Masshealth Ltss Provider Portal

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Updated: May 15, 2022

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Masshealthltss.com

Social Handles

FAQs

1

What is MassHealth provider?

In Massachusetts, Medicaid and the Children's Health Insurance Program (CHIP) are combined into one program called MassHealth. MassHealth members may be able to get doctors visits, prescription drugs, hospital stays, and many other important services.
2

How do I find my MassHealth provider ID?

The provider's PID/SL will be displayed on MassHealth reports as well as correspondence and remittance advices.
3

What is a MassHealth provider ID?

Answer: Each provider's NPI is associated in MassHealth's Medicaid Management Information System (MMIS) with a corresponding MassHealth provider ID and service location (PID/SL). This PID/SL is 10 characters, made up of a 9-digit base number and an alpha service location (e.g. 123456789A).
4

How do I register as a MassHealth provider?

MassHealth Provider Enrollment and Credentialing (PEC)
  1. Phone. Main Call MassHealth Provider Enrollment and Credentialing (PEC), Main at (800) 841-2900. Open Monday–Friday 8 a.m.–5 p.m.
  2. Online. Email MassHealth Provider Enrollment and Credentialing (PEC) at providersupport@mahealth.net.
  3. Fax. (617) 988-8974.
5

How do I disenroll from MassHealth?

Please Note: If you would like to disenroll or opt-out of your One Care Plan, please call the MassHealth Customer Service Center at 1-800-841-2900 or TTY:1-800-497-4648 for assistance.
6

Is physical therapy covered by MassHealth?

MassHealth pays for therapy services that are determined medically necessary. After 20 physical therapy visits, 20 occupational therapy visits, or 35 speech/language therapy visits, your therapist must get PA from MassHealth for MassHealth to cover more therapy services of that type within a 12-month period.
7

What provider is MassHealth?

In Massachusetts, Medicaid and the Children's Health Insurance Program (CHIP) are combined into one program called MassHealth. MassHealth members may be able to get doctors visits, prescription drugs, hospital stays, and many other important services.
8

What are the different MassHealth plans?

Described below are the six MassHealth coverage types offered to eligible individuals, families, and people with disabilities: Standard, CommonHealth, CarePlus, Family Assistance, Premium Assistance, and Limited.
2. Mass.gov

MassHealth for Providers | Mass.gov

https://www.mass.gov/masshealth-for-providers

Whether you are already a MassHealth provider, want to enroll, or are just looking for information, you can find all your resources here.

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