Transmittal letters contain changes to MassHealth provider manuals. They summarize the change, contain revised pages for the provider manual, and tell providers how to update their manuals with the new pages.
- This page, Physician Transmittal Letters, is offered by
- MassHealth
This is a part of
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resource
:
MassHealth Transmittal Letters
This is a part of
the
resource
:
MassHealth Transmittal Letters
Table of Contents
- 2026 MassHealth Transmittal Letters
- All Provider Transmittal Letters
-
- Abortion Clinic
- Acupuncture Services
- Acute Inpatient Hospital
- Acute Outpatient Hospital
- Adult Day Health
- Adult Foster Care
- Audiologist
- Chiropractor
- Chronic Disease and Rehabilitation Inpatient Hospital
- Chronic Disease and Rehabilitation Outpatient Hospital
- Community Behavioral Health Center
- Community Health Center
- Community Support Program
- Continuous Skilled Nursing Agency
- Correctional Facility Services
Physician Transmittal Letters
Table of Contents
PHY-176: Update to Appendix M: MassHealth CARES Program Performance Specifications, Open PDF file, 217.92 KB
(English, PDF 217.92 KB)
(May 2026)
PHY-176: Update to Appendix M: MassHealth CARES Program Performance Specifications, Open DOCX file, 120.67 KB
(English, DOCX 120.67 KB)
(May 2026)
PHY-174: Physician Manual: Update to Appendix M: MassHealth CARES Program Performance Specifications, Open PDF file, 189.65 KB
(English, PDF 189.65 KB)
(March 2026)
PHY-174: Physician Manual: Update to Appendix M: MassHealth CARES Program Performance Specifications, Open DOCX file, 127.75 KB
(English, DOCX 127.75 KB)
(March 2026)
PHY-173: Updates to Subchapter 6, Open DOCX file, 216.15 KB
(English, DOCX 216.15 KB)
(November 2025)
PHY-172: Physician Manual: Updates to Subchapter 6 (2025 CPT/HCPCS), Open PDF file, 386.68 KB
(English, PDF 386.68 KB)
(March 2025)
PHY-172: Physician Manual: Updates to Subchapter 6 (2025 CPT/HCPCS), Open DOCX file, 221.93 KB
(English, DOCX 221.93 KB)
(March 2025)
PHY-171: Updates to Subchapter 6, Open DOCX file, 228.38 KB
(English, DOCX 228.38 KB)
(November 2024)
PHY-169: Updates to Subchapter 6 (2024 HCPCS), Open PDF file, 449.8 KB
(English, PDF 449.8 KB)
(February 2024)
PHY-169: Updates to Subchapter 6 (2024 HCPCS), Open DOCX file, 220.83 KB
(English, DOCX 220.83 KB)
(February 2024)
PHY-168: Updates to Subchapter 6, Open DOCX file, 183.93 KB
(English, DOCX 183.93 KB)
(September 2023)
PHY-167: Revised Regulations at 130 CMR 433.000, Open PDF file, 324.98 KB
(English, PDF 324.98 KB)
(July 2023)
PHY-167: Revised Regulations at 130 CMR 433.000, Open DOCX file, 132.78 KB
(English, DOCX 132.78 KB)
(July 2023)
PHY-166: 2023 HCPCS Updates to Subchapter 6, Open PDF file, 394.25 KB
(English, PDF 394.25 KB)
(March 2023)
PHY-166: 2023 HCPCS Updates to Subchapter 6, Open DOCX file, 181.72 KB
(English, DOCX 181.72 KB)
(March 2023)
PHY-165: Revisions to 130 CMR 433.000 to Clarify Coverage of Abortion Services, Open PDF file, 218.27 KB
(English, PDF 218.27 KB)
(June 2022)
PHY-165: Revisions to 130 CMR 433.000 to Clarify Coverage of Abortion Services, Open DOCX file, 81.26 KB
(English, DOCX 81.26 KB)
(June 2022)
PHY-164: HCPCS Updates to Subchapter 6, Open PDF file, 468.93 KB
(English, PDF 468.93 KB)
(June 2022)
PHY-164: HCPCS Updates to Subchapter 6, Open DOCX file, 182.34 KB
(English, DOCX 182.34 KB)
(June 2022)
PHY-163: Updates to Policy about Acupuncture Services and Certain Psychiatric Services, Open PDF file, 210 KB
(English, PDF 210 KB)
(January 2022)
PHY-163: Updates to Policy about Acupuncture Services and Certain Psychiatric Services, Open DOCX file, 82.25 KB
(English, DOCX 82.25 KB)
(January 2022)
PHY-162: Addition of Code 99417, Open DOCX file, 207.12 KB
(English, DOCX 207.12 KB)
(November 2021)
PHY-161: Addition of Code G2066 and Deletion of Code 93299; Integrated Behavioral Health Service; Facial Feminization Procedures, Open PDF file, 1.03 MB
(English, PDF 1.03 MB)
(September 2021)
PHY-161: Addition of Code G2066 and Deletion of Code 93299; Integrated Behavioral Health Service; Facial Feminization Procedures, Open DOCX file, 179.43 KB
(English, DOCX 179.43 KB)
(September 2021)
PHY-160: 2021 HCPCS Updates to Subchapter 6; Continued Suspension of Policy Set forth in Transmittal Letter PHY-157, Open PDF file, 237.4 KB
(English, PDF 237.4 KB)
(July 2021)
PHY-160: 2021 HCPCS Updates to Subchapter 6; Continued Suspension of Policy Set forth in Transmittal Letter PHY-157, Open DOCX file, 210.99 KB
(English, DOCX 210.99 KB)
(July 2021)
PHY-159: HCPCS Updates to Subchapter 6, Open PDF file, 237.05 KB
(English, PDF 237.05 KB)
(May 2021)
PHY-159: HCPCS Updates to Subchapter 6, Open DOCX file, 190.88 KB
(English, DOCX 190.88 KB)
(May 2021)
PHY-158: 2020 HCPCS Code updates and Removal of PA Requirements for Certain Knee Arthroplasty and Knee Arthroscopy Codes, Open DOCX file, 218.41 KB
(English, DOCX 218.41 KB)
(July 2020)
PHY-158: 2020 HCPCS Code updates and Removal of PA Requirements for Certain Knee Arthroplasty and Knee Arthroscopy Codes, Open PDF file, 508.73 KB
(English, PDF 508.73 KB)
(July 2020)
PHY-157: New MassHealth Third-Party Administrator for Prior Authorization; New Prior Authorization Requirements, Open PDF file, 629.97 KB
(English, PDF 629.97 KB)
(February 2020)
PHY-157: New MassHealth Third-Party Administrator for Prior Authorization; New Prior Authorization Requirements, Open DOCX file, 226.35 KB
(English, DOCX 226.35 KB)
(February 2020)
PHY-156: 2019 HCPCS Code Revisions; New Drug Codes and Prior-Authorization Requirements for Treatment of Varicose Veins of the Lower Extremities, Open PDF file, 290.26 KB
(English, PDF 290.26 KB)
(May 2019)
PHY-156: 2019 HCPCS Code Revisions; New Drug Codes and Prior-Authorization Requirements for Treatment of Varicose Veins of the Lower Extremities, Open DOCX file, 176.04 KB
(English, DOCX 176.04 KB)
(May 2019)
PHY-155: 2018 HCPCS Code Revisions & New Prior Authorization Requirements for Knee Arthroscopy and Knee Arthroplasty, Open PDF file, 475.71 KB
(English, PDF 475.71 KB)
(April 2018)
PHY-155: 2018 HCPCS Code Revisions & New Prior Authorization Requirements for Knee Arthroscopy and Knee Arthroplasty, Open DOCX file, 289.27 KB
(English, DOCX 289.27 KB)
(April 2018)
PHY-154: Midlevel Practitioner Project and EO562 Regulation Review; Subchapter 6 Updates, Open DOC file, 673 KB
(English, DOC 673 KB)
(July 2017)
PHY-153: Revised Subchapter 6, Additional Behavioral Health Screening Tools and Revised Coding for Postpartum Depression Screening, Open PDF file, 331.51 KB
(English, PDF 331.51 KB)
(July 2017)
PHY-153: Revised Subchapter 6, Additional Behavioral Health Screening Tools and Revised Coding for Postpartum Depression Screening, Open DOC file, 335.5 KB
(English, DOC 335.5 KB)
(July 2017)
PHY-152: 2017 HCPCS Updates and Drug Testing/Drug Screen Claim Edits, Open PDF file, 528.89 KB
(English, PDF 528.89 KB)
(July 2017)
PHY-152: 2017 HCPCS Updates and Drug Testing/Drug Screen Claim Edits, Open DOC file, 345.5 KB
(English, DOC 345.5 KB)
(July 2017)
PHY-151: Service Code Updates/HIV-Associated Lipodystrophy Syndrome, Open DOC file, 325 KB
(English, DOC 325 KB)
(February 2017)
PHY-151: Service Code Updates/HIV-Associated Lipodystrophy Syndrome, Open PDF file, 462.4 KB
(English, PDF 462.4 KB)
(February 2017)
PHY-150: Code Revisions in Subchapter 6 and Appendix K, Open PDF file, 431 KB
(English, PDF 431 KB)
(September 2016)
PHY-150: Code Revisions in Subchapter 6 and Appendix K, Open DOC file, 327.5 KB
(English, DOC 327.5 KB)
(September 2016)
PHY-149: Revised Regulations (130 CMR 433.000), Open PDF file, 126.04 KB
(English, PDF 126.04 KB)
(September 2016)
PHY-149: Revised Regulations (130 CMR 433.000), Open DOC file, 220 KB
(English, DOC 220 KB)
(September 2016)
PHY-148: Payment for Postpartum Depression Screening, Open PDF file, 66.78 KB
(English, PDF 66.78 KB)
(May 2016)
PHY-148: Payment for Postpartum Depression Screening, Open DOC file, 203 KB
(English, DOC 203 KB)
(May 2016)
PHY-143: Revisions to Abortion Services, Open PDF file, 52.25 KB
(English, PDF 52.25 KB)
(January 2015)
PHY-142: Updated Gender Dysphoria and Sterilization Policies, Open DOC file, 379 KB
(English, DOC 379 KB)
(January 2015)
PHY-142: Updated Gender Dysphoria and Sterilization Policies, Open PDF file, 262.4 KB
(English, PDF 262.4 KB)
(January 2015)
PHY-140: Revisions to MassHealth Regulations-Affordable Care Act, Open TXT file, 116.75 KB
(English, TXT 116.75 KB)
(December 2013)
PHY-140: Revisions to MassHealth Regulations-Affordable Care Act, Open PDF file, 594.25 KB
(English, PDF 594.25 KB)
(December 2013)
PHY-137: Certified Registered Nurse Anesthetists, Open PDF file, 79.76 KB
(English, PDF 79.76 KB)
(September 2012)
PHY-137: Certified Registered Nurse Anesthetists, Open TXT file, 31.76 KB
(English, TXT 31.76 KB)
(September 2012)
PHY-136: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations, Open PDF file, 85.75 KB
(English, PDF 85.75 KB)
(June 2012)
PHY-136: New Modifiers for Provider Preventable Conditions That Are National Coverage Determinations, Open TXT file, 7.25 KB
(English, TXT 7.25 KB)
(June 2012)
PHY-133: Anesthesia Units of Service, Open PDF file, 35.96 KB
(English, PDF 35.96 KB)
(December 2011)
PHY-131: Amendments to Regulations about Payment for Surgery Services, Open TXT file, 25.21 KB
(English, TXT 25.21 KB)
(March 2011)
PHY-131: Amendments to Regulations about Payment for Surgery Services, Open PDF file, 92.04 KB
(English, PDF 92.04 KB)
(March 2011)
PHY-124: Implementation of the Child and Adolescent Needs and Strengths Tool , Open PDF file, 428.41 KB
(English, PDF 428.41 KB)
(January 2009)
PHY-124: Implementation of the Child and Adolescent Needs and Strengths Tool , Open TXT file, 66.88 KB
(English, TXT 66.88 KB)
(January 2009)
PHY-123: Application of Fluoride Varnish by Pediatricians and Other Qualified Health Care Professionals , Open TXT file, 33.51 KB
(English, TXT 33.51 KB)
(January 2009)
PHY-123: Application of Fluoride Varnish by Pediatricians and Other Qualified Health Care Professionals , Open PDF file, 236.06 KB
(English, PDF 236.06 KB)
(January 2009)
PHY-122: Revised Pharmacy Regulations, Open RTF file, 160.77 KB
(English, RTF 160.77 KB)
(August 2008)
PHY-122: Revised Pharmacy Regulations, Open PDF file, 285.22 KB
(English, PDF 285.22 KB)
(August 2008)
PHY-120: New Behavioral Health Screening Fee and 2008 HCPCS Coding Update, Open PDF file, 265.6 KB
(English, PDF 265.6 KB)
(December 2007)
PHY-120: New Behavioral Health Screening Fee and 2008 HCPCS Coding Update, Open TXT file, 10.89 KB
(English, TXT 10.89 KB)
(December 2007)
PHY-117: Revisions to Regulations about Medicare Part D, Open PDF file, 101.97 KB
(English, PDF 101.97 KB)
(May 2007)
PHY-117: Revisions to Regulations about Medicare Part D, Open TXT file, 23.31 KB
(English, TXT 23.31 KB)
(May 2007)
PHY-115: 2007 HCPCS Coding Update, Open PDF file, 269.29 KB
(English, PDF 269.29 KB)
(December 2006)
PHY-112: Revised Regulations About New Tobacco Cessation Services: Correction, Open PDF file, 115.07 KB
(English, PDF 115.07 KB)
(August 2006)
PHY-112: Revised Regulations About New Tobacco Cessation Services: Correction, Open TXT file, 7.84 KB
(English, TXT 7.84 KB)
(August 2006)
PHY-111: Revised Regulations About New Tobacco Cessation Services and Independent Diagnostic Testing Facility (IDTF) Services, Open RTF file, 228.88 KB
(English, RTF 228.88 KB)
(June 2006)
PHY-111: Revised Regulations About New Tobacco Cessation Services and Independent Diagnostic Testing Facility (IDTF) Services, Open PDF file, 137.43 KB
(English, PDF 137.43 KB)
(June 2006)
PHY-110: Revisions to Service Codes in Subchapter 6, Open TXT file, 29.32 KB
(English, TXT 29.32 KB)
(May 2006)
PHY-110: Revisions to Service Codes in Subchapter 6, Open PDF file, 217.6 KB
(English, PDF 217.6 KB)
(May 2006)
PHY-109: Revision to Regulations About Medicare Part D, Open TXT file, 184.05 KB
(English, TXT 184.05 KB)
(April 2006)
PHY-109: Revision to Regulations About Medicare Part D, Open PDF file, 402.19 KB
(English, PDF 402.19 KB)
(April 2006)
PHY-108: Changes to Program Regulations, Open PDF file, 266.44 KB
(English, PDF 266.44 KB)
(November 2005)
PHY-108: Changes to Program Regulations, Open TXT file, 16.94 KB
(English, TXT 16.94 KB)
(November 2005)
PHY-107: Revised Pharmacy Services Regulations, Open TXT file, 23.65 KB
(English, TXT 23.65 KB)
(November 2005)
PHY-107: Revised Pharmacy Services Regulations, Open PDF file, 253.77 KB
(English, PDF 253.77 KB)
(November 2005)
PHY-106: Prior Authorization Policy for Rehabilitative Therapy Services, Open PDF file, 156.92 KB
(English, PDF 156.92 KB)
(June 2005)
PHY-106: Prior Authorization Policy for Rehabilitative Therapy Services, Open RTF file, 5.55 MB
(English, RTF 5.55 MB)
(June 2005)
PHY-104: Revision to Service Limitations, Open PDF file, 90.13 KB
(English, PDF 90.13 KB)
(May 2005)
PHY-103: Revised Pharmacy Services Regulations, Open RTF file, 180.41 KB
(English, RTF 180.41 KB)
(December 2004)
PHY-103: Revised Pharmacy Services Regulations, Open PDF file, 75.49 KB
(English, PDF 75.49 KB)
(December 2004)
PHY-99: Prior Authorization for Certain Therapy Visits, Open PDF file, 315.65 KB
(English, PDF 315.65 KB)
(January 2004)
PHY-99: Prior Authorization for Certain Therapy Visits, Open RTF file, 563.54 KB
(English, RTF 563.54 KB)
(January 2004)
PHY-97: Revisions to Service Codes and Descriptions, Open RTF file, 548.36 KB
(English, RTF 548.36 KB)
(November 2003)
PHY-97: Revisions to Service Codes and Descriptions, Open PDF file, 408.23 KB
(English, PDF 408.23 KB)
(November 2003)
PHY-95: Revised Regulations about Pharmacy Services , Open RTF file, 213.67 KB
(English, RTF 213.67 KB)
(March 2003)
PHY-95: Revised Regulations about Pharmacy Services , Open PDF file, 212.7 KB
(English, PDF 212.7 KB)
(March 2003)
PHY-93: Age Limitations for Certain Vision Care Services, Open PDF file, 172.75 KB
(English, PDF 172.75 KB)
(December 2002)
PHY-93: Age Limitations for Certain Vision Care Services, Open RTF file, 148.72 KB
(English, RTF 148.72 KB)
(December 2002)
PHY-92: Revised Regulations and Restructured Subchapter 6 (Service Codes), Open RTF file, 1.3 MB
(English, RTF 1.3 MB)
(July 2002)
PHY-92: Revised Regulations and Restructured Subchapter 6 (Service Codes), Open PDF file, 993.82 KB
(English, PDF 993.82 KB)
(July 2002)
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