Guidelines for Medical Necessity Determinations
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These documents were prepared for medical professionals to assist them in submitting documentation supporting the medical necessity of the proposed treatment, products, or services.
Recent Submissions
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Guidelines for Medical Necessity Determination for CardioMEMS
(MassHealth, 2022-05) -
Guidelines for Medical Necessity Determination for Hair Removal
(MassHealth, 2021-09-01) -
Guidelines for Medical Necessity Determination for Gender-Affirming Surgery
(MassHealth, 2021-09-01) -
Guidelines for Medical Necessity Determination for Treatment of Varicose Veins of the Lower Extremities
(MassHealth, 2019-03-01) -
Guidelines for Medical Necessity Determination for Support Surfaces
(MassHealth, 2014-11) -
Guidelines for Medical Necessity Determination for Speech and Language Therapy
(MassHealth, 2017-03-30) -
Guidelines for Medical Necessity Determination for Reduction Mammoplasty
(MassHealth, 2019-07-24) -
Guidelines for Medical Necessity Determination for Physical Therapy
(MassHealth, 2018-04-24) -
Guidelines for Medical Necessity Determination for Orthognathic Surgery
(MassHealth, 2018-10-16) -
Guidelines for Medical Necessity Determination for Organ Transplant Procedures
(MassHealth, 2019-07-03) -
Guidelines for Medical Necessity Determination for Occupational Therapy
(MassHealth, 2018-04-13) -
Guidelines for Medical Necessity Determination for Maternal Cell-Free Fetal DNA Testing for Aneuploidy
(MassHealth, 2020-08-11) -
Guidelines for Medical Necessity Determination for Mastectomy for Gynecomastia
(MassHealth, 2018-10-24) -
Guidelines for Medical Necessity Determination for Knee Arthroscopy
(MassHealth, 2018-06-01) -
Guidelines for Medical Necessity Determination for Knee Arthroplasty
(MassHealth, 2018-06-01) -
Guidelines for Medical Necessity Determination for Hospital Beds
(MassHealth, 2019-07-01) -
Guidelines for Medical Necessity Determination for Home Health Services
(MassHealth, 2017-10-23)