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MassHealth provider bulletins by provider type O - P

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

Orthotic Provider Bulletin 8: E-Signature policy for DME, OXY, PRT, and ORT MassHealth Medical Necessity Review Forms (English, PDF 138.33 KB)
Orthotic Provider Bulletin 8: E-Signature policy for DME, OXY, PRT, and ORT MassHealth Medical Necessity Review Forms (English, DOCX 42.52 KB)
Orthotics Bulletin 7: Prior Authorization, Prescription Attestations, and Detailed Written Orders (English, PDF 70.33 KB)
Orthotics Bulletin 7: Prior Authorization, Prescription Attestations, and Detailed Written Orders (English, DOCX 35.25 KB)
Orthotics Bulletin 6: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, PDF 166.85 KB)
Orthotics Bulletin 6: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, DOC 116 KB)

Oxygen Provider Bulletins

Oxygen and Respiratory Therapy Equipment Bulletin 27: Potential UPS-Strike-Related Administrative Flexibilities for Oxygen and Respiratory Equipment and Supply Providers (Additional Shipment of Supplies and Prior Authorization Extension) (English, PDF 130.14 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 27: Potential UPS-Strike-Related Administrative Flexibilities for Oxygen and Respiratory Equipment and Supply Providers (Additional Shipment of Supplies and Prior Authorization Extension) (English, DOCX 31.28 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 26: COVID-19 Flexibilities after the End of the Federal Public Health (English, PDF 203.78 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 26: COVID-19 Flexibilities after the End of the Federal Public Health (English, DOCX 34.83 KB)
Oxygen and Respiratory Therapy Provider Bulletin 25: E-Signature policy for DME, OXY, PRT and ORT MassHealth Medical Necessity Review Forms (English, PDF 139.93 KB)
Oxygen and Respiratory Therapy Provider Bulletin 25: E-Signature policy for DME, OXY, PRT and ORT MassHealth Medical Necessity Review Forms (English, DOCX 42.39 KB)
Durable Medical Equipment 30/Oxygen and Respiratory Therapy Bulletin 24: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 141.26 KB)
Durable Medical Equipment 30/Oxygen and Respiratory Therapy Bulletin 24: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 29.03 KB)
Durable Medical Equipment 29/Oxygen and Respiratory Therapy Bulletin 23: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 150.65 KB)
Durable Medical Equipment 29/Oxygen and Respiratory Therapy Bulletin 23: Extension of Rate Increases and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 36.17 KB)
Durable Medical Equipment Bulletin 28/Oxygen and Respiratory Therapy Bulletin 22: Adoption of Premium Performance Specifications for Absorbent Products and Update for Absorbent Products Prior Authorization Process (English, PDF 211.93 KB)
Durable Medical Equipment Bulletin 28/Oxygen and Respiratory Therapy Bulletin 22: Adoption of Premium Performance Specifications for Absorbent Products and Update for Absorbent Products Prior Authorization Process (English, DOCX 46.72 KB)
Durable Medical Equipment Bulletin 27/ Oxygen and Respiratory Therapy Bulletin 21: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 124.98 KB)
Durable Medical Equipment Bulletin 27/ Oxygen and Respiratory Therapy Bulletin 21: Rate Increases and Reporting Requirements for Certain Home-and-Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 39.34 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 20: COVID-19 Related Administrative Flexibilities for Oxygen and Respiratory Therapy Equipment Providers - Extension (English, PDF 174.57 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 20: COVID-19 Related Administrative Flexibilities for Oxygen and Respiratory Therapy Equipment Providers - Extension (English, DOCX 34.04 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 19: COVID-19 Related Administrative Flexibilities for Oxygen and Respiratory Therapy Equipment Providers (English, PDF 187.97 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 19: COVID-19 Related Administrative Flexibilities for Oxygen and Respiratory Therapy Equipment Providers (English, DOCX 33.2 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 18: Revised Process for Requesting Coverage of Direct Service Components RE1 through RE23 (RE Units) (English, PDF 139.74 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 18: Revised Process for Requesting Coverage of Direct Service Components RE1 through RE23 (RE Units) (English, DOCX 33.41 KB)
Durable Medical Equipment Bulletin 22/Oxygen and Respiratory Therapy Equipment Bulletin 17: Face-to-Face Encounter Requirements for Durable Medical Equipment and Oxygen and Respiratory Equipment (English, PDF 67.87 KB)
Durable Medical Equipment Bulletin 22/Oxygen and Respiratory Therapy Equipment Bulletin 17: Face-to-Face Encounter Requirements for Durable Medical Equipment and Oxygen and Respiratory Equipment (English, DOCX 36.54 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 16: New Policy for Home Use of Nebulizers (English, PDF 130.61 KB)
Oxygen and Respiratory Therapy Equipment Bulletin 16: New Policy for Home Use of Nebulizers (English, DOCX 105.83 KB)
Oxygen Bulletin 15: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, DOC 118.5 KB)
Oxygen Bulletin 15: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, PDF 67.12 KB)
Oxygen Bulletin 14: Clarification of Policy for Members’ Home Use of Nebulizers (English, PDF 51.96 KB)
Oxygen Bulletin 14: Clarification of Policy for Members’ Home Use of Nebulizers (English, TXT 3.35 KB)
Oxygen Bulletin 13: Clarification of Coverage of Formulas (Enteral-Nutrition Products) (English, TXT 6.53 KB)
Oxygen Bulletin 13: Clarification of Coverage of Formulas (Enteral-Nutrition Products) (English, PDF 72.42 KB)
Oxygen Bulletin 12: New Options for Required Accreditation (English, RTF 23.13 KB)
Oxygen Bulletin 12: New Options for Required Accreditation (English, PDF 125.14 KB)

Personal Care Attendant Provider Bulletins

Personal Care Attendant Program Bulletin 15: COVID-19 Flexibilities after the End of the Public Health Emergency (English, PDF 179.18 KB)
Personal Care Attendant Program Bulletin 15: COVID-19 Flexibilities after the End of the Public Health Emergency (English, DOCX 34.92 KB)
Personal Care Attendant Program Bulletin 14: Update on Initial Evaluation Requirements (English, PDF 117.79 KB)
Personal Care Attendant Program Bulletin 14: Update on Initial Evaluation Requirements (English, DOCX 31.5 KB)
Personal Care Attendant Program Bulletin 13: Enhanced Rates and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (English, PDF 149.67 KB)
Personal Care Attendant Program Bulletin 13: Enhanced Rates and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (English, DOCX 31.91 KB)
Personal Care Attendant Bulletin 12: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, PDF 134.67 KB)
Personal Care Attendant Bulletin 12: Spending and Reporting Requirements for Certain Home-and Community-Based Services Related to Section 9817 of the American Rescue Plan Act (English, DOCX 28.9 KB)
Personal Care Attendant Program Bulletin 11: Extension of Rate Increase and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (English, PDF 149.32 KB)
Personal Care Attendant Program Bulletin 11: Extension of Rate Increase and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (English, DOCX 37.54 KB)
Personal Care Attendant Bulletin 10: COVID-19-related Administrative Flexibilities for the Personal Care Attendant Program (English, PDF 205.99 KB)
Personal Care Attendant Bulletin 10: COVID-19-related Administrative Flexibilities for the Personal Care Attendant Program (English, DOCX 40.77 KB)
Personal Care Agency Bulletin 9: Extended MassHealth Telehealth Policy for Personal Care Management (PCM) Functions, Personal Care Attendant (PCA) Program, and New Telehealth Documentation Requirement (English, PDF 210.46 KB)
Personal Care Agency Bulletin 9: Extended MassHealth Telehealth Policy for Personal Care Management (PCM) Functions, Personal Care Attendant (PCA) Program, and New Telehealth Documentation Requirement (English, DOCX 35.31 KB)
Personal Care Agency Bulletin 8: Rate Increases and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (English, PDF 122.63 KB)
Personal Care Agency Bulletin 8: Rate Increases and Reporting Requirements for Personal Care Management Agencies Related to Section 9817 of the American Rescue Plan Act (English, DOCX 39.56 KB)
Personal Care Agency Bulletin 7: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, TXT 19.26 KB)
Personal Care Agency Bulletin 7: Administrative Review Process for Certain MassHealth Members Including Community Elders and Disabled Adults and Children (English, PDF 117.92 KB)
Personal Care Agency Bulletin 6: MassHealth Community Services Critical Incident Report Form (English, TXT 17.19 KB)
Personal Care Agency Bulletin 6: MassHealth Community Services Critical Incident Report Form (English, PDF 220.27 KB)
Personal Care Agency Bulletin 5: Clarification of MassHealth Personal Care Regulations (English, TXT 3.38 KB)
Personal Care Agency Bulletin 5: Clarification of MassHealth Personal Care Regulations (English, PDF 54.38 KB)
Personal Care Agency Bulletin 4: Changes to MassHealth Policy about the Provision of MassHealth Personal Care Attendant (PCA) Services to Hospice Members (English, TXT 8.98 KB)
Personal Care Agency Bulletin 4: Changes to MassHealth Policy about the Provision of MassHealth Personal Care Attendant (PCA) Services to Hospice Members (English, PDF 76.38 KB)
Personal Care Agency Bulletin 3: Temporary Emergency Personal Care Attendant (PCA) Services Plan (English, RTF 13.83 KB)
Personal Care Agency Bulletin 3: Temporary Emergency Personal Care Attendant (PCA) Services Plan (English, PDF 71.01 KB)

Pharmacy Provider Bulletins

Pharmacy Bulletin 73: Pharmacy Facts (English, RTF 426.53 KB)
Pharmacy Bulletin 73: Pharmacy Facts (English, PDF 44.96 KB)
Pharmacy Bulletin 72: Controlled Substances Management Program (English, RTF 41.84 KB)
Pharmacy Bulletin 72: Controlled Substances Management Program (English, PDF 148.29 KB)
Pharmacy Bulletin 71: Changes to Pharmacy Co-payments (English, RTF 34.03 KB)
Pharmacy Bulletin 71: Changes to Pharmacy Co-payments (English, PDF 262.39 KB)
Pharmacy Bulletin 70: Usual and Customary Care (English, RTF 21.53 KB)
Pharmacy Bulletin 70: Usual and Customary Care (English, PDF 120.69 KB)
Pharmacy Bulletin 69: On-line Submission of Pharmacy Claims (English, RTF 43.18 KB)
Pharmacy Bulletin 69: On-line Submission of Pharmacy Claims (English, PDF 130.33 KB)
Pharmacy Bulletin 68: Reference Chart re: Medications in Nursing Facilities (English, RTF 17.84 KB)
Pharmacy Bulletin 68: Reference Chart re: Medications in Nursing Facilities (English, PDF 157.02 KB)
Pharmacy Bulletin 67: Injectable and Infusible Drugs and Devices (English, RTF 30.64 KB)
Pharmacy Bulletin 67: Injectable and Infusible Drugs and Devices (English, PDF 76.71 KB)
Pharmacy Bulletin 66: Suspension of Pharmacy Bulletin 64 - PA for Sedative-Hypnotic Sleep Medications (English, TXT 3.93 KB)
Pharmacy Bulletin 66: Suspension of Pharmacy Bulletin 64 - PA for Sedative-Hypnotic Sleep Medications (English, PDF 49.05 KB)
Pharmacy Bulletin 65: Suspension of Pharmacy Bulletin 62 - Certain Brand-Name Multi-Source Drugs (English, TXT 1.98 KB)
Pharmacy Bulletin 65: Suspension of Pharmacy Bulletin 62 - Certain Brand-Name Multi-Source Drugs (English, PDF 44.9 KB)
Pharmacy Bulletin 64: Prior Authorization for Sedative-Hypnotic Sleep Medications (English, TXT 3.45 KB)
Pharmacy Bulletin 64: Prior Authorization for Sedative-Hypnotic Sleep Medications (English, PDF 43.51 KB)
Pharmacy Bulletin 63: Billing Pharmacy Claims for MassHealth Members with Third-Party Insurance (English, TXT 11.99 KB)
Pharmacy Bulletin 63: Billing Pharmacy Claims for MassHealth Members with Third-Party Insurance (English, PDF 60.67 KB)
Pharmacy Bulletin 62: Prior Authorization for Certain Brand-Name Products (English, TXT 1.67 KB)
Pharmacy Bulletin 62: Prior Authorization for Certain Brand-Name Products (PDF) (English, PDF 40.79 KB)
Pharmacy Bulletin 61: Pharmacy Claims with Third-Party Insurers (English, TXT 5.41 KB)
Pharmacy Bulletin 61: Pharmacy Claims with Third-Party Insurers (English, PDF 49.93 KB)
Pharmacy Bulletin 60: Obtaining Prior Authorization and Submitting Claims for Synagis (Palivizumab) (English, RTF 27.5 KB)
Pharmacy Bulletin 60: Obtaining Prior Authorization and Submitting Claims for Synagis (Palivizumab) (English, PDF 32.07 KB)
Pharmacy Bulletin 59: New Address for Prior Authorization Requests for Drugs (English, RTF 29.27 KB)
Pharmacy Bulletin 59: New Address for Prior Authorization Requests for Drugs (English, PDF 48.93 KB)
Pharmacy Bulletin 58: Prior Authorization for Celebrex in Dosages of 200 mg or More (English, RTF 28.27 KB)
Pharmacy Bulletin 58: Prior Authorization for Celebrex in Dosages of 200 mg or More (English, PDF 53.03 KB)

Physician Provider Bulletins

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

Podiatrist Provider Bulletins

Podiatrist Bulletin 16: Elimination of Life and Safety Requirement (English, PDF 49.16 KB)
Podiatrist Bulletin 16: Elimination of Life and Safety Requirement (English, TXT 2.12 KB)
Podiatrist Bulletin 15: Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, TXT 5.12 KB)
Podiatrist Bulletin 15: Healthcare Common Procedure Coding System (HCPCS) Coding Update (English, PDF 67.8 KB)
Podiatrist Bulletin 14: Elimination of Global Billing for Services with a Professional and a Technical Component (English, PDF 110.66 KB)
Podiatrist Bulletin 14: Elimination of Global Billing for Services with a Professional and a Technical Component (English, RTF 3.62 MB)
Podiatrist Bulletin 13: Administrative Simplification for Claims Requiring Attachments (English, RTF 35.79 KB)
Podiatrist Bulletin 13: Administrative Simplification for Claims Requiring Attachments (English, PDF 87.24 KB)
Podiatrist Bulletin 12: Controlled Substances Management Program (English, RTF 40.14 KB)
Podiatrist Bulletin 12: Controlled Substances Management Program (English, PDF 122.16 KB)
Podiatrist Bulletin 11: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, RTF 9.53 KB)
Podiatrist Bulletin 11: Elimination of PCC Referral Requirement for Clinical Laboratory Tests (English, PDF 82.22 KB)
Podiatry Bulletin 10: New Address for Prior Authorization Requests for Drugs (English, RTF 20.66 KB)
Podiatry Bulletin 10: New Address for Prior Authorization Requests for Drugs (English, PDF 110.15 KB)
Podiatrist Bulletin 9: Podiatry Services for Members Enrolled in MassHealth Managed Care Organizations (English, PDF 76.65 KB)
Podiatrist Bulletin 9: Podiatry Services for Members Enrolled in MassHealth Managed Care Organizations (English, RTF 13.5 KB)

Prescriber Provider Bulletins

Prescriber Bulletin 5: Suspension of Prescriber Bulletin 2 - PA for Sedative-Hypnotic Sleep Medications (English, TXT 1.96 KB)
Prescriber Bulletin 5: Suspension of Prescriber Bulletin 2 - PA for Sedative-Hypnotic Sleep Medications (English, PDF 56.42 KB)
Prescriber Bulletin 4: Suspension of Prescriber Bulletin 1 - Certain Brand-Name Multi-Source Drugs (English, TXT 1.97 KB)
Prescriber Bulletin 4: Suspension of Prescriber Bulletin 1 - Certain Brand-Name Multi-Source Drugs (English, PDF 57.79 KB)
Prescriber Bulletin 3: Pneumococcal Conjugate Vaccine (English, TXT 4.48 KB)
Prescriber Bulletin 3: Pneumococcal Conjugate Vaccine (English, PDF 70.11 KB)
Prescriber Bulletin 2: Prior Authorization for Sedative-Hypnotic Sleep Medications (English, TXT 3.58 KB)
Prescriber Bulletin 2: Prior Authorization for Sedative-Hypnotic Sleep Medications (English, PDF 65.18 KB)
Prescriber Bulletin 1: Prior Authorization for Certain Brand-Name Products (English, TXT 1.81 KB)
Prescriber Bulletin 1: Prior Authorization for Certain Brand-Name Products (English, PDF 19.57 KB)

Primary Care Clinician Provider Bulletins

Primary Care Clinician Bulletin 1: PCC Registration and Multiple-Site Linking for the Provider Online Service Center (English, PDF 60.73 KB)
Primary Care Clinician Bulletin 1: PCC Registration and Multiple-Site Linking for the Provider Online Service Center (English, TXT 6.04 KB)

Prosthetics Provider Bulletins

Prosthetic Provider Bulletin 12: E-Signature policy for DME, OXY, PRT and ORT MassHealth Medical Necessity Review Forms (English, PDF 138 KB)
Prosthetic Provider Bulletin 12: E-Signature policy for DME, OXY, PRT and ORT MassHealth Medical Necessity Review Forms (English, DOCX 42.42 KB)
Prosthetics Provider Bulletin 11: Updates to MassHealth Policy for Prescription Requirements: Implementation of Detailed Written Order Process (English, PDF 66.69 KB)
Prosthetics Provider Bulletin 11: Updates to MassHealth Policy for Prescription Requirements: Implementation of Detailed Written Order Process (English, DOCX 37.92 KB)
Prosthetics Provider Bulletin 10: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, PDF 146.86 KB)
Prosthetics Provider Bulletin 10: Dual Eligible MassHealth Members: Coordination of Medicare and Medicaid Coverage (English, DOC 116 KB)

Psychiatric Inpatient Hospital Provider Bulletins

Psychiatric Inpatient Hospital Bulletin 27: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (English, PDF 319.32 KB)
Psychiatric Inpatient Hospital Bulletin 27: Discharge Planning to Support Members Experiencing or at Risk of Homelessness (English, DOCX 54.04 KB)
Psychiatric Inpatient Hospital Bulletin 26: Limited Modification and Extension of Financial Support for Certain DMH-Licensed Psychiatric Hospitals in Response to the COVID-19 Pandemic (English, PDF 199.23 KB)
Psychiatric Inpatient Hospital Bulletin 26: Limited Modification and Extension of Financial Support for Certain DMH-Licensed Psychiatric Hospitals in Response to the COVID-19 Pandemic (English, DOCX 33.94 KB)
Psychiatric Hospital Bulletin 25: Financial Support for DMH-Licensed Psychiatric Hospitals in Response to the COVID-19 Pandemic (English, PDF 219.39 KB)
Psychiatric Hospital Bulletin 25: Financial Support for DMH-Licensed Psychiatric Hospitals in Response to the COVID-19 Pandemic (English, DOCX 40.04 KB)
Psychiatric Inpatient Hospital Bulletin 24: Improving Treatment for Substance Use Disorders (English, TXT 7.05 KB)
Psychiatric Inpatient Hospital Bulletin 24: Improving Treatment for Substance Use Disorders (English, PDF 121.23 KB)
Psychiatric Inpatient Hospital Bulletin 23: Annual Accounting for Personal Needs Allowances (PNA) (English, TXT 3.47 KB)
Psychiatric Inpatient Hospital Bulletin 23: Annual Accounting for Personal Needs Allowances (PNA) (English, PDF 57.04 KB)
Psychiatric Inpatient Hospital Bulletin 22: Revisions to the Nursing Facility Preadmission Process (English, RTF 4.01 MB)
Psychiatric Inpatient Hospital Bulletin 22: Revisions to the Nursing Facility Preadmission Process (English, PDF 125.69 KB)
Psychiatric Inpatient Hospital Bulletin 21: Electronic Claim Submissions for Members with Medicare and Commercial Insurance (English, RTF 66.59 KB)
Psychiatric Inpatient Hospital Bulletin 21: Electronic Claim Submissions for Members with Medicare and Commercial Insurance (English, PDF 124.29 KB)
Psychiatric Inpatient Hospital Bulletin 20: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, RTF 42.76 KB)
Psychiatric Inpatient Hospital Bulletin 20: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, PDF 45.47 KB)
Psychiatric Inpatient Hospital Bulletin 19: Changes in Clinical Assessment Forms (English, RTF 40.58 KB)
Psychiatric Inpatient Hospital Bulletin 19: Changes in Clinical Assessment Forms (English, PDF 290.6 KB)
Psychiatric Inpatient Hospital Bulletin 18: Psychiatric Inpatient Hospital Services for Eligible MassHealth Members Ages 2 through 64 - Not Enrolled in Managed Care (English, RTF 22.2 KB)
Psychiatric Inpatient Hospital Bulletin 18: Psychiatric Inpatient Hospital Services for Eligible MassHealth Members Ages 2 through 64 - Not Enrolled in Managed Care (English, PDF 72.65 KB)

Psychiatric Outpatient Hospital Provider Bulletins

Psychiatric Outpatient Hospital Bulletin 4: Improving Treatment for Substance Use Disorders (English, TXT 7.05 KB)
Psychiatric Outpatient Hospital Bulletin 4: Improving Treatment for Substance Use Disorders (English, PDF 121.27 KB)
Psychiatric Outpatient Hospital Bulletin 3: Return of Overpayments - Medicare Crossover Claims for Outpatient Hospital Services (English, PDF 52.84 KB)
Psychiatric Outpatient Hospital Bulletin 3: Return of Overpayments - Medicare Crossover Claims for Outpatient Hospital Services (English, RTF 4.54 MB)
Psychiatric Outpatient Hospital Bulletin 2: Clarification of Provider Manuals (English, PDF 67.34 KB)
Psychiatric Outpatient Hospital Bulletin 2: Clarification of Provider Manuals (English, TXT 3.48 KB)
Psychiatric Outpatient Hospital Bulletin 1: Admission Hour Required on All Psychiatric Outpatient Hospital Claims (English, TXT 1.98 KB)
Psychiatric Outpatient Hospital Bulletin 1: Admission Hour Required on All Psychiatric Outpatient Hospital Claims (English, PDF 64.42 KB)

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