masshealth patient referrals login

What is the MassHealth provider online service center?

The Provider Online Service Center gives you the tools to effectively manage your business with MassHealth electronically. Use these services to enroll as a MassHealth provider, manage your profile information, and submit and retrieve transactions.

How do I contact MassHealth for mental health services?

Services delivered by a behavioral health (mental health and addiction) provider, including inpatient and outpatient psychiatric services Call MassHealth at (800) 841-2900 or TTY: (800) 497-4648 with questions about referral requirements.

What can I get with MassHealth?

MassHealth members may be able to get doctors visits, prescription drugs, hospital stays, and many other important services. MassHealth members have access to a range of health care services, resources, and benefits. Learn what health plan options are available or find a provider or hospital here.

What can I do if my MassHealth account has been compromised?

View your notifications, contracts, reports, metrics, and financial data. Download most MassHealth forms and publications. If you suspect that the security of your account has been compromised, please contact the MassHealth Customer Service Center at 1-800-841-2900.

Does MassHealth require referrals for specialists?

For members of the Primary Care Clinician (PCC) Plan, all services need a referral from your PCC, unless the services were provided by your Primary Care Clinician, or are in the section below.

How do I access my MassHealth account?

Here's what you need to begin:Your Virtual Gateway username and password.The Virtual Gateway login page.Your name, date of birth, and Social Security number.Your Member ID number (found on your MassHealth Member card or Notices sent to the Household) if you are looking for information about your health care benefits.

What is virtual gateway MassHealth?

My Account Page (MAP) provides real-time access to member and applicant health assistance information for MassHealth, Massachusetts' Medicaid program. Access your Virtual Gateway My Account Page to see information on health assistance you receive.

What is MassHealth CommonHealth?

MassHealth CommonHealth is an option for people with disabilities who have income that exceeds 133% of the federal poverty level (FPL). It allows individuals with disabilities to purchase health coverage through a sliding-scale monthly premium that is based on total household income.

How do I check my MassHealth status online?

How to checkAccess member eligibility information from the EVS Internet site through the POSC.Click Manage Members.Click Eligibility.Click Verify Member Eligibility. ... On the Check Member Eligibility panel, select the provider from the drop-down list.Enter either the member's:More items...

How do I check my MassHealth benefits?

If you have questions about your health assistance benefits such as MassHealth, call 1-800-841-2900.

What is a virtual gateway?

The Virtual Gateway is the portal for consumers, providers, organizations and EOHHS staff with a Single Sign-On for searching and accessing benefits, services and to share information with Health and Human Services agencies.

Does MassHealth have an app?

The Department of Transitional Assistance offers the DTA Connect app, which lets you view and manage your case information. It can be downloaded from Google Play or the App Store.

How do I upload documents to MassHealth?

The DetailsOnline + Recommended: The fastest way to update information for your household is through the Massachusetts Health Connector online portal. ... By fax + (857) 323-8300.By mail + Commonwealth of Massachusetts. ... By phone + (800) 841-2900 (TTY: (800) 497-4648)

Does MassHealth cover gym memberships?

Eligible Tufts Health Together (MassHealth) members can receive a reimbursement of up to $30 once every calendar year for a gym membership or fitness-related activity.

How much money can you have in the bank and still get MassHealth?

$2,000For MassHealth Standard you can only have up to $2,000 in savings, although there are certain types of assets that are not counted towards this limit.

Is health connector the same as MassHealth?

In Massachusetts, the state Marketplace is known as the Massachusetts Health Connector. Your employer is required by law (§ 1512 of the ACA, which creates 29 U.S.C. 218b) to provide you the information contained in this notice. You may or may not qualify for subsidized health insurance through the Health Connector.

What is the number to call for psychiatric services in Massachusetts?

Call MassHealth at call 1-800-841-2900 (TTY: 1-800-497-4648) with questions about referral requirements.

What services are provided for postpartum women?

Obstetric services for pregnant and postpartum members (provided up to the end of the month in which the 60-day period following the termination of pregnancy ends) Tobacco-cessation counseling services. Oxygen and respiratory therapy equipment. Transportation to covered care.

Do you need a referral for PCC?

For members of the Primary Care Clinician (PCC) Plan, all services need a referral from your PCC, unless the services were provided by your Primary Care Clinician, or are in the section below.

Information for MassHealth Applicants

Find information about applying for MassHealth, the Health Safety Net, and the Children's Medical Security Plan.

Coronavirus Disease (COVID-19) and MassHealth

Find resources and information related to the coronavirus for MassHealth applicants, members, and providers.

Information for MassHealth Members

MassHealth may provide health and dental coverage for individuals, families, and people with disabilities. Click on a MassHealth type to learn more about applying, enrolling, and other services.

MassHealth Health Plans

MassHealth members have access to a range of health care services, resources, and benefits. Learn what health plan options are available or find a provider or hospital here.

MassHealth Initiatives

Learn about MassHealth’s ongoing efforts to transform the delivery of health care in Massachusetts, as well as the many programs and initiatives designed to improve access to high quality care.

MassHealth Provider Information

Information for health care providers about becoming a MassHealth provider and access to online services for existing MassHealth providers.

MassHealth Publications

Access regulations (both current and proposed), forms, and other important MassHealth and EOHHS publications using the links below.

How to contact MassHealth?

If you suspect that the security of your account has been compromised, please contact the MassHealth Customer Service Center at 1-800-841-2900. You will need a Username and password to access many of the services listed on the left.

What is provider online service center?

The Provider Online Service Center gives you the tools to effectively manage your business with MassHealth electronically. Use these services to enroll as a MassHealth provider, manage your profile information, and submit and retrieve transactions.

What is MassHealth transportation?

MassHealth provides non-emergency medical transportation for both ambulatory and non-ambulatory MassHealth members living in the community who are going to MassHealth-covered services. This transportation is provided through a PT-1 form.

Can a MassHealth member bring an escort?

A MassHealth member may bring an escort to help them get in or out of the vehicle. Escorts may also come to help with translation, to accompany a child, and other for reasons. If the member needs an escort, there is a space to note this on the PT-1.

What is MAT in medical?

Medication assisted treatment (MAT) for opioid use disorder. Non-elective admissions. Obstetric services for pregnant and postpartum members (provided up to the end of the month in which the 60-day period following the termination of pregnancy ends) Oxygen and respiratory therapy equipment.

Do you need a referral for PCC?

For members of the Primary Care Clinician (PCC) Plan, all services need a referral from your PCC, unless the services were provided by your Primary Care Clinician, or are in the section below.