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Adjudicated Claim Payment Timeline

February 26, 2024

Please note that starting March through the end of May 2024, MassHealth will gradually return to the traditional 2-4 week lag between claim adjudication and payment that was in place prior to March 2020, reaching pre-pandemic payment timing by early June. Independent Nurse, Doula, Fiscal Intermediary Services (PCA), Nursing Facility and Rest Home providers will remain on their current payment schedule. Providers are advised to refer to the remittance advice for claim payment, suspensions, and denial details to reconcile their accounts properly.

If you have questions, please contact MassHealth at provider@masshealthquestions.com or (800) 841-2900. LTSS providers should contact the MassHealth LTSS Provider Service Center at (844) 368-5184 or support@masshealthltss.com.