Masshealth Provider Service Center

MassHealth helps promote healthcare access to members including children, adults, seniors citizens, and disabled individuals living in Massachusetts through services like doctor visits, dental care, prescription drugs, behavioral health services, and other health care services. It offers direct benefits and helps pay for the health insurance premiums in part or full for eligible members. Contact the Masshealth Provider Service Center for information regarding the enrollment process and benefits. Some of the services that the Masshealth service center helps customers with are as follows:
  • Getting A MassHealth Application
  • Check Status of The Application
  • Check Member Eligibility
  • Submit Claims for MassHealth Benefits
  • Replacement of MassHealth Card
  • Enrolling in A Health Plan
  • Review Regulations and Service Codes

Masshealth Fee For Service Plan

Fee-for-service or simply FFS is a system or plan through which services are delivered. There are also other delivery systems such as SCO, MCO, PACE, etc. Most customers receive benefits from Masshealth on a fee-for-service basis. Generally, members who have another primary insurance support or are recipients of premium assistance are enrolled in the fee-for-service plan. Members who are ineligible for full managed care are also enrolled in FFS. Medicare members are enrolled in FFS by default but can change to another plan if they wish. Masshealth pays for the benefits that are not covered by Medicare or other insurance on a fee-for-service basis. Most of the services for FFS and PCC Plan members are paid through FFS.

Contact Masshealth Provider Service Center Customer Support

Masshealth Customer Service Center for Providers

Contact using the following numbers:
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
Service Center Location: 367 East St, Tewksbury, MA 01876
Service Hours: Monday to Friday: 8:45:00 a.m. to 5:00 p.m.
Saturday to Sunday: Closed

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

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

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

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