The MassHealth Provider Portal offers healthcare providers a comprehensive online platform for managing patient eligibility, verification, and essential administrative tasks. This secure digital system streamlines healthcare provider operations, enabling efficient access to critical member information and services.
Official Links
What is the MassHealth Provider Portal?
The Provider Online Service Center (POSC) is a comprehensive digital platform that allows healthcare providers to:
- Verify member eligibility
- Access member information
- Manage administrative tasks
- Conduct eligibility checks quickly and securely
Who Can Use the Portal?
Healthcare providers with a valid:
- MassHealth Provider ID
- Service Location Number
- Provider Online Service Center (POSC) login credentials
How to Access the Portal
Login Requirements
- Provider Online Service Center (POSC) login information
- MassHealth Provider ID/Service Location Number
- Date(s) of service
Verification Process
- Navigate to the POSC website
- Click “Manage Members”
- Select “Eligibility”
- Choose “Verify Member Eligibility”
Key Features
Member Eligibility Verification
Providers can verify member eligibility using:
- 12-digit Member ID
- Social Security Number
- Other Agency ID (DCF and DYS)
- Member’s personal information (name, DOB, gender)
Information Verification Steps
- Select provider from dropdown
- Enter member identification details
- Specify date range of service
- Submit and confirm member information
- Review eligibility status
Privacy and Security
The MassHealth Provider Portal ensures:
- Secure HTTPS connection
- Official .mass.gov domain
- Restricted access to authorized healthcare providers
- Protection of sensitive member information
Customer Support
Contact Information
- Phone: (800) 841-2900
- Hours: Monday–Friday, 8 a.m.–5 p.m.
- TTY/TDD: 711
- Email: [email protected]
- Mailing Address: PO Box 278, Quincy, MA 02171
Additional Resources
Downloads
- MassHealth MMIS Job Aid: Verify Member Eligibility (PDF)
- MassHealth MMIS Job Aid: Verify Member Eligibility (DOCX)
Unprovided Information
The following details were not explicitly available in the source documents:
- Specific app download instructions
- Detailed billing or payment portal features
- Comprehensive login troubleshooting process
The MassHealth Provider Portal represents a critical digital tool for healthcare providers, offering secure, efficient access to member information and streamlining administrative processes.
Disclaimer: Always refer to official MassHealth documentation for the most current and accurate information.
FAQ
How do I check my MassHealth provider eligibility?
- Access member eligibility information from the EVS Internet site through the POSC.
- Click Manage Members.
- Click Eligibility.
- Click Verify Member Eligibility. …
- On the Check Member Eligibility panel, select the provider from the drop-down list.
- Enter either the member’s:
How do I enroll as a MassHealth provider?For enrollment or for more information, contact the MassHealth Customer Service Center at (800) 841-2900. For LTSS providers who need to apply as QMB-only providers, go to the MassHealth Long-term Services and Supports (LTSS) Provider Portal.
What is the tracking number for MassHealth?Your MassHealth Application Tracking Number (ATN) is found on the first page of your paper application or provided on your electronic application. If you do not have an ATN, contact MassHealth Customer Service at 1-800-841-2900.
How can I check my MassHealth coverage?If you want to see information about your health assistance benefits online, use My Account Page. My Account Page can help you manage your MassHealth, Commonwealth Care, Health Safety Net, Children’s Medical Security Plan and Healthy Start benefits.
https://newmmis-portal.ehs.state.ma.us/EHSProviderPortal/providerLanding/providerLanding.jsf
Use these services to view data, manage your profile information, and submit and retrieve transactions. Registered User? LOGIN. Need enrollment information?
https://www.mass.gov/how-to/eligibility-verification-for-masshealth-providers
You can learn how to access and check a member’s eligibility using our Eligibility Verification System (EVS) via the Provider Online Service Center (POSC).