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Open PDF file, 150.2 KB,  All Provider Bulletin 390: Exclusion of Designated 340B Drugs from MassHealth Coverage (English, PDF 150.2 KB)
Open DOCX file, 110.2 KB,  All Provider Bulletin 390: Exclusion of Designated 340B Drugs from MassHealth Coverage (English, DOCX 110.2 KB)
Open PDF file, 121.22 KB,  All Provider Bulletin 389: Changes to Billing for Services Delivered by School-Based Health Centers Operated through Community Health Centers (English, PDF 121.22 KB)
Open DOCX file, 109.79 KB,  All Provider Bulletin 389: Changes to Billing for Services Delivered by School-Based Health Centers Operated through Community Health Centers (English, DOCX 109.79 KB)
Open PDF file, 138.5 KB,  All Provider Bulletin 388: MassHealth and Health Safety Net (HSN) Copayments Eliminated (English, PDF 138.5 KB)
Open DOCX file, 109.9 KB,  All Provider Bulletin 388: MassHealth and Health Safety Net (HSN) Copayments Eliminated (English, DOCX 109.9 KB)
Open PDF file, 106.99 KB,  All Provider Bulletin 387: Ground Ambulance Medicare Crossover Claims (English, PDF 106.99 KB)
Open DOCX file, 110.01 KB,  All Provider Bulletin 387: Ground Ambulance Medicare Crossover Claims (English, DOCX 110.01 KB)
Open PDF file, 144.29 KB,  All Provider Bulletin 386: MassHealth Medicare Savings Programs (English, PDF 144.29 KB)
Open DOCX file, 112.38 KB,  All Provider Bulletin 386: MassHealth Medicare Savings Programs (English, DOCX 112.38 KB)
Open PDF file, 166.61 KB,  All Provider Bulletin 385: Criteria for Acceptable Traditional and Electronic Signatures (English, PDF 166.61 KB)
Open DOCX file, 29.97 KB,  All Provider Bulletin 385: Criteria for Acceptable Traditional and Electronic Signatures (English, DOCX 29.97 KB)
Open PDF file, 134.15 KB,  All Provider Bulletin 384: Update to the Continued Suspension of Primary Care Clinician Plan & Primary Care ACO Referrals (English, PDF 134.15 KB)
Open DOCX file, 31.39 KB,  All Provider Bulletin 384: Update to the Continued Suspension of Primary Care Clinician Plan & Primary Care ACO Referrals (English, DOCX 31.39 KB)
Open PDF file, 129.48 KB,  All Provider Bulletin 383: Reminder of Billing Responsibilities and Billing for Retroactively Reinstated Members (English, PDF 129.48 KB)
Open DOCX file, 30.37 KB,  All Provider Bulletin 383: Reminder of Billing Responsibilities and Billing for Retroactively Reinstated Members (English, DOCX 30.37 KB)
Open PDF file, 135.43 KB,  All Provider Bulletin 382: Changes to MassHealth’s Accountable Care Organizations on January 1, 2024 (Corrected) (English, PDF 135.43 KB)
Open DOCX file, 46.58 KB,  All Provider Bulletin 382: Changes to MassHealth’s Accountable Care Organizations on January 1, 2024 (Corrected) (English, DOCX 46.58 KB)
Open PDF file, 178.67 KB,  All Provider Bulletin 381: Updates to Certain Child and Adolescent Needs and Strengths Assessment Requirements (English, PDF 178.67 KB)
Open DOCX file, 32.03 KB,  All Provider Bulletin 381: Updates to Certain Child and Adolescent Needs and Strengths Assessment Requirements (English, DOCX 32.03 KB)
Open PDF file, 143.93 KB,  All Provider Bulletin 380: Updates to the Implementation of Prescriber Requirements for Pharmacies (English, PDF 143.93 KB)
Open DOCX file, 32.28 KB,  All Provider Bulletin 380: Updates to the Implementation of Prescriber Requirements for Pharmacies (English, DOCX 32.28 KB)
Open PDF file, 228.26 KB,  All Provider Bulletin 379: Access to Health Services through Telehealth Options (English, PDF 228.26 KB)
Open DOCX file, 57.28 KB,  All Provider Bulletin 379: Access to Health Services through Telehealth Options (English, DOCX 57.28 KB)
Open PDF file, 166.49 KB,  All Provider Bulletin 378: Coverage and Reimbursement Policy for Newly Added Coronavirus Disease 2019 (COVID-19) Vaccines (corrected) (English, PDF 166.49 KB)
Open DOCX file, 33.21 KB,  All Provider Bulletin 378: Coverage and Reimbursement Policy for Newly Added Coronavirus Disease 2019 (COVID-19) Vaccines (corrected) (English, DOCX 33.21 KB)
Open PDF file, 197.94 KB,  All Provider Bulletin 377: MassHealth Provider Online Service Center (POSC) Primary User Policy (English, PDF 197.94 KB)
Open DOCX file, 32.7 KB,  All Provider Bulletin 377: MassHealth Provider Online Service Center (POSC) Primary User Policy (English, DOCX 32.7 KB)
Open PDF file, 135.07 KB,  All Provider Bulletin 376: Updates to the Implementation of Ordering, Referring, and Prescribing Requirements (English, PDF 135.07 KB)
Open DOCX file, 37.68 KB,  All Provider Bulletin 376: Updates to the Implementation of Ordering, Referring, and Prescribing Requirements (English, DOCX 37.68 KB)
Open PDF file, 126.36 KB,  All Provider Bulletin 375: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Vaccines (corrected) (English, PDF 126.36 KB)
Open DOCX file, 31.83 KB,  All Provider Bulletin 375: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Vaccines (corrected) (English, DOCX 31.83 KB)
Open PDF file, 267.2 KB,  All Provider Bulletin 374: Access to Health Services through Telehealth Options (English, PDF 267.2 KB)
Open DOCX file, 54.78 KB,  All Provider Bulletin 374: Access to Health Services through Telehealth Options (English, DOCX 54.78 KB)
Open PDF file, 192.63 KB,  All Provider Bulletin 373: Extension of Flexibilities for Prior Authorization of Formula (English, PDF 192.63 KB)
Open DOCX file, 40.92 KB,  All Provider Bulletin 373: Extension of Flexibilities for Prior Authorization of Formula (English, DOCX 40.92 KB)
Open PDF file, 112.93 KB,  All Provider Bulletin 372: Reminder of Billing Responsibilities and Billing for Retroactively Reinstated Members (English, PDF 112.93 KB)
Open DOCX file, 30.64 KB,  All Provider Bulletin 372: Reminder of Billing Responsibilities and Billing for Retroactively Reinstated Members (English, DOCX 30.64 KB)
Open PDF file, 131.21 KB,  All Provider Bulletin 371: Continued Suspension of Primary Care Clinician Plan & Primary Care ACO Referrals (English, PDF 131.21 KB)
Open DOCX file, 30.02 KB,  All Provider Bulletin 371: Continued Suspension of Primary Care Clinician Plan & Primary Care ACO Referrals (English, DOCX 30.02 KB)
Open PDF file, 195.43 KB,  All Provider Bulletin 370: MassHealth Coordinating Aligned, Relationship-centered, Enhanced Support (CARES) for Kids Program (English, PDF 195.43 KB)
Open DOCX file, 45.88 KB,  All Provider Bulletin 370: MassHealth Coordinating Aligned, Relationship-centered, Enhanced Support (CARES) for Kids Program (English, DOCX 45.88 KB)
Open PDF file, 150.12 KB,  All Provider Bulletin 369: Electronic Submission of Prior Authorization Requests (corrected) (English, PDF 150.12 KB)
Open DOCX file, 32.45 KB,  All Provider Bulletin 369: Electronic Submission of Prior Authorization Requests (corrected) (English, DOCX 32.45 KB)
Open PDF file, 157.2 KB,  All Provider Bulletin 368: Ending Prior Authorization Requirements for Certain Services (English, PDF 157.2 KB)
Open DOCX file, 33.02 KB,  All Provider Bulletin 368: Ending Prior Authorization Requirements for Certain Services (English, DOCX 33.02 KB)
Open PDF file, 233.65 KB,  All Provider Bulletin 367: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 after the Expiration of the Federal Public Health Emergency (Corrected) (English, PDF 233.65 KB)
Open DOCX file, 37.77 KB,  All Provider Bulletin 367: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 after the Expiration of the Federal Public Health Emergency (Corrected) (English, DOCX 37.77 KB)
Open PDF file, 158.53 KB,  All Provider Bulletin 366: Drugs Designated for Exclusion from 340B Coverage (English, PDF 158.53 KB)
Open DOCX file, 30.89 KB,  All Provider Bulletin 366: Drugs Designated for Exclusion from 340B Coverage (English, DOCX 30.89 KB)
Open PDF file, 178.25 KB,  All Provider Bulletin 365: MassHealth’s Continuing Coverage of Reproductive Health Medications (English, PDF 178.25 KB)
Open DOCX file, 35.98 KB,  All Provider Bulletin 365: MassHealth’s Continuing Coverage of Reproductive Health Medications (English, DOCX 35.98 KB)
Open PDF file, 199.81 KB,  All Provider Bulletin 364: Provider-to-Provider E-Consults (English, PDF 199.81 KB)
Open DOCX file, 51.05 KB,  All Provider Bulletin 364: Provider-to-Provider E-Consults (English, DOCX 51.05 KB)
Open PDF file, 213.16 KB,  All Provider Bulletin 363: Accountable Care Organization Program Updates (English, PDF 213.16 KB)
Open DOCX file, 47 KB,  All Provider Bulletin 363: Accountable Care Organization Program Updates (English, DOCX 47 KB)
Open PDF file, 160.29 KB,  All Provider Bulletin 362: Coverage and Reimbursement Policy for Vaccine Counseling (English, PDF 160.29 KB)
Open DOCX file, 57.87 KB,  All Provider Bulletin 362: Coverage and Reimbursement Policy for Vaccine Counseling (English, DOCX 57.87 KB)
Open PDF file, 144.65 KB,  All Provider Bulletin 361: Start Dates for Enforcing Ordering, Referring, and Prescribing Requirements (English, PDF 144.65 KB)
Open DOCX file, 31.35 KB,  All Provider Bulletin 361: Start Dates for Enforcing Ordering, Referring, and Prescribing Requirements (English, DOCX 31.35 KB)
Open PDF file, 172.07 KB,  All Provider Bulletin 360: Hospital-Determined Presumptive Eligibility (HPE): Updates for Certain Applicants (English, PDF 172.07 KB)
Open DOCX file, 36.75 KB,  All Provider Bulletin 360: Hospital-Determined Presumptive Eligibility (HPE): Updates for Certain Applicants (English, DOCX 36.75 KB)
Open PDF file, 111.82 KB,  All Provider Bulletin 359: Pediatric Immunization Vaccine / Administration SL Modifier Change (English, PDF 111.82 KB)
Open DOCX file, 29.25 KB,  All Provider Bulletin 359: Pediatric Immunization Vaccine / Administration SL Modifier Change (English, DOCX 29.25 KB)
Open PDF file, 181.19 KB,  All Provider Bulletin 358: Extension of Flexibilities for Prior Authorization of Formula (English, PDF 181.19 KB)
Open DOCX file, 34.21 KB,  All Provider Bulletin 358: Extension of Flexibilities for Prior Authorization of Formula (English, DOCX 34.21 KB)
Open PDF file, 316.66 KB,  All Provider Bulletin 357: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Doses and Pre-exposure Prophylaxis (English, PDF 316.66 KB)
Open DOCX file, 35.93 KB,  All Provider Bulletin 357: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Doses and Pre-exposure Prophylaxis (English, DOCX 35.93 KB)
Open PDF file, 145.84 KB,  All Provider Bulletin 356: Changes to Prescription Drug Days’ Supply Limitations, Effective December 19, 2022 (English, PDF 145.84 KB)
Open DOCX file, 30.24 KB,  All Provider Bulletin 356: Changes to Prescription Drug Days’ Supply Limitations, Effective December 19, 2022 (English, DOCX 30.24 KB)
Open PDF file, 294.51 KB,  All Provider Bulletin 355: Access to Health Services through Telehealth Options (Amendment) (English, PDF 294.51 KB)
Open DOCX file, 51.96 KB,  All Provider Bulletin 355: Access to Health Services through Telehealth Options (Amendment) (English, DOCX 51.96 KB)
Open PDF file, 134.11 KB,  All Provider Bulletin 354: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Boosters (Corrected) (English, PDF 134.11 KB)
Open DOCX file, 32.7 KB,  All Provider Bulletin 354: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Bivalent Vaccine Boosters (Corrected) (English, DOCX 32.7 KB)
Open PDF file, 146.8 KB,  All Provider Bulletin 353: Coverage and Reimbursement Policy for Vaccines and Testing for Monkeypox (English, PDF 146.8 KB)
Open DOCX file, 39.34 KB,  All Provider Bulletin 353: Coverage and Reimbursement Policy for Vaccines and Testing for Monkeypox (English, DOCX 39.34 KB)
Open PDF file, 192.82 KB,  All Provider Bulletin 352: Requirements for Reporting and Returning of Overpayments (Corrected) (English, PDF 192.82 KB)
Open DOCX file, 49.56 KB,  All Provider Bulletin 352: Requirements for Reporting and Returning of Overpayments (Corrected) (English, DOCX 49.56 KB)
Open PDF file, 185.97 KB,  All Provider Bulletin 351: Extension of Flexibilities for Prior Authorization of Formula (English, PDF 185.97 KB)
Open DOCX file, 33.48 KB,  All Provider Bulletin 351: Extension of Flexibilities for Prior Authorization of Formula (English, DOCX 33.48 KB)
Open PDF file, 130.22 KB,  All Provider Bulletin 350: Developmentally Appropriate Behavioral Health Diagnosis and Assessment for MassHealth Members Birth Through Five Years (English, PDF 130.22 KB)
Open DOCX file, 33.73 KB,  All Provider Bulletin 350: Developmentally Appropriate Behavioral Health Diagnosis and Assessment for MassHealth Members Birth Through Five Years (English, DOCX 33.73 KB)
Open PDF file, 179.21 KB,  All Provider Bulletin 349: Coverage and Reimbursement Policy for Bebtelovimab (English, PDF 179.21 KB)
Open DOCX file, 33.88 KB,  All Provider Bulletin 349: Coverage and Reimbursement Policy for Bebtelovimab (English, DOCX 33.88 KB)
Open PDF file, 188.62 KB,  All Provider Bulletin 348: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (English, PDF 188.62 KB)
Open DOCX file, 35.96 KB,  All Provider Bulletin 348: Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care (English, DOCX 35.96 KB)
Open PDF file, 170.72 KB,  All Provider Bulletin 347: Changes to Prescription Drug Days’ Supply Limitations, Effective September 19, 2022 (English, PDF 170.72 KB)
Open DOCX file, 30.73 KB,  All Provider Bulletin 347: Changes to Prescription Drug Days’ Supply Limitations, Effective September 19, 2022 (English, DOCX 30.73 KB)
Open PDF file, 182.91 KB,  All Provider Bulletin 346: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Vaccines, including Pediatric Vaccines, and Vaccine Boosters (English, PDF 182.91 KB)
Open DOCX file, 33.87 KB,  All Provider Bulletin 346: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Vaccines, including Pediatric Vaccines, and Vaccine Boosters (English, DOCX 33.87 KB)
Open PDF file, 175.63 KB,  All Provider Bulletin 345: Robotics Processing Automation (RPA) Policy (English, PDF 175.63 KB)
Open DOCX file, 32.12 KB,  All Provider Bulletin 345: Robotics Processing Automation (RPA) Policy (English, DOCX 32.12 KB)
Open PDF file, 158.56 KB,  All Provider Bulletin 344: Update Concerning Coverage of and Payment for the Administration of (1) Remdesivir in an Outpatient Setting (2) COVID-19 Vaccines; and (3) Rapid Antigen Testing for COVID-19 for MassHealth Limited Members (English, PDF 158.56 KB)
Open DOCX file, 33.3 KB,  All Provider Bulletin 344: Update Concerning Coverage of and Payment for the Administration of (1) Remdesivir in an Outpatient Setting (2) COVID-19 Vaccines; and (3) Rapid Antigen Testing for COVID-19 for MassHealth Limited Members (English, DOCX 33.3 KB)
Open PDF file, 163.83 KB,  All Provider Bulletin 343: MassHealth and Health Safety Net Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, PDF 163.83 KB)
Open DOCX file, 34.12 KB,  All Provider Bulletin 343: MassHealth and Health Safety Net Coverage of Formula, including Temporary Modification of Prior Authorization Requirements (English, DOCX 34.12 KB)
Open DOCX file, 28.14 KB,  All Provider Bulletin 342: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (English, DOCX 28.14 KB)
Open PDF file, 118.98 KB,  All Provider Bulletin 342: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (English, PDF 118.98 KB)
Open PDF file, 213.42 KB,  All Provider Bulletin 341: Coverage of and Payment for the Administration of (1) Tixagevimab Co-Packaged with Cilgavimab, and (2) Bebtelovimab (English, PDF 213.42 KB)
Open DOCX file, 31.18 KB,  All Provider Bulletin 341: Coverage of and Payment for the Administration of (1) Tixagevimab Co-Packaged with Cilgavimab, and (2) Bebtelovimab (English, DOCX 31.18 KB)
Open PDF file, 116.91 KB,  All Provider Bulletin 340: MassHealth Pharmacy Coverage of Prescription Digital Therapeutics and Formula (English, PDF 116.91 KB)
Open DOCX file, 35.69 KB,  All Provider Bulletin 340: MassHealth Pharmacy Coverage of Prescription Digital Therapeutics and Formula (English, DOCX 35.69 KB)
Open PDF file, 458.47 KB,  All Provider Bulletin 339: Upcoming Changes to MassHealth Nonemergency Wheelchair Van Transportation Services (English, PDF 458.47 KB)
Open DOCX file, 36.9 KB,  All Provider Bulletin 339: Upcoming Changes to MassHealth Nonemergency Wheelchair Van Transportation Services (English, DOCX 36.9 KB)
Open PDF file, 141.59 KB,  All Provider Bulletin 338: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Treatment Counseling and Vaccines (English, PDF 141.59 KB)
Open DOCX file, 30.94 KB,  All Provider Bulletin 338: Coverage and Reimbursement Policy for Coronavirus Disease 2019 (COVID-19) Treatment Counseling and Vaccines (English, DOCX 30.94 KB)
Open PDF file, 66.89 KB,  All Provider Bulletin 337: MassHealth Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, PDF 66.89 KB)
Open DOCX file, 38.87 KB,  All Provider Bulletin 337: MassHealth Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 (English, DOCX 38.87 KB)
Open PDF file, 132.65 KB,  All Provider Bulletin 336: Coverage of and Payment for the Administration of (1) Tixagevimab Co-Packaged with Cilgavimab, and (2) Remdesivir in an Outpatient Setting - Corrected (English, PDF 132.65 KB)
Open DOCX file, 30.53 KB,  All Provider Bulletin 336: Coverage of and Payment for the Administration of (1) Tixagevimab Co-Packaged with Cilgavimab, and (2) Remdesivir in an Outpatient Setting - Corrected (English, DOCX 30.53 KB)
Open PDF file, 170.8 KB,  All Provider Bulletin 335: Extension of Coverage and Reimbursement Policy Related to COVID-19 for 24-Hour Substance Use Disorder Services (English, PDF 170.8 KB)
Open DOCX file, 28.6 KB,  All Provider Bulletin 335: Extension of Coverage and Reimbursement Policy Related to COVID-19 for 24-Hour Substance Use Disorder Services (English, DOCX 28.6 KB)
Open PDF file, 181.79 KB,  All Provider Bulletin 334: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection Through March 31, 2022 (English, PDF 181.79 KB)
Open DOCX file, 28.39 KB,  All Provider Bulletin 334: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection Through March 31, 2022 (English, DOCX 28.39 KB)
Open PDF file, 132.47 KB,  All Provider Bulletin 333: MassHealth Coverage for Coronavirus Disease 2019 (COVID-19) Vaccine Booster Doses (English, PDF 132.47 KB)
Open DOCX file, 32.91 KB,  All Provider Bulletin 333: MassHealth Coverage for Coronavirus Disease 2019 (COVID-19) Vaccine Booster Doses (English, DOCX 32.91 KB)
Open PDF file, 76.33 KB,  All Provider Bulletin 332: Federal COVID-19 Vaccine Mandate for Eligible Staff at Health Care Facilities Participating in the Medicare and Medicaid Programs (English, PDF 76.33 KB)
Open DOCX file, 38.91 KB,  All Provider Bulletin 332: Federal COVID-19 Vaccine Mandate for Eligible Staff at Health Care Facilities Participating in the Medicare and Medicaid Programs (English, DOCX 38.91 KB)
Open PDF file, 219.7 KB,  All Provider Bulletin 331: Updates to the MassHealth Third Party Liability Indicator (“TPLI-MH”) Form (English, PDF 219.7 KB)
Open DOCX file, 60.96 KB,  All Provider Bulletin 331: Updates to the MassHealth Third Party Liability Indicator (“TPLI-MH”) Form (English, DOCX 60.96 KB)
Open PDF file, 255.56 KB,  All Provider Bulletin 330: MassHealth Coverage for Coronavirus Disease 2019 (COVID-19) Vaccines, including Pediatric Vaccines, and Monoclonal Antibodies (English, PDF 255.56 KB)
Open DOCX file, 223.35 KB,  All Provider Bulletin 330: MassHealth Coverage for Coronavirus Disease 2019 (COVID-19) Vaccines, including Pediatric Vaccines, and Monoclonal Antibodies (English, DOCX 223.35 KB)
Open PDF file, 75.92 KB,  All Provider Bulletin 329: Changes to the Retroactive Medicare Recovery Project (RMRP) (English, PDF 75.92 KB)
Open DOCX file, 33.16 KB,  All Provider Bulletin 329: Changes to the Retroactive Medicare Recovery Project (RMRP) (English, DOCX 33.16 KB)
Open PDF file, 173.74 KB,  All Provider Bulletin 328: Coverage for Booster Doses of Coronavirus Disease 2019 (COVID-19) Vaccines (English, PDF 173.74 KB)
Open DOCX file, 31.44 KB,  All Provider Bulletin 328: Coverage for Booster Doses of Coronavirus Disease 2019 (COVID-19) Vaccines (English, DOCX 31.44 KB)
Open PDF file, 178.96 KB,  All Provider Bulletin 327: Access to Health Services through Telehealth Options - Corrected (English, PDF 178.96 KB)
Open DOCX file, 39.48 KB,  All Provider Bulletin 327: Access to Health Services through Telehealth Options - Corrected (English, DOCX 39.48 KB)
Open PDF file, 182.37 KB,  All Provider Bulletin 326: Coverage for Monoclonal Antibodies for Treatment and Post-Exposure Prophylaxis for Coronavirus Disease 2019 (COVID-19) (English, PDF 182.37 KB)
Open DOCX file, 42.68 KB,  All Provider Bulletin 326: Coverage for Monoclonal Antibodies for Treatment and Post-Exposure Prophylaxis for Coronavirus Disease 2019 (COVID-19) (English, DOCX 42.68 KB)
Open PDF file, 175.11 KB,  All Provider Bulletin 325: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (English, PDF 175.11 KB)
Open DOCX file, 32.42 KB,  All Provider Bulletin 325: Temporary Extension of Flexibilities to Permit Separate Payment for Specimen Collection (English, DOCX 32.42 KB)
Open PDF file, 125.65 KB,  All Provider Bulletin 324: Temporary Extension of Telehealth Policy Described in All Provider Bulletin 314 through October 15, 2021 (English, PDF 125.65 KB)
Open DOCX file, 38.15 KB,  All Provider Bulletin 324: Temporary Extension of Telehealth Policy Described in All Provider Bulletin 314 through October 15, 2021 (English, DOCX 38.15 KB)
Open PDF file, 72.26 KB,  All Provider Bulletin 323: Updated MassHealth Policies on Gender-Affirming Care Coverage (English, PDF 72.26 KB)
Open DOCX file, 39.72 KB,  All Provider Bulletin 323: Updated MassHealth Policies on Gender-Affirming Care Coverage (English, DOCX 39.72 KB)
Open PDF file, 138.82 KB,  All Provider Bulletin 322: Coverage for Third Dose of Pfizer-BioNTech and Moderna Coronavirus Disease 2019 (COVID-19) Vaccine for Immunocompromised Individuals (English, PDF 138.82 KB)
Open DOCX file, 36.48 KB,  All Provider Bulletin 322: Coverage for Third Dose of Pfizer-BioNTech and Moderna Coronavirus Disease 2019 (COVID-19) Vaccine for Immunocompromised Individuals (English, DOCX 36.48 KB)
Open PDF file, 69.6 KB,  All Provider Bulletin 321: Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) Vaccine Counseling (English, PDF 69.6 KB)
Open DOCX file, 36.21 KB,  All Provider Bulletin 321: Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) Vaccine Counseling (English, DOCX 36.21 KB)
Open PDF file, 118.28 KB,  All Provider Bulletin 320: Expiration of Temporary Extension of Timely Replies for Initial Notices of Overpayment during COVID-19 Emergency (English, PDF 118.28 KB)
Open DOCX file, 32.53 KB,  All Provider Bulletin 320: Expiration of Temporary Extension of Timely Replies for Initial Notices of Overpayment during COVID-19 Emergency (English, DOCX 32.53 KB)
Open PDF file, 235.52 KB,  All Provider Bulletin 319: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (English, PDF 235.52 KB)
Open DOCX file, 57.54 KB,  All Provider Bulletin 319: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency (English, DOCX 57.54 KB)
Open PDF file, 142.92 KB,  All Provider Bulletin 318: Update about Monoclonal Antibody Treatment for Coronavirus Disease 2019 (COVID-19) (English, PDF 142.92 KB)
Open DOCX file, 32.81 KB,  All Provider Bulletin 318: Update about Monoclonal Antibody Treatment for Coronavirus Disease 2019 (COVID-19) (English, DOCX 32.81 KB)
Open PDF file, 81.07 KB,  All Provider Bulletin 317: Update to Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, PDF 81.07 KB)
Open DOCX file, 42.19 KB,  All Provider Bulletin 317: Update to Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, DOCX 42.19 KB)
Open PDF file, 147.22 KB,  All Provider Bulletin 316: Clarification of Requirements for Adverse Incident Reporting by Certain Behavioral Health Providers (English, PDF 147.22 KB)
Open DOCX file, 39.56 KB,  All Provider Bulletin 316: Clarification of Requirements for Adverse Incident Reporting by Certain Behavioral Health Providers (English, DOCX 39.56 KB)
Open PDF file, 277.94 KB,  All Provider Bulletin 315: Change in Pharmacy Copay and Premium Policies (English, PDF 277.94 KB)
Open DOCX file, 77.4 KB,  All Provider Bulletin 315: Change in Pharmacy Copay and Premium Policies (English, DOCX 77.4 KB)
Open PDF file, 193.82 KB,  All Provider Bulletin 314: Updated MassHealth Telehealth Policy (English, PDF 193.82 KB)
Open DOCX file, 42.58 KB,  All Provider Bulletin 314: Updated MassHealth Telehealth Policy (English, DOCX 42.58 KB)
Open PDF file, 145.74 KB,  All Provider Bulletin 313: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, PDF 145.74 KB)
Open DOCX file, 36.93 KB,  All Provider Bulletin 313: Updated Rates for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, DOCX 36.93 KB)
Open PDF file, 147.39 KB,  All Provider Bulletin 312: Additional Authorized Vaccine Product and Antibody Treatment and Update to Authorized Providers and Coverage Policy for MassHealth Limited Members for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, PDF 147.39 KB)
Open DOCX file, 38.22 KB,  All Provider Bulletin 312: Additional Authorized Vaccine Product and Antibody Treatment and Update to Authorized Providers and Coverage Policy for MassHealth Limited Members for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, DOCX 38.22 KB)
Open PDF file, 106.89 KB,  All Provider Bulletin 311: Temporary Extension of Timely Reply for Initial Notices of Overpayment (English, PDF 106.89 KB)
Open DOCX file, 36.54 KB,  All Provider Bulletin 311: Temporary Extension of Timely Reply for Initial Notices of Overpayment (English, DOCX 36.54 KB)
Open PDF file, 147.69 KB,  All Provider Bulletin 310: Transportation for Members to Vaccination Sites for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, PDF 147.69 KB)
Open DOCX file, 37.88 KB,  All Provider Bulletin 310: Transportation for Members to Vaccination Sites for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, DOCX 37.88 KB)
Open PDF file, 169.93 KB,  All Provider Bulletin 309: Reminder of the EPSDT Schedule and Responsibilities (English, PDF 169.93 KB)
Open DOCX file, 30.69 KB,  All Provider Bulletin 309: Reminder of the EPSDT Schedule and Responsibilities (English, DOCX 30.69 KB)
Open PDF file, 135.97 KB,  All Provider Bulletin 308: MassHealth Third Party Prior Authorization Administrator Temporary Suspension (English, PDF 135.97 KB)
Open DOCX file, 38.93 KB,  All Provider Bulletin 308: MassHealth Third Party Prior Authorization Administrator Temporary Suspension (English, DOCX 38.93 KB)
Open PDF file, 168.74 KB,  All Provider Bulletin 307: Updated Payment Rates and Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, PDF 168.74 KB)
Open DOCX file, 38.93 KB,  All Provider Bulletin 307: Updated Payment Rates and Authorized Providers for Coronavirus Disease 2019 (COVID-19) Vaccine Administration (English, DOCX 38.93 KB)
Open PDF file, 125.48 KB,  All Provider Bulletin 306: Reminder of 340B indicator for Clinician-Administered Drugs and National Drug Code (NDC) Requirements (English, PDF 125.48 KB)
Open DOCX file, 30.86 KB,  All Provider Bulletin 306: Reminder of 340B indicator for Clinician-Administered Drugs and National Drug Code (NDC) Requirements (English, DOCX 30.86 KB)
Open PDF file, 948.66 KB,  All Provider Bulletin 305: Policies and Procedure for Newborn Members: Eligibility, Enrollment and Payment (English, PDF 948.66 KB)
Open DOCX file, 1.01 MB,  All Provider Bulletin 305: Policies and Procedure for Newborn Members: Eligibility, Enrollment and Payment (English, DOCX 1.01 MB)
Open PDF file, 183.88 KB,  All Provider Bulletin 304: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (English, PDF 183.88 KB)
Open DOCX file, 55.11 KB,  All Provider Bulletin 304: Coverage and Payment for Coronavirus Disease 2019 (COVID-19) Vaccine Administration, Testing, and Monoclonal Antibody Product Infusion (English, DOCX 55.11 KB)
Open PDF file, 273.33 KB,  All Provider Bulletin 303: Updated MassHealth Telehealth Policy (English, PDF 273.33 KB)
Open DOCX file, 45.69 KB,  All Provider Bulletin 303: Updated MassHealth Telehealth Policy (English, DOCX 45.69 KB)
Open PDF file, 247.54 KB,  All Provider Bulletin 302: Hospital-Determined Presumptive Eligibility Updates during COVID-19 Emergency and Permanent Expansion of HPE for CommonHealth Children and Family Assistance Children (English, PDF 247.54 KB)
Open DOCX file, 44.87 KB,  All Provider Bulletin 302: Hospital-Determined Presumptive Eligibility Updates during COVID-19 Emergency and Permanent Expansion of HPE for CommonHealth Children and Family Assistance Children (English, DOCX 44.87 KB)
Open PDF file, 180.27 KB,  All Provider Bulletin 301: Impact of COVID-19 on Behavioral Health and the Importance of Perinatal and Pediatric Behavioral Health Screening during the Pandemic (English, PDF 180.27 KB)
Open DOCX file, 33.6 KB,  All Provider Bulletin 301: Impact of COVID-19 on Behavioral Health and the Importance of Perinatal and Pediatric Behavioral Health Screening during the Pandemic (English, DOCX 33.6 KB)
Open PDF file, 129.96 KB,  All Provider Bulletin 300: Final Deadline Appeals Board Electronic Correspondence (English, PDF 129.96 KB)
Open DOCX file, 38.12 KB,  All Provider Bulletin 300: Final Deadline Appeals Board Electronic Correspondence (English, DOCX 38.12 KB)
Open PDF file, 168.53 KB,  All Provider Bulletin 299: Hospital-Determined Presumptive Eligibility (HPE) Updates during COVID-19 Emergency (English, PDF 168.53 KB)
Open DOCX file, 41.33 KB,  All Provider Bulletin 299: Hospital-Determined Presumptive Eligibility (HPE) Updates during COVID-19 Emergency (English, DOCX 41.33 KB)
Open PDF file, 226.76 KB,  All Provider Bulletin 298: MassHealth Telehealth Policy (English, PDF 226.76 KB)
Open DOCX file, 43.8 KB,  All Provider Bulletin 298: MassHealth Telehealth Policy (English, DOCX 43.8 KB)
Open PDF file, 430.58 KB,  All Provider Bulletin 297: Change in Cost Sharing Policies (English, PDF 430.58 KB)
Open DOCX file, 79.89 KB,  All Provider Bulletin 297: Change in Cost Sharing Policies (English, DOCX 79.89 KB)
Open PDF file, 160.94 KB,  All Provider Bulletin 296: MassHealth Payment for COVID-19 Specimen Collection and Testing (English, PDF 160.94 KB)
Open DOCX file, 41.05 KB,  All Provider Bulletin 296: MassHealth Payment for COVID-19 Specimen Collection and Testing (English, DOCX 41.05 KB)
Open PDF file, 199.15 KB,  All Provider Bulletin 295: Hospital-Determined Presumptive Eligibility (HPE) Flexibilities during COVID-19 Emergency (English, PDF 199.15 KB)
Open DOCX file, 37.44 KB,  All Provider Bulletin 295: Hospital-Determined Presumptive Eligibility (HPE) Flexibilities during COVID-19 Emergency (English, DOCX 37.44 KB)
Open PDF file, 234.52 KB,  All Provider Bulletin 294: MassHealth Coverage Flexibilities for Services Related to Coronavirus Disease 2019 (English, PDF 234.52 KB)
Open DOCX file, 46.15 KB,  All Provider Bulletin 294: MassHealth Coverage Flexibilities for Services Related to Coronavirus Disease 2019 (English, DOCX 46.15 KB)
Open PDF file, 200.48 KB,  All Provider Bulletin 293: Flexibilities for Substance Use Disorder Treatment Services During COVID-19 State of Emergency (English, PDF 200.48 KB)
Open DOCX file, 27.88 KB,  All Provider Bulletin 293: Flexibilities for Substance Use Disorder Treatment Services During COVID-19 State of Emergency (English, DOCX 27.88 KB)
Open PDF file, 136.77 KB,  All Provider Bulletin 292: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (English, PDF 136.77 KB)
Open DOCX file, 31.04 KB,  All Provider Bulletin 292: Billing Policies for Coronavirus Disease 2019 (COVID-19) Testing and Treatment Services for Uninsured Individuals and MassHealth Limited Members (English, DOCX 31.04 KB)
Open PDF file, 191.55 KB,  All Provider Bulletin 291: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (English, PDF 191.55 KB)
Open DOCX file, 51.3 KB,  All Provider Bulletin 291: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (English, DOCX 51.3 KB)
Open PDF file, 171.92 KB,  All Provider Bulletin 290: Coverage Provided via Hospital-Determined Presumptive Eligibility (English, PDF 171.92 KB)
Open DOCX file, 44.08 KB,  All Provider Bulletin 290: Coverage Provided via Hospital-Determined Presumptive Eligibility (English, DOCX 44.08 KB)
Open PDF file, 183.04 KB,  All Provider Bulletin 289: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (English, PDF 183.04 KB)
Open DOCX file, 45.11 KB,  All Provider Bulletin 289: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (English, DOCX 45.11 KB)
Open PDF file, 178.69 KB,  All Provider Bulletin 288: Coverage Provided via Hospital-Determined Presumptive Eligibility (English, PDF 178.69 KB)
Open DOCX file, 39.48 KB,  All Provider Bulletin 288: Coverage Provided via Hospital-Determined Presumptive Eligibility (English, DOCX 39.48 KB)
Open PDF file, 166.35 KB,  All Provider Bulletin 287: Clinical Guidelines for New MassHealth Third Party Prior Authorization Administrator (English, PDF 166.35 KB)
Open DOCX file, 29.64 KB,  All Provider Bulletin 287: Clinical Guidelines for New MassHealth Third Party Prior Authorization Administrator (English, DOCX 29.64 KB)
Open PDF file, 296.83 KB,  All Provider Bulletin 286: Start Date for Denials for Claims That Do Not Meet Ordering, Referring, and Prescribing Provider Requirements (English, PDF 296.83 KB)
Open DOCX file, 57.06 KB,  All Provider Bulletin 286: Start Date for Denials for Claims That Do Not Meet Ordering, Referring, and Prescribing Provider Requirements (English, DOCX 57.06 KB)
Open PDF file, 177.99 KB,  All Provider Bulletin 285: Nonemergency Ambulance Transportation to Medically Necessary Mental Health or Addiction Treatment Services at All 24-Hour Level-of-Care Settings (English, PDF 177.99 KB)
Open DOCX file, 34.38 KB,  All Provider Bulletin 285: Nonemergency Ambulance Transportation to Medically Necessary Mental Health or Addiction Treatment Services at All 24-Hour Level-of-Care Settings (English, DOCX 34.38 KB)
Open PDF file, 145.49 KB,  All Provider Bulletin 284: Technical Refresh Project (English, PDF 145.49 KB)
Open DOCX file, 195.62 KB,  All Provider Bulletin 284: Technical Refresh Project (English, DOCX 195.62 KB)
Open PDF file, 161.06 KB,  All Provider Bulletin 283: Documentation, Record Keeping, and Supervision Requirements of Behavioral Health Services Providers and Related Auditing (English, PDF 161.06 KB)
Open DOCX file, 34.84 KB,  All Provider Bulletin 283: Documentation, Record Keeping, and Supervision Requirements of Behavioral Health Services Providers and Related Auditing (English, DOCX 34.84 KB)
Open PDF file, 47.8 KB,  All Provider Bulletin 282: Change of Address and Fax Number for EDMC/HIPC (English, PDF 47.8 KB)
Open DOCX file, 102.6 KB,  All Provider Bulletin 282: Change of Address and Fax Number for EDMC/HIPC (English, DOCX 102.6 KB)
Open PDF file, 194.19 KB,  All Provider Bulletin 281: Access to Behavioral Health Services Through Use of Telehealth Options (English, PDF 194.19 KB)
Open DOCX file, 47.15 KB,  All Provider Bulletin 281: Access to Behavioral Health Services Through Use of Telehealth Options (English, DOCX 47.15 KB)
Open PDF file, 144.38 KB,  All Provider Bulletin 280: Nonemergency Medical Transportation Services (English, PDF 144.38 KB)
Open DOCX file, 34.4 KB,  All Provider Bulletin 280: Nonemergency Medical Transportation Services (English, DOCX 34.4 KB)
Open PDF file, 630.08 KB,  All Provider Bulletin 279: Accountable Care Organization (ACO) Primary Care Exclusivity and related information about Medication Assisted Treatment Services, School-Based Health Centers, and the MassHealth Eligibility Verification System (EVS) (English, PDF 630.08 KB)
Open DOCX file, 1.34 MB,  All Provider Bulletin 279: Accountable Care Organization (ACO) Primary Care Exclusivity and related information about Medication Assisted Treatment Services, School-Based Health Centers, and the MassHealth Eligibility Verification System (EVS) (English, DOCX 1.34 MB)
Open PDF file, 135.17 KB,  All Provider Bulletin 278: Change in Phone Number for Retroactive Medicare Recovery (English, PDF 135.17 KB)
Open DOCX file, 36.92 KB,  All Provider Bulletin 278: Change in Phone Number for Retroactive Medicare Recovery (English, DOCX 36.92 KB)
Open PDF file, 147.97 KB,  All Provider Bulletin 277: Changes to Billing for Services Delivered by School-Based Health Centers Operated through Community Health Centers (English, PDF 147.97 KB)
Open DOCX file, 105.65 KB,  All Provider Bulletin 277: Changes to Billing for Services Delivered by School-Based Health Centers Operated through Community Health Centers (English, DOCX 105.65 KB)
Open PDF file, 219.45 KB,  All Provider Bulletin 276: Member Access to Medication-Assisted Treatment (MAT) Providers and Continuity of Care (English, PDF 219.45 KB)
Open DOCX file, 114.74 KB,  All Provider Bulletin 276: Member Access to Medication-Assisted Treatment (MAT) Providers and Continuity of Care (English, DOCX 114.74 KB)
Open PDF file, 167.4 KB,  All Provider Bulletin 275: MassHealth EVS Codes and Restrictive Messages for 2018 Managed Care Health Plans (English, PDF 167.4 KB)
Open DOCX file, 54.65 KB,  All Provider Bulletin 275: MassHealth EVS Codes and Restrictive Messages for 2018 Managed Care Health Plans (English, DOCX 54.65 KB)
Open PDF file, 226.61 KB,  All Provider Bulletin 274: Continued Implementation of Ordering, Referring, and Prescribing Provider Requirements (English, PDF 226.61 KB)
Open DOCX file, 206 KB,  All Provider Bulletin 274: Continued Implementation of Ordering, Referring, and Prescribing Provider Requirements (English, DOCX 206 KB)
Open PDF file, 163.9 KB,  All Provider Bulletin 273: MassHealth Coordination of Benefits (COB) Billing Best Practices and New Claim Error Codes (English, PDF 163.9 KB)
Open DOCX file, 110.98 KB,  All Provider Bulletin 273: MassHealth Coordination of Benefits (COB) Billing Best Practices and New Claim Error Codes (English, DOCX 110.98 KB)
Open PDF file, 1.25 MB,  All Provider Bulletin 272: MassHealth Payment and Care Delivery Innovations (PCDI) (English, PDF 1.25 MB)
Open DOCX file, 2.65 MB,  All Provider Bulletin 272: MassHealth Payment and Care Delivery Innovations (PCDI) (English, DOCX 2.65 MB)
Open PDF file, 53.32 KB,  All Provider Bulletin 271: New Mailing Address for MassHealth Provider and Claims Documents (English, PDF 53.32 KB)
Open DOCX file, 37.22 KB,  All Provider Bulletin 271: New Mailing Address for MassHealth Provider and Claims Documents (English, DOCX 37.22 KB)
Open PDF file, 113.38 KB,  All Provider Bulletin 270: Third-Party Administrator Implementation for Long-Term Services and Supports (LTSS) (English, PDF 113.38 KB)
Open DOCX file, 104.81 KB,  All Provider Bulletin 270: Third-Party Administrator Implementation for Long-Term Services and Supports (LTSS) (English, DOCX 104.81 KB)
Open PDF file, 161.74 KB,  All Provider Bulletin 269: Amendments to All Provider Bulletin 251 (English, PDF 161.74 KB)
Open DOCX file, 95.56 KB,  All Provider Bulletin 269: Amendments to All Provider Bulletin 251 (English, DOCX 95.56 KB)
Open PDF file, 89.18 KB,  All Provider Bulletin 268: Changes to Primary Care Clinician (PCC) Provider Online Service Center (POSC) Referrals Process for PCCs that are Organizations, Including Group Practices (English, PDF 89.18 KB)
Open DOC file, 169.5 KB,  All Provider Bulletin 268: Changes to Primary Care Clinician (PCC) Provider Online Service Center (POSC) Referrals Process for PCCs that are Organizations, Including Group Practices (English, DOC 169.5 KB)
Open PDF file, 68.74 KB,  All Provider Bulletin 267: Fingerprint Based Criminal Background Checks (English, PDF 68.74 KB)
Open DOC file, 145 KB,  All Provider Bulletin 267: Fingerprint Based Criminal Background Checks (English, DOC 145 KB)
Open PDF file, 148.12 KB,  All Provider Bulletin 266: MassHealth Coverage of AAC Non-Dedicated Device New Prior Authorization Process (English, PDF 148.12 KB)
Open DOC file, 168 KB,  All Provider Bulletin 266: MassHealth Coverage of AAC Non-Dedicated Device New Prior Authorization Process (English, DOC 168 KB)
Open PDF file, 89.18 KB,  All Provider Bulletin 265: Replaced by All Provider Bulletin 268 - Changes to Primary Care Clinician (PCC) Provider Online Service Center (POSC) Referrals Process for PCCs that are Organizations, Including Group Practices (English, PDF 89.18 KB)
Open DOC file, 169.5 KB,  All Provider Bulletin 265: Replaced by All Provider Bulletin 268 - Changes to Primary Care Clinician (PCC) Provider Online Service Center (POSC) Referrals Process for PCCs that are Organizations, Including Group Practices (English, DOC 169.5 KB)
Open PDF file, 138.06 KB,  All Provider Bulletin 264: Clarification on MassHealth Residency Requirement and Process for Reporting Non-residents Receiving MassHealth (English, PDF 138.06 KB)
Open DOC file, 206.5 KB,  All Provider Bulletin 264: Clarification on MassHealth Residency Requirement and Process for Reporting Non-residents Receiving MassHealth (English, DOC 206.5 KB)
Open PDF file, 155.65 KB,  All Provider Bulletin 263: Changes to MassHealth Payment Method for Out-of-State Acute Outpatient Hospital Services (English, PDF 155.65 KB)
Open RTF file, 737.84 KB,  All Provider Bulletin 263: Changes to MassHealth Payment Method for Out-of-State Acute Outpatient Hospital Services (English, RTF 737.84 KB)
Open PDF file, 200.64 KB,  All Provider Bulletin 262: Accountable Care Organization (ACO) Pilot (English, PDF 200.64 KB)
Open DOC file, 150 KB,  All Provider Bulletin 262: Accountable Care Organization (ACO) Pilot (English, DOC 150 KB)
Open PDF file, 144.84 KB,  All Provider Bulletin 261: Plan Selection Periods and Fixed Enrollment Periods for Members Enrolled in a Managed Care Organization (MCO) (English, PDF 144.84 KB)
Open DOC file, 394 KB,  All Provider Bulletin 261: Plan Selection Periods and Fixed Enrollment Periods for Members Enrolled in a Managed Care Organization (MCO) (English, DOC 394 KB)
Open PDF file, 169.41 KB,  All Provider Bulletin 260: Changes to Primary Care Clinician Plan (PCC Plan) Services Requiring a Referral (English, PDF 169.41 KB)
Open DOC file, 395 KB,  All Provider Bulletin 260: Changes to Primary Care Clinician Plan (PCC Plan) Services Requiring a Referral (English, DOC 395 KB)
Open PDF file, 66.12 KB,  All Provider Bulletin 259: Ordering, Referring, and Prescribing Provider Requirements (English, PDF 66.12 KB)
Open DOC file, 198 KB,  All Provider Bulletin 259: Ordering, Referring, and Prescribing Provider Requirements (English, DOC 198 KB)
Open PDF file, 227.41 KB,  All Provider Bulletin 258: Health New England’s Withdrawal from the CarePlus Program (English, PDF 227.41 KB)
Open DOC file, 118 KB,  All Provider Bulletin 258: Health New England’s Withdrawal from the CarePlus Program (English, DOC 118 KB)
Open PDF file, 144.12 KB,  All Provider Bulletin 257: Centers for Medicare & Medicaid Services (CMS) Issue New Revalidation Guidelines (English, PDF 144.12 KB)
Open DOC file, 120 KB,  All Provider Bulletin 257: Centers for Medicare & Medicaid Services (CMS) Issue New Revalidation Guidelines (English, DOC 120 KB)
Open PDF file, 168.14 KB,  All Provider Bulletin 256: The Overpayment Disclosure Process (English, PDF 168.14 KB)
Open DOC file, 122 KB,  All Provider Bulletin 256: The Overpayment Disclosure Process (English, DOC 122 KB)
Open PDF file, 154.91 KB,  All Provider Bulletin 255: New CarePlus Enrollment Option (English, PDF 154.91 KB)
Open DOC file, 121.5 KB,  All Provider Bulletin 255: New CarePlus Enrollment Option (English, DOC 121.5 KB)
Open PDF file, 196.87 KB,  All Provider Bulletin 254: Voluntary Reporting on Perinatal Depression Screening (English, PDF 196.87 KB)
Open DOC file, 412 KB,  All Provider Bulletin 254: Voluntary Reporting on Perinatal Depression Screening (English, DOC 412 KB)
Open PDF file, 277.73 KB,  All Provider Bulletin 253: Transition to ICD-10 (English, PDF 277.73 KB)
Open DOC file, 182 KB,  All Provider Bulletin 253: Transition to ICD-10 (English, DOC 182 KB)
Open PDF file, 115.67 KB,  All Provider Bulletin 252: Improving Access for MassHealth Members with Disabilities (English, PDF 115.67 KB)
Open DOC file, 116 KB,  All Provider Bulletin 252: Improving Access for MassHealth Members with Disabilities (English, DOC 116 KB)
Open PDF file, 68.88 KB,  All Provider Bulletin 251: Enhancements to the Claiming Process and New Certification Process for MassHealth Limited Program (English, PDF 68.88 KB)
Open DOC file, 127.5 KB,  All Provider Bulletin 251: Enhancements to the Claiming Process and New Certification Process for MassHealth Limited Program (English, DOC 127.5 KB)
Open PDF file, 150.03 KB,  All Provider Bulletin 250: Enhancements to the Provider Revalidation Process (English, PDF 150.03 KB)
Open DOC file, 121 KB,  All Provider Bulletin 250: Enhancements to the Provider Revalidation Process (English, DOC 121 KB)
Open PDF file, 237.39 KB,  All Provider Bulletin 249: ICD-10 Implementation Readiness (English, PDF 237.39 KB)
Open DOC file, 135.5 KB,  All Provider Bulletin 249: ICD-10 Implementation Readiness (English, DOC 135.5 KB)
Open PDF file, 233.91 KB,  All Provider Bulletin 248: Information about ICD-10 (English, PDF 233.91 KB)
Open DOC file, 61 KB,  All Provider Bulletin 248: Information about ICD-10 (English, DOC 61 KB)
Open PDF file, 228.72 KB,  All Provider Bulletin 247: Free Enhanced Text Messaging Service to Support Pregnant Women and New Mothers (English, PDF 228.72 KB)
Open DOC file, 111.5 KB,  All Provider Bulletin 247: Free Enhanced Text Messaging Service to Support Pregnant Women and New Mothers (English, DOC 111.5 KB)
Open PDF file, 62.64 KB,  All Provider Bulletin 246: MassHealth Claims Involving Casualty Payer Payments (English, PDF 62.64 KB)
Open DOC file, 53 KB,  All Provider Bulletin 246: MassHealth Claims Involving Casualty Payer Payments (English, DOC 53 KB)
Open PDF file, 57.41 KB,  All Provider Bulletin 245: Behavioral Health Services for Members with Temporary MH Coverage (English, PDF 57.41 KB)
Open DOC file, 57.5 KB,  All Provider Bulletin 245: Behavioral Health Services for Members with Temporary MH Coverage (English, DOC 57.5 KB)
Open PDF file, 66.39 KB,  All Provider Bulletin 244: Coverage Provided via Hospital-Determined Presumptive Eligibility (English, PDF 66.39 KB)
Open DOC file, 57.5 KB,  All Provider Bulletin 244: Coverage Provided via Hospital-Determined Presumptive Eligibility (English, DOC 57.5 KB)
Open PDF file, 156.07 KB,  All Provider Bulletin 243: New Coverage Type: MassHealth CarePlus (English, PDF 156.07 KB)
Open DOC file, 54.5 KB,  All Provider Bulletin 243: New Coverage Type: MassHealth CarePlus (English, DOC 54.5 KB)
Open PDF file, 162.53 KB,  All Provider Bulletin 242: Provider Bulletin: Provider Revalidation (English, PDF 162.53 KB)
Open DOC file, 63 KB,  All Provider Bulletin 242: Provider Bulletin: Provider Revalidation (English, DOC 63 KB)
Open PDF file, 75.24 KB,  All Provider Bulletin 241: Information about ICD-10-CM/PCS (English, PDF 75.24 KB)
Open TXT file, 4.26 KB,  All Provider Bulletin 241: Information about ICD-10-CM/PCS (English, TXT 4.26 KB)
Open PDF file, 238.01 KB,  All Provider Bulletin 240: Temporary Coverage for Applicants for Subsidized Health Insurance (English, PDF 238.01 KB)
Open TXT file, 11.26 KB,  All Provider Bulletin 240: Temporary Coverage for Applicants for Subsidized Health Insurance (English, TXT 11.26 KB)
Open PDF file, 64.79 KB,  All Provider Bulletin 239: Affordable Care Act Operating Rules (English, PDF 64.79 KB)
Open TXT file, 6.85 KB,  All Provider Bulletin 239: Affordable Care Act Operating Rules (English, TXT 6.85 KB)
Open DOC file, 129.5 KB,  All Provider Bulletin 238: Introduction to the One Care: MassHealth plus Medicare Program (English, DOC 129.5 KB)
Open PDF file, 155.8 KB,  All Provider Bulletin 238: Introduction to the One Care: MassHealth plus Medicare Program (English, PDF 155.8 KB)
Open PDF file, 93.56 KB,  All Provider Bulletin 237: Primary Care Clinician (PCC) Plan Referral Process and Requirements (English, PDF 93.56 KB)
Open TXT file, 3.27 KB,  All Provider Bulletin 237: Primary Care Clinician (PCC) Plan Referral Process and Requirements (English, TXT 3.27 KB)
Open PDF file, 110.04 KB,  All Provider Bulletin 236: Payment for Vaccine Administration and Office Visit (English, PDF 110.04 KB)
Open TXT file, 7.36 KB,  All Provider Bulletin 236: Payment for Vaccine Administration and Office Visit (English, TXT 7.36 KB)
Open PDF file, 134.86 KB,  All Provider Bulletin 235: Section 1202 Rates for Physicians Who Provide Primary Care Services (English, PDF 134.86 KB)
Open TXT file, 7.29 KB,  All Provider Bulletin 235: Section 1202 Rates for Physicians Who Provide Primary Care Services (English, TXT 7.29 KB)
Open PDF file, 63.96 KB,  All Provider Bulletin 234: Predictive Modeling Initiative (English, PDF 63.96 KB)
Open TXT file, 3.64 KB,  All Provider Bulletin 234: Predictive Modeling Initiative (English, TXT 3.64 KB)
Open TXT file, 3.39 KB,  All Provider Bulletin 233: Revisions to the 90-Day Waiver Procedures (English, TXT 3.39 KB)
Open PDF file, 44.49 KB,  All Provider Bulletin 233: Revisions to the 90-Day Waiver Procedures (English, PDF 44.49 KB)
Open PDF file, 44.54 KB,  All Provider Bulletin 232: Revisions to the Final Deadline Appeal Procedures (English, PDF 44.54 KB)
Open TXT file, 3.53 KB,  All Provider Bulletin 232: Revisions to the Final Deadline Appeal Procedures (English, TXT 3.53 KB)
Open PDF file, 53.49 KB,  All Provider Bulletin 231: Payment Error Rate Measurement (PERM) Project (English, PDF 53.49 KB)
Open TXT file, 4.52 KB,  All Provider Bulletin 231: Payment Error Rate Measurement (PERM) Project (English, TXT 4.52 KB)
Open PDF file, 67.63 KB,  All Provider Bulletin 230: Section 1202 Rates for Physicians Who Provide Primary Care Services (English, PDF 67.63 KB)
Open TXT file, 7.27 KB,  All Provider Bulletin 230: Section 1202 Rates for Physicians Who Provide Primary Care Services (English, TXT 7.27 KB)
Open PDF file, 30.46 KB,  All Provider Bulletin 229: Physician Designees and the Ambulance Medical Necessity Form (English, PDF 30.46 KB)
Open TXT file, 1.68 KB,  All Provider Bulletin 229: Physician Designees and the Ambulance Medical Necessity Form (English, TXT 1.68 KB)
Open PDF file, 51.98 KB,  All Provider Bulletin 228: Information about ICD-10-CM/PCS (English, PDF 51.98 KB)
Open TXT file, 3.14 KB,  All Provider Bulletin 228: Information about ICD-10-CM/PCS (English, TXT 3.14 KB)
Open PDF file, 74.04 KB,  All Provider Bulletin 227: Modifier Coverage and National Correct Coding Initiative (NCCI) Updates (English, PDF 74.04 KB)
Open TXT file, 12.28 KB,  All Provider Bulletin 227: Modifier Coverage and National Correct Coding Initiative (NCCI) Updates (English, TXT 12.28 KB)
Open PDF file, 50.08 KB,  All Provider Bulletin 226: Final Deadline Appeal Submissions - New Request for Claim Review Form (English, PDF 50.08 KB)
Open TXT file, 2.11 KB,  All Provider Bulletin 226: Final Deadline Appeal Submissions - New Request for Claim Review Form (English, TXT 2.11 KB)
Open PDF file, 67.55 KB,  All Provider Bulletin 225: Special Circumstances for Electronic Claims (English, PDF 67.55 KB)
Open TXT file, 6.28 KB,  All Provider Bulletin 225: Special Circumstances for Electronic Claims (English, TXT 6.28 KB)
Open PDF file, 124.37 KB,  All Provider Bulletin 224: Provider Overpayment Disclosure Process (English, PDF 124.37 KB)
Open TXT file, 14.22 KB,  All Provider Bulletin 224: Provider Overpayment Disclosure Process (English, TXT 14.22 KB)
Open PDF file, 55.91 KB,  All Provider Bulletin 223: Changes to Electronic Claims Submission Policy (English, PDF 55.91 KB)
Open TXT file, 2.6 KB,  All Provider Bulletin 223: Changes to Electronic Claims Submission Policy (English, TXT 2.6 KB)
Open PDF file, 83.9 KB,  All Provider Bulletin 222: 5010 Implementation Cutover (English, PDF 83.9 KB)
Open TXT file, 10.82 KB,  All Provider Bulletin 222: 5010 Implementation Cutover (English, TXT 10.82 KB)
Open PDF file, 60.74 KB,  All Provider Bulletin 221: Revisions to the Final Deadline Appeal Procedures (English, PDF 60.74 KB)
Open TXT file, 3.51 KB,  All Provider Bulletin 221: Revisions to the Final Deadline Appeal Procedures (English, TXT 3.51 KB)
Open PDF file, 60.6 KB,  All Provider Bulletin 220: Revisions to the 90-Day Waiver Procedures (English, PDF 60.6 KB)
Open TXT file, 3.38 KB,  All Provider Bulletin 220: Revisions to the 90-Day Waiver Procedures (English, TXT 3.38 KB)
Open PDF file, 89.72 KB,  All Provider Bulletin 219a: 5010 Implementation Readiness - Corrected (English, PDF 89.72 KB)
Open TXT file, 12.54 KB,  All Provider Bulletin 219a: 5010 Implementation Readiness - Corrected (English, TXT 12.54 KB)
Open PDF file, 33.59 KB,  All Provider Bulletin 218: Service Animal Indication on the Prescription for Transportation (PT-1) Form (English, PDF 33.59 KB)
Open TXT file, 1.36 KB,  All Provider Bulletin 218: Service Animal Indication on the Prescription for Transportation (PT-1) Form (English, TXT 1.36 KB)
Open PDF file, 62.59 KB,  All Provider Bulletin 217: Waiver Policy for Claim Submissions (English, PDF 62.59 KB)
Open TXT file, 4.18 KB,  All Provider Bulletin 217: Waiver Policy for Claim Submissions (English, TXT 4.18 KB)
Open PDF file, 56.57 KB,  All Provider Bulletin 216: HIPAA 5010 Diagnosis Code Requirement (English, PDF 56.57 KB)
Open TXT file, 2.95 KB,  All Provider Bulletin 216: HIPAA 5010 Diagnosis Code Requirement (English, TXT 2.95 KB)
Open PDF file, 131.39 KB,  All Provider Bulletin 215: Change in Pharmacy Copayments (English, PDF 131.39 KB)
Open TXT file, 14.72 KB,  All Provider Bulletin 215: Change in Pharmacy Copayments (English, TXT 14.72 KB)
Open PDF file, 58.2 KB,  All Provider Bulletin 214: New Address for Disability Supplements (English, PDF 58.2 KB)
Open TXT file, 1.3 KB,  All Provider Bulletin 214: New Address for Disability Supplements (English, TXT 1.3 KB)
Open PDF file, 57.71 KB,  All Provider Bulletin 213: Testing Readiness for CMS 5010 Mandate (English, PDF 57.71 KB)
Open TXT file, 10.84 KB,  All Provider Bulletin 213: Testing Readiness for CMS 5010 Mandate (English, TXT 10.84 KB)
Open PDF file, 59.6 KB,  All Provider Bulletin 212: Important Claims Submission Policy Changes (English, PDF 59.6 KB)
Open TXT file, 2.91 KB,  All Provider Bulletin 212: Important Claims Submission Policy Changes (English, TXT 2.91 KB)
Open PDF file, 103.87 KB,  All Provider Bulletin 211: Critical Edit for Required Behavioral Health Screen Modifier (English, PDF 103.87 KB)
Open TXT file, 4.29 KB,  All Provider Bulletin 211: Critical Edit for Required Behavioral Health Screen Modifier (English, TXT 4.29 KB)
Open PDF file, 79.72 KB,  All Provider Bulletin 210: 5010 Implementation Preparation (English, PDF 79.72 KB)
Open TXT file, 8.37 KB,  All Provider Bulletin 210: 5010 Implementation Preparation (English, TXT 8.37 KB)
Open PDF file, 79.02 KB,  All Provider Bulletin 209: Medicaid National Correct Coding Initiative (English, PDF 79.02 KB)
Open TXT file, 9.67 KB,  All Provider Bulletin 209: Medicaid National Correct Coding Initiative (English, TXT 9.67 KB)
Open PDF file, 65.62 KB,  All Provider Bulletin 208: Overview of Key Changes to Be Implemented on January 1, 2012, to Support the Centers for Medicare & Medicaid Services 5010 Mandate (English, PDF 65.62 KB)
Open TXT file, 8.83 KB,  All Provider Bulletin 208: Overview of Key Changes to Be Implemented on January 1, 2012, to Support the Centers for Medicare & Medicaid Services 5010 Mandate (English, TXT 8.83 KB)
Open PDF file, 52.5 KB,  All Provider Bulletin 207: Reduction of Paper Claim Forms (English, PDF 52.5 KB)
Open TXT file, 3.08 KB,  All Provider Bulletin 207: Reduction of Paper Claim Forms (English, TXT 3.08 KB)
Open PDF file, 51.54 KB,  All Provider Bulletin 206: Medicaid Hospice Benefit for Children and Concurrent Curative Treatment (English, PDF 51.54 KB)
Open TXT file, 2.11 KB,  All Provider Bulletin 206: Medicaid Hospice Benefit for Children and Concurrent Curative Treatment (English, TXT 2.11 KB)
Open PDF file, 56.17 KB,  All Provider Bulletin 205: Implementation Approach for HIPAA X12 5010 Electronic Transactions (English, PDF 56.17 KB)
Open TXT file, 3.77 KB,  All Provider Bulletin 205: Implementation Approach for HIPAA X12 5010 Electronic Transactions (English, TXT 3.77 KB)
Open PDF file, 57.61 KB,  All Provider Bulletin 204: Revised Billing Instructions for Healthy Start Program (HSP) Providers (English, PDF 57.61 KB)
Open TXT file, 2.5 KB,  All Provider Bulletin 204: Revised Billing Instructions for Healthy Start Program (HSP) Providers (English, TXT 2.5 KB)
Open PDF file, 69.51 KB,  All Provider Bulletin 203: Centers for Medicare & Medicaid Services (CMS) FY2010 Payment Error Rate Measurement (PERM) Project (English, PDF 69.51 KB)
Open TXT file, 4 KB,  All Provider Bulletin 203: Centers for Medicare & Medicaid Services (CMS) FY2010 Payment Error Rate Measurement (PERM) Project (English, TXT 4 KB)
Open PDF file, 164.17 KB,  All Provider Bulletin 202: Credit Balance Overpayment Policy (English, PDF 164.17 KB)
Open TXT file, 5.32 KB,  All Provider Bulletin 202: Credit Balance Overpayment Policy (English, TXT 5.32 KB)
Open PDF file, 150.38 KB,  All Provider Bulletin 201: New Carrier Code Request Form (English, PDF 150.38 KB)
Open TXT file, 2.69 KB,  All Provider Bulletin 201: New Carrier Code Request Form (English, TXT 2.69 KB)
Open PDF file, 59.11 KB,  All Provider Bulletin 200: Federal Medicaid Integrity Program Provider Audits (English, PDF 59.11 KB)
Open TXT file, 3.43 KB,  All Provider Bulletin 200: Federal Medicaid Integrity Program Provider Audits (English, TXT 3.43 KB)
Open PDF file, 63.77 KB,  All Provider Bulletin 199: Elimination of Full Paper Mailing of Bulletins and Transmittal Letters (English, PDF 63.77 KB)
Open TXT file, 3.68 KB,  All Provider Bulletin 199: Elimination of Full Paper Mailing of Bulletins and Transmittal Letters (English, TXT 3.68 KB)
Open PDF file, 131.86 KB,  All Provider Bulletin 198: Password Expiration and Reset for EVSpc (English, PDF 131.86 KB)
Open TXT file, 5.11 KB,  All Provider Bulletin 198: Password Expiration and Reset for EVSpc (English, TXT 5.11 KB)
Open PDF file, 85.9 KB,  All Provider Bulletin 197: Coverage of H1N1 and Seasonal Influenza Vaccinations (English, PDF 85.9 KB)
Open TXT file, 10.07 KB,  All Provider Bulletin 197: Coverage of H1N1 and Seasonal Influenza Vaccinations (English, TXT 10.07 KB)
Open PDF file, 60.4 KB,  All Provider Bulletin 196: Provider Obligation to Screen Employees and Contractors for Exclusion from Participation in Federal Health Care Programs (English, PDF 60.4 KB)
Open TXT file, 6.83 KB,  All Provider Bulletin 196: Provider Obligation to Screen Employees and Contractors for Exclusion from Participation in Federal Health Care Programs (English, TXT 6.83 KB)
Open PDF file, 92.38 KB,  All Provider Bulletin 195: Changes for Access to Behavioral-Health Services for Certain MassHealth Members (English, PDF 92.38 KB)
Open TXT file, 4.57 KB,  All Provider Bulletin 195: Changes for Access to Behavioral-Health Services for Certain MassHealth Members (English, TXT 4.57 KB)
Open PDF file, 69.59 KB,  All Provider Bulletin 194: Primary Care Clinician (PCC) Referral Process (English, PDF 69.59 KB)
Open TXT file, 4.65 KB,  All Provider Bulletin 194: Primary Care Clinician (PCC) Referral Process (English, TXT 4.65 KB)
Open PDF file, 56.92 KB,  All Provider Bulletin 193: Copies of PDF Remittance Advice (English, PDF 56.92 KB)
Open TXT file, 2.89 KB,  All Provider Bulletin 193: Copies of PDF Remittance Advice (English, TXT 2.89 KB)
Open PDF file, 157.6 KB,  All Provider Bulletin 192: Revised Prescription for Transportation (PT-1) Form (English, PDF 157.6 KB)
Open TXT file, 4.2 KB,  All Provider Bulletin 192: Revised Prescription for Transportation (PT-1) Form (English, TXT 4.2 KB)
Open TXT file, 3.65 KB,  All Provider Bulletin 191: New MassHealth Member ID Card (English, TXT 3.65 KB)
Open PDF file, 61.71 KB,  All Provider Bulletin 191: New MassHealth Member ID Card (English, PDF 61.71 KB)
Open PDF file, 575.34 KB,  All Provider Bulletin 190: Preadmission Screening (PAS-A and PAS-CR) Forms (English, PDF 575.34 KB)
Open TXT file, 18.62 KB,  All Provider Bulletin 190: Preadmission Screening (PAS-A and PAS-CR) Forms (English, TXT 18.62 KB)
Open PDF file, 228.21 KB,  All Provider Bulletin 189: Prior Authorization (PA-1) Form (English, PDF 228.21 KB)
Open TXT file, 8.46 KB,  All Provider Bulletin 189: Prior Authorization (PA-1) Form (English, TXT 8.46 KB)
Open PDF file, 63.47 KB,  All Provider Bulletin 188: Elimination of the PCC Plan Referral Requirement for Certain Services (English, PDF 63.47 KB)
Open TXT file, 4.47 KB,  All Provider Bulletin 188: Elimination of the PCC Plan Referral Requirement for Certain Services (English, TXT 4.47 KB)
Open PDF file, 79.63 KB,  All Provider Bulletin 187: NewMMIS Implementation Schedule (English, PDF 79.63 KB)
Open TXT file, 18.08 KB,  All Provider Bulletin 187: NewMMIS Implementation Schedule (English, TXT 18.08 KB)
Open PDF file, 63.74 KB,  All Provider Bulletin 186: Final Deadline Appeal Procedures (English, PDF 63.74 KB)
Open TXT file, 3.61 KB,  All Provider Bulletin 186: Final Deadline Appeal Procedures (English, TXT 3.61 KB)
Open PDF file, 68.73 KB,  All Provider Bulletin 185: NewMMIS Preparation, E-Learning, Trading Partner Testing, and NPI Readiness (English, PDF 68.73 KB)
Open TXT file, 11.71 KB,  All Provider Bulletin 185: NewMMIS Preparation, E-Learning, Trading Partner Testing, and NPI Readines (English, TXT 11.71 KB)
Open PDF file, 87.19 KB,  All Provider Bulletin 184: NewMMIS Member Eligibility Verification System and Discontinuation of Eligibility Operator (English, PDF 87.19 KB)
Open TXT file, 8 KB,  All Provider Bulletin 184: NewMMIS Member Eligibility Verification System and Discontinuation of Eligibility Operator (English, TXT 8 KB)
Open PDF file, 53.44 KB,  All Provider Bulletin 183: Member Eligibility REVS Responses Provided Between 12/17/08 and 01/13/09 (English, PDF 53.44 KB)
Open TXT file, 2.02 KB,  All Provider Bulletin 183: Member Eligibility REVS Responses Provided Between 12/17/08 and 01/13/09 (English, TXT 2.02 KB)
Open PDF file, 66.1 KB,  All Provider Bulletin 182: Important Updates about NewMMIS (English, PDF 66.1 KB)
Open TXT file, 8.8 KB,  All Provider Bulletin 182: Important Updates about NewMMIS (English, TXT 8.8 KB)
Open PDF file, 110.78 KB,  All Provider Bulletin 181: NewMMIS Important Events and Activities Scheduled for November (English, PDF 110.78 KB)
Open TXT file, 17.92 KB,  All Provider Bulletin 181: NewMMIS Important Events and Activities Scheduled for November (English, TXT 17.92 KB)
Open PDF file, 62.18 KB,  All Provider Bulletin 180: Tamper-Resistant Prescription Update (English, PDF 62.18 KB)
Open TXT file, 3.23 KB,  All Provider Bulletin 180: Tamper-Resistant Prescription Update (English, TXT 3.23 KB)
Open PDF file, 149.09 KB,  All Provider Bulletin 179: 90-Day Waiver Request and New 90-Day Waiver Request Form (English, PDF 149.09 KB)
Open TXT file, 5.65 KB,  All Provider Bulletin 179: 90-Day Waiver Request and New 90-Day Waiver Request Form (English, TXT 5.65 KB)
Open PDF file, 63.49 KB,  All Provider Bulletin 178: Point-of-Service (POS) Device Termination (English, PDF 63.49 KB)
Open TXT file, 2.71 KB,  All Provider Bulletin 178: Point-of-Service (POS) Device Termination (English, TXT 2.71 KB)
Open PDF file, 71.11 KB,  All Provider Bulletin 177: Rescheduling of NewMMIS Implementation and Preparation Activities (English, PDF 71.11 KB)
Open TXT file, 5.95 KB,  All Provider Bulletin 177: Rescheduling of NewMMIS Implementation and Preparation Activities (English, TXT 5.95 KB)
Open PDF file, 357.89 KB,  All Provider Bulletin 176: New MassHealth Card (English, PDF 357.89 KB)
Open TXT file, 7.39 KB,  All Provider Bulletin 176: New MassHealth Card (English, TXT 7.39 KB)
Open PDF file, 73.23 KB,  All Provider Bulletin 175: NewMMIS Service Authorization, Eligibility Verification, and Claims Status Inquiry (English, PDF 73.23 KB)
Open TXT file, 8.09 KB,  All Provider Bulletin 175: NewMMIS Service Authorization, Eligibility Verification, and Claims Status Inquiry (English, TXT 8.09 KB)
Open PDF file, 75.98 KB,  All Provider Bulletin 174: Massachusetts Implementation of Tamper-Resistant Prescription Requirements (English, PDF 75.98 KB)
Open TXT file, 7.11 KB,  All Provider Bulletin 174: Massachusetts Implementation of Tamper-Resistant Prescription Requirements (English, TXT 7.11 KB)
Open PDF file, 75.53 KB,  All Provider Bulletin 173: NewMMIS Implementation Schedule for Member, Provider, and Claims Functions (English, PDF 75.53 KB)
Open TXT file, 7.93 KB,  All Provider Bulletin 173: NewMMIS Implementation Schedule for Member, Provider, and Claims Functions (English, TXT 7.93 KB)
Open PDF file, 70.73 KB,  All Provider Bulletin 172: NewMMIS Key Concepts and Provider Preparation Guidelines (English, PDF 70.73 KB)
Open TXT file, 8.75 KB,  All Provider Bulletin 172: NewMMIS Key Concepts and Provider Preparation Guidelines (English, TXT 8.75 KB)
Open PDF file, 161.86 KB,  All Provider Bulletin 171: Credit Balance Overpayment Policy (English, PDF 161.86 KB)
Open TXT file, 4.75 KB,  All Provider Bulletin 171: Credit Balance Overpayment Policy (English, TXT 4.75 KB)
Open PDF file, 77.4 KB,  All Provider Bulletin 170: A New Medicaid Management Information System Is Coming (English, PDF 77.4 KB)
Open TXT file, 8.06 KB,  All Provider Bulletin 170: A New Medicaid Management Information System Is Coming (English, TXT 8.06 KB)
Open PDF file, 56.14 KB,  All Provider Bulletin 169: Ordering MassHealth's Wellness Program Member Brochure (English, PDF 56.14 KB)
Open TXT file, 2.29 KB,  All Provider Bulletin 169: Ordering MassHealth's Wellness Program Member Brochure (English, TXT 2.29 KB)
Open PDF file, 54.98 KB,  All Provider Bulletin 168: Six-Month Delay for the Requirement for Tamper-Resistant, Written Prescriptions (English, PDF 54.98 KB)
Open TXT file, 2.07 KB,  All Provider Bulletin 168: Six-Month Delay for the Requirement for Tamper-Resistant, Written Prescriptions (English, TXT 2.07 KB)
Open PDF file, 71.69 KB,  All Provider Bulletin 167: Requirement for Tamper-Resistant, Written Prescriptions (English, PDF 71.69 KB)
Open TXT file, 5.11 KB,  All Provider Bulletin 167: Requirement for Tamper-Resistant, Written Prescriptions (English, TXT 5.11 KB)
Open PDF file, 61.98 KB,  All Provider Bulletin 166: CMS Payment Error Rate Measurement Project (PERM) (English, PDF 61.98 KB)
Open TXT file, 3.9 KB,  All Provider Bulletin 166: CMS Payment Error Rate Measurement Project (PERM) (English, TXT 3.9 KB)
Open PDF file, 62.31 KB,  All Provider Bulletin 165: MassHealth's Wellness Program Member Brochure (English, PDF 62.31 KB)
Open DOCX file, 18.48 KB,  All Provider Bulletin 165: MassHealth's Wellness Program Member Brochure (English, DOCX 18.48 KB)
Open PDF file, 190.11 KB,  All Provider Bulletin 164: Implementation of National Provider Identifier (NPI) Number (English, PDF 190.11 KB)
Open TXT file, 17.25 KB,  All Provider Bulletin 164: Implementation of National Provider Identifier (NPI) Number (English, TXT 17.25 KB)
Open PDF file, 63.54 KB,  All Provider Bulletin 163: New Look for WebREVS (English, PDF 63.54 KB)
Open TXT file, 2.98 KB,  All Provider Bulletin 163: New Look for WebREVS (English, TXT 2.98 KB)
Open PDF file, 75.58 KB,  All Provider Bulletin 162: Employee Education about False Claims (English, PDF 75.58 KB)
Open TXT file, 3.75 KB,  All Provider Bulletin 162: Employee Education about False Claims (English, TXT 3.75 KB)
Open PDF file, 95.26 KB,  All Provider Bulletin 161: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services for MassHealth Members Under Age 21 with CommonHealth Coverage (English, PDF 95.26 KB)
Open TXT file, 1.99 KB,  All Provider Bulletin 161: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services for MassHealth Members Under Age 21 with CommonHealth Coverage (English, TXT 1.99 KB)
Open PDF file, 74.81 KB,  All Provider Bulletin 160: MassHealth Provider Recredentialing (English, PDF 74.81 KB)
Open TXT file, 4.36 KB,  All Provider Bulletin 160: MassHealth Provider Recredentialing (English, TXT 4.36 KB)
Open PDF file, 69.27 KB,  All Provider Bulletin 159: Managed Care Enhancements on REVS (English, PDF 69.27 KB)
Open TXT file, 1.81 KB,  All Provider Bulletin 159: Managed Care Enhancements on REVS (English, TXT 1.81 KB)
Open PDF file, 78.37 KB,  All Provider Bulletin 158: Coordination of Benefits for Crossover Claims (English, PDF 78.37 KB)
Open TXT file, 3.84 KB,  All Provider Bulletin 158: Coordination of Benefits for Crossover Claims (English, TXT 3.84 KB)
Open TXT file, 3.25 KB,  All Provider Bulletin 157: Requesting Nonemergency Transportation for a Member Online (English, TXT 3.25 KB)
Open PDF file, 158.4 KB,  All Provider Bulletin 157: Requesting Nonemergency Transportation for a Member Online (English, PDF 158.4 KB)
Open PDF file, 176.53 KB,  All Provider Bulletin 156: Downloading and Ordering Forms and Other MassHealth Publications Online (English, PDF 176.53 KB)
Open TXT file, 4.62 KB,  All Provider Bulletin 156: Downloading and Ordering Forms and Other MassHealth Publications Online (English, TXT 4.62 KB)
Open PDF file, 77.99 KB,  All Provider Bulletin 155: Expansion of Services for Adult MassHealth Members and Tobacco Cessation Services for Members of All Ages (English, PDF 77.99 KB)
Open TXT file, 6.09 KB,  All Provider Bulletin 155: Expansion of Services for Adult MassHealth Members and Tobacco Cessation Services for Members of All Ages (English, TXT 6.09 KB)
Open PDF file, 61.77 KB,  All Provider Bulletin 154: Enhanced REVS Capabilities (English, PDF 61.77 KB)
Open TXT file, 4.13 KB,  All Provider Bulletin 154: Enhanced REVS Capabilities (English, TXT 4.13 KB)
Open PDF file, 78.27 KB,  All Provider Bulletin 153: Preferred Communication Method Options (English, PDF 78.27 KB)
Open TXT file, 4.16 KB,  All Provider Bulletin 153: Preferred Communication Method Options (English, TXT 4.16 KB)
Open PDF file, 126.29 KB,  All Provider Bulletin 152: Void Request Form for Non-Pharmacy Claims (English, PDF 126.29 KB)
Open TXT file, 4.44 KB,  All Provider Bulletin 152: Void Request Form for Non-Pharmacy Claims (English, TXT 4.44 KB)
Open PDF file, 81.54 KB,  All Provider Bulletin 151: Enhancements to WebREVS (English, PDF 81.54 KB)
Open TXT file, 7.52 KB,  All Provider Bulletin 151: Enhancements to WebREVS (English, TXT 7.52 KB)
Open PDF file, 118.25 KB,  All Provider Bulletin 150: Redesigned MassHealth Card (English, PDF 118.25 KB)
Open TXT file, 2.36 KB,  All Provider Bulletin 150: Redesigned MassHealth Card (English, TXT 2.36 KB)
Open PDF file, 73.23 KB,  All Provider Bulletin 149: Elimination of the MassHealth Secure File Delivery Application (English, PDF 73.23 KB)
Open TXT file, 2.71 KB,  All Provider Bulletin 149: Elimination of the MassHealth Secure File Delivery Application (English, TXT 2.71 KB)
Open RTF file, 4.01 MB,  All Provider Bulletin 148: Expanded REVS Eligibility History (English, RTF 4.01 MB)
Open PDF file, 62.35 KB,  All Provider Bulletin 148: Expanded REVS Eligibility History (English, PDF 62.35 KB)
Open PDF file, 42.36 KB,  All Provider Bulletin 147: Policy Regarding MCO Claims Submission (English, PDF 42.36 KB)
Open TXT file, 7.31 KB,  All Provider Bulletin 147: Policy Regarding MCO Claims Submission (English, TXT 7.31 KB)
Open PDF file, 151.76 KB,  All Provider Bulletin 146: Update on Expanded MassHealth Customer Service (English, PDF 151.76 KB)
Open RTF file, 4.69 MB,  All Provider Bulletin 146: Update on Expanded MassHealth Customer Service (English, RTF 4.69 MB)
Open PDF file, 145.98 KB,  All Provider Bulletin 145: National Provider Identifiers (English, PDF 145.98 KB)
Open RTF file, 4.08 MB,  All Provider Bulletin 145: National Provider Identifiers (English, RTF 4.08 MB)
Open PDF file, 215.88 KB,  All Provider Bulletin 144: Expanded Customer Services for MassHealth Providers and Members (English, PDF 215.88 KB)
Open RTF file, 8.5 MB,  All Provider Bulletin 144: Expanded Customer Services for MassHealth Providers and Members (English, RTF 8.5 MB)
Open PDF file, 122.72 KB,  All Provider Bulletin 143: A New Way to Communicate with Providers (English, PDF 122.72 KB)
Open RTF file, 3.62 MB,  All Provider Bulletin 143: A New Way to Communicate with Providers (English, RTF 3.62 MB)
Open PDF file, 143.83 KB,  All Provider Bulletin 142: Guidelines for Medical Necessity Determination for Certain Products and Services (English, PDF 143.83 KB)
Open RTF file, 4.04 MB,  All Provider Bulletin 142: Guidelines for Medical Necessity Determination for Certain Products and Services (English, RTF 4.04 MB)
Open PDF file, 130.62 KB,  All Provider Bulletin 141: Revised Prescription for Transportation (PT-1) Form on Web Site (English, PDF 130.62 KB)
Open RTF file, 4.01 MB,  All Provider Bulletin 141: Revised Prescription for Transportation (PT-1) Form on Web Site (English, RTF 4.01 MB)
Open RTF file, 4.5 MB,  All Provider Bulletin 140: Integration of the MassHealth Provider Services Web Site into Mass.Gov Portal (English, RTF 4.5 MB)
Open PDF file, 144.94 KB,  All Provider Bulletin 140: Integration of the MassHealth Provider Services Web Site into Mass.Gov Portal (English, PDF 144.94 KB)
Open PDF file, 42.98 KB,  All Provider Bulletin 139: Implementation of a HIPAA-Compliant Secure File Delivery Application (English, PDF 42.98 KB)
Open RTF file, 4.02 MB,  All Provider Bulletin 139: Implementation of a HIPAA-Compliant Secure File Delivery Application (English, RTF 4.02 MB)
Open PDF file, 209.49 KB,  All Provider Bulletin 138: Credit Balance Overpayment Policy (English, PDF 209.49 KB)
Open RTF file, 3.96 MB,  All Provider Bulletin 138: Credit Balance Overpayment Policy (English, RTF 3.96 MB)
Open PDF file, 146.4 KB,  All Provider Bulletin 137: New MassHealth Web Site (English, PDF 146.4 KB)
Open RTF file, 3.63 MB,  All Provider Bulletin 137: New MassHealth Web Site (English, RTF 3.63 MB)
Open PDF file, 45.14 KB,  All Provider Bulletin 136: Claims Processing and HIPAA Compliance for Electronic Claims Transactions (English, PDF 45.14 KB)
Open RTF file, 5.38 MB,  All Provider Bulletin 136: Claims Processing and HIPAA Compliance for Electronic Claims Transactions (English, RTF 5.38 MB)
Open PDF file, 48.76 KB,  All Provider Bulletin 135: New Massachusetts Management and Accounting Reporting System (NewMMARS) (English, PDF 48.76 KB)
Open RTF file, 3.64 MB,  All Provider Bulletin 135: New Massachusetts Management and Accounting Reporting System (NewMMARS) (English, RTF 3.64 MB)
Open PDF file, 94.97 KB,  All Provider Bulletin 134: Billing Deadline for MassHealth Claims (PDF) (English, PDF 94.97 KB)
Open RTF file, 2.22 MB,  All Provider Bulletin 134: Billing Deadline for MassHealth Claims (PDF) (English, RTF 2.22 MB)
Open RTF file, 4.03 MB,  All Provider Bulletin 133: HIPAA Compliance for Electronic Claims Transactions (English, RTF 4.03 MB)
Open PDF file, 49.35 KB,  All Provider Bulletin 133: HIPAA Compliance for Electronic Claims Transactions (English, PDF 49.35 KB)
Open PDF file, 158.14 KB,  All Provider Bulletin 132: HIPAA Compliance for Electronic Claims Transactions (English, PDF 158.14 KB)
Open RTF file, 3.64 MB,  All Provider Bulletin 132: HIPAA Compliance for Electronic Claims Transactions (English, RTF 3.64 MB)
Open PDF file, 119.61 KB,  All Provider Bulletin 131: Revision to MassHealth Breast and Cervical Cancer Treatment Program (English, PDF 119.61 KB)
Open RTF file, 3.62 MB,  All Provider Bulletin 131: Revision to MassHealth Breast and Cervical Cancer Treatment Program (English, RTF 3.62 MB)
Open RTF file, 72.57 KB,  All Provider Bulletin 130: Change in MassHealth Co-payment Policy (English, RTF 72.57 KB)
Open PDF file, 273.59 KB,  All Provider Bulletin 130: Change in MassHealth Co-payment Policy (English, PDF 273.59 KB)
Open PDF file, 264.07 KB,  All Provider Bulletin 129: MassHealth Breast and Cervical Cancer Treatment Program (English, PDF 264.07 KB)
Open RTF file, 29.42 KB,  All Provider Bulletin 129: MassHealth Breast and Cervical Cancer Treatment Program (English, RTF 29.42 KB)
Open PDF file, 265.83 KB,  All Provider Bulletin 128: Implementation of the HIPAA-Compliant Electronic Prior Authorization Request and Response Transaction (English, PDF 265.83 KB)
Open RTF file, 42.86 KB,  All Provider Bulletin 128: Implementation of the HIPAA-Compliant Electronic Prior Authorization Request and Response Transaction (English, RTF 42.86 KB)
Open PDF file, 261.47 KB,  All Provider Bulletin 127: Implementation of HIPAA-Compliant Electronic Remittance Advice (English, PDF 261.47 KB)
Open RTF file, 59.65 KB,  All Provider Bulletin 127: Implementation of HIPAA-Compliant Electronic Remittance Advice (English, RTF 59.65 KB)
Open PDF file, 127.07 KB,  All Provider Bulletin 126: HIPAA Compliance for Electronic Claim Submissions (English, PDF 127.07 KB)
Open RTF file, 68.89 KB,  All Provider Bulletin 126: HIPAA Compliance for Electronic Claim Submissions (English, RTF 68.89 KB)
Open PDF file, 119.8 KB,  All Provider Bulletin 125: Billing Procedure for HIPAA Electronic Claims Requiring Attachments (English, PDF 119.8 KB)
Open RTF file, 37.88 KB,  All Provider Bulletin 125: Billing Procedure for HIPAA Electronic Claims Requiring Attachments (English, RTF 37.88 KB)
Open PDF file, 260.76 KB,  All Provider Bulletin 124: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, PDF 260.76 KB)
Open RTF file, 793.72 KB,  All Provider Bulletin 124: Implementation of the 837 Institutional HIPAA-Compliant Electronic Claim Format (English, RTF 793.72 KB)
Open PDF file, 49.58 KB,  All Provider Bulletin 123: New Rebilling Procedures for Denied Claims (English, PDF 49.58 KB)
Open RTF file, 39.13 KB,  All Provider Bulletin 123: New Rebilling Procedures for Denied Claims (English, RTF 39.13 KB)
Open PDF file, 101.35 KB,  All Provider Bulletin 122: Administrative Simplification: Remittance Advices (English, PDF 101.35 KB)
Open RTF file, 27.7 KB,  All Provider Bulletin 122: Administrative Simplification: Remittance Advices (English, RTF 27.7 KB)
Open PDF file, 131.48 KB,  All Provider Bulletin 121: Updated Appendix C and New Carrier Code (English, PDF 131.48 KB)
Open RTF file, 33.98 KB,  All Provider Bulletin 121: Updated Appendix C and New Carrier Code (English, RTF 33.98 KB)
Open PDF file, 128.14 KB,  All Provider Bulletin 120: Important Information about the MassHealth Pharmacy Program (English, PDF 128.14 KB)
Open RTF file, 42.05 KB,  All Provider Bulletin 120: Important Information about the MassHealth Pharmacy Program (English, RTF 42.05 KB)
Open PDF file, 240.36 KB,  All Provider Bulletin 119: Modification to REVS Automated Voice Response (AVR) System (PDF) (English, PDF 240.36 KB)
Open RTF file, 39.54 KB,  All Provider Bulletin 119: Modification to REVS Automated Voice Response (AVR) System (English, RTF 39.54 KB)
Open PDF file, 121.86 KB,  All Provider Bulletin 118: Changes to MassHealth Basic and Buy-in Eligibility Rules (English, PDF 121.86 KB)
Open RTF file, 43.46 KB,  All Provider Bulletin 118: Changes to MassHealth Basic and Buy-in Eligibility Rules (English, RTF 43.46 KB)
Open PDF file, 277.54 KB,  All Provider Bulletin 117: New Options for Claim Status Requests (English, PDF 277.54 KB)
Open RTF file, 76.38 KB,  All Provider Bulletin 117: New Options for Claim Status Requests (English, RTF 76.38 KB)
Open PDF file, 286.46 KB,  All Provider Bulletin 116: HIPAA Eligibility and Response Transaction 270/271 (English, PDF 286.46 KB)
Open RTF file, 30.27 KB,  All Provider Bulletin 116: HIPAA Eligibility and Response Transaction 270/271 (English, RTF 30.27 KB)
Open RTF file, 1.2 MB,  All Provider Bulletin 115: MassHealth Drug List (English, RTF 1.2 MB)
Open PDF file, 214.8 KB,  All Provider Bulletin 115: MassHealth Drug List (English, PDF 214.8 KB)
Open PDF file, 96.88 KB,  All Provider Bulletin 114: Payment for the Medicare Part B Crossover Claims Repricing (English, PDF 96.88 KB)
Open RTF file, 26.08 KB,  All Provider Bulletin 114: Payment for the Medicare Part B Crossover Claims Repricing (English, RTF 26.08 KB)
Open PDF file, 115.56 KB,  All Provider Bulletin 113: Division of Medical Assistance Web Site (English, PDF 115.56 KB)
Open RTF file, 9.46 KB,  All Provider Bulletin 113: Division of Medical Assistance Web Site (English, RTF 9.46 KB)
Open PDF file, 20.3 KB,  All Provider Bulletin 112: Overpayment Policy (English, PDF 20.3 KB)
Open TXT file, 3.57 KB,  All Provider Bulletin 112: Overpayment Policy (English, TXT 3.57 KB)
Open PDF file, 121.74 KB,  All Provider Bulletin 111: Redesigned MassHealth Card (English, PDF 121.74 KB)
Open TXT file, 2.52 KB,  All Provider Bulletin 111: Redesigned MassHealth Card (English, TXT 2.52 KB)
Open PDF file, 69.53 KB,  All Provider Bulletin 110: Medicare Part B Crossover Claims Update (English, PDF 69.53 KB)
Open TXT file, 2.17 KB,  All Provider Bulletin 110: Medicare Part B Crossover Claims Update (English, TXT 2.17 KB)
Open TXT file, 3.67 KB,  All Provider Bulletin 109: Billing Deadline for MassHealth Claims (English, TXT 3.67 KB)
Open PDF file, 73.08 KB,  All Provider Bulletin 109: Billing Deadline for MassHealth Claims (English, PDF 73.08 KB)
Open PDF file, 18.02 KB,  All Provider Bulletin 108: Medicare Part B Crossover Claim Update (English, PDF 18.02 KB)
Open TXT file, 1.9 KB,  All Provider Bulletin 108: Medicare Part B Crossover Claim Update (English, TXT 1.9 KB)
Open PDF file, 74.63 KB,  All Provider Bulletin 107: Year-2000 Update (English, PDF 74.63 KB)
Open RTF file, 42.85 KB,  All Provider Bulletin 107: Year-2000 Update (English, RTF 42.85 KB)
Open PDF file, 230.14 KB,  ALL-106: Payment for Experimental or Unproven Services and Monies Owed by Providers (English, PDF 230.14 KB)
Open RTF file, 6.86 KB,  All Provider Bulletin 106: Billing for Missed Appointments (English, RTF 6.86 KB)
Open PDF file, 168.15 KB,  All Provider Bulletin 105: Year 2000 (Readiness Disclosure Notice) (English, PDF 168.15 KB)
Open RTF file, 73.62 KB,  All Provider Bulletin 105: Year 2000 (Readiness Disclosure Notice) (English, RTF 73.62 KB)
Open PDF file, 58.92 KB,  All Provider Bulletin 104: Payment for the Medicare Part B Coinsurance and Deductible (English, PDF 58.92 KB)

(March 1999)

Open RTF file, 9.82 KB,  All Provider Bulletin 104: Payment for the Medicare Part B Coinsurance and Deductible (English, RTF 9.82 KB)

(March 1999)

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