MassHealth has completed the rate updates for the July 1, 2025 and October 1, 2025 Quarterly Drug Code Rates of the Community Health Center Manual.
MassHealth updated its system for these drug code rate changes effective for dates of services on or after July 1, 2025, and October 1, 2025. All affected claims were reprocessed as of December 8, 2025, and should appear on past or future remittance advices.
If you have questions, please contact MassHealth at (800) 841-2900 or provider@masshealthquestions.com
Claims Reprocessed for Community Health Centers for Updated July 1, 2025 and October 1, 2025 Quarterly Drug Code Rates