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  • MassHealth Enrollment Documentation - Frail Elder Waiver

MassHealth Enrollment Documentation - Frail Elder Waiver

Home and Community Based Services (HCBS) waiver providers are now required to enroll in the MassHealth program with an assigned MassHealth Waiver Provider number. If a company provides services to individuals who are enrolled in the Frail Elder HCBS Waiver, providers must complete specific MassHealth enrollment forms.

Interested ASAP providers should download and review these documents, starting with the Overview document. The contracting ASAP will provide specific instructions.

Download APP-FEW (Rev 03-15)

Download Federally Required Disclosure Form

Download GEN-FEW-C (11-14)

Download Helpful Tips for Completing Forms

Download List of MassHealth Provider Identification Numbers

Download Overview FY 16

Download Posc-dc

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