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MassHealth transmittal letters by provider type D - H

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Day Habilitation

DH-30: Revised Service Codes and Descriptions (English, PDF 265 KB)
DH-30: Revised Service Codes and Descriptions (English, DOCX 91.74 KB)
DH-29: Revised Service Codes and Descriptions (English, PDF 186.22 KB)
DH-29: Revised Service Codes and Descriptions (English, DOC 104.5 KB)
DH-28: Revised Regulations (English, PDF 377.12 KB)
DH-28: Revised Regulations (English, DOCX 125.9 KB)
DH-27: Revised Regulation (English, PDF 413.24 KB)
DH-27: Revised Regulation (English, DOCX 219.29 KB)
DHP-26: Revised Billing Instructions (English, PDF 134.43 KB)
DHP-26: Revised Billing Instructions (English, TXT 14.81 KB)
DHP-25: Revisions to the Day Habilitation Program Manual (English, PDF 242.34 KB)
DHP-25: Revisions to the Day Habilitation Program Manual (English, TXT 64.06 KB)
DHP-24: Revisions to Service Codes and Descriptions (English, PDF 138.78 KB)
DHP-24: Revisions to Service Codes and Descriptions (English, RTF 84.1 KB)

Dental

DEN-113: Updates to Subchapter 6 (English, PDF 450.62 KB)
DEN-113: Updates to Subchapter 6 (English, DOCX 18.12 KB)
DEN-112: Updates to Subchapter 6 (English, PDF 339.8 KB)
DEN-112: Updates to Subchapter 6 (English, DOCX 20.18 KB)
DEN-111: Dental Manual (Updates to 130 CMR 420.000, Subchapter 6, Appendix D, and Appendix F) (English, PDF 137.03 KB)
DEN-111: Dental Manual (Updates to 130 CMR 420.000, Subchapter 6, Appendix D, and Appendix F) (English, DOCX 20.25 KB)
DEN-110: 2021 Updates to Subchapter 6 (English, PDF 973.77 KB)
DEN-110: 2021 Updates to Subchapter 6 (English, DOCX 18.02 KB)
DEN-109: Expanded Coverage of Adult Dental Benefits (English, PDF 842.83 KB)
DEN-109: Expanded Coverage of Adult Dental Benefits (English, DOCX 17.93 KB)
DEN-108: Revised Appendix D (English, PDF 110.88 KB)
DEN-108: Revised Appendix D (English, DOCX 100.72 KB)
DEN-107: Revision to the Subchapter 6 (English, PDF 145.43 KB)
DEN-107: Revision to the Subchapter 6 (English, DOCX 19.86 KB)
DEN-106: Updates to Appendix D (English, PDF 302.39 KB)
DEN-106: Updates to Appendix D (English, DOCX 126.24 KB)
DEN-105: Revision to the Subchapter 6 (English, PDF 147.37 KB)
DEN-105: Revision to the Subchapter 6 (English, DOCX 19.87 KB)
DEN-104: Revised Appendix D (English, PDF 269.25 KB)
DEN-104: Revised Appendix D (English, DOCX 163.74 KB)
DEN-103: Update to Subchapter 6 (English, PDF 197.73 KB)
DEN-103: Update to Subchapter 6 (English, DOCX 34.69 KB)
DEN-102: Updates to 130 CMR 420.000 and Subchapter 6 (English, PDF 113.28 KB)
DEN-102: Updates to 130 CMR 420.000 and Subchapter 6 (English, DOCX 19.83 KB)
DEN-101: Revised Service Codes (English, PDF 82.07 KB)
DEN-101: Revised Service Codes (English, DOCX 19.71 KB)
DEN-100: Updates to 130 CMR 420.000: Dental Services (English, PDF 108.85 KB)
DEN-100: Updates to 130 CMR 420.000: Dental Services (English, DOCX 19.68 KB)
DEN-99: Orthodontic Treatment Visits (English, PDF 81.78 KB)
DEN-99: Orthodontic Treatment Visits (English, DOCX 19.86 KB)
DEN-98: Orthodontic Treatment Visits (English, PDF 81.74 KB)
DEN-98: Orthodontic Treatment Visits (English, DOCX 19.82 KB)
DEN-97: Updates to 130 CMR 420.000: Dental Services, Subchapter 6, and new Appendices E and F (English, PDF 86.68 KB)
DEN-97: Updates to 130 CMR 420.000: Dental Services, Subchapter 6, and new Appendices E and F (English, DOCX 19.92 KB)
DEN-96: Revised Appendix D (English, PDF 181.94 KB)
DEN-96: Revised Appendix D (English, DOC 194.5 KB)
DEN-95: Revised Service Codes (English, PDF 82.39 KB)
DEN-95: Revised Service Codes (English, DOCX 19.93 KB)
DEN-94: Revised Appendix G (English, PDF 223.34 KB)
DEN-94: Revised Appendix G (English, DOC 303 KB)
DEN-93: Revised Service Codes (English, PDF 82.46 KB)
DEN-93: Revised Service Codes (English, DOCX 19.88 KB)
DEN-92: Revised Regulations and Service Codes (English, PDF 83.25 KB)
DEN-92: Revised Regulations and Service Codes (English, DOCX 19.88 KB)
DEN-91: Revised Regulations about Dental Sealants (English, PDF 63.32 KB)
DEN-91: Revised Regulations about Dental Sealants (English, TXT 8.56 KB)
DEN-90: Revised Regulations and Updates to Service Codes (English, PDF 83.97 KB)
DEN-90: Revised Regulations and Updates to Service Codes (English, DOCX 21.22 KB)
DEN-89: Corrections to Service Codes (English, PDF 84.02 KB)
DEN-89: Corrections to Service Codes (English, DOCX 21.27 KB)
DEN-88: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, PDF 85.12 KB)
DEN-88: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, DOCX 21.3 KB)
DEN-87: Addition of New Service Codes, Revised Orthodontic Form, Dental Policy Clarifications, and Reminders for Covered Services and Conditions of Payment (English, PDF 85.78 KB)
DEN-87: Addition of New Service Codes, Revised Orthodontic Form, Dental Policy Clarifications, and Reminders for Covered Services and Conditions of Payment (English, DOCX 21.35 KB)
DEN-86: Correction to Service Code and Description for D1351 (English, PDF 86.36 KB)
DEN-86: Correction to Service Code and Description for D1351 (English, DOCX 21.24 KB)
DEN-85: Revisions to the MassHealth Dental Program (English, PDF 86.27 KB)
DEN-85: Revisions to the MassHealth Dental Program (English, DOCX 21.29 KB)
DEN-84: Revisions to the MassHealth Dental Program (English, PDF 86.59 KB)
DEN-84: Revisions to the MassHealth Dental Program (English, DOCX 21.33 KB)
DEN-83: Revisions to Dental Regulations and Service Codes and Descriptions (English, PDF 86.65 KB)
DEN-83: Revisions to Dental Regulations and Service Codes and Descriptions (English, DOCX 21.37 KB)
DEN-82: Appendix G (English, PDF 122.98 KB)
DEN-82: Appendix G (English, TXT 3.91 KB)
DEN-81: Revisions to Dental Regulations and Service Codes and Descriptions (English, PDF 86.66 KB)
DEN-81: Revisions to Dental Regulations and Service Codes and Descriptions (English, DOCX 21.44 KB)
DEN-80: Revisions to Dental Regulations and Service Codes and Descriptions (English, PDF 86.65 KB)
DEN-80: Revisions to Dental Regulations and Service Codes and Descriptions (English, DOCX 21.34 KB)
DEN-79: Revisions to Service Codes and Descriptions (English, PDF 86.33 KB)
DEN-79: Revisions to Service Codes and Descriptions (English, DOCX 21.42 KB)
DEN-78: Revisions to Regulations about Medicare Part D (English, PDF 174.8 KB)
DEN-78: Revisions to Regulations about Medicare Part D (English, TXT 69.47 KB)
DEN-77: Coverage of Dental Services for Members Aged 21 Years or Older (English, PDF 86.6 KB)
DEN-77: Coverage of Dental Services for Members Aged 21 Years or Older (English, DOCX 21.36 KB)
DEN-76: Revised Regulations About New Tobacco Cessation Services (English, PDF 83.06 KB)
DEN-76: Revised Regulations About New Tobacco Cessation Services (English, TXT 18.86 KB)
DEN-75: Revision to Regulations About Medicare Part D (English, PDF 98.12 KB)
DEN-75: Revision to Regulations About Medicare Part D (English, TXT 21.57 KB)
DEN-74: Revised Dental Regulations and Service Codes (English, PDF 86.61 KB)
DEN-74: Revised Dental Regulations and Service Codes (English, DOCX 21.38 KB)
DEN-73: Coverage of Comprehensive Dental Benefits for Pregnant Women and for Mothers with a Child Under the Age of Three Years (English, PDF 86.7 KB)
DEN-73: Coverage of Comprehensive Dental Benefits for Pregnant Women and for Mothers with a Child Under the Age of Three Years (English, DOCX 21.46 KB)
DEN-72: Revised Pharmacy Services Regulations (English, PDF 313.44 KB)
DEN-72: Revised Pharmacy Services Regulations (English, TXT 24.79 KB)
DEN-71: Elimination of Prior Authorization and Reduction of Limitations for Certain Service Codes (English, PDF 86.73 KB)
DEN-71: Elimination of Prior Authorization and Reduction of Limitations for Certain Service Codes (English, DOCX 21.48 KB)
DEN-70: Revision to Service Limitations (English, PDF 64.54 KB)
DEN-70: Revision to Service Limitations (English, RTF 4.03 MB)
DEN-69: 2005 HCPCS (English, PDF 86.42 KB)
DEN-69: 2005 HCPCS (English, DOCX 21.41 KB)
DEN-68: Revised Pharmacy Services Regulations (English, PDF 253.66 KB)
DEN-68: Revised Pharmacy Services Regulations (English, TXT 1.58 KB)
DEN-67: Revised Nonlegend Drug List (English, PDF 186.57 KB)
DEN-67: Revised Nonlegend Drug List (English, TXT 3.68 KB)
DEN-66: 2004 HCPCS (English, PDF 86.48 KB)
DEN-66: 2004 HCPCS (English, DOCX 21.46 KB)
DEN-65: Revised Nonlegend Drug List (English, PDF 173.24 KB)
DEN-65: Revised Nonlegend Drug List (English, RTF 128.7 KB)
DEN-64: Revised Regulations about Pharmacy Services (English, PDF 233.96 KB)
DEN-64: Revised Regulations about Pharmacy Services (English, RTF 239.34 KB)
DEN-63: 2003 HCPCS (English, PDF 86.48 KB)
DEN-63: 2003 HCPCS (English, DOCX 21.48 KB)
DEN-62: Age Limitations for Dentures and Revised Regulations and Service Codes and Descriptions (English, PDF 86.71 KB)
DEN-62: Age Limitations for Dentures and Revised Regulations and Service Codes and Descriptions (English, DOCX 21.52 KB)
DEN-61: Dental HCPCS (English, PDF 86.46 KB)
DEN-61: Dental HCPCS (English, DOCX 21.43 KB)
DEN-60: Revisions to Subchapter 6 Service Codes and Descriptions (English, PDF 86.34 KB)
DEN-60: Revisions to Subchapter 6 Service Codes and Descriptions (English, DOCX 21.51 KB)
DEN-59: Revisions to the MassHealth Dental Program (English, PDF 373.71 KB)
DEN-59: Revisions to the MassHealth Dental Program (English, RTF 970.37 KB)

Durable Medical Equipment

DME-43: HCPCS Updates to Subchapter 6 and the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool for shipping fee, repair evaluation of mobility system, and added codes (English, PDF 199.88 KB)
DME-43: HCPCS Updates to Subchapter 6 and the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool for shipping fee, repair evaluation of mobility system, and added codes (English, DOCX 124.78 KB)
DME-42: Changes to Program Regulations Regarding Provider Enrollment (English, PDF 288.35 KB)
DME-42: Changes to Program Regulations Regarding Provider Enrollment (English, DOCX 104.54 KB)
DME-41: 2023 HCPCS Updates for Subchapter 6 and the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool (English, PDF 276.39 KB)
DME-41: 2023 HCPCS Updates for Subchapter 6 and the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool (English, DOCX 100.31 KB)
DME-40: Updates to Subchapter 6 and the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool to Align with Amendments to 101 CMR 322.00 (Corrected) (English, PDF 187.6 KB)
DME-40: Updates to Subchapter 6 and the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool to Align with Amendments to 101 CMR 322.00 (Corrected) (English, DOCX 121.09 KB)
DME-39: Changes to Program Regulations (English, PDF 502.81 KB)
DME-39: Changes to Program Regulations (English, DOCX 161.62 KB)
DME-38: 2022 HCPCS Updates for Subchapter 6 and the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool (English, PDF 132.08 KB)
DME-38: 2022 HCPCS Updates for Subchapter 6 and the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool (English, DOCX 114.25 KB)
DME-37: Changes to Program Regulations (English, PDF 382.45 KB)
DME-37: Changes to Program Regulations (English, DOCX 203.9 KB)
DME-36: Aligning Subchapter 6 with the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool (Tool) (English, PDF 277.51 KB)
DME-36: Aligning Subchapter 6 with the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool (Tool) (English, DOCX 71.96 KB)
DME-35: 2018 HCPCS updates (English, PDF 189.7 KB)
DME-35: 2018 HCPCS updates (English, DOCX 150.73 KB)
DME-34: 2016 HCPCS (English, PDF 185.32 KB)
DME-34: 2016 HCPCS (English, DOC 146.5 KB)
DME-33: 2014 HCPCS (English, PDF 154.56 KB)
DME-33: 2014 HCPCS (English, DOC 929.09 KB)
DME-32: 2012 HCPCS (English, PDF 83.88 KB)
DME-32: 2012 HCPCS (English, TXT 19.79 KB)
DME-31: 2011 HCPCS (English, PDF 91.9 KB)
DME-31: 2011 HCPCS (English, TXT 23.56 KB)
DME-30: 2010 HCPCS Updates (English, PDF 453.57 KB)
DME-30: 2010 HCPCS Updates (English, TXT 24.14 KB)
DME-29: Revisions to Durable Medical Equipment (DME) Regulations and New General Prescription and Medical Necessity Review Form (DME-2) (English, PDF 726.92 KB)
DME-29: Revisions to Durable Medical Equipment (DME) Regulations and New General Prescription and Medical Necessity Review Form (DME-2) (English, TXT 87.75 KB)
DME-28: Revised Billing Instructions (English, PDF 134.26 KB)
DME-28: Revised Billing Instructions (English, TXT 14.66 KB)
DME-27: Revised Service Codes (English, PDF 198.3 KB)
DME-27: Revised Service Codes (English, TXT 28.54 KB)
DME-26: Revised Service Codes and Modifiers (English, PDF 217.15 KB)
DME-26: Revised Service Codes and Modifiers (English, RTF 3.41 MB)
DME-25: Revised Service Codes (English, PDF 346.96 KB)
DME-25: Revised Service Codes (English, TXT 140.67 KB)
DME-24: Revised Service Codes (English, PDF 246.02 KB)
DME-24: Revised Service Codes (English, TXT 146.09 KB)
DME-23: Revised Service Codes and Descriptions (English, PDF 490.24 KB)
DME-23: Revised Service Codes and Descriptions (English, RTF 580.47 KB)
DME-22: Revision of Subchapter 6 to Reflect Deleted Codes (English, PDF 126.46 KB)
DME-22: Revision of Subchapter 6 to Reflect Deleted Codes (English, RTF 121.57 KB)

Early Intervention

EIP-22: Update to 130 CMR 440.000 Subchapter 6 (English, PDF 551.18 KB)
EIP-22: Update to 130 CMR 440.000 Subchapter 6 (English, DOCX 98.25 KB)
EIP-21: Revised Service Codes - Behavioral Health (English, PDF 193.13 KB)
EIP-21: Revised Service Codes - Behavioral Health (English, DOCX 96.45 KB)
EIP-20: Revised Service Codes and Descriptions - New Early Intervention Specialty Service (English, PDF 76.55 KB)
EIP-20: Revised Service Codes and Descriptions - New Early Intervention Specialty Service (English, TXT 15.01 KB)
EIP-19: Revised Service Codes and Descriptions (English, PDF 85.95 KB)
EIP-19: Revised Service Codes and Descriptions (English, TXT 16.22 KB)
EIP-18: Changes to Professional Staff for Whom Early Intervention Service Providers Can Bill MassHealth and Revisions to Service Codes and Descriptions (English, PDF 118.54 KB)
EIP-18: Changes to Professional Staff for Whom Early Intervention Service Providers Can Bill MassHealth and Revisions to Service Codes and Descriptions (English, TXT 6.69 KB)
EIP-17: Revised Billing Instructions (English, PDF 104.5 KB)
EIP-17: Revised Billing Instructions (English, TXT 14.66 KB)
EIP-16: Revisions to Service Codes and Descriptions (English, PDF 239.39 KB)
EIP-16: Revisions to Service Codes and Descriptions (English, RTF 192.99 KB)
EIP-15: Revised Service Codes (English, PDF 148.8 KB)
EIP-15: Revised Service Codes (English, RTF 64.81 KB)

Family Planning Agency

FPA-59: 2022 HCPCS Updates to Subchapter 6 (English, PDF 302.01 KB)
FPA-59: 2022 HCPCS Updates to Subchapter 6 (English, DOCX 119.31 KB)
FPA-58: 2021 HCPCS Updates to Subchapter 6 (English, PDF 202.48 KB)
FPA-58: 2021 HCPCS Updates to Subchapter 6 (English, DOCX 163.88 KB)
FPA-57: Specimen Collection for COVID-19 (English, PDF 306.48 KB)
FPA-57: Specimen Collection for COVID-19 (English, DOCX 144.12 KB)
FPA-56: Additional Available Service Codes (English, PDF 463.57 KB)
FPA-56: Additional Available Service Codes (English, DOCX 165.18 KB)
FPA-55: 2019 HCPCS Code Updates (English, PDF 280.64 KB)
FPA-55: 2019 HCPCS Code Updates (English, DOCX 173.88 KB)
FPA-54: 2018 HCPCS Codes (English, PDF 150.64 KB)
FPA-54: 2018 HCPCS Codes (English, DOCX 180.72 KB)
FPA-53: 2016 HCPCS Codes (English, PDF 286.95 KB)
FPA-53: 2016 HCPCS Codes (English, DOC 242 KB)
FPA-52: 2015 HCPCS (English, PDF 289.26 KB)
FPA-52: 2015 HCPCS (English, DOC 231.5 KB)
FPA-51: Updated Sterilization Provisions and Subchapter 6 (English, PDF 234.56 KB)
FPA-51: Updated Sterilization Provisions and Subchapter 6 (English, DOC 1.58 MB)
FPA-50: Revisions to MassHealth Regulations-Affordable Care Act (English, PDF 156.21 KB)
FPA-50: Revisions to MassHealth Regulations-Affordable Care Act (English, TXT 39.9 KB)
FPA-49: 2013 HCPCS (English, PDF 122.9 KB)
FPA-49: 2013 HCPCS (English, TXT 38.95 KB)
FPA-48: New Modifiers for National Correct Coding Initiatives (English, PDF 57.71 KB)
FPA-48: New Modifiers for National Correct Coding Initiatives (English, TXT 5.88 KB)
FPA-47: 2012 HCPCS (English, PDF 62.75 KB)
FPA-47: 2012 HCPCS (English, TXT 7.64 KB)
FPA-46: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, PDF 55.92 KB)
FPA-46: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, TXT 6.2 KB)
FPA-45: 2012 HCPCS (English, PDF 88.16 KB)
FPA-45: 2012 HCPCS (English, TXT 37.28 KB)
FPA-44: Revisions to Service Codes and Descriptions (English, PDF 273.3 KB)
FPA-44: Revisions to Service Codes and Descriptions (English, TXT 33.18 KB)
FPA-43: Revisions to Service Codes and Descriptions (English, PDF 273.5 KB)
FPA-43: Revisions to Service Codes and Descriptions (English, TXT 34.78 KB)
FPA-42: Revised Billing Instructions (English, PDF 105.84 KB)
FPA-42: Revised Billing Instructions (English, TXT 14.98 KB)
FPA-41: Corrections to Subchapter 6 (English, PDF 119.84 KB)
FPA-41: Corrections to Subchapter 6 (English, TXT 28.39 KB)
FPA-40: Human Papilloma Virus Vaccine (English, PDF 143.73 KB)
FPA-40: Human Papilloma Virus Vaccine (English, TXT 29.62 KB)
FPA-39: Revised Regulations and Updates to Subchapter 6 (English, PDF 119.51 KB)
FPA-39: Revised Regulations and Updates to Subchapter 6 (English, RTF 5.96 MB)
FPA-38: Revision to Service Code and Description (English, PDF 77.04 KB)
FPA-38: Revision to Service Code and Description (English, RTF 4.02 MB)
FPA-37: Revisions to Service Codes and Descriptions (English, PDF 225.51 KB)
FPA-37: Revisions to Service Codes and Descriptions (English, TXT 28.18 KB)
FPA-36: Revisions to Service Codes and Descriptions (English, PDF 210.54 KB)
FPA-36: Revisions to Service Codes and Descriptions (English, TXT 27.94 KB)
FPA-35: Revisions to Service Codes and Descriptions (English, PDF 282.42 KB)
FPA-35: Revisions to Service Codes and Descriptions (English, RTF 206.37 KB)
FPA-34: 2003 HCPCS (English, PDF 110.13 KB)
FPA-34: 2003 HCPCS (English, RTF 559.63 KB)
FPA-33: Family Planning HCPCS (English, PDF 189.37 KB)
FPA-33: Family Planning HCPCS (English, RTF 149.77 KB)

Freestanding Ambulatory Surgery Center

FAS-37: 2023 HCPCS Code Revisions (English, PDF 354.25 KB)
FAS-37: 2023 HCPCS Code Revisions (English, DOCX 119.47 KB)
FAS-36: 2022 HCPCS Code Revisions (English, PDF 350.48 KB)
FAS-36: 2022 HCPCS Code Revisions (English, DOCX 125.99 KB)
FAS-35: 2021 HCPCS Code Revisions (English, PDF 276.54 KB)
FAS-35: 2021 HCPCS Code Revisions (English, DOCX 112.69 KB)
FAS-34: 2020 HCPCS Code Revisions; Removal of Prior Authorization Restrictions from Certain Knee Arthroscopy Procedures (English, PDF 222.66 KB)
FAS-34: 2020 HCPCS Code Revisions; Removal of Prior Authorization Restrictions from Certain Knee Arthroscopy Procedures (English, DOCX 141.73 KB)
FAS-33-Corrected: HCPCS Code Updates (English, PDF 140.85 KB)
FAS-33-Corrected: HCPCS Code Updates (English, DOCX 122.75 KB)
FAS-32: 2019 HCPCS Code Revisions (English, PDF 137.15 KB)
FAS-32: 2019 HCPCS Code Revisions (English, DOCX 119.79 KB)
FAS-31: 2018 HCPCS Code Revisions; New Prior Authorization Requirement for Knee Arthroscopy (English, PDF 302.33 KB)
FAS-31: 2018 HCPCS Code Revisions; New Prior Authorization Requirement for Knee Arthroscopy (English, DOC 245 KB)
FAS-30: Freestanding Ambulatory Surgery Center Manual: Subchapter 6 Revisions (English, PDF 292.16 KB)
FAS-30: Freestanding Ambulatory Surgery Center Manual: Subchapter 6 Revisions (English, DOC 322 KB)
FAS-29: Subchapter 6 Revisions (English, PDF 146.75 KB)
FAS-29: Subchapter 6 Revisions (English, DOC 225 KB)
FAS-28: Updated Gender Dysphoria and Sterilization Policies, and Provider Eligibility Requirements (English, PDF 189.42 KB)
FAS-28: Updated Gender Dysphoria and Sterilization Policies, and Provider Eligibility Requirements (English, DOC 879 KB)
FAS-27: Revisions to MassHealth Regulations-Affordable Care Act (English, PDF 271.44 KB)
FAS-27: Revisions to MassHealth Regulations-Affordable Care Act (English, TXT 13.68 KB)
FAS-26: 2013 HCPCS (English, PDF 104.91 KB)
FAS-26: 2013 HCPCS (English, TXT 26.19 KB)
FAS-25: MassHealth Rules on Provider Preventable Conditions (PPCs) That Are Additional Other Provider Preventable Conditions (Additional OPPCs) and on Serious Reportable Events (SREs); and Updates (New Modifiers) to Subchapter 6 (English, PDF 174.4 KB)
FAS-25: MassHealth Rules on Provider Preventable Conditions (PPCs) That Are Additional Other Provider Preventable Conditions (Additional OPPCs) and on Serious Reportable Events (SREs); and Updates (New Modifiers) to Subchapter 6 (English, TXT 42.34 KB)
FAS-24: 2012 HCPCS (English, PDF 146.65 KB)
FAS-24: 2012 HCPCS (English, TXT 32.27 KB)
FAS-23: 2011 HCPCS (English, PDF 791.84 KB)
FAS-23: 2011 HCPCS (English, TXT 34.16 KB)
FAS-22: Revisions to Subchapter 6 (English, PDF 861.82 KB)
FAS-22: Revisions to Subchapter 6 (English, TXT 36.88 KB)
FAS-21: New Modifier Required for Billing Effective May 26, 2009 (English, PDF 823.5 KB)
FAS-21: New Modifier Required for Billing Effective May 26, 2009 (English, TXT 32 KB)
FAS-20: 2009 HCPCS (English, PDF 829.36 KB)
FAS-20: 2009 HCPCS (English, TXT 28.18 KB)
FAS-19: 2008 HCPCS (English, PDF 508.21 KB)
FAS-19: 2008 HCPCS (English, TXT 21.1 KB)
FAS-18: Revised Billing Instructions (English, PDF 105.77 KB)
FAS-18: Revised Billing Instructions (English, TXT 14.66 KB)
FAS-17: Revisions to Service Codes (English, PDF 196.56 KB)
FAS-17: Revisions to Service Codes (English, TXT 33.14 KB)
FAS-16: Coverage of Dental Services for Members Aged 21 Years or Older (English, PDF 726.58 KB)
FAS-16: Coverage of Dental Services for Members Aged 21 Years or Older (English, TXT 8.59 KB)
FAS-15: Revisions to Service Codes (English, PDF 132.87 KB)
FAS-15: Revisions to Service Codes (English, TXT 47.03 KB)
FAS-14: Revisions to Service Codes and Descriptions (English, PDF 236.5 KB)
FAS-14: Revisions to Service Codes and Descriptions (English, RTF 4.09 MB)
FAS-13: Freestanding Ambulatory Surgery Center Manual (Restructured Subchapter 6 and Service Code Update) (English, PDF 317.34 KB)
FAS-13: Freestanding Ambulatory Surgery Center Manual (Restructured Subchapter 6 and Service Code Update) (English, RTF 1.54 MB)

Group Adult Foster Care

GAFC-3: Revised Billing Instructions (English, PDF 134.34 KB)
GAFC-3: Revised Billing Instructions (English, TXT 14.65 KB)
GAFC-2: Changes to Service Codes and Descriptions (English, PDF 132.87 KB)
GAFC-2: Changes to Service Codes and Descriptions (English, RTF 137.28 KB)
GAFC-1: Revised Billing Instructions (English, PDF 815.85 KB)
GAFC-1: Revised Billing Instructions (English, TXT 38.82 KB)

Hearing Instrument Specialist

HIS-26: 2019 HCPCS Code Revisions (English, PDF 83.05 KB)
HIS-26: 2019 HCPCS Code Revisions (English, DOCX 97.81 KB)
HIS-25: Regulation and Subchapter 6 Updates (English, PDF 148.65 KB)
HIS-25: Regulation and Subchapter 6 Updates (English, DOC 165.5 KB)
HIS-24: Changes to Program Regulations and Service Codes and Descriptions (English, PDF 383.66 KB)
HIS-24: Changes to Program Regulations and Service Codes and Descriptions (English, TXT 45.14 KB)
HIS-23: Changes to Program Regulations and Service Codes and Descriptions (English, PDF 166.44 KB)
HIS-23: Changes to Program Regulations and Service Codes and Descriptions (English, TXT 34.08 KB)
HIS-22: Changes to Service Codes and Descriptions; Clarification of Certain Billing Procedures (English, PDF 93.74 KB)
HIS-22: Changes to Service Codes and Descriptions; Clarification of Certain Billing Procedures (English, RTF 4.05 MB)
HIS-21: Changes to Program Regulations (English, PDF 300.42 KB)
HIS-21: Changes to Program Regulations (English, TXT 15.21 KB)
HIS-20: Changes to Program Regulations and Service Codes (English, PDF 662.79 KB)
HIS-20: Changes to Program Regulations and Service Codes (English, RTF 316.01 KB)

Home- and Community-Based Services

HCBS-5: Home- and Community-Based Services Waiver Manual Updates (English, PDF 378.3 KB)
HCBS-5: Home- and Community-Based Services Waiver Manual Updates (English, DOCX 171.62 KB)
HCBS-4: Revised provider regulations (English, PDF 285.59 KB)
HCBS-4: Revised provider regulations (English, DOC 370 KB)
HCBS-3: Home- and Community-Based Services (HCBS) Waiver Manual (HCBS Service Codes, Descriptions, and Modifiers) (English, PDF 88.9 KB)
HCBS-3: Home- and Community-Based Services (HCBS) Waiver Manual (HCBS Service Codes, Descriptions, and Modifiers) (English, DOC 101 KB)
HCBS-2: Adoption of New HCBS Service Codes, Descriptions, and Modifiers (English, PDF 62.85 KB)
HCBS-2: Adoption of New HCBS Service Codes, Descriptions, and Modifiers (English, TXT 11.71 KB)
HCBS-1: Adoption of New HCBS Provider Regulations (English, PDF 177.09 KB)
HCBS-1: Adoption of New HCBS Provider Regulations (English, TXT 103.48 KB)

Home Health Agency

HHA-57: Revised Appendices and Related Forms (English, PDF 303.29 KB)
HHA-57: Revised Appendices and Related Forms (English, DOCX 94.91 KB)
HHA-56: Revised Subchapter 6: Service Codes and Descriptions (English, PDF 244.11 KB)
HHA-56: Revised Subchapter 6: Service Codes and Descriptions (English, DOCX 91.34 KB)
HHA-55: Revised Regulations (English, PDF 536.84 KB)
HHA-55: Revised Regulations (English, DOCX 142.2 KB)
HHA-54: Revised Subchapter 6: Service Codes and Descriptions (English, PDF 87.96 KB)
HHA-54: Revised Subchapter 6: Service Codes and Descriptions (English, DOCX 107.13 KB)
HHA-53: Revised Regulations (English, PDF 656.54 KB)
HHA-53: Revised Regulations (English, DOC 372.5 KB)
HHA-52: Final Changes to Revised Regulations (English, PDF 278.2 KB)
HHA-52: Final Changes to Revised Regulations (English, DOC 181 KB)
HHA-51: Revised Regulations (English, PDF 440.33 KB)
HHA-51: Revised Regulations (English, DOC 227.5 KB)
HHA-50: Revised Appendix D (English, PDF 114.9 KB)
HHA-50: Revised Appendix D (English, DOC 1.57 MB)
HHA-49: Revisions to MassHealth Regulations-Affordable Care Act (English, PDF 362.57 KB)
HHA-49: Revisions to MassHealth Regulations-Affordable Care Act (English, TXT 19.39 KB)
HHA-48: Revised Regulations (English, PDF 163.9 KB)
HHA-48: Revised Regulations (English, TXT 72.35 KB)
HHA-47: Revised Appendix D - Coordination of Benefits Direct Data Entry Enhancements for the Provider Online Service Center (English, PDF 71.13 KB)
HHA-47: Revised Appendix D - Coordination of Benefits Direct Data Entry Enhancements for the Provider Online Service Center (English, TXT 16.16 KB)
HHA-46: Home Health Advanced Beneficiary Notice (HHABN) (English, PDF 62.83 KB)
HHA-46: Home Health Advanced Beneficiary Notice (HHABN) (English, TXT 6.19 KB)
HHA-45: Revised Appendix D (English, PDF 99.29 KB)
HHA-45: Revised Appendix D (English, TXT 18.28 KB)
HHA-44: Revised Appendix D (English, PDF 235.5 KB)
HHA-44: Revised Appendix D (English, TXT 22.58 KB)
HHA-43: Revised Appendix D (English, PDF 264.99 KB)
HHA-43: Revised Appendix D (English, TXT 20.58 KB)
HHA-42: New Appendix D (English, PDF 255.72 KB)
HHA-42: New Appendix D (English, TXT 10.39 KB)
HHA-41: Service Codes and Descriptions (English, PDF 119.7 KB)
HHA-41: Service Codes and Descriptions (English, TXT 7.73 KB)
HHA-40: Revised Program Regulations (English, PDF 412.71 KB)
HHA-40: Revised Program Regulations (English, TXT 66 KB)
HHA-39: Revised Billing Instructions (English, PDF 134.59 KB)
HHA-39: Revised Billing Instructions (English, TXT 14.77 KB)
HHA-38: Revisions to Service Codes and Descriptions (English, PDF 86.96 KB)
HHA-38: Revisions to Service Codes and Descriptions (English, TXT 11.19 KB)
HHA-37: Prior Authorization Policy for Rehabilitative Therapy Services (English, PDF 188.05 KB)
HHA-37: Prior Authorization Policy for Rehabilitative Therapy Services (English, RTF 5.41 MB)
HHA-36: Prior Authorization for Certain Therapy Visits (English, PDF 258.97 KB)
HHA-36: Prior Authorization for Certain Therapy Visits (English, TXT 4.14 KB)
HHA-35: Revisions to Service Codes and Descriptions (English, PDF 243.43 KB)
HHA-35: Revisions to Service Codes and Descriptions (English, RTF 178.42 KB)
HHA-34: Revisions to Program Regulations (English, PDF 441.9 KB)
HHA-34: Revisions to Program Regulations (English, RTF 31.64 MB)
HHA-33: Revisions to Billing Instructions for Claims for Members with Commercial Health Insurance in Addition to MassHealth (English, PDF 343.68 KB)
HHA-33: Revisions to Billing Instructions for Claims for Members with Commercial Health Insurance in Addition to MassHealth (English, RTF 146.39 KB)
HHA-32: Home Health Agency Manual (English, PDF 24.61 KB)
HHA-32: Home Health Agency Manual (English, RTF 9.55 KB)

Hospice

HOS-18: Revised Regulations (English, PDF 412.39 KB)
HOS-18: Revised Regulations (English, DOCX 150.13 KB)
HOS-17: Revised Subchapter 6: Service Codes and Descriptions (English, PDF 252.5 KB)
HOS-17: Revised Subchapter 6: Service Codes and Descriptions (English, DOCX 137.17 KB)
HOS-16: Regulations Review (English, PDF 79.43 KB)
HOS-16: Regulations Review (English, DOC 157.5 KB)
HOS-15: Revised Hospice Regulations (English, PDF 62.46 KB)
HOS-15: Revised Hospice Regulations (English, TXT 17.73 KB)
HOS-14: Revised Hospice Regulations and Revised Billing Guide (English, PDF 219.07 KB)
HOS-14: Revised Hospice Regulations and Revised Billing Guide (English, TXT 39.79 KB)
HOS-13: Revised Billing Instructions (English, PDF 134.15 KB)
HOS-13: Revised Billing Instructions (English, TXT 14.59 KB)
HOS-12: Revisions to Service Codes and Descriptions (English, PDF 170.17 KB)
HOS-12: Revisions to Service Codes and Descriptions (English, RTF 126.76 KB)

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