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MassHealthMedicaid · Prior Auth · Medical Policy · MA · Speech TherapyMedium impact

All Provider Bulletin 415: Update to MassHealth Coverage of Speech-Generating Devices and Review of Coverage for Augmentative and Alternative Communication-related Services

Effective date
Not stated in the notice
Identified
Jun 18, 2026

Summary

MassHealth covers medically necessary dedicated speech-generating devices (SGDs) under its durable medical equipment program, and prior authorization for a dedicated SGD is submitted by the DME provider. Non-dedicated SGDs, which are tablets, may be covered for qualifying members under state law, and prior authorization for them is submitted by a MassHealth-enrolled speech language pathology provider through the MassHealth Third-Party Administrator process for members enrolled in a MassHealth-contracted managed care entity, other than Senior Care Options and One Care. The bulletin substantially restates and supersedes All Provider Bulletin 266 and states that there is no change in coverage for augmentative and alternative communication-related services.

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What to do

Action · 8 steps
01For a dedicated SGD, the DME provider submits prior authorization to the member's managed care entity using its DME provider network, and the DME claim submission process does not change.
02When billing a dedicated device, refer to the MassHealth DME Provider Manual.
03For a non-dedicated SGD, the MassHealth-enrolled speech language pathology provider coordinates with the member's ordering practitioner and submits prior authorization and medical necessity documentation through the MassHealth Third-Party Administrator process at www.MassHealthLTSS.com.
04Table 2 lists procedure code E2510 for the non-dedicated SGD, E2511 for speech-generating software, and E2599 for the protective case, each with modifier TW and a $0 billed amount, and procedure code 92609 for follow-up visits at the existing MassHealth rate.
05DME accessories other than protective cases, such as the mounting system (E2512) and speakers, are billed at the DME provider's billed amount under 101 CMR 322.00, following current MassHealth billing protocol.
06E2599 is not covered if used as a modification to home internet or phone.
07There is no claim submission for a non-dedicated SGD.
08Members can contact a Participating AAC Tablet Speech Language Pathology Clinic for help obtaining a non-dedicated SGD.

Codes mentioned

E2510E2511E2599E251292609

Original notice

All Provider Bulletin 415: Update to MassHealth Coverage of Speech-Generating Devices and Review of Coverage for Augmentative and Alternative Communication-related Services
mass.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

MassHealth policiesMA policy changesSpeech TherapyCode E2510Code E2511Code E2599Code E2512Code 92609

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