MassHealth Provider Services

REVISED – Provider File Update Requests by Fax Submissions are Discontinued as of October 1, 2025

Effective October 1, 2025, provider file update requests will not be processed (this applies to all non-LTSS and non-dental providers).  Please submit your update request using the Provider Self-Service site:… Continue Reading REVISED – Provider File Update Requests by Fax Submissions are Discontinued as of October 1, 2025

Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Home Health Services

Effective August 1, 2025, MassHealth has added home health services to the list of services exempt from PCC referral requirements for members enrolled in the Primary Care Clinician (PCC) plan… Continue Reading Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Home Health Services

Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Independent Nursing Services

Effective August 1, 2025, MassHealth has added independent nursing services to the list of services exempt from PCC referral requirements for members enrolled in the Primary Care Clinician (PCC) plan… Continue Reading Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Independent Nursing Services

Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for CSN Agency Services

Effective August 1, 2025, MassHealth has added Continuous Skilled Nursing (CSN) agency services to the list of services exempt from PCC referral requirements for members enrolled in the Primary Care… Continue Reading Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for CSN Agency Services

Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Therapist Services

Effective August 1, 2025, MassHealth has added therapist services to the list of services exempt from PCC referral requirements for members enrolled in the Primary Care Clinician (PCC) plan or… Continue Reading Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Therapist Services

Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Prosthetic and Orthotic Services

Effective August 1, 2025, MassHealth has added prosthetic and orthotic services to the list of services exempt from PCC referral requirements for members enrolled in the Primary Care Clinician (PCC)… Continue Reading Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Prosthetic and Orthotic Services

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