MassHealth is updating the Service Codes and Descriptions (Subchapter 6) of the Physician and Acute Outpatient Hospital Manual to incorporate drug codes as well as HCPCS/Current Procedural Terminology (CPT), as applicable.
MassHealth updated its system to reflect the changes effective for dates of service on or after July 1, 2025. All affected claims will be reprocessed and will appear on this or future remittance advices.
If you have questions, please contact MassHealth Customer Service Center at providersupport@mahealth.net.
Claims Reprocessed for July 2025 Subchapter 6 Code Updates