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New Updated Version of the Orthotics and Prosthetics Payment & Coverage Guideline Tool

March 25, 2019

Orthotic and Prosthetic providers are advised that the MassHealth Orthotics and Prosthetics Payment and Coverage Guideline Tool has been updated on 3/7/19 and posted on the MassHealth website. To confirm that you are using the most recent version of the applicable Tool, go to

Please note that HCPCS codes A9285, L3981, and L3761 have been added to the Tool effective as of 3/6/19.

If you have any questions regarding this change, please contact the LTSS Provider Service Center at or call 1-844-368-5184.