)

Acute Inpatient Hospital Bulletin 151: Section 1202 Rates for Hospital-Based Physicians and Physicians Working in Group Practices Who Provide Primary Care Services (English, PDF 173.19 KB)

Acute Inpatient Hospital Bulletin 151: Section 1202 Rates for Hospital-Based Physicians and Physicians Working in Group Practices Who Provide Primary Care Services (English, DOC 128 KB)

Acute Inpatient Hospital Bulletin 150: New Fax Number for MassHealth Applications and Documents (English, PDF 132.71 KB)

Acute Inpatient Hospital Bulletin 150: New Fax Number for MassHealth Applications and Documents (English, DOC 111.5 KB)

Acute Inpatient Hospital Bulletin 149: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 53.5 KB)

Acute Inpatient Hospital Bulletin 149: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 157.98 KB)

Acute Inpatient Hospital Bulletin 148: Submission of Accurate Information on Virtual Gateway (VG) by Providers Using VG (English, PDF 54.68 KB)

Acute Inpatient Hospital Bulletin 148: Submission of Accurate Information on Virtual Gateway (VG) by Providers Using VG (English, TXT 8.09 KB)

Acute Inpatient Hospital Bulletin 147: Centralization of Receipt of Senior Medical Benefit Request Forms for Individuals Residing in and Entering a Long-Term-Care Facility (English, PDF 116.04 KB)

Acute Inpatient Hospital Bulletin 147: Centralization of Receipt of Senior Medical Benefit Request Forms for Individuals Residing in and Entering a Long-Term-Care Facility (English, TXT 4.03 KB)

Acute Inpatient Hospital Bulletin 146: Notification of Birth (NOB-1) Form Update (English, PDF 66.65 KB)

Acute Inpatient Hospital Bulletin 146: Notification of Birth (NOB-1) Form Update (English, TXT 1.87 KB)

Acute Inpatient Hospital Bulletin 145: Express Lane Renewal Process (English, PDF 122.87 KB)

Acute Inpatient Hospital Bulletin 145: Express Lane Renewal Process (English, TXT 8.71 KB)

Acute Inpatient Hospital Bulletin 144: Clarification of Policy for Members’ Home Use of Nebulizers (English, PDF 45.34 KB)

Acute Inpatient Hospital Bulletin 144: Clarification of Policy for Members’ Home Use of Nebulizers (English, TXT 2.42 KB)

Acute Inpatient Hospital Bulletin 143: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, PDF 118.8 KB)

Acute Inpatient Hospital Bulletin 143: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, TXT 19.89 KB)

Acute Inpatient Hospital Bulletin 142: Revisions to the Medical Benefit Request, the Senior Medical Benefit Request, Other Forms, and the Virtual Gateway (English, PDF 71.93 KB)

Acute Inpatient Hospital Bulletin 142: Revisions to the Medical Benefit Request, the Senior Medical Benefit Request, Other Forms, and the Virtual Gateway (English, TXT 7.92 KB)

Acute Inpatient Hospital Bulletin 141: Address Change for the Notification of Birth (NOB-1) Form (English, PDF 43.08 KB)

Acute Inpatient Hospital Bulletin 141: Address Change for the Notification of Birth (NOB-1) Form (English, TXT 1.1 KB)

Acute Inpatient Hospital Bulletin 140: Revisions to the Medical Benefit Request, the Senior Medical Benefit Request, and the Virtual Gateway (English, PDF 69.63 KB)

Acute Inpatient Hospital Bulletin 140: Revisions to the Medical Benefit Request, the Senior Medical Benefit Request, and the Virtual Gateway (English, TXT 5.88 KB)

Acute Inpatient Hospital Bulletin 139: Revised Notification of Birth (NOB-1) Form (English, PDF 276.62 KB)

Acute Inpatient Hospital Bulletin 139: Revised Notification of Birth (NOB-1) Form (English, TXT 7.83 KB)

Acute Inpatient Hospital Bulletin 138: Revised Medical Benefit Request Form (English, PDF 64.93 KB)

Acute Inpatient Hospital Bulletin 138: Revised Medical Benefit Request Form (English, TXT 2.69 KB)

Acute Inpatient Hospital Bulletin 137: Preadmission Screening and Postpayment Review (English, PDF 62.76 KB)

Acute Inpatient Hospital Bulletin 137: Preadmission Screening and Postpayment Review (English, TXT 3.47 KB)

Acute Inpatient Hospital Bulletin 136: Revised Notification of Birth (NOB-1) Form (English, PDF 110.19 KB)

Acute Inpatient Hospital Bulletin 136: Revised Notification of Birth (NOB-1) Form (English, TXT 6.81 KB)

Acute Inpatient Hospital Bulletin 135: Revised Medical Benefit Request and Senior Medical Benefit Request Forms (English, PDF 61.43 KB)

Acute Inpatient Hospital Bulletin 135: Revised Medical Benefit Request and Senior Medical Benefit Request Forms (English, TXT 2.76 KB)

Acute Inpatient Hospital Bulletin 134: Revised Medical Benefit Request Form (English, PDF 60.29 KB)

Acute Inpatient Hospital Bulletin 134: Revised Medical Benefit Request Form (English, TXT 2.64 KB)

Acute Inpatient Hospital Bulletin 133: Revised Notification of Birth (NOB-1) Form (English, PDF 142.86 KB)

Acute Inpatient Hospital Bulletin 133: Revised Notification of Birth (NOB-1) Form (English, TXT 11.13 KB)

Acute Inpatient Hospital Bulletin 132: Revision to the Notification of Clinical Eligibility for Nursing Facility Services (English, PDF 66.98 KB)

Acute Inpatient Hospital Bulletin 132: Revision to the Notification of Clinical Eligibility for Nursing Facility Services (English, TXT 2.79 KB)

Acute Inpatient Hospital Bulletin 131: Changes in REVS Display for Uncompensated Care Pool (UCP) Patients (English, PDF 63.03 KB)

Acute Inpatient Hospital Bulletin 130: Guideline for Medical Necessity Determination for Breast Reduction (English, PDF 150.07 KB)

Acute Inpatient Hospital Bulletin 130: Guideline for Medical Necessity Determination for Breast Reduction (English, RTF 3.64 MB)

Acute Inpatient Hospital Bulletin 129: Revised Notification of Birth (NOB-1) Form (English, PDF 383.96 KB)

Acute Inpatient Hospital Bulletin 129: Revised Notification of Birth (NOB-1) Form (English, RTF 303.9 KB)

Acute Inpatient Hospital Bulletin 128: Revisions to the Nursing Facility Preadmission Process (English, PDF 318.5 KB)

Acute Inpatient Hospital Bulletin 128: Revisions to the Nursing Facility Preadmission Process (English, RTF 4.01 MB)

Acute Inpatient Hospital Bulletin 127: Billing for Physician Services with a Professional and a Technical Component (English, PDF 101.79 KB)

Acute Inpatient Hospital Bulletin 127: Billing for Physician Services with a Professional and a Technical Component (English, RTF 3.62 MB)

Acute Inpatient Hospital Bulletin 126: Electronic Claim Submissions for Dually Eligible Members (English, PDF 119.86 KB)

Acute Inpatient Hospital Bulletin 126: Electronic Claim Submissions for Dually Eligible Members (English, RTF 37.58 KB)

Acute Inpatient Hospital Bulletin 125: Administrative Simplification for Claims Requiring Attachments (English, PDF 108.85 KB)

Acute Inpatient Hospital Bulletin 124: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, PDF 245.16 KB)

Acute Inpatient Hospital Bulletin 124: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, RTF 54.63 KB)

Acute Inpatient Hospital Bulletin 123: MassHealth Eligibility Representative Designation MassHealth Permission to Share Information (English, PDF 159.44 KB)

Acute Inpatient Hospital Bulletin 123: MassHealth Eligibility Representative Designation MassHealth Permission to Share Information (English, RTF 84.38 KB)

Acute Inpatient Hospital Bulletin 122: Changes in Clinical Assessment Forms (English, PDF 311.77 KB)

Acute Inpatient Hospital Bulletin 122: Changes in Clinical Assessment Forms (English, RTF 39.38 KB)

Acute Inpatient Hospital Bulletin 121: Relocation of Notification of Birth (NOB) Unit (English, PDF 42.12 KB)

Acute Inpatient Hospital Bulletin 121: Relocation of Notification of Birth (NOB) Unit (English, RTF 22.49 KB)

Acute Inpatient Hospital Bulletin 120: Move of Central Processing Unit to Charlestown (English, PDF 129.48 KB)

Acute Inpatient Hospital Bulletin 120: Move of Central Processing Unit to Charlestown (English, RTF 28.84 KB)

Acute Inpatient Hospital Bulletin 119: Babies Born to Women on MassHealth Limited (English, PDF 125.36 KB)

Acute Inpatient Hospital Bulletin 119: Babies Born to Women on MassHealth Limited (English, RTF 6.84 KB)

Acute Inpatient Hospital Bulletin 118: Rebilling Denied Inpatient Admissions as Outpatient Services (English, PDF 14.32 KB)

Acute Inpatient Hospital Bulletin 118: Rebilling Denied Inpatient Admissions as Outpatient Services (English, TXT 1.4 KB)

Acute Inpatient Hospital Bulletin 117: Revised Medical Benefit Request (English, TXT 3.16 KB)

Acute Inpatient Hospital Bulletin 117: Revised Medical Benefit Request (English, PDF 55.92 KB)

Acute Inpatient Hospital Bulletin 116: Clinical Review of Inpatient Claims (English, PDF 63.01 KB)

Acute Inpatient Hospital Bulletin 116: Clinical Review of Inpatient Claims (English, TXT 1.98 KB)

Acute Inpatient Hospital Bulletin 115: Revisions to the Notification of Clinical Eligibility for Nursing Facility Services (English, PDF 79.74 KB)

Acute Inpatient Hospital Bulletin 115: Revisions to the Notification of Clinical Eligibility for Nursing Facility Services (English, RTF 21.29 KB)

Acute Inpatient Hospital Bulletin 114: Changes to the Notification of Birth (NOB-1) Form (English, PDF 77.64 KB)

Acute Inpatient Hospital Bulletin 114: Changes to the Notification of Birth (NOB-1) Form (English, RTF 16.99 KB)

Acute Outpatient Hospital Provider Bulletins

Acute Outpatient Hospital Bulletin 37: Temporary Flexibilities for the Provision of Laboratory Services by Acute Outpatient Hospitals (English, PDF 73.14 KB)

Acute Outpatient Hospital Bulletin 37: Temporary Flexibilities for the Provision of Laboratory Services by Acute Outpatient Hospitals (English, DOCX 32.55 KB)

Acute Outpatient Hospital Bulletin 36: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (English, PDF 181.31 KB)

Acute Outpatient Hospital Bulletin 36: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (English, DOCX 38.4 KB)

Acute Outpatient Hospital Bulletin 35: New Billing Requirements and Payment Methodology for Acute Hospital Emergency Department-Distributed Nasal Naloxone Packages (English, PDF 193.54 KB)

Acute Outpatient Hospital Bulletin 35: New Billing Requirements and Payment Methodology for Acute Hospital Emergency Department-Distributed Nasal Naloxone Packages (English, DOCX 35.83 KB)

Acute Outpatient Hospital Bulletin 34: New Requirements for Completion of Data Fields on Claims for Clinician-Administered Drugs (English, PDF 174.13 KB)

Acute Outpatient Hospital Bulletin 34: New Requirements for Completion of Data Fields on Claims for Clinician-Administered Drugs (English, DOCX 27.88 KB)

Acute Outpatient Hospital Bulletin 33: Hospital Incentive–Accessible Equipment (English, PDF 166.35 KB)

Acute Outpatient Hospital Bulletin 33: Hospital Incentive–Accessible Equipment (English, DOC 363.5 KB)

Acute Outpatient Hospital Bulletin 32: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, PDF 188.78 KB)

Acute Outpatient Hospital Bulletin 32: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, DOC 127 KB)

Acute Outpatient Hospital Bulletin 31: Section 1202 Rates for Hospital-Based Physicians and Physicians Working in Group Practices Who Provide Primary Care Services (English, DOC 128 KB)

Acute Outpatient Hospital Bulletin 31: Section 1202 Rates for Hospital-Based Physicians and Physicians Working in Group Practices Who Provide Primary Care Services (English, PDF 173.41 KB)

Acute Outpatient Hospital Bulletin 30: Improving the Management of Postpartum Visits (English, PDF 98.7 KB)

Acute Outpatient Hospital Bulletin 30: Improving the Management of Postpartum Visits (English, TXT 5.2 KB)

Acute Outpatient Hospital Bulletin 29: Submission of Accurate Information on Virtual Gateway (VG) by Providers Using VG (English, PDF 54.72 KB)

Acute Outpatient Hospital Bulletin 29: Submission of Accurate Information on Virtual Gateway (VG) by Providers Using VG (English, TXT 4.09 KB)

Acute Outpatient Hospital Bulletin 28: Drug Screen/Quantitative Drug Test Claim Edit; Drug Screens Performed For Residential Monitoring (English, PDF 91.35 KB)

Acute Outpatient Hospital Bulletin 28: Drug Screen/Quantitative Drug Test Claim Edit; Drug Screens Performed For Residential Monitoring (English, TXT 29.97 KB)

Acute Outpatient Hospital Bulletin 27: New Department of Revenue (DOR) Job Update Process (English, PDF 62.6 KB)

Acute Outpatient Hospital Bulletin 27: New Department of Revenue (DOR) Job Update Process (English, TXT 3.36 KB)

Acute Outpatient Hospital Bulletin 26: Express Lane Renewal Process (English, PDF 123.22 KB)

Acute Outpatient Hospital Bulletin 26: Express Lane Renewal Process (English, TXT 8.66 KB)

Acute Outpatient Hospital Bulletin 25: Clarification of Policy for Members’ Home Use of Nebulizers (English, PDF 45.35 KB)

Acute Outpatient Hospital Bulletin 25: Clarification of Policy for Members’ Home Use of Nebulizers (English, TXT 2.42 KB)

Acute Outpatient Hospital Bulletin 24: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, PDF 117.96 KB)

Acute Outpatient Hospital Bulletin 24: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, TXT 19.89 KB)

Acute Outpatient Hospital Bulletin 23: Updated Drug Screen Testing Unit Limitation (English, PDF 46.65 KB)

Acute Outpatient Hospital Bulletin 23: Updated Drug Screen Testing Unit Limitation (English, TXT 1.86 KB)

Acute Outpatient Hospital Bulletin 22: Reporting National Drug Code (NDC) Information for Physician-Administered Drugs by Outpatient Hospitals, Hospital-Licensed Health Centers (HLHCs), and Other Satellite Facilities (English, PDF 81.44 KB)

Acute Outpatient Hospital Bulletin 22: Reporting National Drug Code (NDC) Information for Physician-Administered Drugs by Outpatient Hospitals, Hospital-Licensed Health Centers (HLHCs), and Other Satellite Facilities (English, TXT 7.35 KB)

Acute Outpatient Hospital Bulletin 21: Maximum Units Payable (English, PDF 94.34 KB)

Acute Outpatient Hospital Bulletin 20: Medical Nutrition Therapy and Diabetes Self Management Training (English, PDF 80.15 KB)

Acute Outpatient Hospital Bulletin 20: Medical Nutrition Therapy and Diabetes Self Management Training (English, TXT 5.26 KB)

Acute Outpatient Hospital Bulletin 19: Return of Overpayments - Medicare Crossover Claims for Outpatient Hospital Services (English, PDF 52.78 KB)

Acute Outpatient Hospital Bulletin 19: Return of Overpayments - Medicare Crossover Claims for Outpatient Hospital Services (English, RTF 4.54 MB)

Acute Outpatient Hospital Bulletin 18: Dental Services Exempted From the Physical Presence Requirement (English, PDF 48.96 KB)

Acute Outpatient Hospital Bulletin 18: Dental Services Exempted From the Physical Presence Requirement (English, RTF 4.55 MB)

Acute Outpatient Hospital Bulletin 17: Correction for MassHealth Tobacco Cessation Counseling Benefit Chart (English, PDF 52.16 KB)

Acute Outpatient Hospital Bulletin 17: Correction for MassHealth Tobacco Cessation Counseling Benefit Chart (English, TXT 2.87 KB)

Acute Outpatient Hospital Bulletin 16: Emergency Department Charges for Certain Behavioral Health Services (English, PDF 54.97 KB)

Acute Outpatient Hospital Bulletin 16: Emergency Department Charges for Certain Behavioral Health Services (English, TXT 1.63 KB)

Acute Outpatient Hospital Bulletin 15: Admission Hour Required on All Acute Outpatient Hospital Claims (English, PDF 65.6 KB)

Acute Outpatient Hospital Bulletin 15: Admission Hour Required on All Acute Outpatient Hospital Claims (English, TXT 1.96 KB)

Acute Outpatient Hospital Bulletin 14: 2006 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, PDF 83.92 KB)

Acute Outpatient Hospital Bulletin 14: 2006 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, TXT 5.35 KB)

Acute Outpatient Hospital Bulletin 13: Guideline for Medical Necessity Determination for Breast Reduction (English, PDF 149.75 KB)

Acute Outpatient Hospital Bulletin 13: Guideline for Medical Necessity Determination for Breast Reduction (English, RTF 3.64 MB)

Acute Outpatient Hospital Bulletin 12: 2005 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, PDF 125.64 KB)

Acute Outpatient Hospital Bulletin 12: 2005 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, RTF 426.92 KB)

Acute Outpatient Hospital Bulletin 11: New Prior Authorization Policy for Rehabilitation Therapy Services (English, PDF 187.44 KB)

Acute Outpatient Hospital Bulletin 11: New Prior Authorization Policy for Rehabilitation Therapy Services (English, RTF 5.76 MB)

Acute Outpatient Hospital Bulletin 10: Administrative Simplification for Claims Requiring Attachments (English, PDF 117.49 KB)

Acute Outpatient Hospital Bulletin 10: Administrative Simplification for Claims Requiring Attachments (English, RTF 36.56 KB)

Acute Outpatient Hospital Bulletin 9: Updates to Payable and Nonpayable Services Provided to MassHealth Members (English, PDF 198.41 KB)

Acute Outpatient Hospital Bulletin 9: Updates to Payable and Nonpayable Services Provided to MassHealth Members (English, RTF 34.46 KB)

Acute Outpatient Hospital Bulletin 8: Maximum Billable Units on Revenue Codes and Current Procedural Terminology Codes (CPT4) (English, PDF 177.27 KB)

Acute Outpatient Hospital Bulletin 8: Maximum Billable Units on Revenue Codes and Current Procedural Terminology Codes (CPT4) (English, RTF 27.24 KB)

Acute Outpatient Hospital Bulletin 7: Revisions to Service and Revenue Codes (English, PDF 211.57 KB)

Acute Outpatient Hospital Bulletin 7: Revisions to Service and Revenue Codes (English, RTF 52.25 KB)

Acute Outpatient Hospital Bulletin 6: HCFA Common Procedure Coding System (HCPCS) Update (English, PDF 162.29 KB)

Acute Outpatient Hospital Bulletin 6: HCFA Common Procedure Coding System (HCPCS) Update (English, RTF 39.68 KB)

Acute Outpatient Hospital Bulletin 5: HCFA Common Procedure Coding System (HCPCS) Update (English, RTF 210.92 KB)

Acute Outpatient Hospital Bulletin 5: HCFA Common Procedure Coding System (HCPCS) Update (English, PDF 499.73 KB)

Acute Outpatient Hospital Bulletin 4: Maximum Billable Units for Certain Services Provided by Acute Outpatient Hospitals (English, PDF 142.49 KB)

Acute Outpatient Hospital Bulletin 4: Maximum Billable Units for Certain Services Provided by Acute Outpatient Hospitals (English, RTF 48.27 KB)

Acute Outpatient Hospital Bulletin 3: HCFA Common Procedure Coding System (HCPCS) Update (English, PDF 63.49 KB)

Acute Outpatient Hospital Bulletin 3: HCFA Common Procedure Coding System (HCPCS) Update (English, RTF 279.36 KB)

Acute Outpatient Hospital Bulletin 2: Rebilling Denied Inpatient Admissions as Outpatient Services (English, PDF 14.29 KB)

Acute Outpatient Hospital Bulletin 2: Rebilling Denied Inpatient Admissions as Outpatient Services (English, TXT 1.4 KB)

Acute Outpatient Hospital Bulletin 1: Billing for Chemotherapy Services and Drugs (English, PDF 65.95 KB)

Acute Outpatient Hospital Bulletin 1: Billing for Chemotherapy Services and Drugs (English, RTF 25.37 KB)

Adult Day Health Provider Bulletins

Adult Day Health Bulletin 34: Adult Day Health (ADH) Wheelchair Transportation Prior Authorization (PA) (English, PDF 195.71 KB)

Adult Day Health Bulletin 34: Adult Day Health (ADH) Wheelchair Transportation Prior Authorization (PA) (English, DOCX 89.12 KB)

Adult Day Health Bulletin 33: Adult Day Health (ADH) Claims Submission – Elimination of Span Date Billing (English, PDF 110.23 KB)

Adult Day Health Bulletin 33: Adult Day Health (ADH) Claims Submission – Elimination of Span Date Billing (English, DOCX 28.94 KB)

Adult Day Health Bulletin 32: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 137.71 KB)

Adult Day Health Bulletin 32: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 30.18 KB)

Adult Day Health Bulletin 31: One-time Supplemental Payment for Eligible Adult Day Health (ADH) Providers to Address Decreased On-site Attendance During the COVID-19 Omicron Variant Surge (English, PDF 131.75 KB)

Adult Day Health Bulletin 31: One-time Supplemental Payment for Eligible Adult Day Health (ADH) Providers to Address Decreased On-site Attendance During the COVID-19 Omicron Variant Surge (English, DOCX 28.75 KB)

Adult Day Health Bulletin 30: 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 152.66 KB)

Adult Day Health Bulletin 30: 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 36.9 KB)

Adult Day Health Bulletin 29: COVID-19 Guidance and Requirements for Adult Day Health Programs throughout the Remainder of the Federal Public Health Emergency (English, PDF 138.77 KB)

Adult Day Health Bulletin 29: COVID-19 Guidance and Requirements for Adult Day Health Programs throughout the Remainder of the Federal Public Health Emergency (English, DOCX 35.39 KB)

Adult Day Health Bulletin 28: Continuation of Hybrid Service Delivery for Adult Day Health Providers throughout the Remainder of the Federal Public Health Emergency (English, PDF 162.88 KB)

Adult Day Health Bulletin 28: Continuation of Hybrid Service Delivery for Adult Day Health Providers throughout the Remainder of the Federal Public Health Emergency (English, DOCX 34.97 KB)

Adult Day Health Bulletin 27: COVID-19 Guidance and Requirements for Adult Day Health Programs through the Remainder of the Federal Public Health Emergency (September 2021) (English, PDF 145.73 KB)

Adult Day Health Bulletin 27: COVID-19 Guidance and Requirements for Adult Day Health Programs through the Remainder of the Federal Public Health Emergency (September 2021) (English, DOCX 44.66 KB)

Adult Day Health Bulletin 26: COVID-19 Guidance for Hybrid Services throughout the Federal Public Health Emergency (Updated September 2021) (English, PDF 244.05 KB)

Adult Day Health Bulletin 26: COVID-19 Guidance for Hybrid Services throughout the Federal Public Health Emergency (Updated September 2021) (English, DOCX 46.79 KB)

Adult Day Health Bulletin 25: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 124.55 KB)

Adult Day Health Bulletin 25: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 39.58 KB)

Adult Day Health Bulletin 24: Enhanced Rates and Billing Instructions for Adult Day Health Services for Dates of Service from June 1, 2021, through June 30, 2021 (English, PDF 146.92 KB)

Adult Day Health Bulletin 24: Enhanced Rates and Billing Instructions for Adult Day Health Services for Dates of Service from June 1, 2021, through June 30, 2021 (English, DOCX 34.5 KB)

Adult Day Health Bulletin 23: Adult Day Health Services When Member Elects Hospice (English, PDF 177.74 KB)

Adult Day Health Bulletin 23: Adult Day Health Services When Member Elects Hospice (English, DOCX 30.18 KB)

Adult Day Health Bulletin 22: Enhanced Rates and Billing Instructions for Adult Day Health Services for Dates of Service Provided on or after December 1, 2020, through May 31, 2021 (English, PDF 76.86 KB)

Adult Day Health Bulletin 22: Enhanced Rates and Billing Instructions for Adult Day Health Services for Dates of Service Provided on or after December 1, 2020, through May 31, 2021 (English, DOCX 31.52 KB)

Adult Day Health Bulletin 21: Additional Guidance and Requirements for Adult Day Health Programs during the Public Health Emergency (English, PDF 90.65 KB)

Adult Day Health Bulletin 21: Additional Guidance and Requirements for Adult Day Health Programs during the Public Health Emergency (English, DOCX 36.42 KB)

Adult Day Health Bulletin 20: Guidance for Adult Day Health Providers Delivering Multi-model Hybrid Services During the COVID-19 Public Health Emergency (English, PDF 95.97 KB)

Adult Day Health Bulletin 20: Guidance for Adult Day Health Providers Delivering Multi-model Hybrid Services During the COVID-19 Public Health Emergency (English, DOCX 36.78 KB)

Adult Day Health Bulletin 19: Additional Guidance and Requirements for Reopening Adult Day Health Programs During Phase III (English, PDF 186.08 KB)

Adult Day Health Bulletin 19: Additional Guidance and Requirements for Reopening Adult Day Health Programs During Phase III (English, DOCX 51.73 KB)

Adult Day Health Bulletin 18: Guidance for Adult Day Health (ADH) Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (English, PDF 189.26 KB)

Adult Day Health Bulletin 18: Guidance for Adult Day Health (ADH) Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency (English, DOCX 50.74 KB)

Adult Day Health Bulletin 17: Enhanced Rates for Adult Day Health Services During the Reopening Period (August 1, 2020, through November 30, 2020) and Billing Instructions for Standard Rates (English, PDF 185.83 KB)

Adult Day Health Bulletin 17: Enhanced Rates for Adult Day Health Services During the Reopening Period (August 1, 2020, through November 30, 2020) and Billing Instructions for Standard Rates (English, DOCX 40.45 KB)

Adult Day Health Bulletin 16: Aging Services Access Point (ASAP) Clinical Assessment Process and Documentation Requirements for Initial Prior Authorization Requests for Adult Day Health Services (English, PDF 77.95 KB)

Adult Day Health Bulletin 16: Aging Services Access Point (ASAP) Clinical Assessment Process and Documentation Requirements for Initial Prior Authorization Requests for Adult Day Health Services (English, DOCX 32.27 KB)

Adult Day Health Bulletin 15: Prior Authorization for Adult Day Health Providers (English, PDF 77.2 KB)

Adult Day Health Bulletin 15: Prior Authorization for Adult Day Health Providers (English, DOCX 33.53 KB)

Adult Day Health Bulletin 14: Immediate Action Required: Adult Day Health Members Clinical Eligibility Criteria (English, PDF 245.59 KB)

Adult Day Health Bulletin 14: Immediate Action Required: Adult Day Health Members Clinical Eligibility Criteria (English, DOCX 122.05 KB)

Adult Day Health Bulletin 13: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, PDF 118.86 KB)

Adult Day Health Bulletin 13: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, TXT 19.88 KB)

Adult Day Health Bulletin 12: MassHealth Community Services Critical Incident Report Form (English, PDF 154.44 KB)

Adult Day Health Bulletin 12: MassHealth Community Services Critical Incident Report Form (English, TXT 17.01 KB)

Adult Day Health Bulletin 11: Clinical Assessment Requirements for MassHealth Members in Adult Day Health Programs (English, PDF 68.54 KB)

Adult Day Health Bulletin 11: Clinical Assessment Requirements for MassHealth Members in Adult Day Health Programs (English, RTF 40.75 KB)

Adult Day Health Bulletin 10: Changes in Clinical Assessment for Adult Day Health Services (English, PDF 117.4 KB)

Adult Day Health Bulletin 10: Changes in Clinical Assessment for Adult Day Health Services (PDF) (English, RTF 43.97 KB)

Adult Day Health Bulletin 9: Reimbursement for Dementia Day-Care Services (English, PDF 62.65 KB)

Adult Day Health Bulletin 9: Reimbursement for Dementia Day-Care Services (English, TXT 3.31 KB)

Adult Foster Care Provider Bulletins

Adult Foster Care Bulletin 28: Additional Guidance for Adult Foster Care Providers Regarding Certain Home- and Community-Based Services (English, PDF 238.14 KB)

Adult Foster Care Bulletin 28: Additional Guidance for Adult Foster Care Providers Regarding Certain Home- and Community-Based Services (English, DOCX 47.8 KB)

Adult Foster Care Bulletin 27: Specific Guidance for Adult Foster Care Providers regarding Certain Home- and Community-Based Services (English, PDF 173.12 KB)

Adult Foster Care Bulletin 27: Specific Guidance for Adult Foster Care Providers regarding Certain Home- and Community-Based Services (English, DOCX 31.13 KB)

Adult Foster Care Bulletin 26: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 154.6 KB)

Adult Foster Care Bulletin 26: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 31.2 KB)

Adult Foster Care Bulletin 25: MassHealth Accreditation Requirements for Newly Enrolled Adult Foster Care and Group Adult Foster Care Providers and Existing GAFC Providers (English, PDF 144.64 KB)

Adult Foster Care Bulletin 25: MassHealth Accreditation Requirements for Newly Enrolled Adult Foster Care and Group Adult Foster Care Providers and Existing GAFC Providers (English, DOCX 29.37 KB)

Adult Foster Care Bulletin 24: Group Adult Foster Care Provider Fiscal Soundness Requirement (English, PDF 144.78 KB)

Adult Foster Care Bulletin 24: Group Adult Foster Care Provider Fiscal Soundness Requirement (English, DOCX 29.31 KB)

Adult Foster Care Bulletin 23: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 136.79 KB)

Adult Foster Care Bulletin 23: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 28.46 KB)

Adult Foster Care Bulletin 22: 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 153.64 KB)

Adult Foster Care Bulletin 22: 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 37.68 KB)

Adult Foster Care Bulletin 21: Extended MassHealth Telehealth Policy for Adult Foster Care and Group Adult Foster Care Services and New Telehealth Documentation Requirement (English, PDF 128.8 KB)

Adult Foster Care Bulletin 21: Extended MassHealth Telehealth Policy for Adult Foster Care and Group Adult Foster Care Services and New Telehealth Documentation Requirement (English, DOCX 35.36 KB)

Adult Foster Care Bulletin 20: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 126.17 KB)

Adult Foster Care Bulletin 20: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 40.21 KB)

Adult Foster Care Bulletin 19: COVID-19-related Administrative Flexibilities for Adult Foster Care and Group Adult Foster Care Providers (English, PDF 134.89 KB)

Adult Foster Care Bulletin 19: COVID-19-related Administrative Flexibilities for Adult Foster Care and Group Adult Foster Care Providers (English, DOCX 30.9 KB)

Adult Foster Care Bulletin 18: MassHealth Telehealth Policy for Adult Foster Care and Group Adult Foster Care Services (English, PDF 130.95 KB)

Adult Foster Care Bulletin 18: MassHealth Telehealth Policy for Adult Foster Care and Group Adult Foster Care Services (English, DOCX 34.35 KB)

Adult Foster Care Bulletin 17: MassHealth Accreditation Requirements for Adult Foster Care (AFC) Providers (English, PDF 153.51 KB)

Adult Foster Care Bulletin 17: MassHealth Accreditation Requirements for Adult Foster Care (AFC) Providers (English, DOCX 30.89 KB)

Adult Foster Care Bulletin 16: Prior Authorization for Adult Foster Care Providers (English, PDF 152.96 KB)

Adult Foster Care Bulletin 16: Prior Authorization for Adult Foster Care Providers (English, DOCX 34.89 KB)

Adult Foster Care Bulletin 15: Adult Foster Care Provider Fiscal Soundness Requirement (English, PDF 160.46 KB)

Adult Foster Care Bulletin 15: Adult Foster Care Provider Fiscal Soundness Requirement (English, DOCX 104.67 KB)

Adult Foster Care Bulletin 14: MassHealth Accreditation Requirements for Adult Foster Care (AFC) Providers (English, PDF 147.48 KB)

Adult Foster Care Bulletin 14: MassHealth Accreditation Requirements for Adult Foster Care (AFC) Providers (English, DOCX 105.76 KB)

Adult Foster Care Bulletin 13: Frequently Asked Questions About Adult Foster Care Services (English, PDF 191.72 KB)

Adult Foster Care Bulletin 13: Frequently Asked Questions About Adult Foster Care Services (English, DOC 159.5 KB)

Adult Foster Care Bulletin 12: Program Flexibility on changes in Member Living Situations Resulting from 2017 Hurricane Season (English, PDF 146.09 KB)

Adult Foster Care Bulletin 12: Program Flexibility on changes in Member Living Situations Resulting from 2017 Hurricane Season (English, DOCX 193.64 KB)

Adult Foster Care Bulletin 11: Immediate Action Required: All Adult Foster Care providers must reassess or validate the service payment levels of their AFC members (English, PDF 48.59 KB)

Adult Foster Care Bulletin 11: Immediate Action Required: All Adult Foster Care providers must reassess or validate the service payment levels of their AFC members (English, DOC 142 KB)

Adult Foster Care Bulletin 10: Adult Foster Care Providers' Responsibilities for Members' Health and Safety (English, PDF 63.11 KB)

Adult Foster Care Bulletin 10: Adult Foster Care Providers' Responsibilities for Members' Health and Safety (English, DOC 57.5 KB)

Adult Foster Care Bulletin 9: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, PDF 118.09 KB)

Adult Foster Care Bulletin 9: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, TXT 19.9 KB)

Adult Foster Care Bulletin 8: MassHealth Community Services Critical Incident Report Form (English, PDF 188.55 KB)

Adult Foster Care Bulletin 8: MassHealth Community Services Critical Incident Report Form (English, TXT 17.03 KB)

Adult Foster Care Bulletin 6: Changes in Clinical Assessment for Adult Foster Care Services (English, PDF 123.85 KB)

Adult Foster Care Bulletin 6: Changes in Clinical Assessment for Adult Foster Care Services (English, RTF 51.42 KB)

Audiologist Provider Bulletins

Audiologist Bulletin 6: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (English, PDF 178.67 KB)

Audiologist Bulletin 6: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (English, DOCX 41.99 KB)

Audiologist Bulletin 5: Billing Policy for Audiology Procedures (English, PDF 158.14 KB)

Audiologist Bulletin 5: Billing Policy for Audiology Procedures (English, DOC 119.5 KB)

Audiologist Bulletin 4: Revised Billing Procedures for Certain Hearing Aid Services and Miscellaneous Billing Reminders (English, PDF 120.24 KB)

Audiologist Bulletin 4: Revised Billing Procedures for Certain Hearing Aid Services and Miscellaneous Billing Reminders (English, TXT 13.12 KB)

Audiologist Bulletin 3: 2006 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, PDF 80.01 KB)

Audiologist Bulletin 3: 2006 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, TXT 1.16 KB)

Audiologist Bulletin 2: Revisions to Service Limits on Office Visits for Evaluation and Management Services (English, PDF 16.12 KB)

Audiologist Bulletin 2: Revisions to Service Limits on Office Visits for Evaluation and Management Services (English, RTF 3.62 MB)

Audiologist Bulletin 1: Conditions of Payment for the Dispensing of Hearing Aids (English, TXT 4.08 KB)

Audiologist Bulletin 1: Conditions of Payment for the Dispensing of Hearing Aids (English, PDF 61.75 KB)

Chiropractor Provider Bulletins

Chiropractor Bulletin 4: Billing for Physician Services with a Professional and a Technical Component (English, PDF 136.93 KB)

Chiropractor Bulletin 4: Billing for Physician Services with a Professional and a Technical Component (English, RTF 3.62 MB)

Chiropractor Bulletin 3: Chiropractic Services to Members Enrolled in MassHealth Managed Care Organizations (English, PDF 76.77 KB)

Chiropractor Bulletin 3: Chiropractic Services to Members Enrolled in MassHealth Managed Care Organizations (English, RTF 12.73 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Provider Bulletins

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 100: Temporary Suspension of Preadmission Screening Procedures for Chronic Disease and Rehabilitation Inpatient Hospitals (English, PDF 214.12 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 100: Temporary Suspension of Preadmission Screening Procedures for Chronic Disease and Rehabilitation Inpatient Hospitals (English, DOCX 40.83 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 99: Rate Year 2023 (RY23) Quality Performance Incentive Payments for Discharge Planning (English, PDF 134.02 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 99: Rate Year 2023 (RY23) Quality Performance Incentive Payments for Discharge Planning (English, DOCX 29.72 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 98: Continued Temporary Suspension of Requirements for Admission Screening for Admissions to CDR Inpatient Hospitals (English, PDF 140.81 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 98: Continued Temporary Suspension of Requirements for Admission Screening for Admissions to CDR Inpatient Hospitals (English, DOCX 28.04 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 97: Family Assistance Coverage Expansion for MassHealth Chronic Disease and Rehabilitation Hospitals – Updated (English, PDF 148.96 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 97: Family Assistance Coverage Expansion for MassHealth Chronic Disease and Rehabilitation Hospitals – Updated (English, DOCX 35.8 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 96: Introduction of Rate Year 2022 (RY22) Quality Performance Incentive Payments for Discharge Planning (English, PDF 122.99 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 96: Introduction of Rate Year 2022 (RY22) Quality Performance Incentive Payments for Discharge Planning (English, DOCX 34.33 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 95: Relaxation of Prior Authorization Procedures in Chronic Disease and Rehabilitation Inpatient Hospitals (English, PDF 143.65 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 95: Relaxation of Prior Authorization Procedures in Chronic Disease and Rehabilitation Inpatient Hospitals (English, DOCX 32.56 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 94: Claiming, Refund, and Reporting Requirements for Patient Paid Amount Retroactive Decreases for Residents of Chronic Disease and Rehabilitation Hospitals (English, PDF 249.46 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 94: Claiming, Refund, and Reporting Requirements for Patient Paid Amount Retroactive Decreases for Residents of Chronic Disease and Rehabilitation Hospitals (English, DOCX 44.26 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 93: Temporary Suspension of the 45-Day Administrative Day Nonpayment Provision Under 130 CMR 435.000 (English, PDF 129.85 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 93: Temporary Suspension of the 45-Day Administrative Day Nonpayment Provision Under 130 CMR 435.000 (English, DOCX 29.1 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 92: Temporary Suspension of the 45-Day Administrative Day Nonpayment Provision Under 130 CMR 435.000 (English, PDF 131.24 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 92: Temporary Suspension of the 45-Day Administrative Day Nonpayment Provision Under 130 CMR 435.000 (English, DOCX 28.82 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 91: Temporary Suspension of the 45-Day Administrative-Day Nonpayment Provision under 130 CMR 435.000 (English, PDF 128.5 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 91: Temporary Suspension of the 45-Day Administrative-Day Nonpayment Provision under 130 CMR 435.000 (English, DOCX 29.21 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 90: Family Assistance Coverage Expansion for MassHealth Chronic Disease and Rehabilitation Hospitals (English, PDF 153.89 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 90: Family Assistance Coverage Expansion for MassHealth Chronic Disease and Rehabilitation Hospitals (English, DOCX 31.49 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 89: Revised Screening Process for Chronic Disease and Rehabilitation Hospitals (English, PDF 126 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 89: Revised Screening Process for Chronic Disease and Rehabilitation Hospitals (English, DOCX 106.1 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 88: Revised Screening Process for Chronic Disease and Rehabilitation Hospitals (English, PDF 44.09 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 88: Revised Screening Process for Chronic Disease and Rehabilitation Hospitals (English, DOC 45 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 87: Dental Services Exempted From the Physical Presence Requirement (English, PDF 76.67 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 87: Dental Services Exempted From the Physical Presence Requirement (English, RTF 4.55 MB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 86: Revisions to the Nursing Facility Preadmission Process (English, PDF 127.96 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 86: Revisions to the Nursing Facility Preadmission Process (English, RTF 4.01 MB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 85: Electronic Claim Submissions for Members with Medicare and Commercial Insurance (English, PDF 124.95 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 85: Electronic Claim Submissions for Members with Medicare and Commercial Insurance (English, RTF 62.11 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 84: : Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (PDF) (English, PDF 14.38 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 84: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, RTF 54.12 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 83: Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 83 (English, PDF 312.53 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 83: Changes in Clinical Assessment Forms (English, RTF 1.65 MB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 82: Inpatient Claims Submission for Dually Entitled Members (English, PDF 46.79 KB)

Chronic Disease and Rehabilitation Inpatient Hospital Bulletin 82: Inpatient Claims Submission for Dually Entitled Members (English, RTF 28.94 KB)

Chronic Disease and Rehabilitation Outpatient Hospital Provider Bulletins

Chronic Outpatient Hospitals Bulletin 6: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, PDF 189.04 KB)

Chronic Outpatient Hospitals Bulletin 6: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, DOC 126.5 KB)

Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 5: NCCI Procedure-to-Procedure Code Pair Denial for Therapy Services (English, PDF 60.08 KB)

Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 5: NCCI Procedure-to-Procedure Code Pair Denial for Therapy Services (English, DOC 70 KB)

Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 4: Reporting National Drug Code (NDC) Information for Physician-Administered Drugs by Chronic Disease and Rehabilitation Outpatient Hospitals (English, PDF 89.36 KB)

Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 4: Reporting National Drug Code (NDC) Information for Physician-Administered Drugs by Chronic Disease and Rehabilitation Outpatient Hospitals (English, TXT 7.29 KB)

Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 3: New Service Code to Claim and Report Behavioral Health (Mental Health and Substance Abuse) Screenings for MassHealth Members Under the Age of 21 Years (English, PDF 60.52 KB)

Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 3: New Service Code to Claim and Report Behavioral Health (Mental Health and Substance Abuse) Screenings for MassHealth Members Under the Age of 21 Years (English, TXT 4.59 KB)

Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 2: Admission Hour Required on All Chronic Disease and Rehabilitation Outpatient (English, PDF 62.58 KB)

Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 2: Admission Hour Required on All Chronic Disease and Rehabilitation Outpatient (English, TXT 2.04 KB)

Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 1: New Prior Authorization Policy for Rehabilitation Therapy Services (English, RTF 7.07 MB)

Chronic Disease and Rehabilitation Outpatient Hospital Bulletin 1: New Prior Authorization Policy for Rehabilitation Therapy Services (English, PDF 187.93 KB)

Community Health Center Provider Bulletins

Community Health Center Bulletin 117: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 184.59 KB)

Community Health Center Bulletin 117: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 35.4 KB)

Community Health Center Bulletin 116: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 139.7 KB)

Community Health Center Bulletin 116: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 32.14 KB)

Community Health Center Bulletin 115: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 197.18 KB)

Community Health Center Bulletin 115: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 33.77 KB)

Community Health Center Bulletin 114: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 383.52 KB)

Community Health Center Bulletin 114: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 31.52 KB)

Community Health Center Bulletin 113: Preventive Behavioral Health Services for Members Younger Than 21 (English, PDF 208.99 KB)

Community Health Center Bulletin 113: Preventive Behavioral Health Services for Members Younger Than 21 (English, DOCX 41.14 KB)

Community Health Center Bulletin 112: Community Health Centers Providing Vaccine Administration Services (English, PDF 156.71 KB)

Community Health Center Bulletin 112: Community Health Centers Providing Vaccine Administration Services (English, DOCX 34.99 KB)

Community Health Center Bulletin 111: Updated the Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 247.34 KB)

Community Health Center Bulletin 111: Updated the Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 39.9 KB)

Community Health Center Bulletin 110: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 141.03 KB)

Community Health Center Bulletin 110: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 31.25 KB)

Community Health Center Bulletin 109: Community Health Centers Providing Vaccine Administration Services (English, PDF 71.94 KB)

Community Health Center Bulletin 109: Community Health Centers Providing Vaccine Administration Services (English, DOCX 31.84 KB)

Community Health Center Bulletin 108: Updated Packet for Member Booklet (ACA-1) and Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 146.57 KB)

Community Health Center Bulletin 108: Updated Packet for Member Booklet (ACA-1) and Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 33.1 KB)

Community Health Center Bulletin 107: Updated Application Packet for Seniors and People Needing Long-Term-Care Services (SACA-2-Packet) (English, PDF 228.41 KB)

Community Health Center Bulletin 107: Updated Application Packet for Seniors and People Needing Long-Term-Care Services (SACA-2-Packet) (English, DOCX 36.08 KB)

Community Health Center Bulletin 106: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 253.82 KB)

Community Health Center Bulletin 106: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 34.34 KB)

Community Health Center Bulletin 105: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 150.06 KB)

Community Health Center Bulletin 105: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 45.34 KB)

Community Health Center Bulletin 104: Temporary Flexibilities for the Provision of Laboratory Services by Community Health Centers (English, PDF 190.96 KB)

Community Health Center Bulletin 104: Temporary Flexibilities for the Provision of Laboratory Services by Community Health Centers (English, DOCX 36 KB)

Community Health Center Bulletin 103: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 151.32 KB)

Community Health Center Bulletin 103: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 35.2 KB)

Community Health Center Bulletin 102: Temporary Flexibilities for the Provision of Health Services by Community Health Centers (English, PDF 141.66 KB)

Community Health Center Bulletin 102: Temporary Flexibilities for the Provision of Health Services by Community Health Centers (English, DOCX 30.35 KB)

Community Health Center Bulletin 101: Temporary Flexibilities for the Provision of Laboratory Services by Community Health Centers (English, PDF 141.33 KB)

Community Health Center Bulletin 101: Temporary Flexibilities for the Provision of Laboratory Services by Community Health Centers (English, DOCX 31.06 KB)

Community Health Center Bulletin 100: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 172.29 KB)

Community Health Center Bulletin 100: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 34.32 KB)

Community Health Center Bulletin 99: Affidavits for Proof of Zero Income, Massachusetts Residency, and Incarceration Status (English, PDF 147.09 KB)

Community Health Center Bulletin 99: Affidavits for Proof of Zero Income, Massachusetts Residency, and Incarceration Status (English, DOCX 29.23 KB)

Community Health Center Bulletin 98: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 162.28 KB)

Community Health Center Bulletin 98: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 30.26 KB)

Community Health Center Bulletin 97: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 137.7 KB)

Community Health Center Bulletin 97: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 29.79 KB)

Community Health Center Bulletin 96: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 182.18 KB)

Community Health Center Bulletin 96: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 33.04 KB)

Community Health Center Bulletin 95: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 142.72 KB)

Community Health Center Bulletin 95: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 33.2 KB)

Community Health Center Bulletin 94: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 193.47 KB)

Community Health Center Bulletin 94: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 109.78 KB)

Community Health Center Bulletin 93: Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 169.61 KB)

Community Health Center Bulletin 93: Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 109.69 KB)

Community Health Center Bulletin 92: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 194.45 KB)

Community Health Center Bulletin 92: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 109.81 KB)

Community Health Center Bulletin 91: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 184.59 KB)

Community Health Center Bulletin 91: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 106.94 KB)

Community Health Center Bulletin 90: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 72.16 KB)

Community Health Center Bulletin 90: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 108.44 KB)

Community Health Center Bulletin 89: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 178.04 KB)

Community Health Center Bulletin 89: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, TXT 187.2 KB)

Community Health Center Bulletin 88: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 182.24 KB)

Community Health Center Bulletin 88: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, TXT 15.65 KB)

Community Health Center Bulletin 87: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 164.73 KB)

Community Health Center Bulletin 87: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 113 KB)

Community Health Center Bulletin 86: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, PDF 189.18 KB)

Community Health Center Bulletin 86: Dental Third-Party Administrator for MassHealth and Health Safety Net Providers (English, DOC 126.5 KB)

Community Health Center Bulletin 85: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 156.65 KB)

Community Health Center Bulletin 85: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 112 KB)

Community Health Center Bulletin 84: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 53.59 KB)

Community Health Center Bulletin 84: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 119.5 KB)

Community Health Center Bulletin 83: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 80.57 KB)

Community Health Center Bulletin 83: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 124.5 KB)

Community Health Center Bulletin 82: New Fax Number for MassHealth Applications and Documents (English, PDF 132.77 KB)

Community Health Center Bulletin 82: New Fax Number for MassHealth Applications and Documents (English, DOC 111.5 KB)

Community Health Center Bulletin 81: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 158.08 KB)

Community Health Center Bulletin 81: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 54 KB)

Community Health Center Bulletin 80: Behavioral Health Assessment Claims for Members Under 21 (English, PDF 56.22 KB)

Community Health Center Bulletin 80: Behavioral Health Assessment Claims for Members Under 21 (English, DOC 63 KB)

Community Health Center Bulletin 79: MassCor Online Eyeglass Order System (English, PDF 41.58 KB)

Community Health Center Bulletin 79: MassCor Online Eyeglass Order System (English, DOC 40 KB)

Community Health Center Bulletin 78: Improving Treatment for Substance Use Disorders (English, PDF 121.48 KB)

Community Health Center Bulletin 78: Improving Treatment for Substance Use Disorders (English, TXT 7.03 KB)

Community Health Center Bulletin 77: Improving the Management of Postpartum Visits (English, PDF 98.52 KB)

Community Health Center Bulletin 77: Improving the Management of Postpartum Visits (English, TXT 5.21 KB)

Community Health Center Bulletin 76: Submission of Accurate Information on Virtual Gateway (VG) by Providers Using VG (English, PDF 54.69 KB)

Community Health Center Bulletin 76: Submission of Accurate Information on Virtual Gateway (VG) by Providers Using VG (English, TXT 4 KB)

Community Health Center Bulletin 75: Centralization of Receipt of Senior Medical Benefit Request Forms for Individuals Residing in and Entering a Long-Term-Care Facility (English, PDF 116.08 KB)

Community Health Center Bulletin 75: Centralization of Receipt of Senior Medical Benefit Request Forms for Individuals Residing in and Entering a Long-Term-Care Facility (English, TXT 4.01 KB)

Community Health Center Bulletin 74: Drug Screen/Quantitative Drug Test Claim Edit; Drug Screens Performed For Residential Monitoring (English, PDF 57.32 KB)

Community Health Center Bulletin 74: Drug Screen/Quantitative Drug Test Claim Edit; Drug Screens Performed For Residential Monitoring (English, TXT 4.18 KB)

Community Health Center Bulletin 73: New Department of Revenue (DOR) Job Update Process (English, PDF 63.55 KB)

Community Health Center Bulletin 73: New Department of Revenue (DOR) Job Update Process (English, TXT 3.38 KB)

Community Health Center Bulletin 72: Express Lane Renewal Process (English, PDF 124.1 KB)

Community Health Center Bulletin 72: Express Lane Renewal Process (English, TXT 8.72 KB)

Community Health Center Bulletin 71: Clarification of Policy for Members’ Home Use of Nebulizers (English, PDF 45.33 KB)

Community Health Center Bulletin 71: Clarification of Policy for Members’ Home Use of Nebulizers (English, TXT 2.42 KB)

Community Health Center Bulletin 70: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, PDF 118.71 KB)

Community Health Center Bulletin 70: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, TXT 19.89 KB)

Community Health Center Bulletin 69: Updates to the National Drug Code Requirements for Physician-Administered Medications (English, PDF 69.04 KB)

Community Health Center Bulletin 69: Updates to the National Drug Code Requirements for Physician-Administered Medications (English, TXT 5.68 KB)

Community Health Center Bulletin 68: Revisions to the Medical Benefit Request, the Senior Medical Benefit Request, Other Forms, and the Virtual Gateway (English, PDF 71.77 KB)

Community Health Center Bulletin 68: Revisions to the Medical Benefit Request, the Senior Medical Benefit Request, Other Forms, and the Virtual Gateway (English, TXT 7.93 KB)

Community Health Center Bulletin 67: Revisions to the Medical Benefit Request, the Senior Medical Benefit Request, and the Virtual Gateway (English, PDF 78.85 KB)

Community Health Center Bulletin 67: Revisions to the Medical Benefit Request, the Senior Medical Benefit Request, and the Virtual Gateway (English, TXT 5.87 KB)

Community Health Center Bulletin 66: Updated Drug Screen Testing Unit Limitation (English, PDF 53.44 KB)

Community Health Center Bulletin 66: Updated Drug Screen Testing Unit Limitation (English, TXT 1.84 KB)

Community Health Center Bulletin 65: Revised Medical Benefit Request Form (English, PDF 64.95 KB)

Community Health Center Bulletin 65: Revised Medical Benefit Request Form (English, TXT 2.69 KB)

Community Health Center Bulletin 64: Clarification of Coverage of Formulas (Enteral-Nutrition Products) (English, PDF 57.86 KB)

Community Health Center Bulletin 64: Clarification of Coverage of Formulas (Enteral-Nutrition Products) (English, TXT 4.26 KB)

Community Health Center Bulletin 63: Revised Medical Benefit Request and Senior Medical Benefit Request Forms (English, PDF 61.45 KB)

Community Health Center Bulletin 63: Revised Medical Benefit Request and Senior Medical Benefit Request Forms (English, TXT 2.76 KB)

Community Health Center Bulletin 62: Clarification of Coverage of Formulas (Enteral-Nutrition Products) (English, PDF 68.35 KB)

Community Health Center Bulletin 62: Clarification of Coverage of Formulas (Enteral-Nutrition Products) (English, TXT 4.61 KB)

Community Health Center Bulletin 61: Revised Medical Benefit Request Form (English, PDF 60.26 KB)

Community Health Center Bulletin 61: Revised Medical Benefit Request Form (English, TXT 2.64 KB)

Community Health Center Bulletin 60: Medical Nutrition Therapy and Diabetes Self-Management Training (English, PDF 80.13 KB)

Community Health Center Bulletin 60: Medical Nutrition Therapy and Diabetes Self-Management Training (English, TXT 5.21 KB)

Community Health Center Bulletin 59: Correction for MassHealth Tobacco Cessation Counseling Benefit Chart (English, PDF 51.93 KB)

Community Health Center Bulletin 59: Correction for MassHealth Tobacco Cessation Counseling Benefit Chart (English, TXT 2.69 KB)

Community Health Center Bulletin 58: 2006 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, TXT 3.64 KB)

Community Health Center Bulletin 58: 2006 Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, PDF 66.61 KB)

Community Health Center Bulletin 57: Changes in REVS Display for Uncompensated Care Pool (UCP) Patients (English, PDF 63.04 KB)

Community Health Center Bulletin 57: Changes in REVS Display for Uncompensated Care Pool (UCP) Patients (English, TXT 3.95 KB)

Community Health Center Bulletin 56: Guideline for Medical Necessity Determination for Breast Reduction (English, RTF 3.64 MB)

Community Health Center Bulletin 56: Guideline for Medical Necessity Determination for Breast Reduction (English, PDF 149.1 KB)

Community Health Center Bulletin 55: 340B Drug-Pricing Program for MassHealth Members (English, RTF 4.01 MB)

Community Health Center Bulletin 55: 340B Drug-Pricing Program for MassHealth Members (English, PDF 127.87 KB)

Community Health Center Bulletin 54: Billing for Physician Services with a Professional and a Technical Component (English, PDF 111.95 KB)

Community Health Center Bulletin 54: Billing for Physician Services with a Professional and a Technical Component (English, RTF 3.62 MB)

Community Health Center Bulletin 53: Services Provided by a Medicare-Noncertified Clinician (English, PDF 106.16 KB)

Community Health Center Bulletin 53: Services Provided by a Medicare-Noncertified Clinician (English, RTF 43.15 KB)

Community Health Center Bulletin 52: Controlled Substances Management Program (English, RTF 40.47 KB)

Community Health Center Bulletin 52: Controlled Substances Management Program (English, PDF 122.37 KB)

Community Health Center Bulletin 51: MassHealth Eligibility Representative Designation MassHealth Permission to Share Information (English, PDF 159.42 KB)

Community Health Center Bulletin 51: MassHealth Eligibility Representative Designation MassHealth Permission to Share Information (English, RTF 84.02 KB)

Community Health Center Bulletin 50: Revisions to the MassHealth Dental Program (English, PDF 137.51 KB)

Community Health Center Bulletin 50: Revisions to the MassHealth Dental Program (English, RTF 38.16 KB)

Community Health Center Bulletin 49: Move of Central Processing Unit to Charlestown (English, RTF 29.13 KB)

Community Health Center Bulletin 49: Move of Central Processing Unit to Charlestown (English, PDF 129.91 KB)

Community Health Center Bulletin 48: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, RTF 11.19 KB)

Community Health Center Bulletin 48: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, PDF 82.47 KB)

Community Health Center Bulletin 47: HCFA Common Procedure Coding System (HCPCS) Update (English, PDF 17.94 KB)

Community Health Center Bulletin 47: HCFA Common Procedure Coding System (HCPCS) Update (English, RTF 16.03 KB)

Community Health Center Bulletin 46: Injectable and Infusible Drugs and Devices (English, PDF 78.63 KB)

Community Health Center Bulletin 46: Injectable and Infusible Drugs and Devices (English, RTF 32.14 KB)

Community Health Center Bulletin 45: Revised Medical Benefit Request (English, PDF 55.91 KB)

Community Health Center Bulletin 45: Revised Medical Benefit Request (English, TXT 3.16 KB)

Community Health Center Bulletin 44: Obtaining Prior Authorization and Submitting Claims for Synagis (Palivizumab) (English, PDF 32.19 KB)

Community Health Center Bulletin 44: Obtaining Prior Authorization and Submitting Claims for Synagis (Palivizumab) (English, RTF 36.26 KB)

Community Health Center Bulletin 43: New Address for Prior Authorization Requests for Drugs (English, PDF 45.37 KB)

Community Health Center Bulletin 43: New Address for Prior Authorization Requests for Drugs (English, RTF 19.13 KB)

Community Health Center Bulletin 42: Prior Authorization for Celebrex in Dosages of 200 mg or More (English, RTF 20.09 KB)

Community Health Center Bulletin 42: Prior Authorization for Celebrex in Dosages of 200 mg or More (English, PDF 49.58 KB)

Community Health Center Bulletin 41: Prior Authorization for Enbrel, Herceptin and Remicade (English, PDF 52.22 KB)

Community Health Center Bulletin 41: Prior Authorization for Enbrel, Herceptin and Remicade (English, RTF 32.55 KB)

Continuous Skilled Nursing Agency

Continuous Skilled Nursing Agency Bulletin 9: Updates to CSN Overtime Policy effective January 1, 2023 (English, PDF 154.37 KB)

Continuous Skilled Nursing Agency Bulletin 9: Updates to CSN Overtime Policy effective January 1, 2023 (English, DOCX 32.47 KB)

Continuous Skilled Nursing Agency Bulletin 8: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 177.81 KB)

Continuous Skilled Nursing Agency Bulletin 8: Enhanced Rates and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 36.87 KB)

Continuous Skilled Nursing Agency Bulletin 7: Updates to CSN Overtime Policy effective July 1, 2022 (English, PDF 152.65 KB)

Continuous Skilled Nursing Agency Bulletin 7: Updates to CSN Overtime Policy effective July 1, 2022 (English, DOCX 35.35 KB)

Continuous Skilled Nursing Agency Bulletin 6: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 137.99 KB)

Continuous Skilled Nursing Agency Bulletin 6: 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)

Continuous Skilled Nursing Agency Bulletin 5: Deadline for Vaccine Requirement for Home Care Workers Extended to March 21, 2022 (English, PDF 151.73 KB)

Continuous Skilled Nursing Agency Bulletin 5: Deadline for Vaccine Requirement for Home Care Workers Extended to March 21, 2022 (English, DOCX 30.69 KB)

Continuous Skilled Nursing Agency Bulletin 4: Revised MassHealth Telehealth Policy for Continuous Skilled Nursing (CSN) Services and Telehealth Documentation Requirement (English, PDF 205.04 KB)

Continuous Skilled Nursing Agency Bulletin 4: Revised MassHealth Telehealth Policy for Continuous Skilled Nursing (CSN) Services and Telehealth Documentation Requirement (English, DOCX 32.75 KB)

Continuous Skilled Nursing Agency Bulletin 3: Requirements for Continuous Skilled Nursing Rate Amendments Effective for Dates of Service on or after January 1, 2022 (English, PDF 185.9 KB)

Continuous Skilled Nursing Agency Bulletin 3: Requirements for Continuous Skilled Nursing Rate Amendments Effective for Dates of Service on or after January 1, 2022 (English, DOCX 42.89 KB)

Continuous Skilled Nursing Agency Bulletin 2: Vaccine Requirement for Home Care Workers (English, PDF 165.61 KB)

Continuous Skilled Nursing Agency Bulletin 2: Vaccine Requirement for Home Care Workers (English, DOCX 36.37 KB)

Continuous Skilled Nursing Agency Bulletin 1: 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 184.5 KB)

Continuous Skilled Nursing Agency Bulletin 1: 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 43.19 KB)

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