Masshealth Fair Hearing Request Form
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People also ask
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How to appeal a MassHealth decision?
Fill out the Fair Hearing Request Form. You can find this form by going to MassHealth Member Forms. After you send the form, a worker from MassHealth will call you about your appeal and your records. If you have an authorized representative, they will call that person.
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What is the phone number for the MassHealth Board of Hearings?
Calling the MassHealth Customer Service Center at (800) 841-2900, TDD/TTY: 711, to fill out your request for a fair hearing form by phone. Questions: If you have a question about your hearing, contact the Board of Hearings at (617) 847-1200 or (800) 655-0338.
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How do I appeal a MassHealth decision?
To file an appeal by telephone, you may call the MassHealth Customer Service Center at (800) 841-2900, TDD/TTY: 711. Self-service is available 24 hours per day in English and Spanish. Other services are available Monday through Friday, 8 a.m.– 5 p.m. Interpreter service is available.
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How long does a MassHealth decision take?
A: Once your doctor sends us the necessary paperwork documenting your illness or need, we compile all of the required forms to apply for MassHealth authorization to cover your supplies. Q: How long does it take MassHealth to respond? MassHealth usually responds with their decision within 2-3 weeks.
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What is a fair hearing in Massachusetts?
The Fair Hearing Process enables a consumer who is dissatisfied with certain actions, or inactions, by the Department or a provider under contract with the Department to present their position in an informal hearing and to receive a just and fair decision from an impartial hearing officer based on the facts and ...
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What is the filing limit for MassHealth?
All claims must be received by the MassHealth within 90 days from the date of service or the date of the explanation of benefits from another insurer.
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How do I request for MassHealth forms?
Providers can download a copy of most MassHealth forms or request a supply of forms through the MassHealth website at .mass.gov/masshealth. Or providers can use this request form and fax it to 617-988-8973. Providers can also request forms by e-mailing publications@mahealth.net or by calling 1-800-841-2900.
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What is the final deadline for MassHealth appeal?
The appeal must be filed within 30 days of the date that appears on the remittance advice on which your claim first denied with error code 853 or 855.
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