Provider
Due to unusually high call volume, we are experiencing long wait times. We encourage you to login to MyHealthNet for faster claims and authorization updates. Or learn more about our upcoming pharmacy vendor transition here. Provider Enrollment Department is experiencing a backlog in processing applications. We ask that only providers whose applications are outstanding longer that 90 days contact the Plan. If you have an urgent request, please outreach to your assigned Provider Relations Consultant.
Did you receive an email about needing to enroll with MassHealth? Read this FAQ about the new FEDERAL REGULATIONS.
Popular Tasks & Tools
Provider Portal
- Check Eligibility
- Submit Claims or Check Claims Status
- Track Patient Health History
- Request Reports
News & Notices
Review our recent updates, including provider notices, network notifications, and newsletters.
Provider Manual
Consult our Provider Manual for information on working with the plan.
Training & Support
Access training and support resources for our Medicaid ACO program, SCO model of care, and more.
Things You Should Know
Key Dates
| Mar 1 - June 30 | MassHealth Plan Selection Period |
| Nov 1 - Jan 23 | Health Connector Open Enrollment |
| Dec 23 | Health Connector Payment for January Plans |
| Jan 23 | Health Connector Payment for February Plans |
Senior Care Options Training
Take the required Senior Care Options (SCO) Model of Care training. The training is provided annually to newly-participating providers. Learn More
