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Providers

We're Moving

Our administrative offices are moving to Charlestown, Massachusetts, effective November 28, 2016.

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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.

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Pediatric Services at Boston Medical Center

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

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Contact Provider Relations

If you have any questions, please contact your Provider Relations Consultant or email provider.info@bmchp.org.


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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.

  • PCPs can get support for patients with behavioral health issues. Click here for information.
  • To ensure accuracy when verifying member eligibility, there are some important points you need to remember. Please click here for more information.
  • We now accept either our own Medical Prior Authorization Request Form or the new HCAS Standardized Prior Authorization Request Form. Go to forms page.
  • 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 provider.info@bmchp.org.