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This page, MassHealth provider bulletins by provider type I - N, is offered by
MassHealth

MassHealth provider bulletins by provider type I - N

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Independent Clinical Laboratory

Open PDF file, 63.13 KB, Independent Clinical Laboratory Bulletin 9: Drug Screen/Quantitative Drug Test Claim Edit; Drug Screens Performed For Residential Monitoring (English, PDF 63.13 KB)

Open TXT file, 4.25 KB, Independent Clinical Laboratory Bulletin 9: Drug Screen/Quantitative Drug Test Claim Edit; Drug Screens Performed For Residential Monitoring (English, TXT 4.25 KB)

Open PDF file, 46.77 KB, Independent Clinical Laboratory Bulletin 8: Updated Drug Screen Testing Unit Limitation (English, PDF 46.77 KB)

Open TXT file, 2.07 KB, Independent Clinical Laboratory Bulletin 8: Updated Drug Screen Testing Unit Limitation (English, TXT 2.07 KB)

Open PDF file, 111.26 KB, Independent Clinical Laboratory Bulletin 7: Billing for Physician Services with a Professional and a Technical Component (English, PDF 111.26 KB)

Open RTF file, 3.62 MB, Independent Clinical Laboratory Bulletin 7: Billing for Physician Services with a Professional and a Technical Component (English, RTF 3.62 MB)

Open PDF file, 83.11 KB, Independent Clinical Laboratory Bulletin 6: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, PDF 83.11 KB)

Open RTF file, 11.63 KB, Independent Clinical Laboratory Bulletin 6: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, RTF 11.63 KB)

Independent Nurse

Open PDF file, 151.02 KB, Independent Nurse Bulletin 17: Amended: Continuous Skilled Nursing Retention Bonuses for Independent Nurses Providers (English, PDF 151.02 KB)

Open DOCX file, 111.32 KB, Independent Nurse Bulletin 17: Amended: Continuous Skilled Nursing Retention Bonuses for Independent Nurses Providers (English, DOCX 111.32 KB)

Open PDF file, 134.92 KB, Independent Nurse Bulletin 16: Independent Nurse Overtime Allowances (English, PDF 134.92 KB)

Open DOCX file, 29.81 KB, Independent Nurse Bulletin 16: Independent Nurse Overtime Allowances (English, DOCX 29.81 KB)

Open PDF file, 132.63 KB, Independent Nurse Bulletin 15: Updated COVID-19 Vaccine Guidance for Independent Nurses Delivering Continuous Skilled Nursing Services (English, PDF 132.63 KB)

Open DOCX file, 60.45 KB, Independent Nurse Bulletin 15: Updated COVID-19 Vaccine Guidance for Independent Nurses Delivering Continuous Skilled Nursing Services (English, DOCX 60.45 KB)

Open PDF file, 154.64 KB, Independent Nurse Bulletin 14: Criminal Offender Record Information and Sexual Offender Registry Information Requirements for Independent Nurse Providers (English, PDF 154.64 KB)

Open DOCX file, 36.81 KB, Independent Nurse Bulletin 14: Criminal Offender Record Information and Sexual Offender Registry Information Requirements for Independent Nurse Providers (English, DOCX 36.81 KB)

Open PDF file, 135.08 KB, Independent Nurse Bulletin 13: COVID-19 Flexibilities after the End of the Federal Public Health Emergency - Amended (English, PDF 135.08 KB)

Open DOCX file, 31.85 KB, Independent Nurse Bulletin 13: COVID-19 Flexibilities after the End of the Federal Public Health Emergency - Amended (English, DOCX 31.85 KB)

Open PDF file, 141.46 KB, Independent Nurse Bulletin 12: Continuous Skilled Nursing Retention Bonuses for Independent Nurse Providers (English, PDF 141.46 KB)

Open DOCX file, 34.37 KB, Independent Nurse Bulletin 12: Continuous Skilled Nursing Retention Bonuses for Independent Nurse Providers (English, DOCX 34.37 KB)

Open PDF file, 163.68 KB, Independent Nurse Bulletin 11: COVID-19 Flexibilities after the End of the Public Health Emergency (English, PDF 163.68 KB)

Open DOCX file, 30.78 KB, Independent Nurse Bulletin 11: COVID-19 Flexibilities after the End of the Public Health Emergency (English, DOCX 30.78 KB)

Open PDF file, 163.68 KB, Independent Nurse Bulletin 10: Enhanced Rates for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 163.68 KB)

Open DOCX file, 33.51 KB, Independent Nurse Bulletin 10: Enhanced Rates for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 33.51 KB)

Open PDF file, 149.15 KB, Independent Nurse Bulletin 9: Deadline for Vaccine Requirement for Home Care Workers under a State Contract Extended to March 21, 2022 (English, PDF 149.15 KB)

Open DOCX file, 30.27 KB, Independent Nurse Bulletin 9: Deadline for Vaccine Requirement for Home Care Workers under a State Contract Extended to March 21, 2022 (English, DOCX 30.27 KB)

Open PDF file, 121.08 KB, Independent Nurse Bulletin 8: Criminal Offender Record Information (CORI) Requirement Changes for Independent Nurse Providers (English, PDF 121.08 KB)

Open DOCX file, 35.96 KB, Independent Nurse Bulletin 8: Criminal Offender Record Information (CORI) Requirement Changes for Independent Nurse Providers (English, DOCX 35.96 KB)

Open PDF file, 182.69 KB, Independent Nurse Bulletin 7: Vaccine Requirement for Home Care Workers under a State Contract (English, PDF 182.69 KB)

Open DOCX file, 44.71 KB, Independent Nurse Bulletin 7: Vaccine Requirement for Home Care Workers under a State Contract (English, DOCX 44.71 KB)

Open PDF file, 174.81 KB, Independent Nurse Bulletin 6: Extension of Rate Increases for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 174.81 KB)

Open DOCX file, 40.72 KB, Independent Nurse Bulletin 6: Extension of Rate Increases for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 40.72 KB)

Open PDF file, 171.75 KB, Independent Nurse Bulletin 5: Expanded Vaccine Requirement to Include Home Care Workers under a State Contract (English, PDF 171.75 KB)

Open DOCX file, 38.59 KB, Independent Nurse Bulletin 5: Expanded Vaccine Requirement to Include Home Care Workers under a State Contract (English, DOCX 38.59 KB)

Open PDF file, 143.18 KB, Independent Nurse Bulletin 4: Extended COVID-19 Related Administrative Flexibilities for Independent Nurses Including Telehealth and New Telehealth Documentation Requirement (English, PDF 143.18 KB)

Open DOCX file, 38.44 KB, Independent Nurse Bulletin 4: Extended COVID-19 Related Administrative Flexibilities for Independent Nurses Including Telehealth and New Telehealth Documentation Requirement (English, DOCX 38.44 KB)

Open PDF file, 132.78 KB, Independent Nurse Bulletin 3: Rate Increases for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 132.78 KB)

Open DOCX file, 41.91 KB, Independent Nurse Bulletin 3: Rate Increases for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 41.91 KB)

Open PDF file, 137.67 KB, Independent Nurses Bulletin 2: COVID-19 Related Administrative Flexibilities for Independent Nurses including Telehealth - Extension (English, PDF 137.67 KB)

Open DOCX file, 35.03 KB, Independent Nurses Bulletin 2: COVID-19 Related Administrative Flexibilities for Independent Nurses including Telehealth - Extension (English, DOCX 35.03 KB)

Open PDF file, 148.62 KB, Independent Nurses Bulletin 1: COVID-19 Related Administrative Flexibilities for Independent Nurses including Telehealth (English, PDF 148.62 KB)

Open DOCX file, 40.08 KB, Independent Nurses Bulletin 1: COVID-19 Related Administrative Flexibilities for Independent Nurses including Telehealth (English, DOCX 40.08 KB)

Limited Services Clinic

Open PDF file, 246.38 KB, Limited Services Clinic Bulletin 5: Updates to Vaccine Service Codes and Descriptions (English, PDF 246.38 KB)

Open DOCX file, 116.52 KB, Limited Services Clinic Bulletin 5: Updates to Vaccine Service Codes and Descriptions (English, DOCX 116.52 KB)

Open PDF file, 101.46 KB, Limited Services Clinic Bulletin 4: Updates to Provider Participation Requirements and Service Codes and Descriptions (English, PDF 101.46 KB)

Open DOC file, 147.5 KB, Limited Services Clinic Bulletin 4: Updates to Provider Participation Requirements and Service Codes and Descriptions (English, DOC 147.5 KB)

Open PDF file, 120.98 KB, Limited Services Clinic Bulletin 3: Improving Treatment for Substance Use Disorders (English, PDF 120.98 KB)

Open TXT file, 7.02 KB, Limited Services Clinic Bulletin 3: Improving Treatment for Substance Use Disorders (English, TXT 7.02 KB)

Open PDF file, 86.7 KB, Limited Services Clinic Bulletin 2: Additional Service Code for Limited Services Clinics (English, PDF 86.7 KB)

Open TXT file, 4.61 KB, Limited Services Clinic Bulletin 2: Additional Service Code for Limited Services Clinics (English, TXT 4.61 KB)

Open PDF file, 69.81 KB, Limited Services Clinic Bulletin 1: New MassHealth Limited Services Clinics Provider Type (English, PDF 69.81 KB)

Open TXT file, 16.43 KB, Limited Services Clinic Bulletin 1: New MassHealth Limited Services Clinics Provider Type (English, TXT 16.43 KB)

Long Term Care Facility

Open PDF file, 146.32 KB, Long-Term-Care Facility Bulletin 117: Annual Review of Personal Needs Allowance Account (English, PDF 146.32 KB)

Open DOCX file, 31.21 KB, Long-Term-Care Facility Bulletin 117: Annual Review of Personal Needs Allowance Account (English, DOCX 31.21 KB)

Open PDF file, 121.92 KB, Long-Term-Care Facility Bulletin 116: Annual Review of Personal Needs Allowance Account (English, PDF 121.92 KB)

Open DOCX file, 30.44 KB, Long-Term-Care Facility Bulletin 116: Annual Review of Personal Needs Allowance Account (English, DOCX 30.44 KB)

Open PDF file, 222.48 KB, Long-Term-Care Facility Bulletin 115: Revised Status Change for Members in a Nursing Facility or Chronic Disease and Rehabilitation Inpatient Hospital (SC-1) Form (English, PDF 222.48 KB)

Open DOCX file, 39.36 KB, Long-Term-Care Facility Bulletin 115: Revised Status Change for Members in a Nursing Facility or Chronic Disease and Rehabilitation Inpatient Hospital (SC-1) Form (English, DOCX 39.36 KB)

Open PDF file, 182.04 KB, Long-Term-Care Facility Bulletin 114: Annual Review of Personal Needs Allowance Account (English, PDF 182.04 KB)

Open DOCX file, 30.48 KB, Long-Term-Care Facility Bulletin 114: Annual Review of Personal Needs Allowance Account (English, DOCX 30.48 KB)

Open PDF file, 190.75 KB, Long Term Care Facility Bulletin 113: Annual Review of Personal Needs Allowance Account (English, PDF 190.75 KB)

Open DOCX file, 39.81 KB, Long Term Care Facility Bulletin 113: Annual Review of Personal Needs Allowance Account (English, DOCX 39.81 KB)

Open PDF file, 187.89 KB, Long-Term-Care Facility Bulletin 112: Annual Review of Personal Needs Allowance Account (English, PDF 187.89 KB)

Open DOCX file, 68.13 KB, Long-Term-Care Facility Bulletin 112: Annual Review of Personal Needs Allowance Account (English, DOCX 68.13 KB)

Open PDF file, 184.45 KB, Long Term Care Facility Bulletin 111: Annual Review of Personal Needs Allowance Account (English, PDF 184.45 KB)

Open DOC file, 121 KB, Long Term Care Facility Bulletin 111: Annual Review of Personal Needs Allowance Account (English, DOC 121 KB)

Open PDF file, 187.44 KB, Long Term Care Facility Bulletin 110: Annual Review of Personal Needs Allowance Account (English, PDF 187.44 KB)

Open DOC file, 120.5 KB, Long Term Care Facility Bulletin 110: Annual Review of Personal Needs Allowance Account (English, DOC 120.5 KB)

Open PDF file, 63.51 KB, Long Term Care Facility Bulletin 109: Annual Review of Personal Needs Allowance Account (English, PDF 63.51 KB)

Open DOC file, 75.5 KB, Long Term Care Facility Bulletin 109: Annual Review of Personal Needs Allowance Account (English, DOC 75.5 KB)

Open PDF file, 53.48 KB, Long Term Care Facility Bulletin 108: Annual Accounting for Personal Needs Account (English, PDF 53.48 KB)

Open DOC file, 232.5 KB, Long Term Care Facility Bulletin 108: Annual Accounting for Personal Needs Account (English, DOC 232.5 KB)

Open PDF file, 63.7 KB, Long Term Care Facility Bulletin 107: Annual Accounting for Personal Needs Account (PNA) Funds (English, PDF 63.7 KB)

Open TXT file, 3.04 KB, Long Term Care Facility Bulletin 107: Annual Accounting for Personal Needs Account (PNA) Funds (English, TXT 3.04 KB)

Open PDF file, 50.71 KB, Long Term Care Facility Bulletin 106: Annual Accounting for Personal Needs Allowances (PNA) (English, PDF 50.71 KB)

Open TXT file, 3.46 KB, Long Term Care Facility Bulletin 106: Annual Accounting for Personal Needs Allowances (PNA) (English, TXT 3.46 KB)

Open PDF file, 53.42 KB, Long Term Care Facility Bulletin 105: Address and Fax Number Changes for Submitting MassHealth Long-Term-Care Eligibility Paperwork for New Applicants and Existing Members (English, PDF 53.42 KB)

Open TXT file, 2.82 KB, Long Term Care Facility Bulletin 105: Address and Fax Number Changes for Submitting MassHealth Long-Term-Care Eligibility Paperwork for New Applicants and Existing Members (English, TXT 2.82 KB)

Open PDF file, 114.2 KB, Long Term Care Facility Bulletin 104: 2011 Annual Accounting for Personal Needs Account Funds (English, PDF 114.2 KB)

Open TXT file, 7.34 KB, Long Term Care Facility Bulletin 104: 2011 Annual Accounting for Personal Needs Account Funds (English, TXT 7.34 KB)

Open PDF file, 53.98 KB, Long Term Care Facility Bulletin 103: Change of Address for Taunton MassHealth Enrollment Center Long-Term-Care Applications (English, PDF 53.98 KB)

Open TXT file, 1.39 KB, Long Term Care Facility Bulletin 103: Change of Address for Taunton MassHealth Enrollment Center Long-Term-Care Applications (English, TXT 1.39 KB)

Open TXT file, 4.81 KB, Long Term Care Facility Bulletin 102: Patient-Paid-Amount Adjustments for MassHealth Members in Nursing Facilities, Chronic Disease and Rehabilitation Inpatient Hospitals, and Psychiatric Inpatient Hospitals, Including Adjustments for Adult Dental Expense (English, TXT 4.81 KB)

Open PDF file, 75.83 KB, Long Term Care Facility Bulletin 102: Patient-Paid-Amount Adjustments for MassHealth Members in Nursing Facilities, Chronic Disease and Rehabilitation Inpatient Hospitals, and Psychiatric Inpatient Hospitals, Including Adjustments for Adult Dental Expense (English, PDF 75.83 KB)

Open PDF file, 142.46 KB, Long Term Care Facility Bulletin 101: 2010 Annual Accounting for Personal Needs Account Funds (English, PDF 142.46 KB)

Open TXT file, 7.45 KB, Long Term Care Facility Bulletin 101: 2010 Annual Accounting for Personal Needs Account Funds (English, TXT 7.45 KB)

Open PDF file, 194.18 KB, Long Term Care Facility Bulletin 100: Annual Accounting for Personal Needs Account Funds (English, PDF 194.18 KB)

Open TXT file, 6.96 KB, Long Term Care Facility Bulletin 100: Annual Accounting for Personal Needs Account Funds (English, TXT 6.96 KB)

Open PDF file, 189.25 KB, Long Term Care Facility Bulletin 99: Revised Status Change for Members in a Nursing Facility or Chronic Disease and Rehabilitation Inpatient Hospital (SC-1) Form (English, PDF 189.25 KB)

Open TXT file, 10.87 KB, Long Term Care Facility Bulletin 99: Revised Status Change for Members in a Nursing Facility or Chronic Disease and Rehabilitation Inpatient Hospital (SC-1) Form (English, TXT 10.87 KB)

Open PDF file, 273.55 KB, Long Term Care Facility Bulletin 98: Annual Accounting for Personal Needs Account Funds (English, PDF 273.55 KB)

Open TXT file, 6.95 KB, Long Term Care Facility Bulletin 98: Annual Accounting for Personal Needs Account Funds (English, TXT 6.95 KB)

Open PDF file, 53.78 KB, Long Term Care Facility Bulletin 97: MassHealth and the Federal Economic Stimulus Tax Rebates (English, PDF 53.78 KB)

Open TXT file, 2.1 KB, Long Term Care Facility Bulletin 97: MassHealth and the Federal Economic Stimulus Tax Rebates (English, TXT 2.1 KB)

Open PDF file, 53.29 KB, Long Term Care Facility Bulletin 96: Increase in Personal Needs Allowance (English, PDF 53.29 KB)

Open TXT file, 1.31 KB, Long Term Care Facility Bulletin 96: Increase in Personal Needs Allowance (English, TXT 1.31 KB)

Open PDF file, 177.13 KB, Long Term Care Facility Bulletin 95: Annual Accounting for Personal Needs Account Funds (English, PDF 177.13 KB)

Open TXT file, 6.83 KB, Long Term Care Facility Bulletin 95: Annual Accounting for Personal Needs Account Funds (English, TXT 6.83 KB)

Open PDF file, 63.18 KB, Long Term Care Facility Bulletin 94: 2007 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities (English, PDF 63.18 KB)

Open TXT file, 1.8 KB, Long Term Care Facility Bulletin 94: 2007 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities (English, TXT 1.8 KB)

Open PDF file, 105.59 KB, Long Term Care Facility Bulletin 93: Deficit Reduction Act of 2005: Long-Term-Care Eligibility Changes (English, PDF 105.59 KB)

Open TXT file, 7.03 KB, Long Term Care Facility Bulletin 93: Deficit Reduction Act of 2005: Long-Term-Care Eligibility Changes (English, TXT 7.03 KB)

Open PDF file, 57 KB, Long Term Care Facility Bulletin 92: 2006 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities (English, PDF 57 KB)

Open TXT file, 1.81 KB, Long Term Care Facility Bulletin 92: 2006 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities (English, TXT 1.81 KB)

Open PDF file, 268.17 KB, Long Term Care Facility Bulletin 91: Annual Accounting for Personal Needs Allowance Funds (English, PDF 268.17 KB)

Open TXT file, 6.12 KB, Long Term Care Facility Bulletin 91: Annual Accounting for Personal Needs Allowance Funds (English, TXT 6.12 KB)

Open PDF file, 363.46 KB, Long Term Care Facility Bulletin 90: Annual Accounting for Personal Needs Allowance Funds (English, PDF 363.46 KB)

Open RTF file, 5.27 MB, Long Term Care Facility Bulletin 90: Annual Accounting for Personal Needs Allowance Funds (English, RTF 5.27 MB)

Open PDF file, 65.22 KB, Long Term Care Facility Bulletin 89: Senior Medical Benefit Request (SMBR) (English, PDF 65.22 KB)

Open RTF file, 4.02 MB, Long Term Care Facility Bulletin 89: Senior Medical Benefit Request (SMBR) (English, RTF 4.02 MB)

Open PDF file, 56.12 KB, Long Term Care Facility Bulletin 88: 2005 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities (English, PDF 56.12 KB)

Open RTF file, 4 MB, Long Term Care Facility Bulletin 88: 2005 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities (English, RTF 4 MB)

Open PDF file, 179.29 KB, Long Term Care Facility Bulletin 87: Annual Accounting for Personal Needs Allowance Funds (English, PDF 179.29 KB)

Open RTF file, 4.01 MB, Long Term Care Facility Bulletin 87: Annual Accounting for Personal Needs Allowance Funds (English, RTF 4.01 MB)

Open PDF file, 15.96 KB, Long Term Care Facility Bulletin 86: 2004 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities (English, PDF 15.96 KB)

Open RTF file, 3.62 MB, Long Term Care Facility Bulletin 86: 2004 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities (English, RTF 3.62 MB)

Open PDF file, 159.91 KB, Long Term Care Facility Bulletin 85: MassHealth Eligibility Representative Designation MassHealth Permission to Share Information (English, PDF 159.91 KB)

Open RTF file, 84.12 KB, Long Term Care Facility Bulletin 85: MassHealth Eligibility Representative Designation MassHealth Permission to Share Information (English, RTF 84.12 KB)

Open PDF file, 185.68 KB, Long Term Care Facility Bulletin 84: Annual Accounting for Personal Needs Allowance Funds (English, PDF 185.68 KB)

Open RTF file, 35.38 KB, Long Term Care Facility Bulletin 84: Annual Accounting for Personal Needs Allowance Funds (English, RTF 35.38 KB)

Open PDF file, 109.36 KB, Long Term Care Facility Bulletin 83: Medex Premium Rate Increase (English, PDF 109.36 KB)

Open RTF file, 49.47 KB, Long Term Care Facility Bulletin 83: Medex Premium Rate Increase (English, RTF 49.47 KB)

Open PDF file, 107.25 KB, Long Term Care Facility Bulletin 82: 2003 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities (English, PDF 107.25 KB)

Open RTF file, 28.87 KB, Long Term Care Facility Bulletin 82: 2003 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Long-Term-Care Facilities (English, RTF 28.87 KB)

Open PDF file, 320.93 KB, Long Term Care Facility Bulletin 81: New and Revised MassHealth Application Packets and Eligibility Review Materials for Seniors and People Needing Long-Term-Care Services (English, PDF 320.93 KB)

Open RTF file, 131.2 KB, Long Term Care Facility Bulletin 81: New and Revised MassHealth Application Packets and Eligibility Review Materials for Seniors and People Needing Long-Term-Care Services (English, RTF 131.2 KB)

Open PDF file, 192.13 KB, Long Term Care Facility Bulletin 80: Patient-Paid-Amount (PPA) Adjustment for Residents of Long-Term-Care Facilities for Adult Dental Expenses Not Covered by MassHealth as of March 15,2002 (English, PDF 192.13 KB)

Open RTF file, 45.96 KB, Long Term Care Facility Bulletin 80: Patient-Paid-Amount (PPA) Adjustment for Residents of Long-Term-Care Facilities for Adult Dental Expenses Not Covered by MassHealth as of March 15,2002 (English, RTF 45.96 KB)

Open PDF file, 131.52 KB, Long Term Care Facility Bulletin 79: Annual Accounting for Personal Needs Allowance Funds (English, PDF 131.52 KB)

Open RTF file, 23.96 KB, Long Term Care Facility Bulletin 79: Annual Accounting for Personal Needs Allowance Funds (English, RTF 23.96 KB)

Open PDF file, 146.05 KB, Long Term Care Facility Bulletin 78: Medex Premium Rate Increase (English, PDF 146.05 KB)

Open RTF file, 42.46 KB, Long Term Care Facility Bulletin 78: Medex Premium Rate Increase (English, RTF 42.46 KB)

Open PDF file, 128.89 KB, Long Term Care Facility Bulletin 77: 2002 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Skilled-Care Facilities (English, PDF 128.89 KB)

Open RTF file, 24.06 KB, Long Term Care Facility Bulletin 77: 2002 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Skilled-Care Facilities (English, RTF 24.06 KB)

Open PDF file, 34.75 KB, Long Term Care Facility Bulletin 76: Annual Accounting for Personal Needs Allowance Funds (English, PDF 34.75 KB)

Open RTF file, 13.71 KB, Long Term Care Facility Bulletin 76: Annual Accounting for Personal Needs Allowance Funds (English, RTF 13.71 KB)

Open PDF file, 16.87 KB, Long Term Care Facility Bulletin 75: Medex Premium Rate Increase (English, PDF 16.87 KB)

Open RTF file, 24.47 KB, Long Term Care Facility Bulletin 75: Medex Premium Rate Increase (English, RTF 24.47 KB)

Open PDF file, 15.25 KB, Long Term Care Facility Bulletin 74: 2001 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Skilled-Care Facilities (English, PDF 15.25 KB)

Open TXT file, 2.24 KB, Long Term Care Facility Bulletin 74: 2001 Social Security Benefit Cost-of-Living Adjustment (COLA) for Residents of Skilled-Care Facilities (English, TXT 2.24 KB)

Open PDF file, 60.4 KB, Long Term Care Facility Bulletin 73: Update List of Department of Transitional Assistance Offices and Supplemental Security Income Regional Offices (English, PDF 60.4 KB)

Open TXT file, 1.53 KB, Long Term Care Facility Bulletin 73: Update List of Department of Transitional Assistance Offices and Supplemental Security Income Regional Offices (English, TXT 1.53 KB)

Open PDF file, 51.88 KB, Long Term Care Facility Bulletin 72: Medex Premium Rate Increase (English, PDF 51.88 KB)

Open TXT file, 2.14 KB, Long Term Care Facility Bulletin 72: Medex Premium Rate Increase (English, TXT 2.14 KB)

Open PDF file, 21.61 KB, Long Term Care Facility Bulletin 71: Medex Premium Rate Increase (English, PDF 21.61 KB)

Open TXT file, 2.02 KB, Long Term Care Facility Bulletin 71: Medex Premium Rate Increase (English, TXT 2.02 KB)

Open PDF file, 18.88 KB, Long Term Care Facility Bulletin 70: 2000 Social Security Benefit Cost-of-Living-Adjustment (COLA) for Residents of Skilled-Care Facilities (English, PDF 18.88 KB)

Open TXT file, 2.23 KB, Long Term Care Facility Bulletin 70: 2000 Social Security Benefit Cost-of-Living-Adjustment (COLA) for Residents of Skilled-Care Facilities (English, TXT 2.23 KB)

Open PDF file, 36.71 KB, Long Term Care Facility Bulletin 69: Updates List of Department of Transitional Assistance and Supplemental Security Income Regional Offices (English, PDF 36.71 KB)

Open RTF file, 8.29 KB, Long Term Care Facility Bulletin 69: Updates List of Department of Transitional Assistance and Supplemental Security Income Regional Offices (English, RTF 8.29 KB)

Open PDF file, 37.34 KB, Long Term Care Facility Bulletin 68: Requests for Payments of Funeral and Burial Expenses (English, PDF 37.34 KB)

Open RTF file, 14.44 KB, Long Term Care Facility Bulletin 67: MEDEX Premium Rates Increase (English, RTF 14.44 KB)

Open PDF file, 63.52 KB, Long Term Care Facility Bulletin 67: MEDEX Premium Rates Increase (English, PDF 63.52 KB)

Open PDF file, 37.31 KB, Long Term Care Facility Bulletin 66: Annual Accounting for Personal Needs Allowance Funds (English, PDF 37.31 KB)

Open RTF file, 14.95 KB, Long Term Care Facility Bulletin 66: Annual Accounting for Personal Needs Allowance Funds (English, RTF 14.95 KB)

Managed Care Entity

Open PDF file, 207.16 KB, Managed Care Entity Bulletin 118: Accountable Care Organization—Primary Care Provider Additions and Removals Effective January 1, 2025 (English, PDF 207.16 KB)

Open DOCX file, 116.77 KB, Managed Care Entity Bulletin 118: Accountable Care Organization—Primary Care Provider Additions and Removals Effective January 1, 2025 (English, DOCX 116.77 KB)

Open PDF file, 169.39 KB, Managed Care Entity Bulletin 117: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2025 (English, PDF 169.39 KB)

Open DOCX file, 113.2 KB, Managed Care Entity Bulletin 117: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2025 (English, DOCX 113.2 KB)

Open PDF file, 163.82 KB, Managed Care Entity Bulletin 116: Update to Coverage of and Reimbursement for Hospital at Home Services (English, PDF 163.82 KB)

Open DOCX file, 110.3 KB, Managed Care Entity Bulletin 116: Update to Coverage of and Reimbursement for Hospital at Home Services (English, DOCX 110.3 KB)

Open PDF file, 156.49 KB, Managed Care Entity Bulletin 115: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, PDF 156.49 KB)

Open DOCX file, 109.47 KB, Managed Care Entity Bulletin 115: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, DOCX 109.47 KB)

Open PDF file, 205.76 KB, Managed Care Entity Bulletin 114: Exclusion of Designated 340B Drugs from MassHealth Coverage (English, PDF 205.76 KB)

Open DOCX file, 108.98 KB, Managed Care Entity Bulletin 114: Exclusion of Designated 340B Drugs from MassHealth Coverage (English, DOCX 108.98 KB)

Open PDF file, 147.82 KB, Managed Care Entity Bulletin 113: Elimination of Copays (English, PDF 147.82 KB)

Open DOCX file, 107.53 KB, Managed Care Entity Bulletin 113: Elimination of Copays (English, DOCX 107.53 KB)

Open PDF file, 185.41 KB, Managed Care Entity Bulletin 112: Obesity Drugs and the 340B Drug Pricing Program Change in Effective Date (English, PDF 185.41 KB)

Open DOCX file, 110.54 KB, Managed Care Entity Bulletin 112: Obesity Drugs and the 340B Drug Pricing Program Change in Effective Date (English, DOCX 110.54 KB)

Open PDF file, 243.84 KB, Managed Care Entity Bulletin 111: Critical Incident Definition, Criteria, and Reporting Requirements (English, PDF 243.84 KB)

Open DOCX file, 126.96 KB, Managed Care Entity Bulletin 111: Critical Incident Definition, Criteria, and Reporting Requirements (English, DOCX 126.96 KB)

Open PDF file, 217.77 KB, Managed Care Entity Bulletin 110: Updates to Policies Pertaining to Members’ Behavioral Health Needs in Acute Medical Settings and Inpatient Psychiatry Settings (English, PDF 217.77 KB)

Open DOCX file, 115.03 KB, Managed Care Entity Bulletin 110: Updates to Policies Pertaining to Members’ Behavioral Health Needs in Acute Medical Settings and Inpatient Psychiatry Settings (English, DOCX 115.03 KB)

Open PDF file, 183.85 KB, Managed Care Entity Bulletin 109: Obesity Drugs and the 340B Drug Pricing Program (English, PDF 183.85 KB)

Open DOCX file, 109.92 KB, Managed Care Entity Bulletin 109: Obesity Drugs and the 340B Drug Pricing Program (English, DOCX 109.92 KB)

Open PDF file, 401.4 KB, Managed Care Entity Bulletin 108: Updates to Minimum Rates for Mental Health Centers and to Provider Billing Rules for GJ Modifier (English, PDF 401.4 KB)

Open DOCX file, 133.49 KB, Managed Care Entity Bulletin 108: Updates to Minimum Rates for Mental Health Centers and to Provider Billing Rules for GJ Modifier (English, DOCX 133.49 KB)

Open PDF file, 201.64 KB, Managed Care Entity Bulletin 107: Updates to Policies Pertaining to Members’ Behavioral Health Needs in Acute Medical Settings and Inpatient Psychiatry Settings (Corrected) (English, PDF 201.64 KB)

Open DOCX file, 84.67 KB, Managed Care Entity Bulletin 107: Updates to Policies Pertaining to Members’ Behavioral Health Needs in Acute Medical Settings and Inpatient Psychiatry Settings (Corrected) (English, DOCX 84.67 KB)

Open PDF file, 155.56 KB, Managed Care Entity Bulletin 106: Updates to Certain Child and Adolescent Needs and Strengths Assessment Requirements (English, PDF 155.56 KB)

Open DOCX file, 30.53 KB, Managed Care Entity Bulletin 106: Updates to Certain Child and Adolescent Needs and Strengths Assessment Requirements (English, DOCX 30.53 KB)

Open PDF file, 213.69 KB, Managed Care Entity Bulletin 105: Extension of and Updates to the Temporary Rate Increases for Home- and Community-based Services and Behavioral Health Services for Integrated Care Plans (English, PDF 213.69 KB)

Open DOCX file, 71.49 KB, Managed Care Entity Bulletin 105: Extension of and Updates to the Temporary Rate Increases for Home- and Community-based Services and Behavioral Health Services for Integrated Care Plans (English, DOCX 71.49 KB)

Open PDF file, 207.75 KB, Managed Care Entity Bulletin 104: Extension of and Updates to the Temporary Rate Increases for Home- and Community-based Services and Behavioral Health Services (corrected) (English, PDF 207.75 KB)

Open DOCX file, 66.44 KB, Managed Care Entity Bulletin 104: Extension of and Updates to the Temporary Rate Increases for Home- and Community-based Services and Behavioral Health Services (corrected) (English, DOCX 66.44 KB)

Open PDF file, 154.3 KB, Managed Care Entity Bulletin 103: Payment and Coverage Policies and Performance Specifications for Youth and Transition-Age Youth Detoxification and Stabilization Programs (English, PDF 154.3 KB)

Open DOCX file, 36.77 KB, Managed Care Entity Bulletin 103: Payment and Coverage Policies and Performance Specifications for Youth and Transition-Age Youth Detoxification and Stabilization Programs (English, DOCX 36.77 KB)

Open PDF file, 178.35 KB, Managed Care Entity Bulletin 102: Rate Floors for Acute Treatment Services, Clinical Stabilization Services, Residential Rehabilitation Services, and Intensive Stabilization and Treatment Services (English, PDF 178.35 KB)

Open DOCX file, 61.1 KB, Managed Care Entity Bulletin 102: Rate Floors for Acute Treatment Services, Clinical Stabilization Services, Residential Rehabilitation Services, and Intensive Stabilization and Treatment Services (English, DOCX 61.1 KB)

Open PDF file, 265.12 KB, Managed Care Entity Bulletin 101: Accountable Care Partnership Plans—Primary Care Provider Additions and Removals Effective January 1, 2024 (English, PDF 265.12 KB)

Open DOCX file, 57.57 KB, Managed Care Entity Bulletin 101: Accountable Care Partnership Plans—Primary Care Provider Additions and Removals Effective January 1, 2024 (English, DOCX 57.57 KB)

Open PDF file, 220.92 KB, Managed Care Entity Bulletin 100: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2024 (English, PDF 220.92 KB)

Open DOCX file, 44.79 KB, Managed Care Entity Bulletin 100: Accountable Care Partnership Plans—Service Area Additions and Removals Effective January 1, 2024 (English, DOCX 44.79 KB)

Open PDF file, 327.36 KB, Managed Care Entity Bulletin 99: Specialized Community Support Program Services (English, PDF 327.36 KB)

Open DOCX file, 49.41 KB, Managed Care Entity Bulletin 99: Specialized Community Support Program Services (English, DOCX 49.41 KB)

Open PDF file, 184.65 KB, Managed Care Entity Bulletin 98: Temporary Prior Authorizations Flexibilities Effective April 1, 2023 (English, PDF 184.65 KB)

Open DOCX file, 64.12 KB, Managed Care Entity Bulletin 98: Temporary Prior Authorizations Flexibilities Effective April 1, 2023 (English, DOCX 64.12 KB)

Open PDF file, 167.44 KB, Managed Care Entity Bulletin 97: Communications with Members Enrolled in Managed Care Entities Covered by the Federal Communications Commission January 23, 2023, Declaratory Ruling (English, PDF 167.44 KB)

Open DOCX file, 32.79 KB, Managed Care Entity Bulletin 97: Communications with Members Enrolled in Managed Care Entities Covered by the Federal Communications Commission January 23, 2023, Declaratory Ruling (English, DOCX 32.79 KB)

Open PDF file, 190.54 KB, Managed Care Entity Bulletin 96: Policies Regarding the Launch of the New Community Partners Program (English, PDF 190.54 KB)

Open DOCX file, 64.56 KB, Managed Care Entity Bulletin 96: Policies Regarding the Launch of the New Community Partners Program (English, DOCX 64.56 KB)

Open PDF file, 162.8 KB, Managed Care Entity Bulletin 95: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, PDF 162.8 KB)

Open DOCX file, 30.19 KB, Managed Care Entity Bulletin 95: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, DOCX 30.19 KB)

Open PDF file, 225.34 KB, Managed Care Entity Bulletin 94: Process for Existing PACE Organizations to Expand Their Service Area and/or Open a New PACE Center (English, PDF 225.34 KB)

Open DOCX file, 31.7 KB, Managed Care Entity Bulletin 94: Process for Existing PACE Organizations to Expand Their Service Area and/or Open a New PACE Center (English, DOCX 31.7 KB)

Open PDF file, 162.08 KB, Managed Care Entity Bulletin 93: Behavioral Health Crisis Evaluations in Emergency Departments and Inpatient Mental Health Services Rate Updates (English, PDF 162.08 KB)

Open DOCX file, 34.19 KB, Managed Care Entity Bulletin 93: Behavioral Health Crisis Evaluations in Emergency Departments and Inpatient Mental Health Services Rate Updates (English, DOCX 34.19 KB)

Open PDF file, 215.95 KB, Managed Care Entity Bulletin 92: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services for Integrated Care Plans (English, PDF 215.95 KB)

Open DOCX file, 42.52 KB, Managed Care Entity Bulletin 92: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services for Integrated Care Plans (English, DOCX 42.52 KB)

Open PDF file, 231.02 KB, Managed Care Entity Bulletin 91: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services (English, PDF 231.02 KB)

Open DOCX file, 64.75 KB, Managed Care Entity Bulletin 91: Extension of and Updates to the Temporary Rate Increases for Home and Community-based Services and Behavioral Health Services (English, DOCX 64.75 KB)

Open PDF file, 147.58 KB, Managed Care Entity Bulletin 90: 90-day Prescription Drug Supply Policy Change (English, PDF 147.58 KB)

Open DOCX file, 30.81 KB, Managed Care Entity Bulletin 90: 90-day Prescription Drug Supply Policy Change (English, DOCX 30.81 KB)

Open PDF file, 145.79 KB, Managed Care Entity Bulletin 89: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (English, PDF 145.79 KB)

Open DOCX file, 29.69 KB, Managed Care Entity Bulletin 89: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (English, DOCX 29.69 KB)

Open PDF file, 141.63 KB, Managed Care Entity Bulletin 88: Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, PDF 141.63 KB)

Open DOCX file, 33.48 KB, Managed Care Entity Bulletin 88: Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, DOCX 33.48 KB)

Open PDF file, 213.76 KB, Managed Care Entity Bulletin 87: Extension of and Updates to Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services for Integrated Care Plans (English, PDF 213.76 KB)

Open DOCX file, 39.44 KB, Managed Care Entity Bulletin 87: Extension of and Updates to Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services for Integrated Care Plans (English, DOCX 39.44 KB)

Open PDF file, 240.77 KB, Managed Care Entity Bulletin 86: Extension of and Updates to the Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services (English, PDF 240.77 KB)

Open DOCX file, 64.93 KB, Managed Care Entity Bulletin 86: Extension of and Updates to the Temporary Rate Increases Due to the American Rescue Plan Act Home and Community-Based Services and Temporary Rate Increases for Behavioral Health Services (English, DOCX 64.93 KB)

Open PDF file, 167.66 KB, Managed Care Entity Bulletin 85: Coverage of Pediatric Enteral Special Formula and Thickening Agents as a Pharmacy Benefit (English, PDF 167.66 KB)

Open DOCX file, 31.49 KB, Managed Care Entity Bulletin 85: Coverage of Pediatric Enteral Special Formula and Thickening Agents as a Pharmacy Benefit (English, DOCX 31.49 KB)

Open PDF file, 277.99 KB, Managed Care Entity Bulletin 84: Payment, Coverage, and Reporting Requirements related to Community Health Centers (English, PDF 277.99 KB)

Open DOCX file, 34.65 KB, Managed Care Entity Bulletin 84: Payment, Coverage, and Reporting Requirements related to Community Health Centers (English, DOCX 34.65 KB)

Open PDF file, 295.89 KB, Managed Care Entity Bulletin 83: Provides rate increase guidance to specific MCEs for COVID-19 positive members, covering behavioral health services, and to temporarily suspend concurrent review for CCS services (English, PDF 295.89 KB)

Open DOCX file, 61.77 KB, Managed Care Entity Bulletin 83: Provides rate increase guidance to specific MCEs for COVID-19 positive members, covering behavioral health services, and to temporarily suspend concurrent review for CCS services (English, DOCX 61.77 KB)

Open PDF file, 215.5 KB, Managed Care Entity Bulletin 82: Updates to the MassHealth Peer Recovery Coach Benefit (English, PDF 215.5 KB)

Open DOCX file, 36.7 KB, Managed Care Entity Bulletin 82: Updates to the MassHealth Peer Recovery Coach Benefit (English, DOCX 36.7 KB)

Open PDF file, 148.32 KB, Managed Care Entity Bulletin 81: Policy Updates to Improve the PACE Enrollment Process (English, PDF 148.32 KB)

Open DOCX file, 41 KB, Managed Care Entity Bulletin 81: Policy Updates to Improve the PACE Enrollment Process (English, DOCX 41 KB)

Open PDF file, 98.51 KB, Managed Care Entity Bulletin 80: Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, PDF 98.51 KB)

Open DOCX file, 38.72 KB, Managed Care Entity Bulletin 80: Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, DOCX 38.72 KB)

Open PDF file, 353.86 KB, Managed Care Entity Bulletin 79: Extension of Coverage and Reimbursement Policy Related to COVID-19 for 24-Hour Substance Use Disorder Services (English, PDF 353.86 KB)

Open DOCX file, 29.58 KB, Managed Care Entity Bulletin 79: Extension of Coverage and Reimbursement Policy Related to COVID-19 for 24-Hour Substance Use Disorder Services (English, DOCX 29.58 KB)

Open PDF file, 347.21 KB, Managed Care Entity Bulletin 78: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (English, PDF 347.21 KB)

Open DOCX file, 30.36 KB, Managed Care Entity Bulletin 78: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (English, DOCX 30.36 KB)

Open PDF file, 238.48 KB, Managed Care Entity Bulletin 77: Coverage and Payment Policy for Booster Doses of Coronavirus Disease 2019 (COVID-19) Vaccines, Pediatric Vaccines, and Monoclonal Antibody Treatments (English, PDF 238.48 KB)

Open DOCX file, 33.98 KB, Managed Care Entity Bulletin 77: Coverage and Payment Policy for Booster Doses of Coronavirus Disease 2019 (COVID-19) Vaccines, Pediatric Vaccines, and Monoclonal Antibody Treatments (English, DOCX 33.98 KB)

Open PDF file, 285.13 KB, Managed Care Entity Bulletin 76: Behavioral Health Urgent Care Providers (English, PDF 285.13 KB)

Open DOCX file, 89.06 KB, Managed Care Entity Bulletin 76: Behavioral Health Urgent Care Providers (English, DOCX 89.06 KB)

Open PDF file, 108.9 KB, Managed Care Entity Bulletin 75: 90 Day Suspension of Prior Authorization for Previously Scheduled Surgery, and Behavioral Health and Non-Behavioral Health Inpatient Care (English, PDF 108.9 KB)

Open DOCX file, 33.44 KB, Managed Care Entity Bulletin 75: 90 Day Suspension of Prior Authorization for Previously Scheduled Surgery, and Behavioral Health and Non-Behavioral Health Inpatient Care (English, DOCX 33.44 KB)

Open PDF file, 147.93 KB, Managed Care Entity Bulletin 74: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, PDF 147.93 KB)

Open DOCX file, 30.14 KB, Managed Care Entity Bulletin 74: Access to Health Services through Telehealth Options for Members Enrolled in Managed Care Entities (English, DOCX 30.14 KB)

Open PDF file, 98.22 KB, Managed Care Entity Bulletin 73: Coverage for Monoclonal Antibodies for Treatment and Post-Exposure Prophylaxis for Coronavirus Disease 2019 (COVID-19) (English, PDF 98.22 KB)

Open DOCX file, 35.81 KB, Managed Care Entity Bulletin 73: Coverage for Monoclonal Antibodies for Treatment and Post-Exposure Prophylaxis for Coronavirus Disease 2019 (COVID-19) (English, DOCX 35.81 KB)

Open PDF file, 233.57 KB, Managed Care Entity Bulletin 72: Temporary Rate Increases Due to American Rescue Plan Act–Integrated Care Plans (English, PDF 233.57 KB)

Open DOCX file, 42.08 KB, Managed Care Entity Bulletin 72: Temporary Rate Increases Due to American Rescue Plan Act–Integrated Care Plans (English, DOCX 42.08 KB)

Open PDF file, 253 KB, Managed Care Entity Bulletin 71: Temporary Rate Increases Due to American Rescue Plan Act HCBS–Services and Behavioral Health Services (English, PDF 253 KB)

Open DOCX file, 59.07 KB, Managed Care Entity Bulletin 71: Temporary Rate Increases Due to American Rescue Plan Act HCBS–Services and Behavioral Health Services (English, DOCX 59.07 KB)

Open PDF file, 219.47 KB, Managed Care Entity Bulletin 70: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (English, PDF 219.47 KB)

Open DOCX file, 35.02 KB, Managed Care Entity Bulletin 70: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (English, DOCX 35.02 KB)

Open PDF file, 430.89 KB, Managed Care Entity Bulletin 69: Coronavirus Disease 2019 (COVID-19) Updated Guidance for Integrated Care Plans (English, PDF 430.89 KB)

Open DOCX file, 46.23 KB, Managed Care Entity Bulletin 69: Coronavirus Disease 2019 (COVID-19) Updated Guidance for Integrated Care Plans (English, DOCX 46.23 KB)

Open PDF file, 149.35 KB, Managed Care Entity Bulletin 68: Updated MassHealth Telehealth Policy (September 2021) (English, PDF 149.35 KB)

Open DOCX file, 34.35 KB, Managed Care Entity Bulletin 68: Updated MassHealth Telehealth Policy (September 2021) (English, DOCX 34.35 KB)

Open PDF file, 172.6 KB, Managed Care Entity Bulletin 67: Coverage and Payment Policy for Services Related to COVID-19 Vaccine Counseling and 3rd Dose of Pfizer-BioNTech Vaccine and Moderna COVID-19 Vaccine for Immunocompromised Individuals (English, PDF 172.6 KB)

Open DOCX file, 38.43 KB, Managed Care Entity Bulletin 67: Coverage and Payment Policy for Services Related to COVID-19 Vaccine Counseling and 3rd Dose of Pfizer-BioNTech Vaccine and Moderna COVID-19 Vaccine for Immunocompromised Individuals (English, DOCX 38.43 KB)

Open PDF file, 168.34 KB, Managed Care Entity Bulletin 66: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (English, PDF 168.34 KB)

Open DOCX file, 33.42 KB, Managed Care Entity Bulletin 66: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (English, DOCX 33.42 KB)

Open PDF file, 258.56 KB, Managed Care Entity Bulletin 65: Preventive Behavioral Health Services for Members Younger than 21 (English, PDF 258.56 KB)

Open DOCX file, 228.05 KB, Managed Care Entity Bulletin 65: Preventive Behavioral Health Services for Members Younger than 21 (English, DOCX 228.05 KB)

Open PDF file, 301.46 KB, Managed Care Entity Bulletin 64: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (English, PDF 301.46 KB)

Open DOCX file, 55.91 KB, Managed Care Entity Bulletin 64: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (English, DOCX 55.91 KB)

Open PDF file, 219.77 KB, Managed Care Entity Bulletin 63: MassHealth Rate Floor Enhancements for Acute Treatment Services, Clinical Stabilization Services, and Residential Rehabilitation Services (English, PDF 219.77 KB)

Open DOCX file, 37.9 KB, Managed Care Entity Bulletin 63: MassHealth Rate Floor Enhancements for Acute Treatment Services, Clinical Stabilization Services, and Residential Rehabilitation Services (English, DOCX 37.9 KB)

Open PDF file, 87.66 KB, Managed Care Entity Bulletin 62: Update to Authorized Providers and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, PDF 87.66 KB)

Open DOCX file, 41.81 KB, Managed Care Entity Bulletin 62: Update to Authorized Providers and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, DOCX 41.81 KB)

Open PDF file, 218.82 KB, Managed Care Entity Bulletin 61: Updated: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (English, PDF 218.82 KB)

Open DOCX file, 49.87 KB, Managed Care Entity Bulletin 61: Updated: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (English, DOCX 49.87 KB)

Open PDF file, 117.74 KB, Managed Care Entity Bulletin 60: Updated MassHealth Telehealth Policy (English, PDF 117.74 KB)

Open DOCX file, 39.13 KB, Managed Care Entity Bulletin 60: Updated MassHealth Telehealth Policy (English, DOCX 39.13 KB)

Open PDF file, 131.26 KB, Managed Care Entity Bulletin 59: Accountable Care Partnership Plans—Service Area Changes Effective January 1, 2022 (English, PDF 131.26 KB)

Open DOCX file, 42.69 KB, Managed Care Entity Bulletin 59: Accountable Care Partnership Plans—Service Area Changes Effective January 1, 2022 (English, DOCX 42.69 KB)

Open PDF file, 185.95 KB, Managed Care Entity Bulletin 58: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (English, PDF 185.95 KB)

Open DOCX file, 48.39 KB, Managed Care Entity Bulletin 58: Accountable Care Organization—Primary Care Provider Changes Effective January 1, 2022 (English, DOCX 48.39 KB)

Open PDF file, 134.78 KB, Managed Care Entity Bulletin 57: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Authorized Vaccine Providers, and Mass Immunizer Providers (English, PDF 134.78 KB)

Open DOCX file, 37.45 KB, Managed Care Entity Bulletin 57: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Authorized Vaccine Providers, and Mass Immunizer Providers (English, DOCX 37.45 KB)

Open PDF file, 232.52 KB, Managed Care Entity Bulletin 56: Coverage of and Reimbursement for Hospital-at-Home Services (English, PDF 232.52 KB)

Open DOCX file, 29.41 KB, Managed Care Entity Bulletin 56: Coverage of and Reimbursement for Hospital-at-Home Services (English, DOCX 29.41 KB)

Open PDF file, 170.38 KB, Managed Care Entity Bulletin 55: Temporary Incremental Rate Increase for Inpatient Hospitals Accepting COVID-Positive MassHealth Members for Inpatient Mental Health Services (English, PDF 170.38 KB)

Open DOCX file, 31.61 KB, Managed Care Entity Bulletin 55: Temporary Incremental Rate Increase for Inpatient Hospitals Accepting COVID-Positive MassHealth Members for Inpatient Mental Health Services (English, DOCX 31.61 KB)

Open PDF file, 109.52 KB, Managed Care Entity Bulletin 54: Care Plan Requirements for Accountable Care Organizations and Managed Care Organizations (English, PDF 109.52 KB)

Open DOCX file, 36.46 KB, Managed Care Entity Bulletin 54: Care Plan Requirements for Accountable Care Organizations and Managed Care Organizations (English, DOCX 36.46 KB)

Open PDF file, 112.64 KB, Managed Care Entity Bulletin 53: Enhanced Rates for ADH Services for Dates of Service December 1, 2020 through May 31, 2021 (English, PDF 112.64 KB)

Open DOCX file, 34.35 KB, Managed Care Entity Bulletin 53: Enhanced Rates for ADH Services for Dates of Service December 1, 2020 through May 31, 2021 (English, DOCX 34.35 KB)

Open PDF file, 127.75 KB, Managed Care Entity Bulletin 52: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Update to Authorized Vaccine Providers, and New Mass Immunizer Providers (English, PDF 127.75 KB)

Open DOCX file, 36.69 KB, Managed Care Entity Bulletin 52: Update to Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Update to Authorized Vaccine Providers, and New Mass Immunizer Providers (English, DOCX 36.69 KB)

Open PDF file, 214.36 KB, Managed Care Entity Bulletin 51: Reminder of Required 340B Identifier for Clinician-Administered Drugs (English, PDF 214.36 KB)

Open DOCX file, 31.32 KB, Managed Care Entity Bulletin 51: Reminder of Required 340B Identifier for Clinician-Administered Drugs (English, DOCX 31.32 KB)

Open PDF file, 142.46 KB, Managed Care Entity Bulletin 50: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (English, PDF 142.46 KB)

Open DOCX file, 36.92 KB, Managed Care Entity Bulletin 50: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (English, DOCX 36.92 KB)

Open PDF file, 141.55 KB, Managed Care Entity Bulletin 49: Flu Vaccine Access and Birth Control Supply Flexibility (English, PDF 141.55 KB)

Open DOCX file, 36.66 KB, Managed Care Entity Bulletin 49: Flu Vaccine Access and Birth Control Supply Flexibility (English, DOCX 36.66 KB)

Open PDF file, 368.99 KB, Managed Care Entity Bulletin 48: Accountable Care Organization Primary Care Provider Changes Effective July 1, 2021 (English, PDF 368.99 KB)

Open DOCX file, 60.72 KB, Managed Care Entity Bulletin 48: Accountable Care Organization Primary Care Provider Changes Effective July 1, 2021 (English, DOCX 60.72 KB)

Open PDF file, 231.2 KB, Managed Care Entity Bulletin 47: Managed Care Entities—Service Area Changes Effective July 1, 2021 (English, PDF 231.2 KB)

Open DOCX file, 47.36 KB, Managed Care Entity Bulletin 47: Managed Care Entities—Service Area Changes Effective July 1, 2021 (English, DOCX 47.36 KB)

Open PDF file, 163.31 KB, Managed Care Entity Bulletin 46: Updated MassHealth Telehealth Policy (English, PDF 163.31 KB)

Open DOCX file, 29.45 KB, Managed Care Entity Bulletin 46: Updated MassHealth Telehealth Policy (English, DOCX 29.45 KB)

Open PDF file, 185.67 KB, Managed Care Entity Bulletin 45: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (English, PDF 185.67 KB)

Open DOCX file, 31.56 KB, Managed Care Entity Bulletin 45: Temporary COVID-19 Flexibilities for the Dispensing of Hearing Aids for Members Age 18 and Older (English, DOCX 31.56 KB)

Open PDF file, 513.07 KB, Managed Care Entity Bulletin 44: Community Support Program for Chronically Homeless Individuals (English, PDF 513.07 KB)

Open DOCX file, 45.18 KB, Managed Care Entity Bulletin 44: Community Support Program for Chronically Homeless Individuals (English, DOCX 45.18 KB)

Open PDF file, 186.5 KB, Managed Care Entity Bulletin 43: Requirements for Adult Day Health Services Delivered Remotely (via Telehealth and In-Home Settings) and Enhanced Rates for Adult Day Health Services During the Reopening Period (August 1, 2020, through November 30, 2020) (English, PDF 186.5 KB)

Open DOCX file, 39.35 KB, Managed Care Entity Bulletin 43: Requirements for Adult Day Health Services Delivered Remotely (via Telehealth and In-Home Settings) and Enhanced Rates for Adult Day Health Services During the Reopening Period (August 1, 2020, through November 30, 2020) (English, DOCX 39.35 KB)

Open PDF file, 199.67 KB, Managed Care Entity Bulletin 42: Updated MassHealth Acute Hospital Carve-Out Drugs Requirements (English, PDF 199.67 KB)

Open DOCX file, 34.78 KB, Managed Care Entity Bulletin 42: Updated MassHealth Acute Hospital Carve-Out Drugs Requirements (English, DOCX 34.78 KB)

Open PDF file, 153.03 KB, Managed Care Entity Bulletin 41: Updated Pharmacy Coverage Policies (English, PDF 153.03 KB)

Open DOCX file, 33.77 KB, Managed Care Entity Bulletin 41: Updated Pharmacy Coverage Policies (English, DOCX 33.77 KB)

Open PDF file, 92.24 KB, Managed Care Entity Bulletin 40: Payment for COVID-19 Specimen Collection and Testing (English, PDF 92.24 KB)

Open DOCX file, 44.93 KB, Managed Care Entity Bulletin 40: Payment for COVID-19 Specimen Collection and Testing (English, DOCX 44.93 KB)

Open PDF file, 144.33 KB, Managed Care Entity Bulletin 39: Updated MassHealth Telehealth, Durable Medical Equipment (DME), and Home Health Policies (English, PDF 144.33 KB)

Open DOCX file, 34.4 KB, Managed Care Entity Bulletin 39: Updated MassHealth Telehealth, Durable Medical Equipment (DME), and Home Health Policies (English, DOCX 34.4 KB)

Open PDF file, 204.52 KB, Managed Care Entity Bulletin 38: Limited Modification and Extension of Temporary Incremental Rate Increase for Inpatient Mental Health Services in Response to COVID-19 Pandemic (English, PDF 204.52 KB)

Open DOCX file, 30.58 KB, Managed Care Entity Bulletin 38: Limited Modification and Extension of Temporary Incremental Rate Increase for Inpatient Mental Health Services in Response to COVID-19 Pandemic (English, DOCX 30.58 KB)

Open PDF file, 224.81 KB, Managed Care Entity Bulletin 37: UPDATED - Temporary Retainer Payments for COVID-19 Emergency (English, PDF 224.81 KB)

Open DOCX file, 37.88 KB, Managed Care Entity Bulletin 37: UPDATED - Temporary Retainer Payments for COVID-19 Emergency (English, DOCX 37.88 KB)

Open PDF file, 235.38 KB, Managed Care Entity Bulletin 36: Community Support Program for Homeless Individuals Residing in Department of Housing and Community Development-Funded New Temporary Shelters (English, PDF 235.38 KB)

Open DOCX file, 34.2 KB, Managed Care Entity Bulletin 36: Community Support Program for Homeless Individuals Residing in Department of Housing and Community Development-Funded New Temporary Shelters (English, DOCX 34.2 KB)

Open PDF file, 172.42 KB, Managed Care Entity Bulletin 35: Temporary Rate Increases due to COVID-19 National Emergency (English, PDF 172.42 KB)

Open DOCX file, 46.03 KB, Managed Care Entity Bulletin 35: Temporary Rate Increases due to COVID-19 National Emergency (English, DOCX 46.03 KB)

Open PDF file, 282.61 KB, Managed Care Entity Bulletin 34: Temporary Extension of Coverage for Early Intervention Services (English, PDF 282.61 KB)

Open DOCX file, 31.34 KB, Managed Care Entity Bulletin 34: Temporary Extension of Coverage for Early Intervention Services (English, DOCX 31.34 KB)

Open PDF file, 209.58 KB, Managed Care Entity Bulletin 33: Temporary Incremental Rate Increase for Inpatient Mental Health Services In Response to COVID-19 Pandemic (English, PDF 209.58 KB)

Open DOCX file, 38.23 KB, Managed Care Entity Bulletin 33: Temporary Incremental Rate Increase for Inpatient Mental Health Services In Response to COVID-19 Pandemic (English, DOCX 38.23 KB)

Open PDF file, 551.76 KB, Managed Care Entity Bulletin 32: Update: Temporary Rate Increases Due to COVID-19 National Emergency (English, PDF 551.76 KB)

Open DOCX file, 76.46 KB, Managed Care Entity Bulletin 32: Update: Temporary Rate Increases Due to COVID-19 National Emergency (English, DOCX 76.46 KB)

Open PDF file, 233.44 KB, Managed Care Entity Bulletin 31: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2021 (English, PDF 233.44 KB)

Open DOCX file, 66.29 KB, Managed Care Entity Bulletin 31: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2021 (English, DOCX 66.29 KB)

Open PDF file, 155.31 KB, Managed Care Entity Bulletin 30: Managed Care Entities—Service Area Changes Effective January 1, 2021 (English, PDF 155.31 KB)

Open DOCX file, 49.69 KB, Managed Care Entity Bulletin 30: Managed Care Entities—Service Area Changes Effective January 1, 2021 (English, DOCX 49.69 KB)

Open PDF file, 231.04 KB, MCE 29: Add. Telehealth Guidance, Temporary CPT for ABA, Coverage of Preventive Telehealth visits, Remote Patient Monitoring, Payment for Specimen Collection, Suspension of Behavioral Health PA 24-hour Levels of Care, and Out of Network Access (English, PDF 231.04 KB)

Open DOCX file, 47.12 KB, MCE 29: Add. Telehealth Guidance, Temporary CPT for ABA, Coverage of Preventive Telehealth visits, Remote Patient Monitoring, Payment for Specimen Collection, Suspension of Behavioral Health PA 24-hour Levels of Care, and Out of Network Access (English, DOCX 47.12 KB)

Open PDF file, 210.53 KB, Managed Care Entity Bulletin 28: Updates Regarding Coverage of Medications for Addiction Treatment in the Opioid Treatment Programs (English, PDF 210.53 KB)

Open DOCX file, 31.52 KB, Managed Care Entity Bulletin 28: Updates Regarding Coverage of Medications for Addiction Treatment in the Opioid Treatment Programs (English, DOCX 31.52 KB)

Open PDF file, 151 KB, Managed Care Entity Bulletin 27: Temporary Retainer Payments Due to COVID-19 National Emergency (English, PDF 151 KB)

Open DOCX file, 37.46 KB, Managed Care Entity Bulletin 27: Temporary Retainer Payments Due to COVID-19 National Emergency (English, DOCX 37.46 KB)

Open PDF file, 146.08 KB, Managed Care Entity Bulletin 26: Investments in Community Based Acute Treatment and Intensive Community Based Acute Treatment in Support of Network Management Strategy (English, PDF 146.08 KB)

Open DOCX file, 37.77 KB, Managed Care Entity Bulletin 26: Investments in Community Based Acute Treatment and Intensive Community Based Acute Treatment in Support of Network Management Strategy (English, DOCX 37.77 KB)

Open PDF file, 200.78 KB, Managed Care Entity Bulletin 25: New Payment Methodology Requirements for Accountable Care Partnership Plans and Managed Care Organizations for Nasal Naloxone Packages Distributed by Acute Outpatient Hospital Emergency Departments (English, PDF 200.78 KB)

Open DOCX file, 30.63 KB, Managed Care Entity Bulletin 25: New Payment Methodology Requirements for Accountable Care Partnership Plans and Managed Care Organizations for Nasal Naloxone Packages Distributed by Acute Outpatient Hospital Emergency Departments (English, DOCX 30.63 KB)

Open PDF file, 447.28 KB, Managed Care Entity Bulletin 24: Temporary Rate Increases Due to COVID-19 National Emergency (English, PDF 447.28 KB)

Open DOCX file, 64.15 KB, Managed Care Entity Bulletin 24: Temporary Rate Increases Due to COVID-19 National Emergency (English, DOCX 64.15 KB)

Open PDF file, 135.51 KB, Managed Care Entity Bulletin 23: Temporary Rate Increases Due to COVID-19 National Emergency (English, PDF 135.51 KB)

Open DOCX file, 37.58 KB, Managed Care Entity Bulletin 23: Temporary Rate Increases Due to COVID-19 National Emergency (English, DOCX 37.58 KB)

Open PDF file, 154.39 KB, Managed Care Entity Bulletin 22: Updated Coverage and Payment Policies (English, PDF 154.39 KB)

Open DOCX file, 39.64 KB, Managed Care Entity Bulletin 22: Updated Coverage and Payment Policies (English, DOCX 39.64 KB)

Open PDF file, 172.82 KB, Managed Care Entity Bulletin 21: Coverage and Reimbursement for Services Related to Coronavirus Disease 2019 (COVID-19) (English, PDF 172.82 KB)

Open DOCX file, 36.12 KB, Managed Care Entity Bulletin 21: Coverage and Reimbursement for Services Related to Coronavirus Disease 2019 (COVID-19) (English, DOCX 36.12 KB)

Open PDF file, 28.72 KB, Managed Care Entity Bulletin 20: MassHealth ACPP/MCO Uniform Preferred Drug List (English, PDF 28.72 KB)

Open DOCX file, 27.34 KB, Managed Care Entity Bulletin 20: MassHealth ACPP/MCO Uniform Preferred Drug List (English, DOCX 27.34 KB)

Open PDF file, 121.21 KB, Managed Care Entity Bulletin 19: MassHealth ACPP/MCO Uniform Preferred Drug List (English, PDF 121.21 KB)

Open DOCX file, 27.88 KB, Managed Care Entity Bulletin 19: MassHealth ACPP/MCO Uniform Preferred Drug List (English, DOCX 27.88 KB)

Open PDF file, 139.27 KB, Managed Care Entity Bulletin 18: Service Area and Region Additions Effective January 1, 2020 (English, PDF 139.27 KB)

Open DOCX file, 39.25 KB, Managed Care Entity Bulletin 18: Service Area and Region Additions Effective January 1, 2020 (English, DOCX 39.25 KB)

Open PDF file, 108.64 KB, Managed Care Entity Bulletin 17: Prior Authorization and Utilization Management for Suboxone® (buprenorphine/naloxone) (English, PDF 108.64 KB)

Open DOCX file, 26.33 KB, Managed Care Entity Bulletin 17: Prior Authorization and Utilization Management for Suboxone® (buprenorphine/naloxone) (English, DOCX 26.33 KB)

Open PDF file, 142.58 KB, Managed Care Entity Bulletin 16: Updated: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, PDF 142.58 KB)

Open DOCX file, 60.13 KB, Managed Care Entity Bulletin 16: Updated: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, DOCX 60.13 KB)

Open PDF file, 151.64 KB, Managed Care Entity Bulletin 15: Accountable Care Partnership Plans—Service Area Additions Effective January 1, 2020 (English, PDF 151.64 KB)

Open DOCX file, 41.36 KB, Managed Care Entity Bulletin 15: Accountable Care Partnership Plans—Service Area Additions Effective January 1, 2020 (English, DOCX 41.36 KB)

Open PDF file, 142.71 KB, Managed Care Entity Bulletin 14: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, PDF 142.71 KB)

Open DOCX file, 61.02 KB, Managed Care Entity Bulletin 14: Accountable Care Organization Primary Care Provider Changes Effective January 1, 2020 (English, DOCX 61.02 KB)

Open PDF file, 178.08 KB, Managed Care Entity Bulletin 13: Coding Systems for Medications for Addiction Treatment, Including Opioid Agonist Treatment (English, PDF 178.08 KB)

Open DOCX file, 55.82 KB, Managed Care Entity Bulletin 13: Coding Systems for Medications for Addiction Treatment, Including Opioid Agonist Treatment (English, DOCX 55.82 KB)

Open PDF file, 219.2 KB, Managed Care Entity Bulletin 12: Medications for Addiction Treatment in the Opioid Treatment Programs (English, PDF 219.2 KB)

Open DOCX file, 37.08 KB, Managed Care Entity Bulletin 12: Medications for Addiction Treatment in the Opioid Treatment Programs (English, DOCX 37.08 KB)

Open PDF file, 126.99 KB, Managed Care Entity Bulletin 11: Pharmacy Benefits Manager Pricing Report for Accountable Care Partnership Plans and Managed Care Organizations (English, PDF 126.99 KB)

Open DOCX file, 107.01 KB, Managed Care Entity Bulletin 11: Pharmacy Benefits Manager Pricing Report for Accountable Care Partnership Plans and Managed Care Organizations (English, DOCX 107.01 KB)

Open PDF file, 168.77 KB, Managed Care Entity Bulletin 10: Access to Behavioral Health Services Through Use of Telehealth Options (English, PDF 168.77 KB)

Open DOCX file, 45.3 KB, Managed Care Entity Bulletin 10: Access to Behavioral Health Services Through Use of Telehealth Options (English, DOCX 45.3 KB)

Open PDF file, 137.65 KB, Managed Care Entity Bulletin 9: Clarification on the use of Administratively Necessary Days in all Psychiatric Inpatient Hospital Stays (English, PDF 137.65 KB)

Open DOCX file, 29.24 KB, Managed Care Entity Bulletin 9: Clarification on the use of Administratively Necessary Days in all Psychiatric Inpatient Hospital Stays (English, DOCX 29.24 KB)

Open PDF file, 150.24 KB, Managed Care Entity Bulletin 8: Housing-Related Activities and the Medical Loss Ratio (MLR): Guidance for SCO Plans (English, PDF 150.24 KB)

Open DOCX file, 106.04 KB, Managed Care Entity Bulletin 8: Housing-Related Activities and the Medical Loss Ratio (MLR): Guidance for SCO Plans (English, DOCX 106.04 KB)

Open PDF file, 58.6 KB, Managed Care Entity Bulletin 7: MassHealth Accountable Care Partnership Plan and Managed Care Organization Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, PDF 58.6 KB)

Open DOCX file, 104.47 KB, Managed Care Entity Bulletin 7: MassHealth Accountable Care Partnership Plan and Managed Care Organization Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, DOCX 104.47 KB)

Open PDF file, 181.19 KB, Managed Care Entity Bulletin 6: Accountable Care Organization Primary Care Provider Additions Effective January 1, 2019 (English, PDF 181.19 KB)

Open DOC file, 167.5 KB, Managed Care Entity Bulletin 6: Accountable Care Organization Primary Care Provider Additions Effective January 1, 2019 (English, DOC 167.5 KB)

Open PDF file, 117.65 KB, Managed Care Entity Bulletin 5: Primary Care Provider (PCP) Arrangements for the Special Kids Special Care (SKSC) Program (English, PDF 117.65 KB)

Open DOCX file, 103.6 KB, Managed Care Entity Bulletin 5: Primary Care Provider (PCP) Arrangements for the Special Kids Special Care (SKSC) Program (English, DOCX 103.6 KB)

Open PDF file, 137.2 KB, Managed Care Entity Bulletin 4: MassHealth Accountable Care Partnership Plan and Managed Care Organization (MCO) Coverage of Home Health Services (English, PDF 137.2 KB)

Open DOCX file, 110.36 KB, Managed Care Entity Bulletin 4: MassHealth Accountable Care Partnership Plan and Managed Care Organization (MCO) Coverage of Home Health Services (English, DOCX 110.36 KB)

Open PDF file, 144.08 KB, Managed Care Entity Bulletin 3: MassHealth Accountable Care Partnership Plan (ACPP) and Managed Care Organization (MCO) Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, PDF 144.08 KB)

Open DOCX file, 104.48 KB, Managed Care Entity Bulletin 3: MassHealth Accountable Care Partnership Plan (ACPP) and Managed Care Organization (MCO) Coverage of Drugs Subject to MassHealth Supplemental Rebate Agreements (English, DOCX 104.48 KB)

Open PDF file, 55.96 KB, Managed Care Entity Bulletin 2: Prior Authorization and Utilization Management Requirements for Certain Substance Use Recovery Services (English, PDF 55.96 KB)

Open DOCX file, 66.82 KB, Managed Care Entity Bulletin 2: Prior Authorization and Utilization Management Requirements for Certain Substance Use Recovery Services (English, DOCX 66.82 KB)

Open PDF file, 168.33 KB, Managed Care Entity Bulletin 1: Prior Authorization and Utilization Management Requirements for Certain Substance Use Recovery Services (English, PDF 168.33 KB)

Open DOC file, 129.5 KB, Managed Care Entity Bulletin 1: Prior Authorization and Utilization Management Requirements for Certain Substance Use Recovery Services (English, DOC 129.5 KB)

Managed Care Organization

Open PDF file, 132.61 KB, Managed Care Organization Bulletin 6: MassHealth-Contracted Managed Care Organization (MCO) Coverage of Hepatitis C Virus (HCV) Drugs and Other Drugs Subject to MassHealth Supplemental Rebate Agreements (English, PDF 132.61 KB)

Open DOC file, 112 KB, Managed Care Organization Bulletin 6: MassHealth-Contracted Managed Care Organization (MCO) Coverage of Hepatitis C Virus (HCV) Drugs and Other Drugs Subject to MassHealth Supplemental Rebate Agreements (English, DOC 112 KB)

Open PDF file, 117.26 KB, Managed Care Organization Bulletin 5: Prior Authorization and Utilization Management Requirements for Substance Use Disorders (English, PDF 117.26 KB)

Open DOC file, 112.5 KB, Managed Care Organization Bulletin 5: Prior Authorization and Utilization Management Requirements for Substance Use Disorders (English, DOC 112.5 KB)

Open DOC file, 244.5 KB, Managed Care Organization Bulletin 4: Section 1202 of the Affordable Care Act (English, DOC 244.5 KB)

Open PDF file, 132.55 KB, Managed Care Organization Bulletin 4: Section 1202 of the Affordable Care Act (English, PDF 132.55 KB)

Open TXT file, 3.19 KB, Managed Care Organization Bulletin 3: Current Procedural Terminology (CPT) Codes and Payment to Providers for Behavioral Health Services (English, TXT 3.19 KB)

Open PDF file, 62.71 KB, Managed Care Organization Bulletin 3: Current Procedural Terminology (CPT) Codes and Payment to Providers for Behavioral Health Services (English, PDF 62.71 KB)

Open PDF file, 19.81 KB, Managed Care Organization Bulletin 2: Changes to the Notification of Birth (NOB-1) Form (English, PDF 19.81 KB)

Open RTF file, 16.63 KB, Managed Care Organization Bulletin 2: Changes to the Notification of Birth (NOB-1) Form (English, RTF 16.63 KB)

Mass Immunizer

Open PDF file, 142.4 KB, Mass Immunizer Bulletin 2: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, PDF 142.4 KB)

Open DOCX file, 42 KB, Mass Immunizer Bulletin 2: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, DOCX 42 KB)

Open PDF file, 128.71 KB, Mass Immunizer Bulletin 1: Mass Immunizer Requirements and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, PDF 128.71 KB)

Open DOCX file, 43.33 KB, Mass Immunizer Bulletin 1: Mass Immunizer Requirements and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, DOCX 43.33 KB)

Mental Health Center

Open PDF file, 147.82 KB, Mental Health Center Bulletin 36: Reminder of Annual Reports Required for MassHealth-Enrolled Community Mental Health Centers (English, PDF 147.82 KB)

Open DOCX file, 29.04 KB, Mental Health Center Bulletin 36: Reminder of Annual Reports Required for MassHealth-Enrolled Community Mental Health Centers (English, DOCX 29.04 KB)

Open PDF file, 179.08 KB, Mental Health Center Bulletin 35: Preventive Behavioral Health Services for Members Younger Than 21 (English, PDF 179.08 KB)

Open DOCX file, 40.4 KB, Mental Health Center Bulletin 35: Preventive Behavioral Health Services for Members Younger Than 21 (English, DOCX 40.4 KB)

Open PDF file, 192.88 KB, Mental Health Center Bulletin 34: UPDATE: Mental Health Center Transformation Incentive Payments (English, PDF 192.88 KB)

Open DOCX file, 41.13 KB, Mental Health Center Bulletin 34: UPDATE: Mental Health Center Transformation Incentive Payments (English, DOCX 41.13 KB)

Open PDF file, 157.54 KB, Mental Health Center Bulletin 33: Clarifying the Provision of Diagnostic Services (English, PDF 157.54 KB)

Open DOCX file, 28.17 KB, Mental Health Center Bulletin 33: Clarifying the Provision of Diagnostic Services (English, DOCX 28.17 KB)

Open PDF file, 261.33 KB, Mental Health Center Bulletin 32: Mental Health Center Transformation Incentive Payments (English, PDF 261.33 KB)

Open DOCX file, 40.17 KB, Mental Health Center Bulletin 32: Mental Health Center Transformation Incentive Payments (English, DOCX 40.17 KB)

Open PDF file, 77.12 KB, Mental Health Center Bulletin 31: Mental Health Center Annual Report Submission Requirement (English, PDF 77.12 KB)

Open DOCX file, 25.69 KB, Mental Health Center Bulletin 31: Mental Health Center Annual Report Submission Requirement (English, DOCX 25.69 KB)

Open PDF file, 55.69 KB, Mental Health Center Bulletin 30: Behavioral Health Assessment Claims for Members Under 21 (English, PDF 55.69 KB)

Open DOC file, 63 KB, Mental Health Center Bulletin 30: Behavioral Health Assessment Claims for Members Under 21 (English, DOC 63 KB)

Open TXT file, 7.01 KB, Mental Health Center Bulletin 29: Improving Treatment for Substance Use Disorders (English, TXT 7.01 KB)

Open PDF file, 121.05 KB, Mental Health Center Bulletin 29: Improving Treatment for Substance Use Disorders (English, PDF 121.05 KB)

Open PDF file, 106.37 KB, Mental Health Center Bulletin 28: Services Provided by a Medicare-Noncertified Clinician (English, PDF 106.37 KB)

Open RTF file, 39.69 KB, Mental Health Center Bulletin 28: Services Provided by a Medicare-Noncertified Clinician (English, RTF 39.69 KB)

Open PDF file, 90.59 KB, Mental Health Center Bulletin 27: Crisis Intervention Services Provided to Dually Entitled Members (English, PDF 90.59 KB)

Open RTF file, 96.91 KB, Mental Health Center Bulletin 27: Crisis Intervention Services Provided to Dually Entitled Members (English, RTF 96.91 KB)

Open PDF file, 64.57 KB, Mental Health Center Bulletin 26: Prior Authorizations for Certain Brand-Name Products (English, PDF 64.57 KB)

Open TXT file, 1.69 KB, Mental Health Center Bulletin 26: Prior Authorizations for Certain Brand-Name Products (English, TXT 1.69 KB)

Open PDF file, 65.39 KB, Mental Health Center Bulletin 25: Prior Authorization for Sedative-Hypnotic Sleep Medications (English, PDF 65.39 KB)

Open TXT file, 3.49 KB, Mental Health Center Bulletin 25: Prior Authorization for Sedative-Hypnotic Sleep Medications (English, TXT 3.49 KB)

Municipally Based Health Services (See also School-Based Medicaid)

Open TXT file, 4.47 KB, Municipally Based Health Services Bulletin 16: Change of Program Name of Municipal Medicaid to School-Based Medicaid; Continuation of Administrative Activity Claiming (AAC); and an Introduction to the Random-Moment Time Study (English, TXT 4.47 KB)

Open PDF file, 58.43 KB, Municipally Based Health Services Bulletin 16: Change of Program Name of Municipal Medicaid to School-Based Medicaid; Continuation of Administrative Activity Claiming (AAC); and an Introduction to the Random-Moment Time Study (English, PDF 58.43 KB)

Open PDF file, 62.89 KB, Municipally Based Health Services Bulletin 15: Eliminating Administrative Activity Claiming (AAC) (English, PDF 62.89 KB)

Open TXT file, 6.34 KB, Municipally Based Health Services Bulletin 15: Eliminating Administrative Activity Claiming (AAC) (English, TXT 6.34 KB)

Open PDF file, 58.46 KB, Municipally Based Health Services Bulletin 14: Parental Authorization to Share Information with MassHealth (English, PDF 58.46 KB)

Open TXT file, 2.45 KB, Municipally Based Health Services Bulletin 14: Parental Authorization to Share Information with MassHealth (English, TXT 2.45 KB)

Open PDF file, 62.49 KB, Municipally Based Health Services Bulletin 13: Changes in Department of Education Placement Categories (English, PDF 62.49 KB)

Open TXT file, 3.26 KB, Municipally Based Health Services Bulletin 13: Changes in Department of Education Placement Categories (English, TXT 3.26 KB)

Open PDF file, 78.09 KB, Municipally Based Health Services Bulletin 12: Administrative Activities Claiming and General Payment Condition for Direct Services (English, PDF 78.09 KB)

Open RTF file, 308.05 KB, Municipally Based Health Services Bulletin 12: Administrative Activities Claiming and General Payment Condition for Direct Services (English, RTF 308.05 KB)

Open PDF file, 78.93 KB, Municipally Based Health Services Bulletin 11: Administrative Claiming (English, PDF 78.93 KB)

Open RTF file, 4.01 MB, Municipally Based Health Services Bulletin 11: Administrative Claiming (English, RTF 4.01 MB)

Open PDF file, 17.98 KB, Municipally Based Health Services Bulletin 10: Services Provided to Special Education Students (English, PDF 17.98 KB)

Open RTF file, 3.62 MB, Municipally Based Health Services Bulletin 10: Services Provided to Special Education Students (English, RTF 3.62 MB)

Open PDF file, 367.44 KB, Municipally Based Health Services Bulletin 9: Services Provided to Special Education Students (English, PDF 367.44 KB)

Open RTF file, 88.63 KB, Municipally Based Health Services Bulletin 9: Services Provided to Special Education Students (English, RTF 88.63 KB)

Open PDF file, 144.07 KB, Municipally Based Health Services Bulletin 8: Program and Administrative Activity Claiming (English, PDF 144.07 KB)

Open RTF file, 40.23 KB, Municipally Based Health Services Bulletin 8: Program and Administrative Activity Claiming (English, RTF 40.23 KB)

Open PDF file, 61.71 KB, Municipally Based Health Services Bulletin 7: Increased Per Diem Rates (English, PDF 61.71 KB)

Open TXT file, 1.42 KB, Municipally Based Health Services Bulletin 7: Increased Per Diem Rates (English, TXT 1.42 KB)

Nurse Midwife

Open PDF file, 82.23 KB, Nurse Midwife Bulletin 12: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, PDF 82.23 KB)

Open RTF file, 10.01 KB, Nurse Midwife Bulletin 12: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, RTF 10.01 KB)

Open PDF file, 45.64 KB, Nurse Midwife Bulletin 11: HCFA Common Procedure Coding System (HCPCS) Update (English, PDF 45.64 KB)

Open RTF file, 53.9 KB, Nurse Midwife Bulletin 11: HCFA Common Procedure Coding System (HCPCS) Update (English, RTF 53.9 KB)

Open PDF file, 80.21 KB, Nurse Midwife Bulletin 10: Injectable and Infusible Drugs and Devices (English, PDF 80.21 KB)

Open RTF file, 36.34 KB, Nurse Midwife Bulletin 10: Injectable and Infusible Drugs and Devices (English, RTF 36.34 KB)

Open PDF file, 99.17 KB, Nurse Midwife Bulletin 9: Obtaining Prior Authorization and Submitting Claims for Synagis (Palivizumab) (English, PDF 99.17 KB)

Open RTF file, 39.24 KB, Nurse Midwife Bulletin 9: Obtaining Prior Authorization and Submitting Claims for Synagis (Palivizumab) (English, RTF 39.24 KB)

Open PDF file, 97.32 KB, Nurse Midwife Bulletin 8: New Address for Prior Authorization Requests for Drugs (English, PDF 97.32 KB)

Open RTF file, 20.57 KB, Nurse Midwife Bulletin 8: New Address for Prior Authorization Requests for Drugs (English, RTF 20.57 KB)

Open PDF file, 64.68 KB, Nurse Midwife Bulletin 7: Prior Authorization for Celebrex in Dosages of 200 mg or More (English, PDF 64.68 KB)

Open RTF file, 19.97 KB, Nurse Midwife Bulletin 7: Prior Authorization for Celebrex in Dosages of 200 mg or More (English, RTF 19.97 KB)

Open PDF file, 71.08 KB, Nurse Midwife Bulletin 6: Prior Authorization for Enbrel, Herceptin, and Remicade (English, PDF 71.08 KB)

Open RTF file, 34.03 KB, Nurse Midwife Bulletin 6: Prior Authorization for Enbrel, Herceptin, and Remicade (English, RTF 34.03 KB)

Nurse Practitioner

Open PDF file, 137 KB, Nurse Practitioner Bulletin 12: Revisions to the MassHealth Dental Program (English, PDF 137 KB)

Open RTF file, 37.97 KB, Nurse Practitioner Bulletin 12: Revisions to the MassHealth Dental Program (English, RTF 37.97 KB)

Open PDF file, 82.64 KB, Nurse Practitioner Bulletin 11: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, PDF 82.64 KB)

Open RTF file, 6.77 KB, Nurse Practitioner Bulletin 11: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, RTF 6.77 KB)

Open PDF file, 19.83 KB, Nurse Practitioner Bulletin 10: HCFA Common Procedure Coding System (HCPCS) Update (English, PDF 19.83 KB)

Open RTF file, 63.44 KB, Nurse Practitioner Bulletin 10: HCFA Common Procedure Coding System (HCPCS) Update (English, RTF 63.44 KB)

Open PDF file, 80.35 KB, Nurse Practitioner Bulletin 9: Injectable and Infusible Drugs and Devices (English, PDF 80.35 KB)

Open RTF file, 36.36 KB, Nurse Practitioner Bulletin 9: Injectable and Infusible Drugs and Devices (English, RTF 36.36 KB)

Open PDF file, 97.5 KB, Nurse Practitioner Bulletin 8: Obtaining Prior Authorization and Submitting Claims for Synagis (Palivizumab) (English, PDF 97.5 KB)

Open RTF file, 39.49 KB, Nurse Practitioner Bulletin 8: Obtaining Prior Authorization and Submitting Claims for Synagis (Palivizumab) (English, RTF 39.49 KB)

Open PDF file, 99.23 KB, Nurse Practitioner Bulletin 7: New Address for Prior Authorizations Requests for Drugs (English, PDF 99.23 KB)

Open RTF file, 20.83 KB, Nurse Practitioner Bulletin 7: New Address for Prior Authorizations Requests for Drugs (English, RTF 20.83 KB)

Open PDF file, 64.65 KB, Nurse Practitioner Bulletin 6: Prior Authorization for Celebrex in Doseages of 200 mg or More (English, PDF 64.65 KB)

Open RTF file, 19.97 KB, Nurse Practitioner Bulletin 6: Prior Authorization for Celebrex in Doseages of 200 mg or More (English, RTF 19.97 KB)

Open PDF file, 72.64 KB, Nurse Practitioner Bulletin 5: Prior Authorization for Enbret, Herceptin, and Remicade (English, PDF 72.64 KB)

Open RTF file, 34 KB, Nurse Practitioner Bulletin 5: Prior Authorization for Enbret, Herceptin, and Remicade (English, RTF 34 KB)

Nursing Facility

Open PDF file, 154.24 KB, Nursing Facility Bulletin 185: Substance Use Disorder (SUD) Add-on and SUD Induction Period Add-on (English, PDF 154.24 KB)

Open DOCX file, 113.78 KB, Nursing Facility Bulletin 185: Substance Use Disorder (SUD) Add-on and SUD Induction Period Add-on (English, DOCX 113.78 KB)

Open PDF file, 170.95 KB, Nursing Facility Bulletin 184: Bariatric Add-on (English, PDF 170.95 KB)

Open DOCX file, 112.7 KB, Nursing Facility Bulletin 184: Bariatric Add-on (English, DOCX 112.7 KB)

Open PDF file, 180.93 KB, Nursing Facility Bulletin 183: Nursing Facility Access and Identifying Nursing Facility Residents Who May Be Potential Candidates to Discharge from a Nursing Facility and Transition to the Community (English, PDF 180.93 KB)

Open DOCX file, 33.35 KB, Nursing Facility Bulletin 183: Nursing Facility Access and Identifying Nursing Facility Residents Who May Be Potential Candidates to Discharge from a Nursing Facility and Transition to the Community (English, DOCX 33.35 KB)

Open PDF file, 180.5 KB, Nursing Facility Bulletin 182: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (English, PDF 180.5 KB)

Open DOCX file, 36.46 KB, Nursing Facility Bulletin 182: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (English, DOCX 36.46 KB)

Open PDF file, 367.57 KB, Nursing Facility Bulletin 181: Transition to CMS OBRA MDS 3.0 Assessments for Nursing Facility Fee for Service Payments (Corrected) (English, PDF 367.57 KB)

Open DOCX file, 52.78 KB, Nursing Facility Bulletin 181: Transition to CMS OBRA MDS 3.0 Assessments for Nursing Facility Fee for Service Payments (Corrected) (English, DOCX 52.78 KB)

Open PDF file, 140.91 KB, Nursing Facility Bulletin 180: Behavioral Health Community Partners Supports and DMH Case Transition Management Team for Nursing Facility Residents (English, PDF 140.91 KB)

Open DOCX file, 48.7 KB, Nursing Facility Bulletin 180: Behavioral Health Community Partners Supports and DMH Case Transition Management Team for Nursing Facility Residents (English, DOCX 48.7 KB)

Open PDF file, 127.78 KB, Nursing Facility Bulletin 179: Community Transitions Liaison Program (English, PDF 127.78 KB)

Open DOCX file, 42.06 KB, Nursing Facility Bulletin 179: Community Transitions Liaison Program (English, DOCX 42.06 KB)

Open PDF file, 189.87 KB, Nursing Facility Bulletin 178: Anticipated Update to COVID-19 Preparedness Program Payments (English, PDF 189.87 KB)

Open DOCX file, 48 KB, Nursing Facility Bulletin 178: Anticipated Update to COVID-19 Preparedness Program Payments (English, DOCX 48 KB)

Open PDF file, 173.87 KB, Nursing Facility Bulletin 177: Anticipated Update to COVID-19 Surveillance Testing Supplemental Payments for Nursing Facilities (English, PDF 173.87 KB)

Open DOCX file, 31.76 KB, Nursing Facility Bulletin 177: Anticipated Update to COVID-19 Surveillance Testing Supplemental Payments for Nursing Facilities (English, DOCX 31.76 KB)

Open PDF file, 357.78 KB, Nursing Facility Bulletin 176: COVID-19 Preparedness Program Payments (English, PDF 357.78 KB)

Open DOCX file, 38.1 KB, Nursing Facility Bulletin 176: COVID-19 Preparedness Program Payments (English, DOCX 38.1 KB)

Open PDF file, 171.17 KB, Nursing Facility Bulletin 175: COVID-19 Preparedness Program Payments (English, PDF 171.17 KB)

Open DOCX file, 37.25 KB, Nursing Facility Bulletin 175: COVID-19 Preparedness Program Payments (English, DOCX 37.25 KB)

Open PDF file, 152.64 KB, Nursing Facility Bulletin 174: Family Assistance Coverage Expansion for Nursing Facility Services – Updated (English, PDF 152.64 KB)

Open DOCX file, 33.29 KB, Nursing Facility Bulletin 174: Family Assistance Coverage Expansion for Nursing Facility Services – Updated (English, DOCX 33.29 KB)

Open PDF file, 153.98 KB, Nursing Facility Bulletin 173: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccines Administered by Nursing Facilities (English, PDF 153.98 KB)

Open DOCX file, 37.16 KB, Nursing Facility Bulletin 173: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccines Administered by Nursing Facilities (English, DOCX 37.16 KB)

Open PDF file, 136.61 KB, Nursing Facility Bulletin 172: Nursing Facility COVID-19 Booster/Third Vaccination Dose Supplemental Payment (English, PDF 136.61 KB)

Open DOCX file, 33.56 KB, Nursing Facility Bulletin 172: Nursing Facility COVID-19 Booster/Third Vaccination Dose Supplemental Payment (English, DOCX 33.56 KB)

Open PDF file, 130.67 KB, Nursing Facility Bulletin 171: Weekend Nursing Facilities Admission Rate Add-on (English, PDF 130.67 KB)

Open DOCX file, 30.84 KB, Nursing Facility Bulletin 171: Weekend Nursing Facilities Admission Rate Add-on (English, DOCX 30.84 KB)

Open PDF file, 145.02 KB, Nursing Facility Bulletin 170: Human Service Transportation (HST) Brokerage Transportation for Members in Nursing Facilities (English, PDF 145.02 KB)

Open DOCX file, 33.17 KB, Nursing Facility Bulletin 170: Human Service Transportation (HST) Brokerage Transportation for Members in Nursing Facilities (English, DOCX 33.17 KB)

Open PDF file, 270.41 KB, Nursing Facility Bulletin 169: Updates to Nursing Facility Regulations: Preadmission Screening and Resident Review (PASRR) for Intellectual Disability, Developmental Disability, and Serious Mental Illness (English, PDF 270.41 KB)

Open DOCX file, 50.02 KB, Nursing Facility Bulletin 169: Updates to Nursing Facility Regulations: Preadmission Screening and Resident Review (PASRR) for Intellectual Disability, Developmental Disability, and Serious Mental Illness (English, DOCX 50.02 KB)

Open PDF file, 156.27 KB, Nursing Facility Bulletin 168: Minimum Data Set Requirements for MassHealth Nursing Facility Residents (English, PDF 156.27 KB)

Open DOCX file, 39.89 KB, Nursing Facility Bulletin 168: Minimum Data Set Requirements for MassHealth Nursing Facility Residents (English, DOCX 39.89 KB)

Open PDF file, 184.14 KB, Nursing Facility Bulletin 167: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, PDF 184.14 KB)

Open DOCX file, 38.9 KB, Nursing Facility Bulletin 167: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, DOCX 38.9 KB)

Open PDF file, 172.03 KB, Nursing Facility Bulletin 166: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (English, PDF 172.03 KB)

Open DOCX file, 31.72 KB, Nursing Facility Bulletin 166: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (English, DOCX 31.72 KB)

Open PDF file, 249.18 KB, Nursing Facility Bulletin 165: Claiming, Refund, and Reporting Requirements for Patient Paid Amount Retroactive Decreases for Residents of Nursing Facilities (English, PDF 249.18 KB)

Open DOCX file, 43.67 KB, Nursing Facility Bulletin 165: Claiming, Refund, and Reporting Requirements for Patient Paid Amount Retroactive Decreases for Residents of Nursing Facilities (English, DOCX 43.67 KB)

Open PDF file, 178.7 KB, Nursing Facility Bulletin 164: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, PDF 178.7 KB)

Open DOCX file, 45.96 KB, Nursing Facility Bulletin 164: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, DOCX 45.96 KB)

Open PDF file, 281.92 KB, Nursing Facility Bulletin 163: Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (English, PDF 281.92 KB)

Open DOCX file, 50.62 KB, Nursing Facility Bulletin 163: Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (English, DOCX 50.62 KB)

Open PDF file, 261.45 KB, Nursing Facility Bulletin 162: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, PDF 261.45 KB)

Open DOCX file, 54.32 KB, Nursing Facility Bulletin 162: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, DOCX 54.32 KB)

Open PDF file, 67.13 KB, Nursing Facility Bulletin 161: Termination of Coronavirus Disease 2019 (COVID-19) Isolated Spaces Program for Nursing Facilities (English, PDF 67.13 KB)

Open DOCX file, 39.27 KB, Nursing Facility Bulletin 161: Termination of Coronavirus Disease 2019 (COVID-19) Isolated Spaces Program for Nursing Facilities (English, DOCX 39.27 KB)

Open PDF file, 151.88 KB, Nursing Facility Bulletin 160: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Monoclonal Antibody Product Infusion administered by Nursing Facilities (English, PDF 151.88 KB)

Open DOCX file, 35.6 KB, Nursing Facility Bulletin 160: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Monoclonal Antibody Product Infusion administered by Nursing Facilities (English, DOCX 35.6 KB)

Open PDF file, 194.56 KB, Nursing Facility Bulletin 159: Updated Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (English, PDF 194.56 KB)

Open DOCX file, 48.04 KB, Nursing Facility Bulletin 159: Updated Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (English, DOCX 48.04 KB)

Open PDF file, 250.45 KB, Nursing Facility Bulletin 158: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, PDF 250.45 KB)

Open DOCX file, 40.44 KB, Nursing Facility Bulletin 158: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, DOCX 40.44 KB)

Open PDF file, 196.24 KB, Nursing Facility Bulletin 157: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, PDF 196.24 KB)

Open DOCX file, 44.92 KB, Nursing Facility Bulletin 157: Updated COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, DOCX 44.92 KB)

Open PDF file, 197.18 KB, Nursing Facility Bulletin 156: Updated Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (English, PDF 197.18 KB)

Open DOCX file, 59.26 KB, Nursing Facility Bulletin 156: Updated Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (English, DOCX 59.26 KB)

Open PDF file, 295.65 KB, Nursing Facility Bulletin 155: Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (English, PDF 295.65 KB)

Open DOCX file, 50.86 KB, Nursing Facility Bulletin 155: Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities (English, DOCX 50.86 KB)

Open PDF file, 278.14 KB, Nursing Facility Bulletin 154: Updated Room Density Reporting and Planning for Nursing Facilities (English, PDF 278.14 KB)

Open DOCX file, 39.62 KB, Nursing Facility Bulletin 154: Updated Room Density Reporting and Planning for Nursing Facilities (English, DOCX 39.62 KB)

Open PDF file, 142.52 KB, Nursing Facility Bulletin 153: Deadline Extension for Reporting Room Density in Nursing Facilities (English, PDF 142.52 KB)

Open DOCX file, 32.89 KB, Nursing Facility Bulletin 153: Deadline Extension for Reporting Room Density in Nursing Facilities (English, DOCX 32.89 KB)

Open PDF file, 192.23 KB, Nursing Facility Bulletin 152: COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, PDF 192.23 KB)

Open DOCX file, 43.92 KB, Nursing Facility Bulletin 152: COVID-19 Ongoing Surveillance Testing Requirements for Nursing Facilities (English, DOCX 43.92 KB)

Open PDF file, 267.64 KB, Nursing Facility Bulletin 151: Room Density Reporting and Planning for Nursing Facilities (English, PDF 267.64 KB)

Open DOCX file, 37.92 KB, Nursing Facility Bulletin 151: Room Density Reporting and Planning for Nursing Facilities (English, DOCX 37.92 KB)

Open PDF file, 186.82 KB, Nursing Facility Bulletin 150: Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (English, PDF 186.82 KB)

Open DOCX file, 51.59 KB, Nursing Facility Bulletin 150: Coronavirus Disease 2019 (COVID-19) Isolated Spaces for Nursing Facilities (English, DOCX 51.59 KB)

Open PDF file, 167.79 KB, Nursing Facility Bulletin 149: Family Assistance Coverage Expansion for Nursing Facility Services (English, PDF 167.79 KB)

Open DOCX file, 30.25 KB, Nursing Facility Bulletin 149: Family Assistance Coverage Expansion for Nursing Facility Services (English, DOCX 30.25 KB)

Open PDF file, 166.38 KB, Nursing Facility Bulletin 148: COVID-19 Baseline and Surveillance Testing Requirements for Nursing Facilities (English, PDF 166.38 KB)

Open DOCX file, 39.03 KB, Nursing Facility Bulletin 148: COVID-19 Baseline and Surveillance Testing Requirements for Nursing Facilities (English, DOCX 39.03 KB)

Open PDF file, 210.13 KB, Nursing Facility Bulletin 147: Signing Bonuses for Nursing Facility Staff (English, PDF 210.13 KB)

Open DOCX file, 56.18 KB, Nursing Facility Bulletin 147: Signing Bonuses for Nursing Facility Staff (English, DOCX 56.18 KB)

Open PDF file, 163.29 KB, Nursing Facility Bulletin 146: COVID-19 Baseline Testing Requirements for Nursing Facilities (English, PDF 163.29 KB)

Open DOCX file, 44.31 KB, Nursing Facility Bulletin 146: COVID-19 Baseline Testing Requirements for Nursing Facilities (English, DOCX 44.31 KB)

Open PDF file, 264.67 KB, Nursing Facility Bulletin 145: Infection Control Competencies and Expectations for Nursing Facilities (English, PDF 264.67 KB)

Open DOCX file, 53.29 KB, Nursing Facility Bulletin 145: Infection Control Competencies and Expectations for Nursing Facilities (English, DOCX 53.29 KB)

Open PDF file, 336.88 KB, Nursing Facility Bulletin 144: Isolated Spaces for Nursing Facility Residents with a Positive Coronavirus Disease 2019 (COVID-19) Diagnosis (English, PDF 336.88 KB)

Open DOCX file, 38.46 KB, Nursing Facility Bulletin 144: Isolated Spaces for Nursing Facility Residents with a Positive Coronavirus Disease 2019 (COVID-19) Diagnosis (English, DOCX 38.46 KB)

Open PDF file, 199.42 KB, Nursing Facility Bulletin 143: Updates to Nursing Facility Regulations: Preadmission Screening and Resident Review (PASRR) for Intellectual Disability, Developmental Disability, and/or Serious Mental Illness (English, PDF 199.42 KB)

Open DOCX file, 56.13 KB, Nursing Facility Bulletin 143: Updates to Nursing Facility Regulations: Preadmission Screening and Resident Review (PASRR) for Intellectual Disability, Developmental Disability, and/or Serious Mental Illness (English, DOCX 56.13 KB)

Open PDF file, 163.63 KB, Nursing Facility Bulletin 142: Nursing Facility Provider Requirements for Comprehensive Care Planning, Quality of Life and Care, and Providing Services in Anticipation of Discharge (English, PDF 163.63 KB)

Open DOCX file, 37.46 KB, Nursing Facility Bulletin 142: Nursing Facility Provider Requirements for Comprehensive Care Planning, Quality of Life and Care, and Providing Services in Anticipation of Discharge (English, DOCX 37.46 KB)

Open PDF file, 128.93 KB, Nursing Facility Bulletin 141: Updates to Nursing Facility Regulations: Preadmission Screening and Resident Review (PASRR) for Intellectual Disability, Developmental Disability, and/or Serious Mental Illness [Superseded by Nursing Facility Bulletin 143] (English, PDF 128.93 KB)

Open DOCX file, 204.8 KB, Nursing Facility Bulletin 141: Updates to Nursing Facility Regulations: Preadmission Screening and Resident Review (PASRR) for Intellectual Disability, Developmental Disability, and/or Serious Mental Illness [Superseded by Nursing Facility Bulletin 143] (English, DOCX 204.8 KB)

Open PDF file, 352.33 KB, Nursing Facility Bulletin 140: Nursing Facility Pay for Performance Program for Fiscal Year 2016 (English, PDF 352.33 KB)

Open DOC file, 250.5 KB, Nursing Facility Bulletin 140: Nursing Facility Pay for Performance Program for Fiscal Year 2016 (English, DOC 250.5 KB)

Open PDF file, 118.78 KB, Nursing Facility Bulletin 139: Inclusion of Observation Stays in Medical Leave of Absence (MLOA) Days (English, PDF 118.78 KB)

Open DOC file, 111 KB, Nursing Facility Bulletin 139: Inclusion of Observation Stays in Medical Leave of Absence (MLOA) Days (English, DOC 111 KB)

Open PDF file, 118.27 KB, Nursing Facility Bulletin 138: Increase in Medical Leave-of-Absence (MLOA) Days (English, PDF 118.27 KB)

Open DOC file, 41.5 KB, Nursing Facility Bulletin 138: Increase in Medical Leave-of-Absence (MLOA) Days (English, DOC 41.5 KB)

Open PDF file, 205.12 KB, Nursing Facility Bulletin 137: Nursing Facility Pay for Performance Program for Fiscal Year 2014 (English, PDF 205.12 KB)

Open DOC file, 529.5 KB, Nursing Facility Bulletin 137: Nursing Facility Pay for Performance Program for Fiscal Year 2014 (English, DOC 529.5 KB)

Open PDF file, 116.41 KB, Nursing Facility Bulletin 136: Centralization of Receipt of Senior Medical Benefit Request Forms for Individuals Residing in and Entering a Long-Term-Care Facility (English, PDF 116.41 KB)

Open TXT file, 4 KB, Nursing Facility Bulletin 136: Centralization of Receipt of Senior Medical Benefit Request Forms for Individuals Residing in and Entering a Long-Term-Care Facility (English, TXT 4 KB)

Open PDF file, 883.24 KB, Nursing Facility Bulletin 135: Updates to Nursing Facility Pay for Performance (NF P4P) Program for Fiscal Year (FY) 2013 (English, PDF 883.24 KB)

Open TXT file, 41.93 KB, Nursing Facility Bulletin 135: Updates to Nursing Facility Pay for Performance (NF P4P) Program for Fiscal Year (FY) 2013 (English, TXT 41.93 KB)

Open PDF file, 755.42 KB, Nursing Facility Bulletin 134: Nursing Facility Pay for Performance (NF P4P) Program for Fiscal Year (FY) 2013 (English, PDF 755.42 KB)

Open TXT file, 41.69 KB, Nursing Facility Bulletin 134: Nursing Facility Pay for Performance (NF P4P) Program for Fiscal Year (FY) 2013 (English, TXT 41.69 KB)

Open PDF file, 68.08 KB, Nursing Facility Bulletin 133: Update to Third-Party-Liability Claim Submissions (English, PDF 68.08 KB)

Open TXT file, 6.09 KB, Nursing Facility Bulletin 133: Update to Third-Party-Liability Claim Submissions (English, TXT 6.09 KB)

Open PDF file, 401.6 KB, Nursing Facility Bulletin 132: Reestablishment of the Nursing Facility Pay for Performance (NF P4P) Program (English, PDF 401.6 KB)

Open TXT file, 12.36 KB, Nursing Facility Bulletin 132: Reestablishment of the Nursing Facility Pay for Performance (NF P4P) Program (English, TXT 12.36 KB)

Open PDF file, 123.75 KB, Nursing Facility Bulletin 131: Administrative Annual Review Process for Certain MassHealth Members Residing in Nursing Facilities (English, PDF 123.75 KB)

Open TXT file, 12.29 KB, Nursing Facility Bulletin 131: Administrative Annual Review Process for Certain MassHealth Members Residing in Nursing Facilities (English, TXT 12.29 KB)

Open PDF file, 64.75 KB, Nursing Facility Bulletin 130: Nursing Facility Resident Census Data Collection (English, PDF 64.75 KB)

Open TXT file, 2.09 KB, Nursing Facility Bulletin 130: Nursing Facility Resident Census Data Collection (English, TXT 2.09 KB)

Open PDF file, 112.22 KB, Nursing Facility Bulletin 129: MassHealth Nursing Facility Pay-for-Performance Program (English, PDF 112.22 KB)

Open TXT file, 18.43 KB, Nursing Facility Bulletin 129: MassHealth Nursing Facility Pay-for-Performance Program (English, TXT 18.43 KB)

Open PDF file, 111.49 KB, Nursing Facility Bulletin 128: Revision to Level I Preadmission Screening (PAS) Form-Correction (English, PDF 111.49 KB)

Open TXT file, 8.3 KB, Nursing Facility Bulletin 128: Revision to Level I Preadmission Screening (PAS) Form-Correction (English, TXT 8.3 KB)

Open PDF file, 111.19 KB, Nursing Facility Bulletin 127: Revision to Level I Preadmission Screening (PAS) Form (English, PDF 111.19 KB)

Open RTF file, 430.06 KB, Nursing Facility Bulletin 127: Revision to Level I Preadmission Screening (PAS) Form (English, RTF 430.06 KB)

Open PDF file, 128.73 KB, Nursing Facility Bulletin 126: Reinstatement of Payment For Medical Leave-of-Absence (MLOA) and Non-Medical-Leave-of-Absence (NMLOA) Days (English, PDF 128.73 KB)

Open RTF file, 4.01 MB, Nursing Facility Bulletin 126: Reinstatement of Payment For Medical Leave-of-Absence (MLOA) and Non-Medical-Leave-of-Absence (NMLOA) Days (English, RTF 4.01 MB)

Open PDF file, 43.25 KB, Nursing Facility Bulletin 125: Revisions to the Nursing Facility Preadmission Process (English, PDF 43.25 KB)

Open RTF file, 4.01 MB, Nursing Facility Bulletin 125: Revisions to the Nursing Facility Preadmission Process (English, RTF 4.01 MB)

Open PDF file, 124.98 KB, Nursing Facility Bulletin 124: Electronic Claim Submissions for Members with Medicare and Commercial Insurance (English, PDF 124.98 KB)

Open RTF file, 69.8 KB, Nursing Facility Bulletin 124: Electronic Claim Submissions for Members with Medicare and Commercial Insurance (English, RTF 69.8 KB)

Open PDF file, 246.33 KB, Nursing Facility Bulletin 123: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, PDF 246.33 KB)

Open RTF file, 54.39 KB, Nursing Facility Bulletin 123: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, RTF 54.39 KB)

Open PDF file, 39.66 KB, Nursing Facility Bulletin 122: Appeal Rights of Nursing Facility Residents Booklet (English, PDF 39.66 KB)

Open DOCX file, 11.78 KB, Nursing Facility Bulletin 122: Appeal Rights of Nursing Facility Residents Booklet (English, DOCX 11.78 KB)

Open PDF file, 302.04 KB, Nursing Facility Bulletin 121: Revision of Forms: Level I PAS (Preadmission Screening), and Request for Services (English, PDF 302.04 KB)

Open RTF file, 73.5 KB, Nursing Facility Bulletin 121: Revision of Forms: Level I PAS (Preadmission Screening), and Request for Services (English, RTF 73.5 KB)

Open PDF file, 159.19 KB, Nursing Facility Bulletin 120: Handling Schedule VI Medications in Nursing Facilities (English, PDF 159.19 KB)

Open RTF file, 21.64 KB, Nursing Facility Bulletin 120: Handling Schedule VI Medications in Nursing Facilities (English, RTF 21.64 KB)

Open PDF file, 77.15 KB, Nursing Facility Bulletin 119: Administrative Simplification Electronic Submission of Management Minutes Questionnaire (MMQ) Data (English, PDF 77.15 KB)

Open RTF file, 67.67 KB, Nursing Facility Bulletin 119: Administrative Simplification Electronic Submission of Management Minutes Questionnaire (MMQ) Data (English, RTF 67.67 KB)

Open PDF file, 76.91 KB, Nursing Facility Bulletin 118: Revision to Nursing Facility Pre-Admission Screening and Annual Resident Review (PASARR) Process and Reporting Requirements (English, PDF 76.91 KB)

Open TXT file, 5.7 KB, Nursing Facility Bulletin 118: Revision to Nursing Facility Pre-Admission Screening and Annual Resident Review (PASARR) Process and Reporting Requirements (English, TXT 5.7 KB)

Open PDF file, 18.7 KB, Nursing Facility Bulletin 117: Changes in the Long Term Care Assessment Form (English, PDF 18.7 KB)

Open TXT file, 2.29 KB, Nursing Facility Bulletin 117: Changes in the Long Term Care Assessment Form (English, TXT 2.29 KB)

Open PDF file, 74.1 KB, Nursing Facility Bulletin 116: Revisions to the Notification of Clinical Eligibility for Nursing-Facility Services (English, PDF 74.1 KB)

Open RTF file, 18.72 KB, Nursing Facility Bulletin 116: Revisions to the Notification of Clinical Eligibility for Nursing-Facility Services (English, RTF 18.72 KB)

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