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Home Health Services for COVID-19 Testing and Treatment Per All Provider Bulletin 292

June 8, 2020

On May 2, 2020, MassHealth issued All Provider Bulletin 292 (https://www.mass.gov/files/documents/2020/05/02/ALL-292.pdf) that provides guidance for COVID-19 testing and COVID-19 related treatment provided to individuals who are uninsured or supported through Health Safety Net (HSN) and individuals supported through the MassHealth Limited benefit.

Individuals who are uninsured or supported through HSN: See All Provider Bulletin 292

Individuals who are supported through the MassHealth Limited benefit: Home Health Agencies (HHAs) may seek reimbursement for COVID-19 related treatment provided to MassHealth Limited Members. Home health services provided to MassHealth Limited Members must be related to the COVID-19 diagnosis in order for MassHealth to reimburse for these services under All Provider Bulletin 292.

HHAs should follow the standard MassHealth billing procedures for home health services, and include the following claims information: 

  • Enter Diagnosis as "COVID diagnosis, emergency diagnosis"; and
  • Enter Admit Type code as "Emergency" (1), "Urgent" (2), or "Trauma" (5)

Prior authorization requirements described in 130 CMR 403.00: Home Health Services apply to services provided to MassHealth Limited members.

If you have any questions, please contact the LTSS Service Center at (844) 368-5184 or support@masshealthltss.com.