№ lp_2_1_15833
Administrative health policy bulletin establishing mandatory ordering, referring, and prescribing provider enrollment and NPI requirements with phased claim denial implementation dates for MassHealth and related program claims in Massachusetts.
Year: 2019
Date: September 2019
Jurisdiction: Commonwealth of Massachusetts
Region: Massachusetts
Issuing Authority: Executive Office of Health and Human Services, Office of Medicaid
Program: MassHealth
Document Type: All Provider Bulletin
Bulletin Number: 286
Supersedes: All-Provider Bulletins 259 and 274
Subject: Implementation of ordering, referring, and prescribing (ORP) provider requirements and claim denial timelines
Legal Basis: Section 6401(b) of the Affordable Care Act
Affected Parties: All Providers Participating in MassHealth
Signatory: Daniel Tsai, Assistant Secretary for MassHealth
Effective Dates: December 15, 2019; February 15, 2020; April 15, 2020; August 15, 2020; November 15, 2020
Related Programs: Health Safety Net (HSN); Children’s Medical Security Plan; Medicare Crossover claims
Price: 8 / 10 USD
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