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MedicaidAdministrativeHigh impact

Enrollment for MA Medicaid providers

Harvard Pilgrim Health Care·MA·Provider Newsletter
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Massachusetts Medicaid providers who haven't completed state enrollment must do so immediately to continue participating in Tufts Health Together, Tufts Health One Care, and Tufts Health Plan Senior Care Options. The 21st Century Cures Act requires all providers serving Medicaid members to be enrolled and screened by the state, regardless of specialty.

Action Required

Action needed
Immediately: All Massachusetts providers not enrolled with state Medicaid must complete enrollment application through Mass.Gov website to maintain network participation and ensure reimbursement for Tufts Health Together, Tufts Health One Care, and Senior Care Options members. Contact MassHealth Provider Enrollment and Credentialing at pec@maximus.com with questions. Failure to enroll will result in inability to receive reimbursement and potential network removal.