What you need to know

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