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21 hours ago The Group Adult Foster Care Manual guides providers to the regulations, administrative and billing instructions, and service codes they need. Administrative regulations and billing regulations apply to all providers and are contained in 130 CMR 450.000. These regulations are reproduced as Subchapters 1, 2, and 3 in this and all other manuals. >> Go To The Portal
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Subchapters 1 through 3: Administrative and Billing Regulations for all MassHealth Providers
Read this section if you are looking for general MassHealth regulations about billing and administrative practices.
Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers
This section explains to MassHealth providers how to determine eligibility, submit prior authorizations, and file claims.
Subchapter 6: Group Adult Foster Care Service Codes
This section contains the codes group adult foster care providers need to bill MassHealth for their services.
Appendices for All MassHealth Providers (includes appendices A, C, T, U, V, W, X, Y, and Z)
This appendix contains the names, addresses, and telephone numbers of units, agencies, and contractors that you may need to contact in the course of doing business with MassHealth.
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