All News and Updates

Extension of Temporary ARPA Related Rate Increases for Certain Providers of Home and Community-Based Services

    June 27, 2022 As you are aware, as part of its implementation of increased funding available pursuant to Section 9817 of the American Rescue Plan Act (ARPA) and drawing on additional Medicaid funding, the Executive Office of Health and Human Services (EOHHS) provided immediate time-limited rate enhancements aimed at strengthening and stabilizing the […]

Discontinuation of Temporary ARPA Related Rate Increases for Adult Day Health and Day Habilitation Providers

June 27, 2022 As you are aware, as part of its implementation of increased funding available pursuant to Section 9817 of the American Rescue Plan Act (ARPA) and drawing on additional Medicaid funding, the Executive Office of Health and Human Services (EOHHS) provided immediate time-limited rate enhancements aimed at strengthening and stabilizing the state’s home […]

Robotics Processing Automation (RPA) Policy

    June 27, 2022 Effective July 1, 2022, MassHealth will require that any/all organizations (providers, business partners, and relationship entities that utilize Robotics Processing Automation (RPA) tools (AKA bots) on MassHealth’s Medicaid Management Information System (MMIS) Provider Online Service Center (POSC) register the bot and request approval from MassHealth prior to the implementation of […]

Coverage of and Payment for the Administration of Remdesivir in an Outpatient Setting

    July 5, 2022 As described in All-Provider Bulletin 336, effective for dates of service on or after December 22, 2021, MassHealth will reimburse MassHealth-enrolled acute outpatient hospitals, community health centers, and physicians for the administration of Remdesivir (Veklury) in an outpatient setting. Providers administering Remdesivir should bill MassHealth using the existing HCPCS code […]

Update for Quarterly Drug Code Rates Effective January 1, 2022

July 5, 2022 MassHealth has completed the rate updates for the January 1, 2022 Quarterly Drug codes. The impacted claims will be reprocessed and/or adjusted and will appear on a future remittance advice. If you have questions, please contact the MassHealth Customer Service Center at providersupport@mahealth.net or (800) 841-2900.

Extension of Temporary ARPA Related Rate Increases for Certain Providers of Home and Community-Based Services

June 27, 2022 As you are aware, as part of its implementation of increased funding available pursuant to Section 9817 of the American Rescue Plan Act (ARPA) and drawing on additional Medicaid funding, the Executive Office of Health and Human Services (EOHHS) provided immediate time-limited rate enhancements aimed at strengthening and stabilizing the state’s home […]