MedicaidAdministrativeMedium impact
All Provider Bulletin 416: Requirement to Provide Medical Records to MassHealth Upon Request
MassHealth·MA·Provider Bulletin
Effective date
May 1, 2026
We identified it
Jun 18, 2026
Summary
MassHealth providers are now required to promptly provide medical records when requested by DES (Disability Evaluation Services) for disability evaluations. Failure to respond to these requests may violate provider agreements and delay patient coverage determinations.
Action Required
Immediately: Billing team and providers must respond promptly to all DES medical record requests for disability evaluations. Accept MADS-MR forms with electronic signatures (DocuSign, Adobe) same as wet signatures. Contact MassHealth Privacy Office at privacy.officer@mass.gov with PHI security concerns. Failure to respond may result in provider agreement violations and delayed patient coverage.