FEDERALLY REQUIRED DISCLOSURE
MassHealth is required by CMS (Centers for Medicare and Medicaid Services) to have a current Federally Required Disclosure Form on file for every business participating in the MassHealth Medicaid network. MassHealth has posted additional documents to assist businesses in the completion of this form. You can find all documents in the document section located in the menu to the left.
- • A fillable PDF version of the Federally Required Disclosure form.
- • View step by step instructions for the completion of the form.
PROVIDER WEB PORTAL
- • Submit claims and prior authorizations
- • Communicate with your Provider Representative
- • and more!
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RESOURCES
Please see resources below to help you get started in the new Provider portal:
MH Provider Portal Browser Tip Sheet
New Provider Portal Manual
New Provider Portal Video
New Provider Portal Self Registration Tips
ENROLLMENT OR CREDENTIALING QUESTIONS?
Please reach out to your MassHealth Credentialing Partner at 800-233-1468.
Thank you for your participation with the MassHealth Dental Program.