Mass General Brigham ACO
Mass General Brigham Health Plan is proud to provide MassHealth insurance coverage to members of Mass General Brigham Accountable Care Organization.
MassHealth provider enrollment requirement
Federal law requires all MCE network providers to enter into a MassHealth provider contract. This means all MCE network providers must have:
- A network provider contract with Mass General Brigham Health Plan.
- A provider contract with MassHealth. MassHealth has developed the MassHealth Nonbilling Managed Care Entity (MCE) Network-only Provider contract for this purpose.
You can learn more about this requirement in the MassHealth provider enrollment FAQ.
Watch the training
This training video will walk you through the details of the Mass General Brigham ACO plan and network, including:
- Plan details
- Network information
- Prior authorizations and notification guidelines
- Redetermination
- Tools and resources
Quick links
- Provider manual
- Provider directory
- Sub cap resource guide
- Mass General Brigham ACO frequently asked questions
- MassHealth member covered service list
- MassHealth provider enrollment FAQ
- Service code lists
- MassHealth main page
- MassHealth redetermination page
- HRSN FAQ document
- HRSN payment policy
- Medicaid ACO pharmacy policies
Have questions?
Don't see what you're looking for? For more information about the Mass General Brigham ACO Provider network, contact healthplanprovrelations@mgb.org.
If you have a question about a specific patient, please call our provider service line at 855-444-4647.
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Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.
and Mass General Brigham Health Insurance Company