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MassHealth transmittal letters by provider type P - R

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Personal Care Attendant

Open PDF file, 495.29 KB,  PCA-25: Revised Regulations Including Utilization and Initial Evaluation Requirements (English, PDF 495.29 KB)
Open DOCX file, 167.01 KB,  PCA-25: Revised Regulations Including Utilization and Initial Evaluation Requirements (English, DOCX 167.01 KB)
Open PDF file, 469.61 KB,  PCA-24: Revised Regulations Including Electronic Visit Verification Requirements (English, PDF 469.61 KB)
Open DOCX file, 191.72 KB,  PCA-24: Revised Regulations Including Electronic Visit Verification Requirements (English, DOCX 191.72 KB)
Open PDF file, 500.16 KB,  PCA-23: Revised Regulations About Requirements (English, PDF 500.16 KB)
Open DOCX file, 174.11 KB,  PCA-23: Revised Regulations About Requirements (English, DOCX 174.11 KB)
Open PDF file, 249.72 KB,  PCA-22: Revised Regulations about PCA Overtime (English, PDF 249.72 KB)
Open DOCX file, 206.28 KB,  PCA-22: Revised Regulations about PCA Overtime (English, DOCX 206.28 KB)
Open PDF file, 475.94 KB,  PCA-21: Revised Regulations about PCA Overtime (English, PDF 475.94 KB)
Open DOC file, 409.5 KB,  PCA-21: Revised Regulations about PCA Overtime (English, DOC 409.5 KB)
Open PDF file, 73.93 KB,  PCA-20: Revised Subchapter 6 (English, PDF 73.93 KB)
Open DOC file, 121.5 KB,  PCA-20: Revised Subchapter 6 (English, DOC 121.5 KB)
Open PDF file, 66.92 KB,  PCA-19: Integrated Care Organizations (English, PDF 66.92 KB)
Open TXT file, 9.74 KB,  PCA-19: Integrated Care Organizations (English, TXT 9.74 KB)
Open PDF file, 108.18 KB,  PCA-18: Changes to Personal Care Attendant (PCA) Regulations (English, PDF 108.18 KB)
Open TXT file, 7.24 KB,  PCA-18: Changes to Personal Care Attendant (PCA) Regulations (English, TXT 7.24 KB)
Open PDF file, 77.91 KB,  PCA-17: Revised Billing Instructions (English, PDF 77.91 KB)
Open TXT file, 16.08 KB,  PCA-17: Revised Billing Instructions (English, TXT 16.08 KB)
Open PDF file, 80.34 KB,  PCA-16: Revisions to Service Codes in Subchapter 6 (English, PDF 80.34 KB)
Open DOC file, 105 KB,  PCA-16: Revisions to Service Codes in Subchapter 6 (English, DOC 105 KB)
Open PDF file, 173.6 KB,  PCA-15: Revised Regulations About The Definition of “Family Member” and Personal Care Management Changes (English, PDF 173.6 KB)
Open TXT file, 109.76 KB,  PCA-15: Revised Regulations About The Definition of “Family Member” and Personal Care Management Changes (English, TXT 109.76 KB)
Open PDF file, 287.22 KB,  PCA-14: Changes to Service Codes and Service Descriptions (English, PDF 287.22 KB)
Open RTF file, 179.63 KB,  PCA-14: Changes to Service Codes and Service Descriptions (English, RTF 179.63 KB)
Open PDF file, 256.47 KB,  PCA-13: Revisions to Regulations and Service Codes and Descriptions; Revised Forms (English, PDF 256.47 KB)
Open RTF file, 226.62 KB,  PCA-13: Revisions to Regulations and Service Codes and Descriptions; Revised Forms (English, RTF 226.62 KB)

Pharmacy

Open PDF file, 363.86 KB,  PHM-64: Revised Regulations at 130 CMR 406.000 (English, PDF 363.86 KB)
Open DOCX file, 109.52 KB,  PHM-64: Revised Regulations at 130 CMR 406.000 (English, DOCX 109.52 KB)
Open PDF file, 415.62 KB,  PHM-63: Revised Regulations at 130 CMR 406.000 (English, PDF 415.62 KB)
Open DOCX file, 147.2 KB,  PHM-63: Revised Regulations at 130 CMR 406.000 (English, DOCX 147.2 KB)
Open PDF file, 170.19 KB,  PHM-62: Revised Regulations (130 CMR 406.000) (English, PDF 170.19 KB)
Open DOC file, 249.5 KB,  PHM-62: Revised Regulations (130 CMR 406.000) (English, DOC 249.5 KB)
Open PDF file, 246.04 KB,  PHM-61: Updated Gender Dysphoria Policy (English, PDF 246.04 KB)
Open DOC file, 84.5 KB,  PHM-61: Updated Gender Dysphoria Policy (English, DOC 84.5 KB)
Open PDF file, 266.39 KB,  PHM-60: Revisions to MassHealth Regulations-Affordable Care Act (English, PDF 266.39 KB)
Open TXT file, 8.31 KB,  PHM-60: Revisions to MassHealth Regulations-Affordable Care Act (English, TXT 8.31 KB)
Open PDF file, 45.2 KB,  PHM-59: Revised Appendix D (English, PDF 45.2 KB)
Open TXT file, 2.52 KB,  PHM-59: Revised Appendix D (English, TXT 2.52 KB)
Open PDF file, 331.17 KB,  PHM-58: Revised Pharmacy Regulations (English, PDF 331.17 KB)
Open TXT file, 47.21 KB,  PHM-58: Revised Pharmacy Regulations (English, TXT 47.21 KB)
Open PDF file, 72.15 KB,  PHM-57: Revisions to Regulations about Medicare Part D (English, PDF 72.15 KB)
Open TXT file, 9.38 KB,  PHM-57: Revisions to Regulations about Medicare Part D (English, TXT 9.38 KB)
Open PDF file, 62.9 KB,  PHM-56: Revision to Regulations about Medicare Part D (English, PDF 62.9 KB)
Open TXT file, 6.99 KB,  PHM-56: Revision to Regulations about Medicare Part D (English, TXT 6.99 KB)
Open PDF file, 60.63 KB,  PHM-55: Revised Regulations About Tobacco Cessation Services (English, PDF 60.63 KB)
Open TXT file, 8.59 KB,  PHM-55: Revised Regulations About Tobacco Cessation Services (English, TXT 8.59 KB)
Open PDF file, 276.26 KB,  PHM-54: Revision to Regulations About Medicare Part D (English, PDF 276.26 KB)
Open TXT file, 26.06 KB,  PHM-54: Revision to Regulations About Medicare Part D (English, TXT 26.06 KB)
Open PDF file, 181.48 KB,  PHM-53: Revised Regulations (English, PDF 181.48 KB)
Open TXT file, 14.57 KB,  PHM-53: Revised Regulations (English, TXT 14.57 KB)
Open PDF file, 63.18 KB,  PHM-52: Revision to Service Limitations (English, PDF 63.18 KB)
Open DOC file, 88.5 KB,  PHM-52: Revision to Service Limitations (English, DOC 88.5 KB)
Open PDF file, 322.38 KB,  PHM-51: Revised Regulations (English, PDF 322.38 KB)
Open RTF file, 300.38 KB,  PHM-51: Revised Regulations (English, RTF 300.38 KB)
Open PDF file, 187.2 KB,  PHM-50: Revised Nonlegend Drug List (English, PDF 187.2 KB)
Open RTF file, 129.23 KB,  PHM-50: Revised Nonlegend Drug List (English, RTF 129.23 KB)
Open PDF file, 184.36 KB,  PHM-49: Unit-Dose Return for Certain Drugs (English, PDF 184.36 KB)
Open RTF file, 129.41 KB,  PHM-49: Unit-Dose Return for Certain Drugs (English, RTF 129.41 KB)
Open PDF file, 185.5 KB,  PHM-48: Technical Correction (English, PDF 185.5 KB)
Open RTF file, 119.27 KB,  PHM-48: Technical Correction (English, RTF 119.27 KB)
Open PDF file, 173.74 KB,  PHM-47: Revised Nonlegend Drug List (English, PDF 173.74 KB)
Open RTF file, 128.78 KB,  PHM-47: Revised Nonlegend Drug List (English, RTF 128.78 KB)
Open PDF file, 234.4 KB,  PHM-46: Revised Regulations (English, PDF 234.4 KB)
Open RTF file, 282.21 KB,  PHM-46: Revised Regulations (English, RTF 282.21 KB)
Open PDF file, 677.05 KB,  PHM-45: Unit Dose Return for Certain Drugs (English, PDF 677.05 KB)
Open RTF file, 355.23 KB,  PHM-45: Unit Dose Return for Certain Drugs (English, RTF 355.23 KB)

Physician

Open PDF file, 449.8 KB,  PHY-169: Updates to Subchapter 6 (2024 HCPCS) (English, PDF 449.8 KB)
Open DOCX file, 220.83 KB,  PHY-169: Updates to Subchapter 6 (2024 HCPCS) (English, DOCX 220.83 KB)
Open PDF file, 493.3 KB,  PHY-168: Updates to Subchapter 6 (English, PDF 493.3 KB)
Open DOCX file, 183.93 KB,  PHY-168: Updates to Subchapter 6 (English, DOCX 183.93 KB)
Open PDF file, 324.98 KB,  PHY-167: Revised Regulations at 130 CMR 433.000 (English, PDF 324.98 KB)
Open DOCX file, 132.78 KB,  PHY-167: Revised Regulations at 130 CMR 433.000 (English, DOCX 132.78 KB)
Open PDF file, 394.25 KB,  PHY-166: 2023 HCPCS Updates to Subchapter 6 (English, PDF 394.25 KB)
Open DOCX file, 181.72 KB,  PHY-166: 2023 HCPCS Updates to Subchapter 6 (English, DOCX 181.72 KB)
Open PDF file, 218.27 KB,  PHY-165: Revisions to 130 CMR 433.000 to Clarify Coverage of Abortion Services (English, PDF 218.27 KB)
Open DOCX file, 81.26 KB,  PHY-165: Revisions to 130 CMR 433.000 to Clarify Coverage of Abortion Services (English, DOCX 81.26 KB)
Open PDF file, 468.93 KB,  PHY-164: HCPCS Updates to Subchapter 6 (English, PDF 468.93 KB)
Open DOCX file, 182.34 KB,  PHY-164: HCPCS Updates to Subchapter 6 (English, DOCX 182.34 KB)
Open PDF file, 210 KB,  PHY-163: Updates to Policy about Acupuncture Services and Certain Psychiatric Services (English, PDF 210 KB)
Open DOCX file, 82.25 KB,  PHY-163: Updates to Policy about Acupuncture Services and Certain Psychiatric Services (English, DOCX 82.25 KB)
Open PDF file, 242.13 KB,  PHY-162: Addition of Code 99417 (English, PDF 242.13 KB)
Open DOCX file, 207.12 KB,  PHY-162: Addition of Code 99417 (English, DOCX 207.12 KB)
Open PDF file, 1.03 MB,  PHY-161: Addition of Code G2066 and Deletion of Code 93299; Integrated Behavioral Health Service; Facial Feminization Procedures (English, PDF 1.03 MB)
Open DOCX file, 179.43 KB,  PHY-161: Addition of Code G2066 and Deletion of Code 93299; Integrated Behavioral Health Service; Facial Feminization Procedures (English, DOCX 179.43 KB)
Open PDF file, 237.4 KB,  PHY-160: 2021 HCPCS Updates to Subchapter 6; Continued Suspension of Policy Set forth in Transmittal Letter PHY-157 (English, PDF 237.4 KB)
Open DOCX file, 210.99 KB,  PHY-160: 2021 HCPCS Updates to Subchapter 6; Continued Suspension of Policy Set forth in Transmittal Letter PHY-157 (English, DOCX 210.99 KB)
Open PDF file, 237.05 KB,  PHY-159: HCPCS Updates to Subchapter 6 (English, PDF 237.05 KB)
Open DOCX file, 190.88 KB,  PHY-159: HCPCS Updates to Subchapter 6 (English, DOCX 190.88 KB)
Open PDF file, 508.73 KB,  PHY-158: 2020 HCPCS Code updates and Removal of PA Requirements for Certain Knee Arthroplasty and Knee Arthroscopy Codes (English, PDF 508.73 KB)
Open DOCX file, 218.41 KB,  PHY-158: 2020 HCPCS Code updates and Removal of PA Requirements for Certain Knee Arthroplasty and Knee Arthroscopy Codes (English, DOCX 218.41 KB)
Open PDF file, 629.97 KB,  PHY-157: New MassHealth Third-Party Administrator for Prior Authorization; New Prior Authorization Requirements (English, PDF 629.97 KB)
Open DOCX file, 226.35 KB,  PHY-157: New MassHealth Third-Party Administrator for Prior Authorization; New Prior Authorization Requirements (English, DOCX 226.35 KB)
Open PDF file, 290.26 KB,  PHY-156: 2019 HCPCS Code Revisions; New Drug Codes and Prior-Authorization Requirements for Treatment of Varicose Veins of the Lower Extremities (English, PDF 290.26 KB)
Open DOCX file, 176.04 KB,  PHY-156: 2019 HCPCS Code Revisions; New Drug Codes and Prior-Authorization Requirements for Treatment of Varicose Veins of the Lower Extremities (English, DOCX 176.04 KB)
Open PDF file, 475.71 KB,  PHY-155: 2018 HCPCS Code Revisions & New Prior Authorization Requirements for Knee Arthroscopy and Knee Arthroplasty (English, PDF 475.71 KB)
Open DOCX file, 289.27 KB,  PHY-155: 2018 HCPCS Code Revisions & New Prior Authorization Requirements for Knee Arthroscopy and Knee Arthroplasty (English, DOCX 289.27 KB)
Open PDF file, 1.02 MB,  PHY-154: Midlevel Practitioner Project and EO562 Regulation Review; Subchapter 6 Updates (English, PDF 1.02 MB)
Open DOC file, 673 KB,  PHY-154: Midlevel Practitioner Project and EO562 Regulation Review; Subchapter 6 Updates (English, DOC 673 KB)
Open PDF file, 331.51 KB,  PHY-153: Revised Subchapter 6, Additional Behavioral Health Screening Tools and Revised Coding for Postpartum Depression Screening (English, PDF 331.51 KB)
Open DOC file, 335.5 KB,  PHY-153: Revised Subchapter 6, Additional Behavioral Health Screening Tools and Revised Coding for Postpartum Depression Screening (English, DOC 335.5 KB)
Open PDF file, 528.89 KB,  PHY-152: 2017 HCPCS Updates and Drug Testing/Drug Screen Claim Edits (English, PDF 528.89 KB)
Open DOC file, 345.5 KB,  PHY-152: 2017 HCPCS Updates and Drug Testing/Drug Screen Claim Edits (English, DOC 345.5 KB)
Open PDF file, 462.4 KB,  PHY-151: Service Code Updates/HIV-Associated Lipodystrophy Syndrome (English, PDF 462.4 KB)
Open DOC file, 325 KB,  PHY-151: Service Code Updates/HIV-Associated Lipodystrophy Syndrome (English, DOC 325 KB)
Open PDF file, 431 KB,  PHY-150: Code Revisions in Subchapter 6 and Appendix K (English, PDF 431 KB)
Open DOC file, 327.5 KB,  PHY-150: Code Revisions in Subchapter 6 and Appendix K (English, DOC 327.5 KB)
Open PDF file, 126.04 KB,  PHY-149: Revised Regulations (130 CMR 433.000) (English, PDF 126.04 KB)
Open DOC file, 220 KB,  PHY-149: Revised Regulations (130 CMR 433.000) (English, DOC 220 KB)
Open PDF file, 66.78 KB,  PHY-148: Payment for Postpartum Depression Screening (English, PDF 66.78 KB)
Open DOC file, 203 KB,  PHY-148: Payment for Postpartum Depression Screening (English, DOC 203 KB)
Open PDF file, 397.66 KB,  PHY-147: HCPCS 2016 Codes (English, PDF 397.66 KB)
Open DOC file, 292.5 KB,  PHY-147: HCPCS 2016 Codes (English, DOC 292.5 KB)
Open PDF file, 222.58 KB,  PHY-146: Revised Appendix I (English, PDF 222.58 KB)
Open DOC file, 302.5 KB,  PHY-146: Revised Appendix I (English, DOC 302.5 KB)
Open PDF file, 393.12 KB,  PHY-145: 2015 HCPCS (English, PDF 393.12 KB)
Open DOC file, 280 KB,  PHY-145: 2015 HCPCS (English, DOC 280 KB)
Open PDF file, 445.42 KB,  PHY-144: 2015 HCPCS (English, PDF 445.42 KB)
Open DOC file, 346 KB,  PHY-144: 2015 HCPCS (English, DOC 346 KB)
Open PDF file, 52.25 KB,  PHY-143: Revisions to Abortion Services (English, PDF 52.25 KB)
Open DOC file, 76 KB,  PHY-143: Revisions to Abortion Services (English, DOC 76 KB)
Open PDF file, 262.4 KB,  PHY-142: Updated Gender Dysphoria and Sterilization Policies (English, PDF 262.4 KB)
Open DOC file, 379 KB,  PHY-142: Updated Gender Dysphoria and Sterilization Policies (English, DOC 379 KB)
Open PDF file, 197.61 KB,  PHY-141: 2014 HCPCS (English, PDF 197.61 KB)
Open DOC file, 671 KB,  PHY-141: 2014 HCPCS (English, DOC 671 KB)
Open PDF file, 594.25 KB,  PHY-140: Revisions to MassHealth Regulations-Affordable Care Act (English, PDF 594.25 KB)
Open TXT file, 116.75 KB,  PHY-140: Revisions to MassHealth Regulations-Affordable Care Act (English, TXT 116.75 KB)
Open PDF file, 223.07 KB,  PHY-139: 2013 HCPCS (English, PDF 223.07 KB)
Open TXT file, 60.8 KB,  PHY-139: 2013 HCPCS (English, TXT 60.8 KB)
Open PDF file, 378.73 KB,  PHY-138: New Modifiers for National Correct Coding Initiatives (English, PDF 378.73 KB)
Open RTF file, 971.25 KB,  PHY-138: New Modifiers for National Correct Coding Initiatives (English, RTF 971.25 KB)
Open PDF file, 79.76 KB,  PHY-137: Certified Registered Nurse Anesthetists (English, PDF 79.76 KB)
Open TXT file, 31.76 KB,  PHY-137: Certified Registered Nurse Anesthetists (English, TXT 31.76 KB)
Open PDF file, 85.75 KB,  PHY-136: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, PDF 85.75 KB)
Open TXT file, 7.25 KB,  PHY-136: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, TXT 7.25 KB)
Open PDF file, 62.33 KB,  PHY-135: Coverage for Fluoride Varnish Applied by Medical Assistants (English, PDF 62.33 KB)
Open TXT file, 8.49 KB,  PHY-135: Coverage for Fluoride Varnish Applied by Medical Assistants (English, TXT 8.49 KB)
Open PDF file, 116.47 KB,  PHY-134: 2012 HCPCS (English, PDF 116.47 KB)
Open TXT file, 48.75 KB,  PHY-134: 2012 HCPCS (English, TXT 48.75 KB)
Open PDF file, 35.96 KB,  PHY-133: Anesthesia Units of Service (English, PDF 35.96 KB)
Open TXT file, 5.15 KB,  PHY-133: Anesthesia Units of Service (English, TXT 5.15 KB)
Open PDF file, 129.16 KB,  PHY-132: 2011 HCPCS Updates (English, PDF 129.16 KB)
Open TXT file, 54.43 KB,  PHY-132: 2011 HCPCS Updates (English, TXT 54.43 KB)
Open PDF file, 92.04 KB,  PHY-131: Amendments to Regulations about Payment for Surgery Services (English, PDF 92.04 KB)
Open TXT file, 25.21 KB,  PHY-131: Amendments to Regulations about Payment for Surgery Services (English, TXT 25.21 KB)
Open PDF file, 125.63 KB,  PHY-130: Corrected Subchapter 6 (English, PDF 125.63 KB)
Open DOC file, 206 KB,  PHY-130: Corrected Subchapter 6 (English, DOC 206 KB)
Open PDF file, 1.05 MB,  PHY-129: 2011 HCPCS (English, PDF 1.05 MB)
Open TXT file, 58.01 KB,  PHY-129: 2011 HCPCS (English, TXT 58.01 KB)
Open PDF file, 67.75 KB,  PHY-128: 2010 HCPCS (English, PDF 67.75 KB)
Open TXT file, 3.64 KB,  PHY-128: 2010 HCPCS (English, TXT 3.64 KB)
Open PDF file, 519.18 KB,  PHY-127: 2009 HCPCS (English, PDF 519.18 KB)
Open TXT file, 48.52 KB,  PHY-127: 2009 HCPCS (English, TXT 48.52 KB)
Open PDF file, 121.47 KB,  PHY-126: Appendix I (English, PDF 121.47 KB)
Open TXT file, 3.82 KB,  PHY-126: Appendix I (English, TXT 3.82 KB)
Open PDF file, 494.58 KB,  PHY-125: 2009 HCPCS (English, PDF 494.58 KB)
Open TXT file, 53.79 KB,  PHY-125: 2009 HCPCS (English, TXT 53.79 KB)
Open PDF file, 428.41 KB,  PHY-124: Implementation of the Child and Adolescent Needs and Strengths Tool (English, PDF 428.41 KB)
Open TXT file, 66.88 KB,  PHY-124: Implementation of the Child and Adolescent Needs and Strengths Tool (English, TXT 66.88 KB)
Open PDF file, 236.06 KB,  PHY-123: Application of Fluoride Varnish by Pediatricians and Other Qualified Health Care Professionals (English, PDF 236.06 KB)
Open TXT file, 33.51 KB,  PHY-123: Application of Fluoride Varnish by Pediatricians and Other Qualified Health Care Professionals (English, TXT 33.51 KB)
Open PDF file, 285.22 KB,  PHY-122: Revised Pharmacy Regulations (English, PDF 285.22 KB)
Open RTF file, 160.77 KB,  PHY-122: Revised Pharmacy Regulations (English, RTF 160.77 KB)
Open PDF file, 473.28 KB,  PHY-121: 2008 HCPCS (English, PDF 473.28 KB)
Open TXT file, 55.99 KB,  PHY-121: 2008 HCPCS (English, TXT 55.99 KB)
Open PDF file, 265.6 KB,  PHY-120: New Behavioral Health Screening Fee and 2008 HCPCS Coding Update (English, PDF 265.6 KB)
Open TXT file, 10.89 KB,  PHY-120: New Behavioral Health Screening Fee and 2008 HCPCS Coding Update (English, TXT 10.89 KB)
Open PDF file, 616.04 KB,  PHY-119: 2007 HCPCS Coding Update (English, PDF 616.04 KB)
Open TXT file, 65.31 KB,  PHY-119: 2007 HCPCS Coding Update (English, TXT 65.31 KB)
Open PDF file, 91.19 KB,  PHY-118: Revised Billing Instructions (English, PDF 91.19 KB)
Open TXT file, 16.5 KB,  PHY-118: Revised Billing Instructions (English, TXT 16.5 KB)
Open PDF file, 101.97 KB,  PHY-117: Revisions to Regulations about Medicare Part D (English, PDF 101.97 KB)
Open TXT file, 23.31 KB,  PHY-117: Revisions to Regulations about Medicare Part D (English, TXT 23.31 KB)
Open PDF file, 162.47 KB,  PHY-116: Vision Care Services (English, PDF 162.47 KB)
Open TXT file, 13.58 KB,  PHY-116: Vision Care Services (English, TXT 13.58 KB)
Open PDF file, 269.29 KB,  PHY-115: 2007 HCPCS Coding Update (English, PDF 269.29 KB)
Open TXT file, 40.74 KB,  PHY-115: 2007 HCPCS Coding Update (English, TXT 40.74 KB)
Open PDF file, 96.1 KB,  PHY-114: Vision Care Services (English, PDF 96.1 KB)
Open TXT file, 11.67 KB,  PHY-114: Vision Care Services (English, TXT 11.67 KB)
Open PDF file, 529.67 KB,  PHY-113: 2006 HCPCS Codes (English, PDF 529.67 KB)
Open TXT file, 35.54 KB,  PHY-113: 2006 HCPCS Codes (English, TXT 35.54 KB)
Open PDF file, 115.07 KB,  PHY-112: Revised Regulations About New Tobacco Cessation Services: Correction (English, PDF 115.07 KB)
Open TXT file, 7.84 KB,  PHY-112: Revised Regulations About New Tobacco Cessation Services: Correction (English, TXT 7.84 KB)
Open PDF file, 137.43 KB,  PHY-111: Revised Regulations About New Tobacco Cessation Services and Independent Diagnostic Testing Facility (IDTF) Services (English, PDF 137.43 KB)
Open RTF file, 228.88 KB,  PHY-111: Revised Regulations About New Tobacco Cessation Services and Independent Diagnostic Testing Facility (IDTF) Services (English, RTF 228.88 KB)
Open PDF file, 217.6 KB,  PHY-110: Revisions to Service Codes in Subchapter 6 (English, PDF 217.6 KB)
Open TXT file, 29.32 KB,  PHY-110: Revisions to Service Codes in Subchapter 6 (English, TXT 29.32 KB)
Open PDF file, 402.19 KB,  PHY-109: Revision to Regulations About Medicare Part D (English, PDF 402.19 KB)
Open TXT file, 184.05 KB,  PHY-109: Revision to Regulations About Medicare Part D (English, TXT 184.05 KB)
Open PDF file, 266.44 KB,  PHY-108: Changes to Program Regulations (English, PDF 266.44 KB)
Open TXT file, 16.94 KB,  PHY-108: Changes to Program Regulations (English, TXT 16.94 KB)
Open PDF file, 253.77 KB,  PHY-107: Revised Pharmacy Services Regulations (English, PDF 253.77 KB)
Open TXT file, 23.65 KB,  PHY-107: Revised Pharmacy Services Regulations (English, TXT 23.65 KB)
Open PDF file, 156.92 KB,  PHY-106: Prior Authorization Policy for Rehabilitative Therapy Services (English, PDF 156.92 KB)
Open RTF file, 5.55 MB,  PHY-106: Prior Authorization Policy for Rehabilitative Therapy Services (English, RTF 5.55 MB)
Open PDF file, 438.06 KB,  PHY-105: 2005 HCPCS Codes (English, PDF 438.06 KB)
Open RTF file, 4.15 MB,  PHY-105: 2005 HCPCS Codes (English, RTF 4.15 MB)
Open PDF file, 90.13 KB,  PHY-104: Revision to Service Limitations (English, PDF 90.13 KB)
Open RTF file, 4.08 MB,  PHY-104: Revision to Service Limitations (English, RTF 4.08 MB)
Open PDF file, 75.49 KB,  PHY-103: Revised Pharmacy Services Regulations (English, PDF 75.49 KB)
Open RTF file, 180.41 KB,  PHY-103: Revised Pharmacy Services Regulations (English, RTF 180.41 KB)
Open PDF file, 298.64 KB,  PHY-102: 2004 HCPCS Codes (English, PDF 298.64 KB)
Open RTF file, 881.29 KB,  PHY-102: 2004 HCPCS Codes (English, RTF 881.29 KB)
Open PDF file, 187.99 KB,  PHY-101: Revised Nonlegend Drug List (English, PDF 187.99 KB)
Open RTF file, 129.24 KB,  PHY-101: Revised Nonlegend Drug List (English, RTF 129.24 KB)
Open PDF file, 177.42 KB,  PHY-100: 2004 HCPCS (English, PDF 177.42 KB)
Open TXT file, 33.91 KB,  PHY-100: 2004 HCPCS (English, TXT 33.91 KB)
Open PDF file, 315.65 KB,  PHY-99: Prior Authorization for Certain Therapy Visits (English, PDF 315.65 KB)
Open RTF file, 563.54 KB,  PHY-99: Prior Authorization for Certain Therapy Visits (English, RTF 563.54 KB)
Open PDF file, 87.46 KB,  PHY-98: Revised Regulations (English, PDF 87.46 KB)
Open RTF file, 240.85 KB,  PHY-98: Revised Regulations (English, RTF 240.85 KB)
Open PDF file, 408.23 KB,  PHY-97: Revisions to Service Codes and Descriptions (English, PDF 408.23 KB)
Open RTF file, 548.36 KB,  PHY-97: Revisions to Service Codes and Descriptions (English, RTF 548.36 KB)
Open PDF file, 174.25 KB,  PHY-96: Revised Nonlegend Drug List (English, PDF 174.25 KB)
Open RTF file, 128.88 KB,  PHY-96: Revised Nonlegend Drug List (English, RTF 128.88 KB)
Open PDF file, 212.7 KB,  PHY-95: Revised Regulations about Pharmacy Services (English, PDF 212.7 KB)
Open RTF file, 213.67 KB,  PHY-95: Revised Regulations about Pharmacy Services (English, RTF 213.67 KB)
Open PDF file, 263.49 KB,  PHY-94: 2003 HCPCS Codes (English, PDF 263.49 KB)
Open DOC file, 51.5 KB,  PHY-94: 2003 HCPCS Codes (English, DOC 51.5 KB)
Open PDF file, 172.75 KB,  PHY-93: Age Limitations for Certain Vision Care Services (English, PDF 172.75 KB)
Open RTF file, 148.72 KB,  PHY-93: Age Limitations for Certain Vision Care Services (English, RTF 148.72 KB)
Open PDF file, 993.82 KB,  PHY-92: Revised Regulations and Restructured Subchapter 6 (Service Codes) (English, PDF 993.82 KB)
Open RTF file, 1.3 MB,  PHY-92: Revised Regulations and Restructured Subchapter 6 (Service Codes) (English, RTF 1.3 MB)

Podiatrist

Open PDF file, 197.28 KB,  POD-77: 2023 HCPCS Updates to Subchapter 6 Codes (English, PDF 197.28 KB)
Open DOCX file, 106.33 KB,  POD-77: 2023 HCPCS Updates to Subchapter 6 Codes (English, DOCX 106.33 KB)
Open PDF file, 305.15 KB,  POD-76: 2022 HCPCS Updates to Subchapter 6 Codes (English, PDF 305.15 KB)
Open DOCX file, 96.3 KB,  POD-76: 2022 HCPCS Updates to Subchapter 6 Codes (English, DOCX 96.3 KB)
Open PDF file, 98.62 KB,  POD-75: 2017 HCPCS Codes (English, PDF 98.62 KB)
Open DOC file, 206 KB,  POD-75: 2017 HCPCS Codes (English, DOC 206 KB)
Open PDF file, 114.07 KB,  POD-74: Revised Regulations (130 CMR 424.000) (English, PDF 114.07 KB)
Open DOC file, 196.5 KB,  POD-74: Revised Regulations (130 CMR 424.000) (English, DOC 196.5 KB)
Open PDF file, 222.59 KB,  POD-73: Revised Appendix E (English, PDF 222.59 KB)
Open DOC file, 302 KB,  POD-73: Revised Appendix E (English, DOC 302 KB)
Open PDF file, 378.07 KB,  POD-72: 2015 HCPCS (English, PDF 378.07 KB)
Open DOC file, 102 KB,  POD-72: 2015 HCPCS (English, DOC 102 KB)
Open PDF file, 111.05 KB,  POD-71: Updated Gender Dysphoria Policy (English, PDF 111.05 KB)
Open DOC file, 1004.32 KB,  POD-71: Updated Gender Dysphoria Policy (English, DOC 1004.32 KB)
Open PDF file, 254.52 KB,  POD-70: Revisions to MassHealth Regulations-Affordable Care Act (English, PDF 254.52 KB)
Open TXT file, 8.57 KB,  POD-70: Revisions to MassHealth Regulations-Affordable Care Act (English, TXT 8.57 KB)
Open PDF file, 119.97 KB,  POD-69: 2013 HCPCS (English, PDF 119.97 KB)
Open TXT file, 14.69 KB,  POD-69: 2013 HCPCS (English, TXT 14.69 KB)
Open PDF file, 366.41 KB,  POD-68: New Modifiers for National Correct Coding Initiatives (English, PDF 366.41 KB)
Open RTF file, 141.06 KB,  POD-68: New Modifiers for National Correct Coding Initiatives (English, RTF 141.06 KB)
Open PDF file, 96.73 KB,  POD-67: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, PDF 96.73 KB)
Open TXT file, 4.2 KB,  POD-67: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, TXT 4.2 KB)
Open PDF file, 375.97 KB,  POD-66: 2012 HCPCS (English, PDF 375.97 KB)
Open TXT file, 3.3 KB,  POD-66: 2012 HCPCS (English, TXT 3.3 KB)
Open PDF file, 103.02 KB,  POD-65: Amendments to Regulations about Payment for Surgery Services (English, PDF 103.02 KB)
Open TXT file, 45.14 KB,  POD-65: Amendments to Regulations about Payment for Surgery Services (English, TXT 45.14 KB)
Open PDF file, 99.5 KB,  POD-64: 2011 HCPCS (English, PDF 99.5 KB)
Open TXT file, 19.14 KB,  POD-64: 2011 HCPCS (English, TXT 19.14 KB)
Open PDF file, 126.09 KB,  POD-63: 2009 HCPCS (English, PDF 126.09 KB)
Open TXT file, 13.63 KB,  POD-63: 2009 HCPCS (English, TXT 13.63 KB)
Open PDF file, 117.53 KB,  POD-62: Appendix E (English, PDF 117.53 KB)
Open TXT file, 3.87 KB,  POD-62: Appendix E (English, TXT 3.87 KB)
Open PDF file, 274.93 KB,  POD-61: 2009 HCPCS (English, PDF 274.93 KB)
Open TXT file, 13.55 KB,  POD-61: 2009 HCPCS (English, TXT 13.55 KB)
Open PDF file, 382.42 KB,  POD-60: Elimination of Life and Safety Requirement (English, PDF 382.42 KB)
Open TXT file, 30.18 KB,  POD-60: Elimination of Life and Safety Requirement (English, TXT 30.18 KB)
Open PDF file, 210.21 KB,  POD-59: Revised Pharmacy Regulations (English, PDF 210.21 KB)
Open TXT file, 39.76 KB,  POD-59: Revised Pharmacy Regulations (English, TXT 39.76 KB)
Open PDF file, 136.99 KB,  POD-58: Revised Billing Instructions (English, PDF 136.99 KB)
Open TXT file, 14.6 KB,  POD-58: Revised Billing Instructions (English, TXT 14.6 KB)
Open PDF file, 260.77 KB,  POD-57: 2007 HCPCS Codes (English, PDF 260.77 KB)
Open TXT file, 16.68 KB,  POD-57: 2007 HCPCS Codes (English, TXT 16.68 KB)
Open PDF file, 88.05 KB,  POD-56: Revisions to Regulations about Medicare Part D (English, PDF 88.05 KB)
Open TXT file, 15.14 KB,  POD-56: Revisions to Regulations about Medicare Part D (English, TXT 15.14 KB)
Open PDF file, 77.61 KB,  POD-55: 2007 HCPCS Coding Update (English, PDF 77.61 KB)
Open TXT file, 17.67 KB,  POD-55: 2007 HCPCS Coding Update (English, TXT 17.67 KB)
Open PDF file, 444.54 KB,  POD-54: 2006 HCPCS Codes (English, PDF 444.54 KB)
Open TXT file, 14.14 KB,  POD-54: 2006 HCPCS Codes (English, TXT 14.14 KB)
Open PDF file, 476.9 KB,  POD-53: Coverage of Medically Necessary Orthotic Shoes for Members Aged 21 Years or Older (English, PDF 476.9 KB)
Open TXT file, 21.25 KB,  POD-53: Coverage of Medically Necessary Orthotic Shoes for Members Aged 21 Years or Older (English, TXT 21.25 KB)
Open PDF file, 97.21 KB,  POD-52: Revised Regulations About New Tobacco Cessation Services (English, PDF 97.21 KB)
Open TXT file, 25.47 KB,  POD-52: Revised Regulations About New Tobacco Cessation Services (English, TXT 25.47 KB)
Open PDF file, 221.53 KB,  POD-51: Revision to Regulations About Medicare Part D (English, PDF 221.53 KB)
Open TXT file, 12.88 KB,  POD-51: Revision to Regulations About Medicare Part D (English, TXT 12.88 KB)
Open PDF file, 192.43 KB,  POD-50: Revised Pharmacy Services Regulations (English, PDF 192.43 KB)
Open TXT file, 16.43 KB,  POD-50: Revised Pharmacy Services Regulations (English, TXT 16.43 KB)
Open PDF file, 87.15 KB,  POD-49: Revision to Service Limitations (English, PDF 87.15 KB)
Open RTF file, 4.07 MB,  POD-49: Revision to Service Limitations (English, RTF 4.07 MB)
Open PDF file, 362.01 KB,  POD-48: Revised Pharmacy Services Regulations (English, PDF 362.01 KB)
Open TXT file, 22.63 KB,  POD-48: Revised Pharmacy Services Regulations (English, TXT 22.63 KB)
Open PDF file, 187.45 KB,  POD-47: Revised Nonlegend Drug List (English, PDF 187.45 KB)
Open RTF file, 129.25 KB,  POD-47: Revised Nonlegend Drug List (English, RTF 129.25 KB)
Open PDF file, 248.53 KB,  POD-46: Revisions to Service Codes and Regulations in Shoe Maximum (English, PDF 248.53 KB)
Open RTF file, 200.05 KB,  POD-46: Revisions to Service Codes and Regulations in Shoe Maximum (English, RTF 200.05 KB)
Open PDF file, 363.79 KB,  POD-45: Revised Regulations and Service Codes and Descriptions (English, PDF 363.79 KB)
Open RTF file, 549.01 KB,  POD-45: Revised Regulations and Service Codes and Descriptions (English, RTF 549.01 KB)
Open PDF file, 173.86 KB,  POD-44: Revised Nonlegend Drug List (English, PDF 173.86 KB)
Open RTF file, 47.27 KB,  POD-44: Revised Nonlegend Drug List (English, RTF 47.27 KB)
Open PDF file, 222.71 KB,  POD-43: Revised Regulations about Pharmacy Services (English, PDF 222.71 KB)
Open RTF file, 235.02 KB,  POD-43: Revised Regulations about Pharmacy Services (English, RTF 235.02 KB)
Open PDF file, 100.85 KB,  POD-42: Revised List of Covered Services (2003 HCPCS) (English, PDF 100.85 KB)
Open RTF file, 89.16 KB,  POD-42: Revised List of Covered Services (2003 HCPCS) (English, RTF 89.16 KB)
Open PDF file, 363.27 KB,  POD-41: Age Limitations for Orthotic Services (English, PDF 363.27 KB)
Open RTF file, 131.55 KB,  POD-41: Age Limitations for Orthotic Services (English, RTF 131.55 KB)

Prosthetics

Open PDF file, 300.8 KB,  PRT-29: Prosthetics Manual: HCPCS Updates to Subchapter 6 and to the MassHealth and Prosthetics Payment and Coverage Guidelines Tool (English, PDF 300.8 KB)
Open DOCX file, 120.91 KB,  PRT-29: Prosthetics Manual: HCPCS Updates to Subchapter 6 and to the MassHealth and Prosthetics Payment and Coverage Guidelines Tool (English, DOCX 120.91 KB)
Open PDF file, 290.06 KB,  PRT-28: Changes to Program Regulations Regarding Provider Enrollment and Member Notice (English, PDF 290.06 KB)
Open DOCX file, 103 KB,  PRT-28: Changes to Program Regulations Regarding Provider Enrollment and Member Notice (English, DOCX 103 KB)
Open PDF file, 51.02 KB,  PRT-27: Revised Subchapter 6 (English, PDF 51.02 KB)
Open DOCX file, 102.97 KB,  PRT-27: Revised Subchapter 6 (English, DOCX 102.97 KB)
Open PDF file, 233.56 KB,  PRT-26: Payment Care and Delivery Innovations (English, PDF 233.56 KB)
Open DOCX file, 141.88 KB,  PRT-26: Payment Care and Delivery Innovations (English, DOCX 141.88 KB)
Open PDF file, 81.77 KB,  PRT-25: 2014 HCPCS (English, PDF 81.77 KB)
Open DOC file, 203.61 KB,  PRT-25: 2014 HCPCS (English, DOC 203.61 KB)
Open PDF file, 101.13 KB,  PRT-24: Changes to MassHealth Prosthetic Regulations (English, PDF 101.13 KB)
Open TXT file, 17.27 KB,  PRT-24: Changes to MassHealth Prosthetic Regulations (English, TXT 17.27 KB)
Open PDF file, 75.51 KB,  PRT-23: 2012 HCPCS (English, PDF 75.51 KB)
Open TXT file, 11.71 KB,  PRT-23: 2012 HCPCS (English, TXT 11.71 KB)
Open PDF file, 49.27 KB,  PRT-22: 2011 HCPCS (English, PDF 49.27 KB)
Open TXT file, 10.4 KB,  PRT-22: 2011 HCPCS (English, TXT 10.4 KB)
Open PDF file, 216.77 KB,  PRT-21: 2010 HCPCS (English, PDF 216.77 KB)
Open TXT file, 18.5 KB,  PRT-21: 2010 HCPCS (English, TXT 18.5 KB)
Open PDF file, 159.61 KB,  PRT-20: 2007 HCPCS Service Codes and Modifiers (English, PDF 159.61 KB)
Open TXT file, 15.31 KB,  PRT-20: 2007 HCPCS Service Codes and Modifiers (English, TXT 15.31 KB)
Open PDF file, 87.62 KB,  PRT-19: Revised Billing Instructions (English, PDF 87.62 KB)
Open TXT file, 15.9 KB,  PRT-19: Revised Billing Instructions (English, TXT 15.9 KB)
Open PDF file, 969.96 KB,  PRT-18: Coverage of Medically Necessary Prosthetics to Members Aged 21 Years or Older (English, PDF 969.96 KB)
Open TXT file, 25.08 KB,  PRT-18: Coverage of Medically Necessary Prosthetics to Members Aged 21 Years or Older (English, TXT 25.08 KB)
Open PDF file, 231.39 KB,  PRT-17: Revisions to Service Codes (English, PDF 231.39 KB)
Open RTF file, 782.9 KB,  PRT-17: Revisions to Service Codes (English, RTF 782.9 KB)
Open PDF file, 270.77 KB,  PRT-16: Restoration of Certain Prosthetic Services and Revised Subchapter 6 (English, PDF 270.77 KB)
Open RTF file, 905.64 KB,  PRT-16: Restoration of Certain Prosthetic Services and Revised Subchapter 6 (English, RTF 905.64 KB)
Open PDF file, 170.87 KB,  PRT-15: Age Limitation for Prosthetic Services (English, PDF 170.87 KB)
Open RTF file, 27.88 KB,  PRT-15: Age Limitation for Prosthetic Services (English, RTF 27.88 KB)
Open PDF file, 584.62 KB,  PRT-14: Revised Regulations and Subchapter 6 (English, PDF 584.62 KB)
Open RTF file, 349.61 KB,  PRT-14: Revised Regulations and Subchapter 6 (English, RTF 349.61 KB)

Psychiatric Day Treatment

Open PDF file, 118.06 KB,  PDT-22: Revised Service Code Description (English, PDF 118.06 KB)
Open DOCX file, 87.48 KB,  PDT-22: Revised Service Code Description (English, DOCX 87.48 KB)
Open PDF file, 349.98 KB,  PDT-21: Revisions to the Psychiatric Day Treatment Program Regulations (English, PDF 349.98 KB)
Open DOCX file, 138.48 KB,  PDT-21: Revisions to the Psychiatric Day Treatment Program Regulations (English, DOCX 138.48 KB)
Open PDF file, 137.74 KB,  PDT-20: Revised Billing Instructions (English, PDF 137.74 KB)
Open TXT file, 15.11 KB,  PDT-20: Revised Billing Instructions (English, TXT 15.11 KB)
Open PDF file, 357.99 KB,  PDT-19: Revisions to the Psychiatric Day Treatment Program Regulations and Service Codes (English, PDF 357.99 KB)
Open RTF file, 420.91 KB,  PDT-19: Revisions to the Psychiatric Day Treatment Program Regulations and Service Codes (English, RTF 420.91 KB)

Psychiatric Inpatient Hospital

Open PDF file, 377.27 KB,  PIH-23: Revisions to Psychiatric Inpatient Hospital Regulations (English, PDF 377.27 KB)
Open DOC file, 401.5 KB,  PIH-23: Revisions to Psychiatric Inpatient Hospital Regulations (English, DOC 401.5 KB)
Open PDF file, 102.62 KB,  PIH-22: Revised Appendix D (English, PDF 102.62 KB)
Open DOC file, 1.5 MB,  PIH-22: Revised Appendix D (English, DOC 1.5 MB)
Open PDF file, 67.38 KB,  PIH-21: Revised Appendix D - Coordination of Benefits Direct Data Entry Enhancements for the Provider Online Service Center (English, PDF 67.38 KB)
Open TXT file, 13.21 KB,  PIH-21: Revised Appendix D - Coordination of Benefits Direct Data Entry Enhancements for the Provider Online Service Center (English, TXT 13.21 KB)
Open PDF file, 85.53 KB,  PIH-20: Revised Appendix D (English, PDF 85.53 KB)
Open TXT file, 15.63 KB,  PIH-20: Revised Appendix D (English, TXT 15.63 KB)
Open PDF file, 193.92 KB,  PIH-19: Revised Appendix D (English, PDF 193.92 KB)
Open TXT file, 18 KB,  PIH-19: Revised Appendix D (English, TXT 18 KB)
Open PDF file, 121.29 KB,  PIH-18: Revised Appendix D (English, PDF 121.29 KB)
Open TXT file, 14.2 KB,  PIH-18: Revised Appendix D (English, TXT 14.2 KB)
Open PDF file, 255.33 KB,  PIH-17: New Appendix D (English, PDF 255.33 KB)
Open TXT file, 12.12 KB,  PIH-17: New Appendix D (English, TXT 12.12 KB)
Open PDF file, 338.1 KB,  PIH-16: Implementation of the Child and Adolescent Needs and Strengths Tool (English, PDF 338.1 KB)
Open TXT file, 47.04 KB,  PIH-16: Implementation of the Child and Adolescent Needs and Strengths Tool (English, TXT 47.04 KB)
Open PDF file, 137.84 KB,  PIH-15: Revised Billing Instructions (English, PDF 137.84 KB)
Open TXT file, 15.23 KB,  PIH-15: Revised Billing Instructions (English, TXT 15.23 KB)

Psychiatric Outpatient Hospital

Open PDF file, 372 KB,  POH-4: Implementation of the Child and Adolescent Needs and Strengths Tool (English, PDF 372 KB)
Open TXT file, 55.06 KB,  POH-4: Implementation of the Child and Adolescent Needs and Strengths Tool (English, TXT 55.06 KB)
Open PDF file, 137.59 KB,  POH-3: Revised Billing Instructions (English, PDF 137.59 KB)
Open TXT file, 15.09 KB,  POH-3: Revised Billing Instructions (English, TXT 15.09 KB)

Psychologist

Open PDF file, 360.42 KB,  PSY-25: Updates to the Psychologist Services Program Regulation and Service Codes (English, PDF 360.42 KB)
Open DOCX file, 116.18 KB,  PSY-25: Updates to the Psychologist Services Program Regulation and Service Codes (English, DOCX 116.18 KB)
Open PDF file, 191.38 KB,  PSY-24: Revised Service Codes and Descriptions (English, PDF 191.38 KB)
Open DOCX file, 49.06 KB,  PSY-24: Revised Service Codes and Descriptions (English, DOCX 49.06 KB)
Open PDF file, 128.97 KB,  PSY-23: Revised Service Codes and Descriptions (English, PDF 128.97 KB)
Open DOCX file, 167.75 KB,  PSY-23: Revised Service Codes and Descriptions (English, DOCX 167.75 KB)
Open PDF file, 137.64 KB,  PSY-22: Revised Billing Instructions (English, PDF 137.64 KB)
Open TXT file, 15.05 KB,  PSY-22: Revised Billing Instructions (English, TXT 15.05 KB)
Open PDF file, 92.76 KB,  PSY-21: Revised Service Codes and Descriptions (English, PDF 92.76 KB)
Open TXT file, 4.89 KB,  PSY-21: Revised Service Codes and Descriptions (English, TXT 4.89 KB)
Open PDF file, 283.78 KB,  PSY-20: Revised Regulations and Service Codes (English, PDF 283.78 KB)
Open RTF file, 254.52 KB,  PSY-20: Revised Regulations and Service Codes (English, RTF 254.52 KB)

Rehabilitation Center

Open PDF file, 749.66 KB,  RHB-21: Service Codes and Descriptions Updates (English, PDF 749.66 KB)
Open DOCX file, 150.42 KB,  RHB-21: Service Codes and Descriptions Updates (English, DOCX 150.42 KB)
Open PDF file, 151.52 KB,  RHB-20: Service Codes and Descriptions (English, PDF 151.52 KB)
Open TXT file, 22.61 KB,  RHB-20: Service Codes and Descriptions (English, TXT 22.61 KB)
Open PDF file, 87.71 KB,  RHB-19: Revised Billing Instructions (English, PDF 87.71 KB)
Open TXT file, 15.99 KB,  RHB-19: Revised Billing Instructions (English, TXT 15.99 KB)
Open PDF file, 80.96 KB,  RHB-18: Prior Authorization Policy for Rehabilitative Therapy Services (English, PDF 80.96 KB)
Open DOC file, 78 KB,  RHB-18: Prior Authorization Policy for Rehabilitative Therapy Services (English, DOC 78 KB)
Open PDF file, 204.94 KB,  RHB-17: Prior Authorization for Certain Therapy Visits (English, PDF 204.94 KB)
Open RTF file, 56.88 KB,  RHB-17: Prior Authorization for Certain Therapy Visits (English, RTF 56.88 KB)
Open PDF file, 218.43 KB,  RHB-16: Changes to Service Codes and Service Descriptions (English, PDF 218.43 KB)
Open RTF file, 101.38 KB,  RHB-16: Changes to Service Codes and Service Descriptions (English, RTF 101.38 KB)

Radiation Oncology Center

Open PDF file, 192.54 KB,  ROC-5: 2024 HCPCS Updates to Subchapter 6 (English, PDF 192.54 KB)
Open DOCX file, 127.26 KB,  ROC-5: 2024 HCPCS Updates to Subchapter 6 (English, DOCX 127.26 KB)
Open PDF file, 135.43 KB,  ROC-4: 2016 HCPCS (English, PDF 135.43 KB)
Open DOC file, 195.5 KB,  ROC-4: 2016 HCPCS (English, DOC 195.5 KB)
Open PDF file, 202.28 KB,  ROC-3: 2015 HCPCS (English, PDF 202.28 KB)
Open DOC file, 212 KB,  ROC-3: 2015 HCPCS (English, DOC 212 KB)
Open PDF file, 99.69 KB,  ROC-2: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, PDF 99.69 KB)
Open TXT file, 3.98 KB,  ROC-2: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations (English, TXT 3.98 KB)
Open PDF file, 113.1 KB,  ROC-1: Adoption of New Provider Regulations and Service Codes (English, PDF 113.1 KB)
Open TXT file, 37.43 KB,  ROC-1: Adoption of New Provider Regulations and Service Codes (English, TXT 37.43 KB)

Renal Dialysis Center

Open PDF file, 261.44 KB,  REN-15: Renal Dialysis Clinic Manual: Updates to Subchapter 6 (English, PDF 261.44 KB)
Open DOCX file, 116.59 KB,  REN-15: Renal Dialysis Clinic Manual: Updates to Subchapter 6 (English, DOCX 116.59 KB)
Open PDF file, 59.98 KB,  REN-14: Updated Service Codes (English, PDF 59.98 KB)
Open TXT file, 7.93 KB,  REN-14: Updated Service Codes (English, TXT 7.93 KB)
Open PDF file, 137.15 KB,  REN-13: Revised Billing Instructions (English, PDF 137.15 KB)
Open TXT file, 14.64 KB,  REN-13: Revised Billing Instructions (English, TXT 14.64 KB)
Open PDF file, 114.9 KB,  REN-12: Revised Service Codes and Descriptions (English, PDF 114.9 KB)
Open TXT file, 3.65 KB,  REN-12: Revised Service Codes and Descriptions (English, TXT 3.65 KB)
Open PDF file, 86.63 KB,  REN-11: Revised Service Codes and Descriptions (English, PDF 86.63 KB)
Open TXT file, 3.84 KB,  REN-11: Revised Service Codes and Descriptions (English, TXT 3.84 KB)
Open PDF file, 56.29 KB,  REN-10: Revised Service Codes and Descriptions (English, PDF 56.29 KB)
Open RTF file, 135.93 KB,  REN-10: Revised Service Codes and Descriptions (English, RTF 135.93 KB)

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