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MassHealth transmittal letters by provider type I - O

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Independent Diagnostic Testing Facility

Open PDF file, 299.3 KB,  IDTF-25: 2024 HCPCS Updates to Subchapter 6 (English, PDF 299.3 KB)
Open DOCX file, 156.17 KB,  IDTF-25: 2024 HCPCS Updates to Subchapter 6 (English, DOCX 156.17 KB)
Open PDF file, 284.63 KB,  IDTF-24: 2023 HCPCS Updates to Subchapter 6 (English, PDF 284.63 KB)
Open DOCX file, 113.13 KB,  IDTF-24: 2023 HCPCS Updates to Subchapter 6 (English, DOCX 113.13 KB)
Open PDF file, 265.72 KB,  IDTF-23: 2022 Subchapter 6 Revisions (English, PDF 265.72 KB)
Open DOCX file, 121.26 KB,  IDTF-23: 2022 Subchapter 6 Revisions (English, DOCX 121.26 KB)
Open PDF file, 95.69 KB,  IDTF-22: 2021 HCPCS Updates to Subchapter 6 (English, PDF 95.69 KB)
Open DOCX file, 64.67 KB,  IDTF-22: 2021 HCPCS Updates to Subchapter 6 (English, DOCX 64.67 KB)
Open PDF file, 103.66 KB,  IDTF-21: Update to Subchapter 6 Codes (English, PDF 103.66 KB)
Open DOCX file, 129.96 KB,  IDTF-21: Update to Subchapter 6 Codes (English, DOCX 129.96 KB)
Open PDF file, 476.52 KB,  IDTF-20: New MassHealth Third-Party Administrator for Prior Authorization; New Prior Authorization Requirements (English, PDF 476.52 KB)
Open DOCX file, 138.04 KB,  IDTF-20: New MassHealth Third-Party Administrator for Prior Authorization; New Prior Authorization Requirements (English, DOCX 138.04 KB)
Open PDF file, 105.54 KB,  IDTF-19: Revised Subchapter 6 (English, PDF 105.54 KB)
Open DOCX file, 126.64 KB,  IDTF-19: Revised Subchapter 6 (English, DOCX 126.64 KB)
Open PDF file, 330.1 KB,  IDTF-18: 2019 Subchapter 6 Revisions (English, PDF 330.1 KB)
Open DOCX file, 210 KB,  IDTF-18: 2019 Subchapter 6 Revisions (English, DOCX 210 KB)
Open PDF file, 327.63 KB,  IDTF-17: 2017 Subchapter 6 Revisions (English, PDF 327.63 KB)
Open DOC file, 231.5 KB,  IDTF-17: 2017 Subchapter 6 Revisions (English, DOC 231.5 KB)
Open PDF file, 92.24 KB,  IDTF-16: Revised Regulations at 130 CMR 431.000 (English, PDF 92.24 KB)
Open DOC file, 181 KB,  IDTF-16: Revised Regulations at 130 CMR 431.000 (English, DOC 181 KB)
Open PDF file, 101.54 KB,  IDTF-15: Subchapter 6 revisions (English, PDF 101.54 KB)
Open DOC file, 363.5 KB,  IDTF-15: Subchapter 6 revisions (English, DOC 363.5 KB)
Open PDF file, 287.83 KB,  IDTF-14: Subchapter 6 Revisions (English, PDF 287.83 KB)
Open DOC file, 283.85 KB,  IDTF-14: Subchapter 6 Revisions (English, DOC 283.85 KB)
Open PDF file, 109.39 KB,  IDTF-13: Revisions to MassHealth Regulations-Affordable Care Act (English, PDF 109.39 KB)
Open TXT file, 5.98 KB,  IDTF-13: Revisions to MassHealth Regulations-Affordable Care Act (English, TXT 5.98 KB)
Open PDF file, 77.28 KB,  IDTF-12: 2013 HCPCS (English, PDF 77.28 KB)
Open TXT file, 14.71 KB,  IDTF-12: 2013 HCPCS (English, TXT 14.71 KB)
Open PDF file, 101.49 KB,  IDTF-11: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, PDF 101.49 KB)
Open TXT file, 5.09 KB,  IDTF-11: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, TXT 5.09 KB)
Open PDF file, 49.14 KB,  IDTF-10: 2012 HCPCS (English, PDF 49.14 KB)
Open TXT file, 13.98 KB,  IDTF-10: 2012 HCPCS (English, TXT 13.98 KB)
Open PDF file, 244.65 KB,  IDTF-9: 2011 HCPCS (English, PDF 244.65 KB)
Open TXT file, 89.79 KB,  IDTF-9: 2011 HCPCS (English, TXT 89.79 KB)
Open PDF file, 667.33 KB,  IDTF-8: 2010 HCPCS (English, PDF 667.33 KB)
Open TXT file, 95.68 KB,  IDTF-8: 2010 HCPCS (English, TXT 95.68 KB)
Open PDF file, 398.65 KB,  IDTF-7: 2009 HCPCS Changes (English, PDF 398.65 KB)
Open TXT file, 45.38 KB,  IDTF-7: 2009 HCPCS Changes (English, TXT 45.38 KB)
Open PDF file, 266.45 KB,  IDTF-6: 2008 HCPCS (English, PDF 266.45 KB)
Open TXT file, 85.39 KB,  IDTF-6: 2008 HCPCS (English, TXT 85.39 KB)
Open PDF file, 263.45 KB,  IDTF-5: 2008 HCPCS (English, PDF 263.45 KB)
Open TXT file, 84.28 KB,  IDTF-5: 2008 HCPCS (English, TXT 84.28 KB)
Open PDF file, 105.61 KB,  IDTF-4: Revised Billing Instructions (English, PDF 105.61 KB)
Open TXT file, 14.28 KB,  IDTF-4: Revised Billing Instructions (English, TXT 14.28 KB)
Open PDF file, 555.47 KB,  IDTF-3: 2007 HCPCS (English, PDF 555.47 KB)
Open TXT file, 90.15 KB,  IDTF-3: 2007 HCPCS (English, TXT 90.15 KB)
Open PDF file, 249.32 KB,  IDTF-2: 2007 HCPCS Codes Update (English, PDF 249.32 KB)
Open TXT file, 83.85 KB,  IDTF-2: 2007 HCPCS Codes Update (English, TXT 83.85 KB)
Open PDF file, 284.25 KB,  IDTF-1: Adoption of New IDTF Provider Regulations and Service Codes (English, PDF 284.25 KB)
Open TXT file, 103.8 KB,  IDTF-1: Adoption of New IDTF Provider Regulations and Service Codes (English, TXT 103.8 KB)

Independent Clinical Laboratory

Open PDF file, 216.37 KB,  LAB-57: Removal of Prior Authorization Restrictions effective November 21, 2024 (English, PDF 216.37 KB)
Open DOCX file, 146.22 KB,  LAB-57: Removal of Prior Authorization Restrictions effective November 21, 2024 (English, DOCX 146.22 KB)
Open PDF file, 222.92 KB,  LAB-56: Updates to Subchapter 6 (2024 HCPCS) (English, PDF 222.92 KB)
Open DOCX file, 150.4 KB,  LAB-56: Updates to Subchapter 6 (2024 HCPCS) (English, DOCX 150.4 KB)
Open PDF file, 268.89 KB,  LAB-55: Removal of Individual Consideration Effective August 1, 2022; Updated Codes in Subchapter 6 for HCPCS 2023 (English, PDF 268.89 KB)
Open DOCX file, 113.92 KB,  LAB-55: Removal of Individual Consideration Effective August 1, 2022; Updated Codes in Subchapter 6 for HCPCS 2023 (English, DOCX 113.92 KB)
Open PDF file, 283.3 KB,  LAB-54: 2020 updates and 2021 HCPCS (English, PDF 283.3 KB)
Open DOCX file, 123.21 KB,  LAB-54: 2020 updates and 2021 HCPCS (English, DOCX 123.21 KB)
Open PDF file, 241.97 KB,  LAB-53: 2020 HCPCS Service Code Updates Including New Service Codes Relating to COVID-19 (English, PDF 241.97 KB)
Open DOCX file, 51.78 KB,  LAB-53: 2020 HCPCS Service Code Updates Including New Service Codes Relating to COVID-19 (English, DOCX 51.78 KB)
Open PDF file, 289.67 KB,  LAB-52: Diagnostic Tests for COVID-19 (English, PDF 289.67 KB)
Open DOCX file, 93.25 KB,  LAB-52: Diagnostic Tests for COVID-19 (English, DOCX 93.25 KB)
Open PDF file, 246.2 KB,  LAB-51: Diagnostic Tests for COVID-19 (English, PDF 246.2 KB)
Open DOCX file, 121.67 KB,  LAB-51: Diagnostic Tests for COVID-19 (English, DOCX 121.67 KB)
Open PDF file, 275.37 KB,  LAB-50: Diagnostic Tests for COVID-19 (Updated) (English, PDF 275.37 KB)
Open DOCX file, 104.95 KB,  LAB-50: Diagnostic Tests for COVID-19 (Updated) (English, DOCX 104.95 KB)
Open PDF file, 268.44 KB,  LAB-49: Update to Subchapter 6-corrected (English, PDF 268.44 KB)
Open DOCX file, 109.43 KB,  LAB-49: Update to Subchapter 6-corrected (English, DOCX 109.43 KB)
Open PDF file, 103.55 KB,  LAB-48: 2019 HCPCS (English, PDF 103.55 KB)
Open DOC file, 124 KB,  LAB-48: 2019 HCPCS (English, DOC 124 KB)
Open PDF file, 260.95 KB,  LAB-47: 2018 Service Code Update (English, PDF 260.95 KB)
Open DOC file, 208 KB,  LAB-47: 2018 Service Code Update (English, DOC 208 KB)
Open PDF file, 336.73 KB,  LAB-46: Subchapter 6 Revisions (English, PDF 336.73 KB)
Open DOC file, 207.5 KB,  LAB-46: Subchapter 6 Revisions (English, DOC 207.5 KB)
Open PDF file, 339.11 KB,  LAB-45: Subchapter 6 Revisions (English, PDF 339.11 KB)
Open DOC file, 208 KB,  LAB-45: Subchapter 6 Revisions (English, DOC 208 KB)
Open PDF file, 279.04 KB,  LAB-44: Subchapter 6 Revisions (English, PDF 279.04 KB)
Open DOC file, 153 KB,  LAB-44: Subchapter 6 Revisions (English, DOC 153 KB)
Open PDF file, 176.16 KB,  LAB-43: Subchapter 6 Revisions (English, PDF 176.16 KB)
Open DOC file, 280 KB,  LAB-43: Subchapter 6 Revisions (English, DOC 280 KB)
Open PDF file, 127.09 KB,  LAB-42: Revisions to MassHealth Regulations-Affordable Care Act (English, PDF 127.09 KB)
Open TXT file, 20.34 KB,  LAB-42: Revisions to MassHealth Regulations-Affordable Care Act (English, TXT 20.34 KB)
Open PDF file, 240.95 KB,  LAB-41: 2013 HCPCS (English, PDF 240.95 KB)
Open DOC file, 108.5 KB,  LAB-41: 2013 HCPCS (English, DOC 108.5 KB)
Open PDF file, 72.17 KB,  LAB-40: Update to 2012 HCPCS (English, PDF 72.17 KB)
Open TXT file, 15.05 KB,  LAB-40: Update to 2012 HCPCS (English, TXT 15.05 KB)
Open PDF file, 82.03 KB,  LAB-39: 2012 HCPCS (English, PDF 82.03 KB)
Open TXT file, 14.45 KB,  LAB-39: 2012 HCPCS (English, TXT 14.45 KB)
Open PDF file, 57.79 KB,  LAB-38: Revised Provider Regulations (English, PDF 57.79 KB)
Open TXT file, 13.67 KB,  LAB-38: Revised Provider Regulations (English, TXT 13.67 KB)
Open PDF file, 161.68 KB,  LAB-37: 2011 HCPCS Updates (English, PDF 161.68 KB)
Open TXT file, 90.83 KB,  LAB-37: 2011 HCPCS Updates (English, TXT 90.83 KB)
Open PDF file, 528.12 KB,  LAB-36: 2011 HCPCS (English, PDF 528.12 KB)
Open TXT file, 78.21 KB,  LAB-36: 2011 HCPCS (English, TXT 78.21 KB)
Open PDF file, 252.89 KB,  LAB-35: Revised Provider Regulations (English, PDF 252.89 KB)
Open TXT file, 26.42 KB,  LAB-35: Revised Provider Regulations (English, TXT 26.42 KB)
Open PDF file, 556.95 KB,  LAB-34: 2010 HCPCS (English, PDF 556.95 KB)
Open TXT file, 79.86 KB,  LAB-34: 2010 HCPCS (English, TXT 79.86 KB)
Open PDF file, 540.68 KB,  LAB-33: 2009 HCPCS (English, PDF 540.68 KB)
Open TXT file, 81.8 KB,  LAB-33: 2009 HCPCS (English, TXT 81.8 KB)
Open PDF file, 238.66 KB,  LAB-32: 2008 HCPCS (English, PDF 238.66 KB)
Open TXT file, 83.66 KB,  LAB-32: 2008 HCPCS (English, TXT 83.66 KB)
Open PDF file, 241.1 KB,  LAB-31: Revised Service Codes and Descriptions (English, PDF 241.1 KB)
Open TXT file, 22.6 KB,  LAB-31: Revised Service Codes and Descriptions (English, TXT 22.6 KB)
Open PDF file, 219.49 KB,  LAB-30: Independent Clinical Laboratory Manual (English, PDF 219.49 KB)
Open TXT file, 22.23 KB,  LAB-30: Independent Clinical Laboratory Manual (English, TXT 22.23 KB)
Open PDF file, 137.19 KB,  LAB-29: Revised Billing Instructions (English, PDF 137.19 KB)
Open TXT file, 14.68 KB,  LAB-29: Revised Billing Instructions (English, TXT 14.68 KB)
Open PDF file, 143.12 KB,  LAB-28: 2007 HCPCS (English, PDF 143.12 KB)
Open TXT file, 80.08 KB,  LAB-28: 2007 HCPCS (English, TXT 80.08 KB)
Open PDF file, 62.86 KB,  LAB-27: Code Correction (English, PDF 62.86 KB)
Open TXT file, 7.35 KB,  LAB-27: Code Correction (English, TXT 7.35 KB)
Open PDF file, 179.66 KB,  LAB-26: Independent Clinical Laboratory Manual (2006 HCPCS) (English, PDF 179.66 KB)
Open TXT file, 82.5 KB,  LAB-26: Independent Clinical Laboratory Manual (2006 HCPCS) (English, TXT 82.5 KB)
Open PDF file, 303.05 KB,  LAB-25: 2005 HCPCS (English, PDF 303.05 KB)
Open TXT file, 76.37 KB,  LAB-25: 2005 HCPCS (English, TXT 76.37 KB)
Open PDF file, 195.8 KB,  LAB-24: 2004 HCPCS (English, PDF 195.8 KB)
Open TXT file, 81.18 KB,  LAB-24: 2004 HCPCS (English, TXT 81.18 KB)
Open PDF file, 427.86 KB,  LAB-23: 2003 HCPCS (English, PDF 427.86 KB)
Open RTF file, 490.36 KB,  LAB-23: 2003 HCPCS (English, RTF 490.36 KB)
Open PDF file, 642.92 KB,  LAB-22: Laboratory HCPCS (English, PDF 642.92 KB)
Open RTF file, 494.63 KB,  LAB-22: Laboratory HCPCS (English, RTF 494.63 KB)
Open PDF file, 185.91 KB,  LAB-21: New Service Codes (English, PDF 185.91 KB)
Open RTF file, 44.69 KB,  LAB-21: New Service Codes (English, RTF 44.69 KB)

Independent Nurse

Open PDF file, 285.56 KB,  IN-30: Independent Nurse Manual: Amended Regulations (English, PDF 285.56 KB)
Open DOCX file, 169.35 KB,  IN-30: Independent Nurse Manual: Amended Regulations (English, DOCX 169.35 KB)
Open PDF file, 199.3 KB,  IN-29: Revised Subchapter 6: Service Codes and Descriptions (English, PDF 199.3 KB)
Open DOCX file, 118.38 KB,  IN-29: Revised Subchapter 6: Service Codes and Descriptions (English, DOCX 118.38 KB)
Open PDF file, 352.99 KB,  IN-28: Revised Regulations (English, PDF 352.99 KB)
Open DOCX file, 89.53 KB,  IN-28: Revised Regulations (English, DOCX 89.53 KB)
Open PDF file, 140.14 KB,  IN-27: Revised Regulations (English, PDF 140.14 KB)
Open TXT file, 42.95 KB,  IN-27: Revised Regulations (English, TXT 42.95 KB)
Open PDF file, 173.84 KB,  IN-26: Revised Regulations (English, PDF 173.84 KB)
Open TXT file, 39.76 KB,  IN-26: Revised Regulations (English, TXT 39.76 KB)
Open PDF file, 210.95 KB,  IN-25: Revisions to Program Regulations (English, PDF 210.95 KB)
Open TXT file, 23.62 KB,  IN-25: Revisions to Program Regulations (English, TXT 23.62 KB)
Open PDF file, 134.16 KB,  IN-24: Revised Billing Instructions (English, PDF 134.16 KB)
Open TXT file, 14.62 KB,  IN-24: Revised Billing Instructions (English, TXT 14.62 KB)
Open PDF file, 687.61 KB,  IN-23: Revisions to Program Regulations (English, PDF 687.61 KB)
Open RTF file, 31.98 MB,  IN-23: Revisions to Program Regulations (English, RTF 31.98 MB)

Licensed Independent Clinical Social Worker

Open PDF file, 361.35 KB,  LICSW-1: New Provider Manual, Regulations, and Service Codes (English, PDF 361.35 KB)
Open DOCX file, 99.65 KB,  LICSW-1: New Provider Manual, Regulations, and Service Codes (English, DOCX 99.65 KB)

Mental Health Center

Open PDF file, 354.32 KB,  MHC-52: 2023 HCPCS (English, PDF 354.32 KB)
Open DOCX file, 127.41 KB,  MHC-52: 2023 HCPCS (English, DOCX 127.41 KB)
Open PDF file, 562.28 KB,  MHC-51: Updates to Mental Health Center Program Regulations and Service Codes (English, PDF 562.28 KB)
Open DOCX file, 175.75 KB,  MHC-51: Updates to Mental Health Center Program Regulations and Service Codes (English, DOCX 175.75 KB)
Open PDF file, 631.99 KB,  MHC-50: Updates to Subchapter 6 (English, PDF 631.99 KB)
Open DOCX file, 96.65 KB,  MHC-50: Updates to Subchapter 6 (English, DOCX 96.65 KB)
Open PDF file, 584.17 KB,  MHC-49: Update to 130 CMR 429.000 Subchapter 6 (English, PDF 584.17 KB)
Open DOCX file, 120.29 KB,  MHC-49: Update to 130 CMR 429.000 Subchapter 6 (English, DOCX 120.29 KB)
Open PDF file, 404.23 KB,  MHC-48: Final Adoption of Revised Regulations, Service Codes, and Descriptions (English, PDF 404.23 KB)
Open DOC file, 323 KB,  MHC-48: Final Adoption of Revised Regulations, Service Codes, and Descriptions (English, DOC 323 KB)
Open PDF file, 184.87 KB,  MHC-47: Revised Regulations, Service Codes, and Descriptions (English, PDF 184.87 KB)
Open DOC file, 268 KB,  MHC-47: Revised Regulations, Service Codes, and Descriptions (English, DOC 268 KB)
Open PDF file, 93.39 KB,  MHC-46: Revised Appendix D (English, PDF 93.39 KB)
Open DOC file, 1.31 MB,  MHC-46: Revised Appendix D (English, DOC 1.31 MB)
Open PDF file, 62.4 KB,  MHC-45: Revised Appendix D - Coordination of Benefits Direct Data Entry Enhancements for the Provider Online Service Center (English, PDF 62.4 KB)
Open TXT file, 9.2 KB,  MHC-45: Revised Appendix D - Coordination of Benefits Direct Data Entry Enhancements for the Provider Online Service Center (English, TXT 9.2 KB)
Open PDF file, 122.41 KB,  MHC-44: Revised Appendix D (English, PDF 122.41 KB)
Open TXT file, 9.79 KB,  MHC-44: Revised Appendix D (English, TXT 9.79 KB)
Open PDF file, 58.27 KB,  MHC-43: Revised Regulations (English, PDF 58.27 KB)
Open TXT file, 6.99 KB,  MHC-43: Revised Regulations (English, TXT 6.99 KB)
Open PDF file, 146.86 KB,  MHC-42: Revised Subchapter 6 and Billing Instructions for Youth Mobile Crisis Intervention Services (English, PDF 146.86 KB)
Open TXT file, 10.67 KB,  MHC-42: Revised Subchapter 6 and Billing Instructions for Youth Mobile Crisis Intervention Services (English, TXT 10.67 KB)
Open PDF file, 188.38 KB,  MHC-41: Revised Appendix D (English, PDF 188.38 KB)
Open TXT file, 15.54 KB,  MHC-41: Revised Appendix D (English, TXT 15.54 KB)
Open PDF file, 224.59 KB,  MHC-40: New Appendix D (English, PDF 224.59 KB)
Open TXT file, 17.45 KB,  MHC-40: New Appendix D (English, TXT 17.45 KB)
Open PDF file, 222.45 KB,  MHC-39: Implementation of the Child and Adolescent Needs and Strengths Tool (English, PDF 222.45 KB)
Open TXT file, 82.51 KB,  MHC-39: Implementation of the Child and Adolescent Needs and Strengths Tool (English, TXT 82.51 KB)
Open PDF file, 105.96 KB,  MHC-38: Revised Billing Instructions (English, PDF 105.96 KB)
Open TXT file, 15.12 KB,  MHC-38: Revised Billing Instructions (English, TXT 15.12 KB)
Open PDF file, 57.56 KB,  MHC-37: Subchapter 6 Service Code Revision (English, PDF 57.56 KB)
Open TXT file, 6.81 KB,  MHC-37: Subchapter 6 Service Code Revision (English, TXT 6.81 KB)
Open PDF file, 100.81 KB,  MHC-36: Revised Service Codes and Descriptions (English, PDF 100.81 KB)
Open TXT file, 3.24 KB,  MHC-36: Revised Service Codes and Descriptions (English, TXT 3.24 KB)
Open PDF file, 239.02 KB,  MHC-35: Revised Regulations and Service Codes and Descriptions (English, PDF 239.02 KB)
Open RTF file, 160.46 KB,  MHC-35: Revised Regulations and Service Codes and Descriptions (English, RTF 160.46 KB)

Nursing Facility

Open PDF file, 491.52 KB,  NF-63: Updates to 130 CMR 456.000: Long Term Care Services (English, PDF 491.52 KB)
Open DOCX file, 163.79 KB,  NF-63: Updates to 130 CMR 456.000: Long Term Care Services (English, DOCX 163.79 KB)
Open PDF file, 515.17 KB,  NF-62: Revised Appendix D (English, PDF 515.17 KB)
Open DOC file, 528 KB,  NF-62: Revised Appendix D (English, DOC 528 KB)
Open PDF file, 103.81 KB,  NF-61: Revised Appendix G (English, PDF 103.81 KB)
Open DOC file, 1.44 MB,  NF-61: Revised Appendix G (English, DOC 1.44 MB)
Open PDF file, 73.1 KB,  NF-60: Integrated Care Organizations (English, PDF 73.1 KB)
Open TXT file, 16.96 KB,  NF-60: Integrated Care Organizations (English, TXT 16.96 KB)
Open PDF file, 65.93 KB,  NF-59: Revised Appendix G - Coordination of Benefits Direct Data Entry Enhancements for the Provider Online Service Center (English, PDF 65.93 KB)
Open TXT file, 12.41 KB,  NF-59: Revised Appendix G - Coordination of Benefits Direct Data Entry Enhancements for the Provider Online Service Center (English, TXT 12.41 KB)
Open PDF file, 171.42 KB,  NF-58: Revisions to Appendices D and G (English, PDF 171.42 KB)
Open TXT file, 71.49 KB,  NF-58: Revisions to Appendices D and G (English, TXT 71.49 KB)
Open PDF file, 44.4 KB,  NF-57: Revised Appendix F (English, PDF 44.4 KB)
Open TXT file, 2.36 KB,  NF-57: Revised Appendix F (English, TXT 2.36 KB)
Open PDF file, 177.13 KB,  NF-56: Revised Appendix G (English, PDF 177.13 KB)
Open TXT file, 17.94 KB,  NF-56: Revised Appendix G (English, TXT 17.94 KB)
Open PDF file, 172.33 KB,  NF-55: Revised Appendix G (English, PDF 172.33 KB)
Open TXT file, 8.51 KB,  NF-55: Revised Appendix G (English, TXT 8.51 KB)
Open PDF file, 271.78 KB,  NF-54: New Appendix G (English, PDF 271.78 KB)
Open TXT file, 13.93 KB,  NF-54: New Appendix G (English, TXT 13.93 KB)
Open PDF file, 932.73 KB,  NF-53: Revised Appendices D and E (English, PDF 932.73 KB)
Open TXT file, 73.99 KB,  NF-53: Revised Appendices D and E (English, TXT 73.99 KB)
Open PDF file, 139.56 KB,  NF-52: Payment for Leave-of-Absence Days and Revised Billing Instructions (English, PDF 139.56 KB)
Open TXT file, 15.75 KB,  NF-52: Payment for Leave-of-Absence Days and Revised Billing Instructions (English, TXT 15.75 KB)
Open PDF file, 246.07 KB,  NF-51: Reinstatement of Payment for Leave-of-Absence Days (English, PDF 246.07 KB)
Open RTF file, 188.86 KB,  NF-51: Reinstatement of Payment for Leave-of-Absence Days (English, RTF 188.86 KB)
Open PDF file, 183.57 KB,  NF-50: Revised Management Minutes Questionnaire (English, PDF 183.57 KB)
Open TXT file, 56.08 KB,  NF-50: Revised Management Minutes Questionnaire (English, TXT 56.08 KB)
Open PDF file, 66.16 KB,  NF-49: Senior Care Options (English, PDF 66.16 KB)
Open RTF file, 263.57 KB,  NF-49: Senior Care Options (English, RTF 263.57 KB)
Open PDF file, 183.34 KB,  NF-48: Unit-Dose Return for Certain Drugs (English, PDF 183.34 KB)
Open RTF file, 42.56 KB,  NF-48: Unit-Dose Return for Certain Drugs (English, RTF 42.56 KB)
Open PDF file, 184.03 KB,  NF-47: Payment for Leave-of-Absence Days (English, PDF 184.03 KB)
Open RTF file, 63.69 KB,  NF-47: Payment for Leave-of-Absence Days (English, RTF 63.69 KB)
Open PDF file, 207.39 KB,  NF-46: Revisions to Appendix E (English, PDF 207.39 KB)
Open RTF file, 78.5 KB,  NF-46: Revisions to Appendix E (English, RTF 78.5 KB)
Open PDF file, 198.46 KB,  NF-45: Payment for Leave-of-Absence Days (English, PDF 198.46 KB)
Open RTF file, 85.78 KB,  NF-45: Payment for Leave-of-Absence Days (English, RTF 85.78 KB)
Open PDF file, 113.59 KB,  NF-44: Corrected Pages (English, PDF 113.59 KB)
Open TXT file, 20.5 KB,  NF-44: Corrected Pages (English, TXT 20.5 KB)
Open PDF file, 160.66 KB,  NF-43: Unit Dose Return for Certain Drugs (English, PDF 160.66 KB)
Open TXT file, 27.35 KB,  NF-43: Unit Dose Return for Certain Drugs (English, TXT 27.35 KB)
Open PDF file, 130.86 KB,  NF-42: Fair Hearing Rights (English, PDF 130.86 KB)
Open TXT file, 37.56 KB,  NF-42: Fair Hearing Rights (English, TXT 37.56 KB)

Orthotics

Open PDF file, 317.9 KB,  ORT-28: Orthotics Manual: HCPCS Updates to Subchapter 6 and to the MassHealth Orthotics and Prosthetics Payment and Coverage Guideline Tool (English, PDF 317.9 KB)
Open DOCX file, 128.97 KB,  ORT-28: Orthotics Manual: HCPCS Updates to Subchapter 6 and to the MassHealth Orthotics and Prosthetics Payment and Coverage Guideline Tool (English, DOCX 128.97 KB)
Open PDF file, 446.03 KB,  ORT-27: Changes to Program Regulations Regarding Provider Enrollment, Member Notice (English, PDF 446.03 KB)
Open DOCX file, 140.65 KB,  ORT-27: Changes to Program Regulations Regarding Provider Enrollment, Member Notice (English, DOCX 140.65 KB)
Open PDF file, 66.57 KB,  ORT-26: Revised Subchapter 6 (English, PDF 66.57 KB)
Open DOCX file, 95.77 KB,  ORT-26: Revised Subchapter 6 (English, DOCX 95.77 KB)
Open PDF file, 443.65 KB,  ORT-25: Changes to Program Regulations (English, PDF 443.65 KB)
Open DOCX file, 158.92 KB,  ORT-25: Changes to Program Regulations (English, DOCX 158.92 KB)
Open PDF file, 162.04 KB,  ORT-24: 2014 HCPCS (English, PDF 162.04 KB)
Open DOC file, 196.52 KB,  ORT-24: 2014 HCPCS (English, DOC 196.52 KB)
Open PDF file, 78.36 KB,  ORT-23: 2012 HCPCS (English, PDF 78.36 KB)
Open TXT file, 14.97 KB,  ORT-23: 2012 HCPCS (English, TXT 14.97 KB)
Open PDF file, 49.41 KB,  ORT-22: 2011 HCPCS (English, PDF 49.41 KB)
Open TXT file, 11.85 KB,  ORT-22: 2011 HCPCS (English, TXT 11.85 KB)
Open PDF file, 220.52 KB,  ORT-21: 2010 HCPCS (English, PDF 220.52 KB)
Open TXT file, 18.8 KB,  ORT-21: 2010 HCPCS (English, TXT 18.8 KB)
Open PDF file, 196.65 KB,  ORT-20: 2007 New HCPCS Codes and Modifiers (English, PDF 196.65 KB)
Open TXT file, 20.02 KB,  ORT-20: 2007 New HCPCS Codes and Modifiers (English, TXT 20.02 KB)
Open PDF file, 77.93 KB,  ORT-19: Revised Billing Instructions (English, PDF 77.93 KB)
Open TXT file, 15.88 KB,  ORT-19: Revised Billing Instructions (English, TXT 15.88 KB)
Open PDF file, 134.24 KB,  ORT-18: Coverage of Medically Necessary Orthotics to Members Aged 21 Years or Older (English, PDF 134.24 KB)
Open TXT file, 31.09 KB,  ORT-18: Coverage of Medically Necessary Orthotics to Members Aged 21 Years or Older (English, TXT 31.09 KB)
Open PDF file, 280.92 KB,  ORT-17: Revisions to Service Codes and Reduction in Shoe Maximum (English, PDF 280.92 KB)
Open RTF file, 1013.87 KB,  ORT-17: Revisions to Service Codes and Reduction in Shoe Maximum (English, RTF 1013.87 KB)
Open PDF file, 299.73 KB,  ORT-16: Restoration of Certain Orthotic Services and Revised Subchapter 6 (English, PDF 299.73 KB)
Open RTF file, 1.1 MB,  ORT-16: Restoration of Certain Orthotic Services and Revised Subchapter 6 (English, RTF 1.1 MB)
Open PDF file, 184.21 KB,  ORT-15: Age Limitations for Orthotic Services (English, PDF 184.21 KB)
Open RTF file, 34.88 KB,  ORT-15: Age Limitations for Orthotic Services (English, RTF 34.88 KB)
Open PDF file, 1.43 MB,  ORT-14: Revised Regulations, Subchapter 6, and Shoe Prescription Form (English, PDF 1.43 MB)
Open RTF file, 458.94 KB,  ORT-14: Revised Regulations, Subchapter 6, and Shoe Prescription Form (English, RTF 458.94 KB)

Oxygen

Open PDF file, 296.8 KB,  OXY-37: Updated Guidance for Payment of Shipping/Delivery (English, PDF 296.8 KB)
Open DOCX file, 126.46 KB,  OXY-37: Updated Guidance for Payment of Shipping/Delivery (English, DOCX 126.46 KB)
Open PDF file, 147.56 KB,  OXY-36: HCPCS Updates to Subchapter 6 and the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool for shipping fee (English, PDF 147.56 KB)
Open DOCX file, 100.64 KB,  OXY-36: HCPCS Updates to Subchapter 6 and the MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool for shipping fee (English, DOCX 100.64 KB)
Open PDF file, 407.93 KB,  OXY-35: Changes to Program Regulations Regarding Provider Enrollment and Member Notice (English, PDF 407.93 KB)
Open DOCX file, 109.19 KB,  OXY-35: Changes to Program Regulations Regarding Provider Enrollment and Member Notice (English, DOCX 109.19 KB)
Open PDF file, 548.66 KB,  OXY-34: 2020 HCPCS Update (English, PDF 548.66 KB)
Open DOCX file, 89.06 KB,  OXY-34: 2020 HCPCS Update (English, DOCX 89.06 KB)
Open DOCX file, 163.96 KB,  OXY-33: 2018 HCPCS Updates (corrected) (English, DOCX 163.96 KB)
Open PDF file, 136.44 KB,  OXY-33: 2018 HCPCS Updates (corrected) (English, PDF 136.44 KB)
Open PDF file, 72.33 KB,  OXY-32: 2016 HCPCS (English, PDF 72.33 KB)
Open DOC file, 144.5 KB,  OXY-32: 2016 HCPCS (English, DOC 144.5 KB)
Open PDF file, 144.16 KB,  OXY-31: 2014 HCPCS (English, PDF 144.16 KB)
Open DOC file, 119.53 KB,  OXY-31: 2014 HCPCS (English, DOC 119.53 KB)
Open PDF file, 77.75 KB,  OXY-30: 2011 HCPCS (English, PDF 77.75 KB)
Open TXT file, 12.71 KB,  OXY-30: 2011 HCPCS (English, TXT 12.71 KB)
Open PDF file, 191.08 KB,  OXY-29: 2010 HCPCS Updates (English, PDF 191.08 KB)
Open TXT file, 11.53 KB,  OXY-29: 2010 HCPCS Updates (English, TXT 11.53 KB)
Open PDF file, 80.18 KB,  OXY-28: Revised Billing Instructions (English, PDF 80.18 KB)
Open TXT file, 16.19 KB,  OXY-28: Revised Billing Instructions (English, TXT 16.19 KB)
Open PDF file, 184.86 KB,  OXY-27: Revised Service Codes (English, PDF 184.86 KB)
Open TXT file, 17.36 KB,  OXY-27: Revised Service Codes (English, TXT 17.36 KB)
Open PDF file, 208.7 KB,  OXY-26: Changes and Corrections to Subchapter 6 (English, PDF 208.7 KB)
Open RTF file, 4.29 MB,  OXY-26: Changes and Corrections to Subchapter 6 (English, RTF 4.29 MB)
Open PDF file, 334.22 KB,  OXY-25: Revised Service Codes (English, PDF 334.22 KB)
Open TXT file, 40.42 KB,  OXY-25: Revised Service Codes (English, TXT 40.42 KB)
Open PDF file, 63.74 KB,  OXY-24: Revised Service Codes (English, PDF 63.74 KB)
Open TXT file, 29.54 KB,  OXY-24: Revised Service Codes (English, TXT 29.54 KB)
Open PDF file, 380.89 KB,  OXY-23: Revised Service Codes and Descriptions (English, PDF 380.89 KB)
Open RTF file, 152.38 KB,  OXY-23: Revised Service Codes and Descriptions (English, RTF 152.38 KB)

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