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MA Health Provider

Paperwork to Become a MA Health Provider

For the meaningful use incentive program, you are required to be a MA Health Provider.  If you are not currently enrolled as an active MA Health Provider (most of us are not), you will require a special enrollment to continue the attestation process.

Complete the forms in the link and returned along with a copy of the current Medical License to the MassEHR email address: MassEHR@masstech.org

****Please note that some forms require hard copies with signed signatures i.e. a voided check, W-9 form – You would be better off mailing in the packet of forms to the address below.

http://mehi.masstech.org/sites/mehi/files/documents/Medicaid/Special_Enrollment/Special%20Enrollment%20Checklist%20updated%207-18-16.pdf

Should you have any questions or concerns, please do not hesitate to contact the EHR Operations department at 1-855-627-7347. They are very helpful!!

MeHI Medicaid EHR Operations Department
Massachusetts eHealth Institute; Massachusetts Technology Collaborative
100 North Drive, Westborough, MA 01581
P: 855-627-7347, F: 508-898-3211
MassEHR@MassTech.org