MassHealth Waiver

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The Centers for Medicare and Medicaid Services (CMS) has approved, in part, the Baker-Polito Administration’s 1135 waiver to fast-track MassHealth enrollment, streamline administrative requirements for providers and better deliver critically needed health care services during the COVID-19 public health emergency. CMS has approved the following items of the waiver:

  • Enrollment of out-of-state providers and easing other provider requirements when enrolling in MassHealth.
  • Allowing providers to be reimbursed for care in alternative, unlicensed settings.
  • Suspension of prior authorization requirements and extending pre-existing prior authorizations through the emergency.

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