MassHealth Limited Certification Process

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MassHealth

Attached is an All Provider Bulletin 251 (Aug 2015) describing a process for health care providers who delivered emergency services to someone on MassHealth Limited but whose claim for payment was denied to resubmit the bill with a doctor's certification that the services provided were for treatment of an emergency medical condition. The bulletin was further amended in May 2017 by All Provider Bulletin 269 https://www.mass.gov/doc/all-provider-bulletin-269-amendments-to-all-provider-bulletin-251/download