№ lp_2_1_15650
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Official MassHealth policy bulletin detailing additions to the MassHealth Drug List and revisions to prior authorization requirements and brand preference status effective August 9, 2021.
Number:
169
Date:
August 5, 2021
Effective Date:
August 9, 2021
Program:
MassHealth
Document Type:
Drug List Update Bulletin
Subject:
Updates to the MassHealth Drug List (MHDL)
Region:
Massachusetts
Issuing Organization:
MassHealth
Content Focus:
Additions of newly marketed drugs; changes in prior authorization requirements; updates to Brand Name Preferred Over Generic Drug List
Drugs Added:
Abecma (idecabtagene vicleucel); Amondys 45 (casimersen); Bronchitol (mannitol inhalation powder); Evkeeza (evinacumab-dgnb); Exservan (riluzole film); Fotivda (tivozanib); Nulibry (fosdenopterin); Pepaxto (melphalan flufenamide); Reditrex (methotrexate subcutaneous injection); ursodiol 200 mg, 400 mg capsule; Vesicare LS (solifenacin suspension); Zegalogue (dasiglucagon)
Policy Changes:
Modifications to prior authorization status for specified antifungal, corticosteroid, inhaled respiratory, and gabapentinoid agents
Related List:
MassHealth Brand Name Preferred Over Generic Drug List
Administrative Notes:
Definitions of PA, BP, CO, PD designations and coverage conditions
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Note:
Year
Year:
2025
Region / city:
Geneva
Topic:
Vehicle Regulations, Event Data Recorders
Document type:
Proposal
Organization / institution:
United Nations Economic Commission for Europe
Author:
Experts of the Informal Working Group on EDR/DSSAD
Target audience:
Governmental bodies, vehicle manufacturers, regulatory agencies
Period of validity:
2025
Approval date:
XX XX 2025
Amendment date:
XX XX 2025
Year:
2025
Region / City:
Geneva
Topic:
Vehicle Regulations
Document Type:
Proposal
Organ / Institution:
United Nations Economic Commission for Europe, Inland Transport Committee
Author:
Informal Working Group on EDR/DSSAD
Target Audience:
Experts in vehicle safety and regulations
Validity Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2026
Region / City:
Geneva
Topic:
Event Data Recorders, Vehicle Safety, Heavy-Duty Vehicles
Document Type:
Proposal
Institution:
United Nations, Economic Commission for Europe, Inland Transport Committee
Author:
Informal Working Group on Event Data Recorder / Data Storage System for Automated Driving
Target Audience:
Experts in vehicle safety and regulation
Period of Validity:
Ongoing
Approval Date:
April 2026
Date of Last Modification:
Not specified
Document symbol:
ECE/TRANS/WP.29/GRSG/2026/XX
Organization:
United Nations
Commission:
Economic Commission for Europe
Committee:
Inland Transport Committee
Forum:
World Forum for Harmonization of Vehicle Regulations
Working Party:
Working Party on General Safety Provisions
Session:
131st session
Meeting location:
Geneva
Meeting dates:
13–17 April 2026
Agenda item:
9(c)
Regulation concerned:
UN Regulation No. 169 (Event Data Recorders for Heavy-Duty Vehicles)
Related regulation:
UN Regulation No. 160
Submitting body:
Informal Working Group on Event Data Recorder / Data Storage System for Automated Driving
Document type:
Regulatory amendment proposal
Subject:
Approval requirements and triggering performance equivalence for vehicles with a maximum mass between 8,000 and 12,000 kg
Distribution:
General
Original language:
English
Year:
2026
Type of document:
Podcast transcript
Series:
Sense by Meg Faure
Episode:
169
Guest:
Nina Clark
Topic:
Infant care, Sleep patterns, Skin health
Target audience:
New parents
Duration:
10:56
Format:
Audio transcript
Host:
Meg Faure
Year:
1853
Region / City:
Not specified
Subject:
Criminal procedure law
Document type:
Legal act
Institution:
Not specified
Author:
Not specified
Target audience:
Legal professionals, law enforcement
Effective period:
Ongoing
Approval date:
25 June 1853
Amendment date:
Not specified
Year:
2023
Region / City:
Connecticut
Topic:
Distressed municipalities ranking methodology
Document type:
Methodology
Organization:
DECD
Author:
DECD
Target audience:
Local government officials, policy makers
Period of validity:
September 2023
Date of approval:
September 2023
Date of changes:
None
Sources:
US Census American Community Survey, CT Dept. of Labor, CT Dept. of Education
Data set:
169 towns
Measurement components:
Per capita income, unemployment rate, population change, employment change, housing stock age, education level, adjusted net grand list
Context:
This document outlines the methodology used by the Department of Economic and Community Development (DECD) to rank 169 towns in Connecticut based on multiple distress indicators such as income, unemployment, and housing conditions.
Year:
2025
Region / City:
Massachusetts
Subject:
Health Insurance, Medicaid, and CHIP
Document Type:
Implementation Guide
Organization / Institution:
MassHealth
Author:
MassHealth
Target Audience:
Healthcare providers, trading partners, and Managed Care Entities
Effective Period:
From January 1, 2012
Approval Date:
August 2025
Date of Changes:
Future updates will be included in subsequent versions
Context:
Implementation guide for electronic healthcare transactions, specifically for Medicaid and CHIP encounter data reporting under the HIPAA standards for MassHealth Managed Care Entities.
Year:
2025
Region / City:
Massachusetts
Subject:
Healthcare, Medicaid, Claims Reporting
Document Type:
Companion Guide
Organization:
MassHealth
Author:
MassHealth
Target Audience:
Healthcare providers, Trading Partners, Managed Care Entities (MCEs)
Effective Period:
From August 2025
Approval Date:
August 2025
Revision Date:
Not specified
This document is a companion guide for the ASC X12N 005010X299A1 Post-Adjudicated Claims Data Reporting:
Institutional standard, aimed at assisting MassHealth Managed Care Entities in reporting claims electronically in compliance with HIPAA.
Year:
2023
Region / City:
Massachusetts
Topic:
Disability Benefits Application
Document Type:
Application Instructions
Agency:
Executive Office of Health and Human Services
Author:
Commonwealth of Massachusetts
Target Audience:
Individuals applying for MassHealth due to disability
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2025
Jurisdiction:
Commonwealth of Massachusetts
Region:
Massachusetts
Document type:
Evaluation report
Program:
MassHealth
Policy area:
Medicaid managed care quality
Issuing body:
Executive Office of Health and Human Services, Office of Medicaid
Publication date:
February 2025
Evaluation period:
Calendar Years 2022–2024
Measurement years covered:
2020–2022
Regulatory framework:
42 CFR §438.340(c)(2)
Related strategy:
MassHealth Comprehensive Quality Strategy (published June 2022)
Care programs covered:
ACO Program, MCO Program, PCC Plan, One Care, Senior Care Options
Quality domains:
Care quality, equity, value-based care, person- and family-centered care, care coordination
Source type:
Government administrative evaluation
Year:
2023
Region / City:
Massachusetts
Theme:
Health Care, Medicaid
Document Type:
Companion Guide
Organization / Institution:
MassHealth
Author:
Not specified
Target Audience:
Technical and operational staff
Period of validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2026
Region / City:
Massachusetts, USA
Document Type:
Application Form
Issuing Authority:
Commonwealth of Massachusetts, Executive Office of Health and Human Services (EOHHS)
Target Audience:
Individuals applying for long-term care benefits
Required Documentation:
Proof of income, assets, and insurance
Sections:
Member Information, Income, Assets, Spouse/Dependent Information, Health Insurance, Signature
Year:
2023
Region / City:
Massachusetts
Topic:
Health Care, Medicaid, Electronic Transactions
Document Type:
Companion Guide
Organization:
MassHealth
Author:
Not specified
Target Audience:
Technical and operational staff responsible for electronic health-care transactions
Period of Validity:
Ongoing
Approval Date:
November 2023
Date of Changes:
Not specified
Program:
MassHealth
Related program:
Health Safety Net
Note:
Related program
Supplemental Nutrition Assistance Program
Document type:
Renewal application form
Issuing authority:
Massachusetts Executive Office of Health and Human Services
Target population:
Seniors living in the community
Geographic scope:
Massachusetts
Application purpose:
Determination of continued eligibility for health coverage
Application sections:
Household information, income, assets, other health insurance, certification and signature
Submission methods:
Mail, fax, hand delivery, online submission
Income types covered:
Employment income, Social Security, pensions, rental income, veterans benefits
Assets covered:
Bank accounts, life insurance, securities, annuities, trusts, real estate, vehicles
Legal basis:
Certification under pains and penalties of perjury
Administrative use restriction:
For MassHealth use only
Year:
2023
Region / City:
Massachusetts
Subject:
Health insurance, data sharing
Document type:
Form
Organization / Institution:
MassHealth
Author:
MassHealth
Target audience:
MassHealth applicants, legal representatives
Validity period:
12 months
Approval date:
N/A
Date of amendments:
N/A
Year:
2021
Region / City:
Massachusetts
Topic:
Medicaid, Nursing Facilities, Health Care Reporting
Document Type:
Bulletin
Organization:
Executive Office of Health and Human Services, Office of Medicaid
Author:
Amanda Cassel Kraft
Target Audience:
Nursing Facilities Participating in MassHealth
Effective Date:
October 1, 2021
Approval Date:
September 2021
Modification Date:
May 18, 2020
Year:
2021
Region / City:
Massachusetts
Subject:
Adult Foster Care, Primary Care, Medical Necessity
Document Type:
Form
Agency/Organization:
Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid
Author:
Commonwealth of Massachusetts
Target Audience:
AFC providers, Primary Care Providers, MassHealth members
Validity Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2020
Region / City:
Massachusetts
Topic:
Telehealth, Adult Day Health Services
Document Type:
Bulletin
Organization / Institution:
Executive Office of Health and Human Services, Office of Medicaid
Author:
Amanda Cassel Kraft, Acting Medicaid Director
Target Audience:
One Care Plans and Senior Care Organizations Participating in MassHealth
Effective Period:
August 1, 2020, through November 30, 2020
Approval Date:
September 2020
Modification Date:
Not specified