MassHealth Provider Services

MassHealth has completed the rate updates for April 1, 2026, Quarterly Drug codes. The impacted claims will be reprocessed and/or…

MassHealth identified Medicare crossover claims were denying incorrectly for members enrolled in MassHealth aid category J8 “CommonHealth and QMB”. The…

MassHealth identified that certain CBHC claims were incorrectly billed resulting in improper payments. CBHC claims billed for an encounter bundle…

Providers are reminded to request applications and submit them to MassHealth within a 90-day timeframe to ensure that an outdated…