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MassHealth for Providers

What you need to know

For MassHealth for Providers

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PCDI for MassHealth providers 
Chart of MassHealth Covered Services 
This chart shows which services are covered under each of 5 MassHealth coverage types
Learn about suspended or excluded MassHealth providers 
Some providers may be suspended or excluded from working with MassHealth. Learn more about how and why.
MassHealth Provider Bulletins 
MassHealth Copayments Frequently Asked Questions 
FAQ about MassHealth copayments
MassHealth Provider Regulations 
The regulations on this website are listed alphabetically by provider type.
Senior Care Options (SCO) and Providers 
SCO and Providers
MassHealth Provider Forms 
Fixed Enrollment Period 
Learn about the MassHealth Fixed Enrollment Period
Plan Selection Period 
Learn when you can switch MassHealth health plans.
Prior Authorization for Non-Pharmaceutical Services - Frequently Asked Questions 
FAQ for Nonpharmaceutical PA
Learn about provider application fees 
When you enroll, reenroll, or go through revalidation for MassHealth, you may have to pay the state a fee.
Accessibility resources for providers 
Providers who participate in MassHealth are responsible for ensuring access to all MassHealth covered benefits for all members, including individuals with disabilities.
MassHealth Coordination of Benefits (COB) 
Information about billing MassHealth after other insurance
Third Party Administrator (TPA) for LTSS Services 
Read below for information about the TPA for LTSS services
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