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Covered Services

For materials and information concerning Dental services, look under the Dental subcategory at http://www.masslegalservices.org/cat/953.

For materials and information concerning Durable Medical Equipment, look under the Durable Medical Equipment subcategory at http://www.masslegalservices.org/cat/954.

For materials on Prescription Drug Medicaid/Medicare Dual Eligibility, look under the Dual Eligibility subcategory at http://www.masslegalservices.org/cat/3200

Resources in this Category

ALL Agency Rules & Procedures Court Decisions External Resources Practice Materials Other

  Title Date Sort By Date, Ascending
PDF Document Proposed Durable Medical Equipment Rules

MassHealth has proposed many changes to DME rules. Comments due May 23, but Office of Medicaid plans to issue new notice May 30 with public hearing later in June.

5/19/2008
Word Document Table comparing services in MassHealth programs and Commonwealth Care10/19/2007
Word Document Children's Rights to Medical Services under EPSDT

Summary of the rights of children under age 21 to early, periodic screening, diagnostic and treatement (EPSDT) services under Medicaid (MassHealth)

10/3/2007
PDF Document You CAN get there from here: reimbursement for medical transportation

1-page flyer describing how some MassHealth recipients can be reimbursed for the costs of non-emergency medical transportation

3/20/2007
Another Website Parents' How To Guide to Children's Mental Health Services in Massachusetts

Link to the Boston Bar Association for a copy of its 2004 148 page guide to mental health services for children.

2/14/2007
PDF Document Masshealth Member Notice on Additional Services Covered as of July 068/11/2006
PDF Document MassHealth Announcement of Verification Requirement for US Citizens

This is the announcement MassHealth has prepared describing how it will implement a new federal law requiring US citizens applying for Medicaid after July 1, 2006 to verify that they are citizens

6/30/2006
Word Document MassHealth Changes on July 1, 2006

Changes in MassHealth effective July 1 include: restoration of optional benefits to adults; new smoking cessation benefit; increase in income eligibility for children & youth under age 19 to 300% of poverty, and implementation of federal rules requiring US citizens to verify citizenship & imposing harsher transfer of asset penalties for those seeking nursing home care.

6/30/2006
PDF Document Notice to Members of New & Restored Benefits

This is the notice MassHealth mailed to members telling them about the July 1 2006 benefit improvements; more detailed information for providers and emergency rules are now or will soon be posted at www.mass.gov/masshealth

6/30/2006
PDF Document Rosie D Experts Summary

CPR has summarized the reports and findings of the expert witnesses in Rosie D v. Romney into a single report on The Status of Home-Based Services for Massachusetts Children with Serious Emotional Disturbance. A PDF version.

2/1/2006
Word Document Rosie D. -- Summary of Opinion

A summary of the US District Court's 98 page opinion in Rosie D. v. Romney. Should be read together with the summary of th case and trial also available on this page.

2/1/2006
Word Document Rosie D. trial summary

A 3 page summary of the cliams and the trial in Rosie D v. Romney leading to the US District Court's finding that the state's EPSDT services for children with serious emotional disturbance violate the Medicaid law.

1/31/2006
Word Document Practice Memo: Services Available to non-citizens denied MassHealth Long Term Care Services

Updated 2007 version intentended for health care providers

2/27/2004
PDF Document New DMA Regulations Re: Pharmacy Co-Payments

Effective January 1, 2003, co-payments are increasing from $.50 to $2.00 for MassHealth recipients, unless they fall under an exception.

12/3/2002
Provider Bulletin 101: MassHealth Limited Scope of Coverage6/1/1997
Another Website DMA Provider Regulations including covered services
Another Website Massachusetts Behavioral Health Partnership web page

The Massachusetts Behavioral Health Partnership, usually referred to as "The Partnership" is the managed care organization which manages the mental health and substance abuse services package for MassHealth recipients in the PCC program. The Partnership also contracts with various MCOs (Managed Care Organizations) to manage their behavioral health programs' The Partnership also serves as the managed care entity for various community services offered through The Department of Mental Health.



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