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Publications for all MassHealth providers

These comprehensive resources will help you stay up-to-date on current MassHealth policies, regulations, and more.

Table of Contents

Subchapters and appendices for all provider manuals

All MassHealth providers are required to understand and comply with the rules that apply to their specific provider type, as well as rules that apply to all providers.

This page provides important information for all providers, such as Subchapters 1 through 3 (billing regulations) and Subchapter 5 (billing instructions).

While all of these subchapters are important for all providers, providers should also pay close attention to Subchapter 4, which outlines the requirements and conditions of a specific program. Providers must comply with the rules in Subchapter 4 at all times.

Providers should also review Subchapter 6, which outlines covered services (services and codes) for each program.

Check out this chart

The below reference chart will help you understand how all of the subchapters fit together.

Provider Bulletins

MassHealth issues provider bulletins as needed to communicate procedures, reminders, and other information to MassHealth providers. 

Transmittal Letters

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. 

Provider Forms

Here you will find links to forms that are used by all providers and multiple provider types.

Contact

Phone

Open Monday–Friday 8 a.m.–5 p.m.

TTY/TDD: 711

Fax

(617) 988-8974

Address

P.O. Box 278
Quincy, MA 02171

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