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Provider PCDI resources

Bulletins, fact sheets, charts, and other materials for providers related to Payment & Care Delivery Innovation (PCDI) 
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PCDI fact sheets for providers

Open PDF file, 91.84 KB,  Acute Care Hospitals (English, PDF 91.84 KB)
Open DOCX file, 56.45 KB,  Acute Care Hospitals (English, DOCX 56.45 KB)
Open PDF file, 91.02 KB,  Behavioral Health Providers (English, PDF 91.02 KB)
Open DOCX file, 43.31 KB,  Behavioral Health Providers (English, DOCX 43.31 KB)
Open PDF file, 84.92 KB,  Community Partners (English, PDF 84.92 KB)
Open DOCX file, 38.44 KB,  Community Partners (English, DOCX 38.44 KB)
Open PDF file, 99.23 KB,  LTSS Providers of non-ACO/ MCO Covered Services (English, PDF 99.23 KB)
Open DOCX file, 43.54 KB,  LTSS Providers of non-ACO/ MCO Covered Services (English, DOCX 43.54 KB)
Open PDF file, 98.21 KB,  Other Covered Services (English, PDF 98.21 KB)
Open DOCX file, 42.82 KB,  Other Covered Services (English, DOCX 42.82 KB)
Open PDF file, 92.53 KB,  Primary Care Providers (PCPs) (English, PDF 92.53 KB)
Open DOCX file, 40.96 KB,  Primary Care Providers (PCPs) (English, DOCX 40.96 KB)
Open PDF file, 90.59 KB,  Specialists (including medical specialists, home health, and durable medical equipment) (English, PDF 90.59 KB)
Open DOCX file, 36.46 KB,  Specialists (including medical specialists, home health, and durable medical equipment) (English, DOCX 36.46 KB)

Full list of MassHealth ACOs and MCOs

Full list of MassHealth ACOs and MCOs 

PCDI Bulletins

MassHealth Bulletins 
Open DOC file, 167.5 KB,  Managed Care Entity Bulletin 6: Accountable Care Organization Primary Care Provider Additions Effective January 1, 2019 (English, DOC 167.5 KB)
Open PDF file, 181.19 KB,  Managed Care Entity Bulletin 6: Accountable Care Organization Primary Care Provider Additions Effective January 1, 2019 (English, PDF 181.19 KB)
Open PDF file, 167.4 KB,  All Provider Bulletin 275: MassHealth EVS Codes and Restrictive Messages for 2018 Managed Care Health Plans (English, PDF 167.4 KB)
Open DOCX file, 54.65 KB,  All Provider Bulletin 275: MassHealth EVS Codes and Restrictive Messages for 2018 Managed Care Health Plans (English, DOCX 54.65 KB)
Open PDF file, 1.25 MB,  All Provider Bulletin 272: MassHealth Payment and Care Delivery Innovations (PCDI) (English, PDF 1.25 MB)
Open DOCX file, 2.65 MB,  All Provider Bulletin 272: MassHealth Payment and Care Delivery Innovations (PCDI) (English, DOCX 2.65 MB)

EVS codes and restrictive messages for managed care health plans

Open PDF file, 108.9 KB,  EVS Quick Reference Guide 2019 (English, PDF 108.9 KB)
Open DOCX file, 35.15 KB,  EVS Quick Reference Guide 2019 (English, DOCX 35.15 KB)
Open PDF file, 4.26 MB,  EVS Screenshot Examples 2019 (English, PDF 4.26 MB)
Open PPTX file, 7.72 MB,  EVS Screenshot Examples 2019 (English, PPTX 7.72 MB)

MassHealth Community Partners (CP) program

MassHealth Community Partners (CP) Program 

Long-Term Services and Supports

Open PDF file, 1.04 MB,  An Introduction to MassHealth Long-Term Services and Supports and Other Covered Services (English, PDF 1.04 MB)
Open PDF file, 1017.74 KB,  PowerPoint: An Introduction to MassHealth Long-Term Services and Supports for ACOs, MCOs & CPs (English, PDF 1017.74 KB)
MassHealth LTSS Provider Portal 

Continuity of Care (CoC)

Continuity of Care (CoC) 

Links to member resources

MassHealth Health plan materials and information for members 

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