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MassHealth Provider Online Service Center

Provider Enrollment Application

Process Agreement

The Application Enrollment - Provider Agreement panel allows the user to link to MassHealth regulations and policies and either accepts or rejects the MassHealth regulations and policies. The provider must accept in order to complete the application to be enrolled as a participating MassHealth provider.

  • Error Resolution:

    • If an error is detected a statement is displayed in the upper portion of the panel. The statement indicates the problem and the method of correction and is preceded by a small red circle with a white "x" (Error Message) in it. The small red circle with a white "x" (Error Message) also appears next to required fields that are in error.

  • Click Leave Helpto close this Help panel.

Step

Action

Response

1

Directions for entering the values on the Agreement panel follow:


Radio Buttons

Select an available option, values, etc by clicking on a radio button for the I Agree or I Disagree fields.


2

Click on MassHealth on the Agreement panel.

The system links to the Massachusetts Health provider regulations site.


Perform Steps 3, 4, 5, and 6 to go Back to the previous panel, Continue to the next panel, Cancel or Save on any unsaved data on any panels accessed during this process.


3

Click on Back on the Agreement panel.

OR

The system navigates to the previous panel in the provider enrollment process

4

Click on Continue on the Agreement panel.

OR

The system continues the provider enrollment process

5

To back out any changes on any panels that have not been saved yet, click on Cancel Service on the Agreement panel.

OR

Any unsaved modifications or deletes to any panels during this process are backed out and the system returns to the initial Start An Enrollment Application - Security Warning panel.

6

Click on Save on the Agreement panel.

All information input on any panel for the provider enrollment application is saved. This allows the user to save the data, exit the provider enrollment application process and continue the provider enrollment application at another time. The system displays an Application Saved panel.