All MTF News

Ordering, Referring, and Prescribing (ORP) Referring Provider Edit Denials for Pharmacies Billing Durable Medical Equipment (DME) and Home Infusion Services Through the Medicaid Management Information System (MMIS) The ORP referring… Continue Reading Ordering, Referring, and Prescribing (ORP) Referring Provider Edit Denials for Pharmacies Billing Durable Medical Equipment (DME) and Home Infusion Services Through the Medicaid Management Information System (MMIS)

As described in All Provider Bulletin 286 (with updated information provided in All Provider Bulletins 361, 376, 380, and 391), claims submitted to MassHealth for services that require an order,… Continue Reading Reminder of Ordering, Referring, Prescribing (ORP) Provider Requirements

Effective 9/1/2025, the MassHealth Customer Service phone prompts will be changing. Providers will be required to enter their MassHealth Provider ID (PID) to connect with a Customer Service Agent. If… Continue Reading Change in Phone Prompts for Customer Service

On March 20, 2020, as part of MassHealth’s COVID-19 response, the Executive Office of Health and Human Services suspended referral requirements for MassHealth-covered services, including orthotics and prosthetics, for the… Continue Reading Reinstatement of Primary Care Referral Requirements for Orthotics and Prosthetics Services

On March 20, 2020, as part of MassHealth’s COVID-19 response, the Executive Office of Health and Human Services suspended referral requirements for MassHealth covered services for the Primary Care Accountable… Continue Reading Reinstatement of Primary Care Referral Requirements