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This document transmits revisions to service codes and descriptions in the Day Habilitation Program Manual as mandated by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. It
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How to fill out MASSHEALTH TRANSMITTAL LETTER DHP-24

01
Obtain the MASSHEALTH TRANSMITTAL LETTER DHP-24 form from the official website or your local MassHealth office.
02
Ensure you have all necessary documentation related to your application or update.
03
Fill out the personal information section, including your name, address, date of birth, and contact information.
04
Complete the relevant sections based on the purpose of the transmittal, whether it’s for applying for new coverage, updating information, or other reasons.
05
Double-check all information for accuracy and completeness to avoid delays.
06
Sign and date the form at the designated section.
07
Submit the completed form along with any required documents to the MassHealth office either by mail or in person.

Who needs MASSHEALTH TRANSMITTAL LETTER DHP-24?

01
Individuals applying for MassHealth coverage for the first time.
02
Current MassHealth members who need to update or change their information.
03
Providers submitting information on behalf of a member or for administrative purposes.
04
Anyone needing to request additional benefits or services related to their MassHealth coverage.
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MASSHEALTH TRANSMITTAL LETTER DHP-24 is a form used by healthcare providers in Massachusetts to report specific information regarding services provided to MassHealth members.
Healthcare providers who deliver services to MassHealth members are required to file the MASSHEALTH TRANSMITTAL LETTER DHP-24.
To fill out the MASSHEALTH TRANSMITTAL LETTER DHP-24, providers need to complete the required sections including patient information, service details, and provider credentials as specified in the form instructions.
The purpose of MASSHEALTH TRANSMITTAL LETTER DHP-24 is to ensure accurate and consistent reporting of services provided to MassHealth members, facilitating proper reimbursement and care coordination.
Information required on MASSHEALTH TRANSMITTAL LETTER DHP-24 includes the member's personal details, the services rendered, the dates of service, and any applicable diagnosis codes.
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