Appendix 2: Reference Contact Information Contact Name For Information On Contact Information Individualized Education Plans Special Education Planning and Policy Massachusetts Development Office Department of Elementary and E-mail: Secondary Education Web-site: Telephone: 781-338-3375 Fax: 781-338-3371 Mailing address: 75 Pleasant Street, Malden, MA 02148 Massachusetts Rules regarding sharing Program Quality Assurance Office educational related information Department of Telephone: 781-338-3700 Elementary and (FERPA) and parental consent Mailing address: Secondary Education 75 Pleasant Street, Malden, MA 02148 MassHeatlh Enrollment E-mail: Obtaining a provider and Credentialing Fax: 617-988-8974 enrollment package Telephone: 1-800-841-2900 Updating your contact Hours: Monday Friday – information with 8:00 A.M. 5:00 P.M. – MassHealth Mailing address: MassHealth, Provider Enrollment and Credentialing, P.O. Box 9118, Hingham, MA 02043 MassHealth Provider MMIS Claims submission MassHealth Customer Service and Member Customer and processing E-mail: (for non- Service Claims remittance advice member-specific questions only) 1-800-841-2900 Telephone: Hours: Monday Friday – 8:00 A.M. 5:00 P.M. – Mailing address: MassHealth, Provider Services, P.O. Box 9118, Hingham, MA 02043 University of E-mail: General School-Based Massachusetts Medical Medicaid questions School Fax: 508-856-7643 Information regarding the Telephone: 1-800-535-6741 Massachusetts School- Hours: Monday Friday – Based Medicaid Cost 8:00 A.M. 4:30 P.M. Report – Mailing address: Information regarding AAC 333 South Street, Shrewsbury, MA 01545 claiming Information on quarterly payments Information regarding RMTS
Appendix 2: Reference Contact Information Contact Name For Information On Contact Information Massachusetts Individualized Education Plans Special Education Planning and Policy Department of Development Office Elementary and Secondary Education E-mail: Web-site: Telephone: 781-338-3375 Fax: 781-338-3371 Mailing address: 75 Pleasant Street, Malden, MA 02148 Massachusetts Rules regarding sharing Program Quality Assurance Office Department of Elementary and Secondary Education educational related information (FERPA) and parental consent Telephone: 781-338-3700 Mailing address: 75 Pleasant Street, Malden, MA 02148 MassHeatlh Enrollment Obtaining a provider enrollment package Updating your contact information with MassHealth E-mail: and Credentialing Fax: 617-988-8974 Telephone: 1-800-841-2900 Hours: Monday – Friday 8:00 A.M. – 5:00 P.M. Mailing address: MassHealth, Provider Enrollment and Credentialing, P.O. Box 9118, Hingham, MA 02043 MassHealth Provider and Member Customer Service MMIS Claims submission and processing Claims remittance advice MassHealth Customer Service E-mail: (for non- member-specific questions only) Telephone: 1-800-841-2900 Hours: Monday – Friday 8:00 A.M. – 5:00 P.M. Mailing address: MassHealth, Provider Services, P.O. Box 9118, Hingham, MA 02043 University of General School-Based Medicaid questions Information regarding the Massachusetts School- Based Medicaid Cost Report Information regarding AAC claiming Information on quarterly payments Information regarding RMTS E-mail: Massachusetts Medical School Fax: 508-856-7643 Telephone: 1-800-535-6741 Hours: Monday – Friday 8:00 A.M. – 4:30 P.M. Mailing address: 333 South Street, Shrewsbury, MA 01545