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Welcome Massachusetts Providers 

Education Opportunities

Mass. General Brigham ACO Model A (Medicaid) annual webinar.
Register for 1 of 2 identical sessions. Advance registration is required.

MGBHP ACO Model A (Medicaid): Session 1Sep. 23 - 1:00 p.m. ETRegister
MGBHP ACO Model A (Medicaid): Session 2Oct. 7 - 11:00 a.m. ETRegister

Join a virtual office hours session to learn about designated topics, get answers to general questions and tips for doing business with Optum. 

Topic Date and time Registation Link
Submitting initial and corrected claims Nov. 18 - 2:00 p.m. ETRegister

Provider Resources

Community Corner

Outpatient Care Engagement 

Schedule an online HIPAA-compliant appointment with a member of our Outpatient Care Engagement team.

Mass General Brigham Health Plan

Massachusetts Medicaid


Provider Guidance and Training Resources 

Download: New Provider Orientation Resources
Claim Billing Guide – Billing under Supervision
Family-based Intensive Treatment (FIT) QRG
BHCA Provider Quick Reference Guide
SCO and One Care FAQ
UHC Senior Care Options and One Care Training


Prior Authorization Forms 

Massachusetts Authorization/Notification, Assessment and Treatment Forms

Applied Behavior Analysis Services Prior Authorization Request Standard Form

Massachusetts One Care BH Day Treatment Authorization Form

For more information and forms visit Guidelines/Policies & Manuals and Frequently Accessed Forms pages.


Community Behavioral Health Centers (CBHCs) Behavioral Health Urgent Care Centers  (BHUCs)

Billing Guidance and FAQ
Bundled Billing Specs

Urgent Care Center billing update: Dec. 2025

 


Medicaid Enrollment & Participation FAQ

21st Century Cures Act MassHealth Enrollment Frequently Asked Questions


Newsletter Archives

 

April 2024 
January 2024 
October 2023 
July 2023 

For current news, visit the Top of Mind page

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