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PA Requirement Update for CPT Codes 96380 and 96381 Effective January 1, 2024

December 9, 2024

MassHealth has updated the prior authorization (PA) age restriction for CPT codes 96380 and 96381 effective January 1, 2024. The impacted claims will be reprocessed and/or adjusted and will appear on a future remittance advice.

If you have questions, please contact MassHealth at (800) 841-2900 or provider@masshealthquestions.com.