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Zika Virus

The Massachusetts' Executive Office of Health and Human Services issued a clinical advisory regarding the Zika virus.

To help keep you informed, there is now a Zika virus page on the Department of Public Health (DPH) website.

Additional Resources

Senior Care Options

Senior Care Options providers must complete the required Model of Care training.

SCO Model of Care Training

HEDIS Coding and Billing

View information about HEDIS and download a HEDIS coding and billing resource for providers.

Learn More

Pediatric Services at Boston Medical Center

Information on the pediatric services and primary care providers at Boston Medical Center.

Learn More

Contact Provider Relations

If you have any questions, please contact your Provider Relations Consultant or email

Do we have your email address? Email us with your contact information to ensure you receive our communications.

Find Your Provider Relations Consultant

Provider Information

BMC HealthNet Plan is an experienced, not-for-profit leader in Medicaid and committed to providing high quality health coverage to underserved populations. It’s easy to find everything you need to work with us. In this section you can:

Recent Updates

State requires MassHealth enrollees to submit new applications for coverage.

MassHealth resumed their annual Medicaid renewal process. Over 1 million Massachusetts Medicaid members must submit new applications for health benefits this year. If members fail to apply, they will lose their coverage.

See how your patients may be affected.

  • To ensure accuracy when verifying member eligibility, there are some important points you need to remember. Please click here for more information.
  • Sleep Study Prior Authorization Time Period Extended - Due to feedback received from network providers, effective immediately and going forward, prior authorization for sleep study requests will be granted for three months from the date of receipt or three months from the scheduled date of service if indicated on the prior authorization request.
  • We now accept either our own Medical Prior Authorization Request Form or the new HCAS Standardized Prior Authorization Request Form. Go to forms page.
  • Find out what's changing with the Affordable Care Act
  • Incentives available to eligible healthcare professionals and hospitals. Read more.

Recently Mailed Provider Notices

See archived Provider Notices.

If you have any questions, please call your Provider Relations Consultant or email us at