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  • Masshealth Provider Application Form Pdf. Masshealth Provider Application Form Pdf - Nazscm

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The Details By phone + 1-800-243-4636 and press 2 or press 5 if calling from a cell phone; TTY at 1-877-610-0241. By mail + Prescription Advantage. P.O. Box 15153. Worcester, MA 01615-0153. By fax + 508-793-1133. Online + ApplyOnline.

Mail your filled-out, signed application to Health Insurance Processing Center PO Box 4405 Taunton, MA 02780. Fax your filled-out, signed application to (857) 323-8300.

Center. P.O. Box 4405. Taunton, MA 02780. NEW Fax #: ... Health Connector. 133 Portland Street, 1st Floor. Boston, MA 02114-1707. Fax #: ... Central Processing Unit. P.O. Box 290794. Charlestown, MA 02129. Fax #: ... Health Connector. 133 Portland Street. Boston, MA 02114-1707. Fax #: ... NEW Fax #: 857- 323-8300. • Medical Hardship Applications.

If you have questions or need more assistance, please contact MassHealth Provider Enrollment and Credentialing at providersupport@mahealth.net or (800) 841-2900.

The MassHealth application process often takes a few months from start to finish. For Massachusetts residents who need MassHealth benefits to pay for long-term care, there's no time to waste.

To enroll as a non-billing provider, complete the application and contract at http://.mass.gov/eohhs/docs/masshealth/aca/pe-nbp-con.pdf. Keep a copy of the application for your records. Questions? Attn: Provider Enrollment P.O. Box 121205 Boston, MA 02112-1205.

LTSS providers MassHealth Provider Enrollment and Credentialing correspondenceMassHealth LTSS P.O. Box 159108 Boston, MA 02215LTSS provider questions1-844-368-5184 support@masshealthltss.com

MassHealth Provider Enrollment For enrollment or more information, go to the Provider Online Service Center or call the MassHealth Customer Service Center at (800) 841-2900. You may need to pay an application fee.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232