Providers can find regulations, bulletins, manuals, forms, and other information they might need as MassHealth-participating providers.
Clinical Practice Guidelines for MassHealth Providers
List of Explanation of Benefit Codes Appearing on the Remittance Advice
Managed Care Entity Recoupment Job Aids
MassHealth All Provider Manual Appendices
MassHealth Billing Guides for Paper Claim Submitters
MassHealth Companion Guides
MassHealth Guidelines for Medical Necessity Determination
MassHealth’s Implementation of Interoperability and Prior Authorization Requirements
MassHealth Payment and Coverage Guideline Tools
MassHealth Provider Forms
MassHealth Provider Manuals
MassHealth Provider Regulations
MassHealth Service Codes and Descriptions
Provider Bulletins
Remittance Advice Message Text
Transmittal Letters
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