MedicaidAdministrativeMedium impact
Therapist Bulletin 20: Provider Compliance Notifying MassHealth of any Change in Application Information within 14 Days
MassHealth·MA · Physical Therapy, Occupational Therapy·Enrollment
We identified it
Jun 18, 2026
Summary
MassHealth therapy providers must notify the agency within 14 days of any changes to application information (name, address, ownership, corporate structure). Failure to notify can result in payment recoupments, fraud referrals, or contract termination.
Action Required
Immediately: Establish process to notify MassHealth within 14 days of any provider application changes (DBA, address, ownership, corporate structure). Update credentialing tracking system to monitor compliance. For individual therapists, submit updates via provider portal. Group practices must submit new applications to Provider Enrollment and Credentialing. Failure to notify may result in payment recoupments or contract termination.