In order to be eligible to receive payment from MassHealth, an out-of-state transportation provider must complete and submit an application to become an approved MassHealth provider; own, lease, or otherwise control by means of a written agreement vehicles required for the transportation services it seeks to provide; be a Medicare provider of any Medicare-covered services it seeks to provide; and be assigned a MassHealth provider number by the MassHealth agency. An out-of-state provider must have a valid license issued by the appropriate regulatory agency within its state to be approved as a MassHealth provider.

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4 Program Regulations

4-6

Provider Manual Series (130 CMR 407.000)

Transmittal Letter Date

Transportation Manual

TRN-39 12/27/21