Masshealth Provider Service Center

MassHealth facilitates healthcare access for members residing in Massachusetts, including children, adults, seniors citizens, and disabled individuals, through services such as doctor visits, dental care, prescription drugs, behavioral health services, and other healthcare services. Direct benefits are provided, and it assists in partially or fully paying for health insurance premiums for eligible members. For information on the enrollment process and benefits, contact the MassHealth Provider Service Center. The Masshealth service center assists customers with various services, including:
  • Acquiring a MassHealth Application
  • Checking the Status of the Application
  • Verifying Member Eligibility
  • Submitting Claims for MassHealth Benefits
  • Replacing a MassHealth Card
  • Enrolling in a Health Plan
  • Reviewing Regulations and Service Codes

Masshealth Fee For Service Plan

The fee-for-service (FFS) system, or FFS plan, functions as a delivery mechanism for services. Other delivery systems like SCO, MCO, PACE, etc., also exist. MassHealth primarily provides benefits to most customers through the fee-for-service model. Typically, members who have another primary insurance support or receive premium assistance are enrolled in the fee-for-service plan. Members who are ineligible for full managed care are also placed in the FFS arrangement. Medicare members default to enrollment in FFS but have the option to switch to another plan if desired. MassHealth covers the expenses not included in Medicare or other insurance plans on a fee-for-service basis. The majority of services for FFS and PCC Plan members are remunerated through the fee-for-service structure.

Contact Masshealth Provider Service Center Customer Support

Masshealth Customer Service Center for Providers

Main (800) 841-2900 / (877) 623-6765
TTY (800) 497-4648

Contact Address

Customers can contact Masshealth Service at One Ashburton Place, Boston, MA 02108.
Find Enrollment Assister: For individuals or families needing enrollment help, find the nearest enrollment assister.

Self service is available for 24 hours. Other services are available during the following hours:
Service DaysService Timings
Monday to Friday8:00 a.m. to 5:00 p.m.
Saturday to SundayClosed

Masshealth Gov Provider Service Center

Customers can do tasks such as register as a provider, submit claims, check eligibility, find payment rates, etc. using the Provider online service center. It helps to effectively manage all Masshealth-related business online. Visit the Virtual Gateway for Provider online services.
Virtual Gateway Customer Service: Contact using the following numbers:
Voice (800) 421-0938
TTY (617) 847-6578
Service is available during the following hours:
Service DaysService Timings
Monday to Friday8:30 a.m. to 5:00 p.m.
Saturday to SundayClosed

Masshealth LTSS Provider Service Center

Contact using the following numbers:
Toll-Free (844) 368-5184
Fax (888) 832-3006
E-Mail Address: For any queries regarding LTSS, send mail to support@masshealthltss.com .
Correspondence Address: Send physical mails to the address: MassHealth LTSS, PO Box 159108, Boston, MA 02215.
Monday to Friday: 8:00 a.m. to 6:00 p.m.

Other Important Contacts

Prior Authorization Unit: (800) 862-8341
MassHealth Dental Customer Service: (800) 207-5019 / (800) 466-7566 (TTY)
Accident Trauma and Estate Recovery Units: (800) 754-1864 / (508) 856-6381
Children's Medical Security Plan: (800) 841-2900 / (800) 497-4648 (TTY)
Board of Hearings: (800) 655-0338 / (617) 847-1200 / (617) 847-1204 (FAX)
Medicare: (800) 633-4227 / (877)-486-2048 (TTY)

Health Connector Customer Service Call Center

Use to following numbers to speak to a representative:
Phone (877) 623-6765
TTY (877) 623-7773
Service is available during the following hours:
Service DaysService Timings
Monday to Friday8:00 a.m. to 6:00 p.m.
Saturday to SundayClosed

Masshealth Centers Near Me

The addresses and service hours of Health Connector walk-in centers are provided below:
CentersFull AddressTimings
Boston133 Portland Street, Boston, MA 02114Monday to Friday: 8:00 a.m. to 6:00 p.m.
Brockton63 Main Street, Brockton, MA 02301Monday to Friday: 9:00 a.m. to 5:00 p.m.
Springfield88 Industry Avenue, Suite D, Springfield, MA 01104Monday to Friday: 9:00 a.m. to 5:00 p.m.
Worcester146 Main Street, Worcester, MA 01608Monday to Friday: 8:00 a.m. to 6:00 p.m.

My Ombudsman

This service helps provide customers with information regarding healthcare plan benefits and rights. It also helps redress any grievances.
Call (855) 781-9898 to speak to a representative.
Videophone: To speak to a representative face to face, videocall (339) 224-6831 .
E-Mail Address: For requesting information, send mail to info@myombudsman.org .
Monday to Friday: 9:00 a.m. to 4:00 p.m.
Disability Special Accommodations Ombudsman: Contact the following phone numbers for information:
Phone (617) 847-3468
TTY (617) 847-3788

Health Plan Contacts

PlanCustomer ServiceBehavioral Health
My Care Family (800) 462-5449 (844) 451-3510
Be Healthy Partnership (800) 786-9999 / (800) 439-2370 (TTY) (800) 495-0086 / (877) 509-6981 (TTY)
Boston Medical Center HealthNet Plan (888) 566-0010 / (800) 421-1220 (TTY) (888) 217-3501 / (888) 727-9441 (TTY)
Community Care Cooperative (866) 676-9226 (800) 495-0086
Berkshire Fallon Health Collaborative (855) 203-4660 (888) 877-7184
Fallon 365 Care (855) 508-3390 (888) 877-7182
Wellforce Care Plan (855) 508-4715 (888) 877-7183
Partners HealthCare Choice (800) 231-2722 (800) 495-0086
Tufts Health Plans (888) 257-1985 (888) 257-1985
Primary Care Clinician Plan (800) 841-2900 / (800) 497-4648 (TTY) (800) 495-0086 / (877) 509-6981 (TTY)

Masshealth Provider Enrollment Center Locations Near Me (USA)

MassHealth Enrollment Center Tewksbury
(888) 665-9993
367 East St, Tewksbury, MA 01876
Monday to Friday: 8:45:00 a.m. to 5:00 p.m., Saturday to Sunday: Closed

MassHealth Enrollment Center Chelsea
(800) 841-2900
45 Spruce St, Chelsea, MA 02150
Monday to Friday: 8:45:00 a.m. to 5:00 p.m., Saturday to Sunday: Closed

MassHealth Enrollment Center Springfield
(800) 841-2900
88 Industry Ave D, Springfield, MA 01104
Monday to Friday: 9:00 a.m. to 5:00 p.m., Saturday to Sunday: Closed

MassHealth Enrollment Center Taunton
(508) 828-4600
3457, 21 Spring St #4, Taunton, MA 02780
Monday to Friday: 8:45:00 a.m. to 5:00 p.m., Saturday to Sunday: Closed

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