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Important: Change in Operating and Supervising Physician Claim Requirements

June 14, 2021

On March 15, 2021, MassHealth implemented minor modifications to support the operating and supervising physician requirements on its claim transactions. At that time, MassHealth began to temporarily provide informational edits related to those minor modifications. Please note, that effective for dates of service on or after August 1, 2021, MassHealth will begin denying claims that do not meet the operating and supervising physician requirements. This will apply for both 837 batch claims transactions and the Provider Online Service Center (POSC) Direct Data Entry (DDE) claims transactions.

If you have questions, please email the MassHealth Customer Service Center at providersupport@mahealth.net. If you are an LTSS provider, please contact LTSS Provider Service Center at (844) 368-5184 or support@masshealthltss.com.