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:

****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.

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

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